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Contrast agents are sometimes used in CT scans of the chest to accentuate or enhance the differences in radiopacity between vascularized and less vascularized structures, but a standard chest CT scan is usually non-contrasted (i.e. "plain") and relies on different algorithms to produce various series of digitalized images known as view or "window".
CT angiography is a contrast CT taken at the location and corresponding phase of the blood vessels of interest, in order to detect vascular diseases. For example, an abdominal aortic angiography is taken in the arterial phase in the abdominal level, and is useful to detect for example aortic dissection. [10]
As with any test that screens for disease, the risks of full-body CT scans need to be weighed against the benefit of identifying a treatable disease at an early stage. [6] An alternative to a full-body CT scan may be Magnetic resonance imaging (MRI) scans. MRI scans are generally more expensive than CT but do not expose the patient to ionizing ...
Low-dose high-resolution (1.25 mm) chest CT. HRCT is performed using a conventional CT scanner. However, imaging parameters are chosen so as to maximize spatial resolution: [1] a narrow slice width is used (usually 1–2 mm), a high spatial resolution image reconstruction algorithm is used, field of view is minimized, so as to minimize the size of each pixel, and other scan factors (e.g. focal ...
CT perfusion imaging is a specific form of CT to assess flow through blood vessels whilst injecting a contrast agent. [21] Blood flow, blood transit time, and organ blood volume, can all be calculated with reasonable sensitivity and specificity . [ 21 ]
An intravenous cannula is required for the administration of iodinated contrast. The typical dose is 30-40 g of iodine (corresponding to 20–30 cc of 370 mg/ml iodine solution). [10] However, for patients at high risk of contrast-induced nephropathy, it is possible to reduce the required amount of contrast using dual energy CT.
The rationale behind this decision is that further testing (specifically CT angiogram of the chest) may cause more harm (from radiation exposure and contrast dye) than the risk of PE. [50] The PERC rule has a sensitivity of 97.4% and specificity of 21.9% with a false negative rate of 1.0% (16/1666). [49]
Cardiac CT (CCT) is a modified form of the traditional chest CT due to the difficulty of imaging the complex, moving heart. [16] This is achieved through the use of thin slices and high-resolution scanning, as well as the addition of electrocardiogram (ECG) gating or triggering to capture a motion-free image.
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