Cisternogram Flashcards
1
Q
RP
Dose
Admin
A
0.5 - 1.5 mCi In111 DTPA
Intrathecal injection
2
Q
Indications
A
Evaluate CSF flow
Detection of CSF leak
Evaluation and detection of hydrocephalus
3
Q
Contraindications
A
None
4
Q
Patient Prep
A
Utilize sterile field
Prepare patient for spinal injection from physician
Patient to remain supine for 2 hours post injection to reduce headache
5
Q
Positioning
Images
A
Supine
ANT, POS, LLAT, RLAT, LAT Marker, Injection site
6
Q
Target organ
Critical organ
Route of excretion
Localization
A
Target - Brain and spinal cord
Critical - Brain and spinal cord
Excretion - Urinary
Localization - Compartmentalization
7
Q
Normal Pressure Cisternogram
A
Inject RP then place pledgets Image at 2, 4, 6 hours post injection Possible 24, 48 Image Injection site Pledgets removed after last image Blood is drawn after last image If pledgets 2x background - positive
8
Q
High Pressure Cisternogram
A
Place pledgets then inject RP Image at 1 - 2 hours post injection Image injection site Remove pledgets at time of imaging Blood is drawn after last image If pledgets 2x background - positive
9
Q
Computer Set Up
A
TIME STAMP ALL IMAGES MEGP Collimator 256 x 256 Statics - 5 minutes/image *Peak in for Indium*
10
Q
Processing
A
JetStream - Donna Wright Marie
Xeleris - Cisternogram
