CT and CT Angiography
Computed Tomography (CT) is an imaging modality which has become the primary tool for diagnosis of many medical conditions. Patients lie on a table which moves through a the circular CT scanner which emits x-rays to create images of the body and its internal structures. CT scans are often able to identify abnormalities within the body only a few millimeters in size.
Sometimes this is done during or after the use of contrast, which is an iodine-based material given through an IV and helps to better show blood vessels, organs, and other internal structures. Your doctor will decide whether to use IV contrast, sometimes with the guidance of the radiologist. Occasionally, after a scan without contrast has been performed, it may be necessary to repeat the scan with contrast to better evaluate a possible abnormality. Some scans are also performed with oral contrast, which is contrast material that you drink before the scans to better show the digestive tract and associated structures.
CT scans are noninvasive or minimally invasive (requiring only an IV). Scans are very fast and painless, though some people feel a warmth inside the body during contrast administration.
CT Angiography (CTA) is a specialized form of CT with contrast in which the scan is performed during or shortly after contrast administration. CTA is utilized to specifically evaluate blood vessels, which may be in the brain, neck, chest, abdomen, or extremities. It allows radiologists to carefully evaluate the blood vessels for blockages or damage to the blood vessels such aneurysms, or dissection (abnormal tearing of the blood vessel wall). It is also used to evaluate for active bleeding which may be life threatening.
Preparing for CT
To best prepare for a CT scan, be sure to have a current list of your medications and any allergies so that we can ensure safety during contrast injection. You may be asked to remove some clothing and wear a hospital gown. You will also be asked to remove metal objects such as jewelry, dentures, eyeglasses, or belts with metal buckles, as these may cause interference with the scan. If appropriate, you may be asked to drink oral contrast before the scan. The CT technologist is responsible for ensuring your safety and that you are properly prepared for the best quality scan possible.
If you are to receive IV contrast during the CT scan, you may need blood tests to evaluate your kidney function. Patients with impaired kidney function are at higher risk of increased damage to the kidneys after receiving IV contrast. If your kidney function is below a certain level and you are not on dialysis, your scan may be changed to a non-contrast scan. The decision to give contrast should be a collaborative decision made by the patient, his or her doctor, and the radiologist, taking into account the medical necessity for contrast and the potential risks.
Is CT scanning safe?
To learn more or for any questions, please call (714) 970-0200 or email office@fullertonradiology.org. For facility specific questions or concerns, please use the Locations page to find the appropriate contact information. Fullerton Radiology Medical Group radiologist physicians help doctors and patients at its affiliated locations, which serve the Anaheim, Bellflower, Brea, Buena Park, Cerritos, Corona, Fullerton, Orange, Placentia, Riverside, Yorba Linda, and neighboring communities.