CT Spine Flashcards

1
Q

What is the modality of choice for imaging the spine

A

MRI

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2
Q

When is CT considered superior for imaging the spine

A

To see bony abnormalities

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3
Q

What must every study include for the spine

A

AP and lateral scouts

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4
Q

What is improved by administering intrathecal CM

A

Intradural structures

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5
Q

What are the main indications for spine CT

A

Disc herniation, Spinal stenosis, Spinal infection ,Trauma, Intraspinal tumors

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6
Q

What types of trauma are indication for spinal CT

A

fracture and dislocation

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7
Q

When is CM used for CT spine

A

Post op lumbar spine, inflammatory and neoplastic lesions

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8
Q

When is CM not indicated for CT spine

A

Most pathologies, disc lesions, spinal trauma etc

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9
Q

What is the Romans CM instructions

A

100ml @ 1.5ml/s
Scan after injection is finished

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10
Q

What 3 types of commonly seen vertebral fracture variations are there

A

Wedge, biconcave, crush

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11
Q

Mild vertebral fracture

A

20-25% height loss

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12
Q

Moderate vertebral fracture

A

25-40% height loss

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13
Q

Severe vertebral fracture

A

> 40% height loss

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14
Q

How is a patient positioned for C-Spine

A

Supine, head first

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15
Q

Where are internal laser lights for C-Spine

A

Glabella

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16
Q

What do we scan for C-Spine

A

Just above skull base to mid T1

17
Q

How is patient positioned for T-spine

A

Supine, feet first, knees bent, arms over head

18
Q

Where is internal laser light for T-Spine

A

2” above jugular notch (T1)

19
Q

What do you scan for T-spine

A

Just above T1 to Just below T12 (unless specified)

20
Q

How is patient positioned for L-spine

A

Supine, Feet first, arms over head, knees bent

21
Q

Where is internal laser for L-spine

A

Xiphoid process (T9/10)

22
Q

What do you scan for L-spine

A

Above L1 to mid sacrum

23
Q

What is the type of scan for Spinal CT

A

Helical

24
Q

Which type of recon shows better detail: 2D or 3D

A

2D

25
Q

What is the window for Spine soft tissue

A

350ww/50wl

26
Q

What is the window for spine bone

A

2000ww/500wl

27
Q

How long of a delay is recommended between intrathecal injection and scanning

A

1 to 3 hours so the CM has time to dilute

28
Q

What might happen if CM is too dense on our CT scan

A

It may mask intradural structures

29
Q

When might a patient have a CT myelogram

A

If an MRI is not possible for them

30
Q

When are CTA Spine Angio studies ordered

A

To see AV fistulas, AVM, Blunt trauma, etc

31
Q

What is scanned for a CTA Apine Angio study

A

Skull base to sacrum

32
Q

How many scans are done for CTA Spine Angio

A

2 scans.
1: arterial scan
2: delayed scan immediately after first arterial scan

33
Q

What is another reason a patient may receive an angio CT other than due to injury or trauma

A

For pre-op visualization