Cranial & Facial Imaging (12) Flashcards
Routine CT Head: Indications (10)
Stroke-initial eval
Headache
Vertigo
Seizures
Unresponsive
Confusion
Neurological Concerns
Mental Status Change
Trauma/Fractures/hemorrhagic strokes (bleeds) best visualized w/o contrast
General Survey
Routine CT Head: Scan Type
Axial most common; helical and volume scans increasing in use
Routine CT Head: Slice Parameters
2.5mm slice thickness through posterior fossa
5mm through vertex w/matching slice interval
Brain & cranium should always be eval’d w 5mm or less thickness
Routine CT Head: Gantry Tilt
Parallel to supra-orbital-meatal line to avoid lens of eye
Routine CT Head: w/Contrast (performed as: )
Done when MRI contraindicated (done as Routine CT Head WWO)
Routine CT Head: when MRI is preferred
For imaging mass (soft tissue pathologies)
Routine CT Head: Algorithm
Standard: 80/30
Bone: 2500/600
Routine CT Head: HU for blood (range)
30-45 HU
Routine CT Head: HU for brain
20 HU
Routine CT Head: Utility of Brain window (80/30)
Supressed image noise
Creates smoother image
Routine CT Head: Smoothing Algorithm is used in Volume (3D) Rendering bcuz
Bone 2500/600 creates too much image noise in 3D
CT Orbits: Indications (3+)
Proptosis (eye bulging)
Pain
Vision changes
Other abnormalities
CT Orbits: Scan Type
Helical
CT Orbits: Slice Parameters
1.25mm with matching interval
CT Orbits: Gantry Tilt
Parallel to hard palate
CT Orbits: Contrast
Timing
(_______ for trauma)
IV contrast: 60 s post-injection
(Non-Con for trauma)
CT Orbits: Algorithm
Standard: 400/40
Bone: 2500/600
CT Orbits: Reformations
Coronal/Sagittal in both Std/Bone
CT Orbits-Imaging for trauma: Most likely course of action
Convert to CT Facial Bones
(orbits-only rare d/t likelihood of other areas being injured if orbits are injured)
CT Orbits w/Contrast Indication (1+)
Infection
Other soft tissue concerns
CT Orbits: Utility of standard WL
(40)
Matches approx HU of tissue in/around eyes
Bone Window: Max visibility of bone
2500 HU