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Tell your doctor if there's a possibility you are pregnant and discuss any recent illnesses, medical conditions, medications you're taking, and allergies. You will be instructed not to eat or drink anything for a few hours before your test.
If you have a known allergy to contrast material, your doctor may prescribe medications to reduce the risk of an allergic reaction. Leave jewelry at home and wear loose, comfortable clothing. You may be asked to wear a gown.
Computed tomography, more commonly known as a CT or CAT scan, is a diagnostic medical imaging test and it produces pictures of the inside of the body.
The cross-sectional images generated during a CT scan can be reformatted in multiple planes and even generate three- dimensional images.
CT images of internal organs, bones, soft tissue and blood vessels provide greater detail than traditional x-rays.
Using specialized equipment radiologists can more easily diagnose problems such as cancer, cardiovascular disease, infectious disease, trauma and musculoskeletal disorders.
CT imaging is:
Radiologists and radiation oncologists often use the CT examination to:
You should wear comfortable, loose-fitting clothing to your exam. You may need to wear a gown during the procedure.
Metal objects, including jewelry, eyeglasses, dentures and hairpins, may affect the CT images. Leave them at home or remove them prior to your exam. You may also be asked to remove hearing aids and removable dental work. Women will be asked to remove bras containing metal underwire. You may be asked to remove any piercings, if possible.
You will be asked not to eat or drink anything for a few hours beforehand, if contrast material will be used in your exam. You should inform your physician of all medications you are taking and if you have any allergies. If you have a known allergy to contrast material, your doctor may prescribe medications (usually a steroid) to reduce the risk of an allergic reaction. To avoid unnecessary delays, contact your doctor before the exact time of your exam.
Also inform your doctor of any recent illnesses or other medical conditions and whether you have a history of heart disease, asthma, diabetes, kidney disease or thyroid problems. Any of these conditions may increase the risk of an adverse effect.
Women should always inform their physician and the CT technologist if there is any possibility that they may be pregnant.
The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. You will lie on a narrow examination table that slides in and out of this short tunnel. Rotating around you, the x-ray tube and electronic x-ray detectors are located opposite each other in a ring, called a gantry. The computer workstation that processes the imaging information is located in a separate control room. This is where the technologist operates the scanner and monitors your exam through direct visual contact. The technologist will be able to hear and talk to you using a speaker and microphone.
In many ways, a CT scan works like other x-ray exams. Different body parts absorb x-rays in different amounts. This difference allows the doctor to distinguish body parts from one another on an x-ray or CT image.
With CT scanning, several x-ray beams and electronic x-ray detectors rotate around you. These measure the amount of radiation being absorbed throughout your body. Sometimes, the exam table will move during the scan, so that the x-ray beam follows a spiral path. A special computer program processes this large volume of data to create two-dimensional cross- sectional images of your body. These images are then displayed on a monitor. CT imaging is sometimes compared to looking into a loaf of bread by cutting the loaf into thin slices. When the image slices are reassembled by computer software, the result is a very detailed multidimensional view of the body's interior.
Refinements in detector technology allow nearly all CT scanners to obtain multiple slices in a single rotation. These scanners, called multi-slice or multidetector CT, allow thinner slices to be obtained in a shorter amount of time. This results in more detail and additional view capabilities.
Modern CT scanners can scan through large sections of the body in just a few seconds. Such speed is beneficial for all patients who find it difficult to stay still, even for the brief time necessary to obtain images.
For some CT exams, a contrast material is used to enhance visibility in the area of the body being studied.
The technologist begins by positioning you on the CT exam table, usually lying flat on your back. Straps and pillows may be used to help you maintain the correct position and remain still during the exam.
Motion will cause blurring of the images and degrade the quality of the examination the same way that it affects photographs.
If contrast material is used, depending on the type of exam, it will be swallowed, injected through an intravenous line (IV) or, rarely, administered by enema.
Next, the table will move quickly through the scanner to determine the correct starting position for the scans. Then, the table will move slowly through the machine as the actual CT scanning is performed.
Depending on the type of CT scan, the machine may make several passes.
You may be asked to hold your breath during the scanning. Any motion, including breathing and body movements, can lead to artifacts on the images. This loss of image quality can resemble the blurring seen on a photograph taken of a moving object.
When the exam is complete, you will be asked to wait until the technologist verifies that the images are of high enough quality for accurate interpretation.
The CT examination is usually completed within 30 to 60 minutes. The portion requiring intravenous contrast injection usually lasts only 10 to 30 seconds.
CT exams are generally painless, fast and easy.
Though the scan is painless, you may have some discomfort from remaining still for several minutes or from placement of an IV. If you have a hard time staying still, are very nervous, anxious or in pain, you may find a CT exam stressful.
If an intravenous contrast material is used, you will feel a pin prick when the needle is inserted into your vein. You may feel warm or flushed while the contrast is injected. You also may have a metallic taste in your mouth. This will pass. You may feel a need to urinate. However, this is a contrast effect and subsides quickly.
If the contrast material is swallowed, you may find the taste mildly unpleasant; however, most patients can easily tolerate it. You can expect to experience a sense of abdominal fullness and an increasing need to expel the liquid if your contrast material is given by enema. In this case, be patient, as the mild discomfort will not last long.
When you enter the CT scanner, you may see special light lines projected onto your body. These lines are used to ensure that you are properly positioned. With modern CT scanners, you may hear slight buzzing, clicking and whirring sounds. These occur as the CT scanner's internal parts, not usually visible to you, revolve around you during the imaging process.
You will be alone in the exam room during the CT scan. However, the technologist will always be able to see, hear and speak with you through a built-in intercom system.
After a CT exam, the technologist will remove the intravenous line used to inject the contrast material.
The tiny hole made by the needle will be covered with a small dressing. You can return to your normal activities.
A radiologist, a doctor specially trained to supervise and interpret radiology exams, will analyze the images. The radiologist will send an official report to the doctor who ordered the exam.
Follow-up exams may be needed. If so, your doctor will explain why. Sometimes a follow-up exam is done because a potential abnormality needs further evaluation with additional views or a special imaging technique. A follow-up exam may also be done to see if there has been any change in an abnormality over time. Follow-up exams are sometimes the best way to see if treatment is working or if an abnormality is stable or has changed.
There is no conclusive evidence that radiation at small amounts delivered by a CT scan causes cancer.
Large population studies have shown a slight increase in cancer from much larger amounts of radiation, such as from radiation therapy. Thus, there is always concern that this risk may also apply to the lower amounts of radiation delivered by a CT exam. When a CT scan is recommended by your doctor, the expected benefit of this test outweighs the potential risk from radiation. You are encouraged to discuss the risks versus the benefits of your CT scan with your doctor or radiologist, and to explore whether alternative imaging tests may be available to diagnose your condition.
Soft-tissue details in areas such as the brain, internal pelvic organs, and joints (such as knees and shoulders) can often be better evaluated with magnetic resonance imaging (MRI). In pregnant women, while CT can be performed safely, other imaging exams not involving radiation, such as ultrasound or MRI, are preferred but only if they are likely to be as good as CT in diagnosing your condition.
A person who is very large may not fit into the opening of a conventional CT scanner or may be over the weight limit”usually 200 kg”for the moving table.
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This information is provided by Cleveland Clinic Abu Dhabi, part of Mubadala Healthcare, and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.
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