CT Flashcards

1
Q

what are 5 common scans used in CT

A
  1. Head
  2. cervical spine
  3. abdomen and pelvis with contrast
  4. abdomen and pelvis without contrast
  5. CT angiography
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2
Q

how do low density object appear on CT? High?

A

low densities are dark, high densities are lighter

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3
Q

what are 4 complications in getting a good Ct

A
  1. patient movement
  2. pt size
  3. inability to lay flat
  4. metallic artifact
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4
Q

hounsfeld units

A

units of density, air is -1000, bone is +1000

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5
Q

image windowing

A

different computer adjustments to make structures on a CT more or less clear

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6
Q

what are 5 ways to introduce contrast for a CR

A
  1. Oral
  2. rectal
  3. IV
  4. arthrography
  5. myelography
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7
Q

what is the difference between these two pictures

A

the left is without contrast, the right is with contrast

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8
Q

what is the relevance of contrast timing to getting a good CT

A

if the contrast isnt in at the right time it won’t be in the structures you are trying to view

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9
Q

how long after oral contrast should a CT be taken

A

1-2 hours

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10
Q

what is necessary when introducing contrast by IV

A

a high quality IV that can take the pressure needed for injection

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11
Q

three CT protocols

A
  1. with IV contrast
  2. without contrast
  3. with and without contrast
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12
Q

what are three contraindications for contrast

A
  1. Iodine allergy
  2. compromised renal function
  3. recent adminstration of contrast
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13
Q

when is MRI indicated over Head CT

A

when there are suspected metastatic diseases or masses

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14
Q

what are three diagnoses that would indicate getting a CT head with contrast

A
  1. stroke
  2. hemorrhage
  3. hematoma
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15
Q
A

subarachnoid hemorrhage

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16
Q
A

hemorrhagic stroke

17
Q
A

subdural hematoma

18
Q
A

stroke

19
Q
A

stroke

20
Q
A

metastatic lesion

21
Q

what are three indications to perform a CT angiograph

A
  1. stroke symptoms
  2. carotid occulsion/dissection/stenosis
  3. aneurysms
22
Q

T/F it is necessary to get an MRI or CT before doing a CT angiogram

A

true

23
Q

what view is this? what is missing

A

CT angiogram

the interal carotid is not visable because it is occluded

24
Q

what would indicate a CT sinus screen

A

chronic sinusitis or post operative follow up

25
Q

T/F xray should not be used for evaluating the sinuses

A

false, it can be used to minimize radiation exposure but it is less conclusive

26
Q

what CT study should be performed if a sinus mass or abcess is suspected

A

CT with and without contrast