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COMPUTERIZED AXIAL TOMOGRAPHY (CT SCAN)

This examination, a form of computerized tomography, produces a series of cross-sectional images of a selected part of your body. The technologist, an expert in the use of this specialized equipment, will conduct the examination. The images will be evaluated by a Radiologist who is a physician specializing in medical diagnosis by X-ray. Each separate CT image can be compared to a slice of a loaf of bread. The Radiologist can build up a three-dimensional picture of each part being examined by studying the images in sequence.

PREPARING FOR THE EXAMINATION
Preparation for the examination varies, depending on the part of your body being examined. Your doctor will provide instructions to fit your particular situation. In some cases, a medication or special diet, or both, may be prescribed for a period of time prior to the examination. This information can be obtained from the Department of Radiology.

Whether or not you are hospitalized, the procedure and instructions in preparing for it are basically the same. Be sure to follow your doctor’s instructions carefully. If you don’t the examination may have to be repeated at a later date.


SPECIAL COMMENTS
  • Any woman who is pregnant, or who thinks she might be, should advise her doctor BEFORE proceeding with the examination.
  • If you have ever had any problems involving a contrast medium before, tell the Radiologist or technologist of this fact BEFORE proceeding with the examination.

WHAT HAPPENS DURING A CT Scan
For the examination, you may be asked to remove part of all of your clothing and put on a gown.
After you enter the CT room, the technologist will position you on a special table.  Once you are securely in place, you will be moved into the ring of the scanner. The technologist will control the
scanner and watch the progress of the test from an adjacent room. As you are moved through the scanner, relax and remain as quiet as you can. Each scan will require you to hold your breath for a few seconds, so listen for instructions from the technologist.

After each image, or scan, made the table will move you into position for the next scan. You will hear the sounds of gears and motors in the ring as the X-ray equipment scans your body.

Frequently, it may be necessary to use a contrast medium to image certain internal structures. The contrast medium is given orally or injected into a vein, or both. The Radiologist can give you specific information about the contrast medium before the examination begins.


COMPLETION OF THE EXAM
The examination itself usually takes less than an hour. Your doctor’s office can advise you on just how long you should plan to spend.

The Radiologist will study your examination and give an evaluation to your physician. Your doctor will then discuss the results with you and explain what they mean in relation to your health. If you have not heard from your physician within one week of your CT, you should contact her/him directly to discuss the findings of your CT.

The contrast medium will be eliminated through your urine and should not discolor the urine or stool. You can resume your regular diet immediately after the examination.


HOW THE BODY CT WORKS
The ring encircling your body contains an X-ray tube and a receptor which are mounted opposite each other. These rotate around your body, which is positioned in the exact center of the ring. With each scan, a portion of the complete information is accumulated by the receptor. The receptor measures this amount and feeds the information into a computer. The computer calculates the density of each area within the body based on the energy absorbed as the
scanner rotates. This density is a number that is assigned a shade of gray, which is then displayed on a viewing screen. The information obtained from the total number of scans can be used to recreate on the screen an accurate picture of the structures inside your body. The computer takes only seconds to make the calculations, compared to years with a human being!

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