TEKNIK CT THORAX

JENIS JENIS PEMERIKSAAN

Umumnya pemeriksaan CT Scan thorax terdiri dari :
• Standard Chest
• Mediastinal structure & vessels
• High Resolution CT (HRCT)

• The standard thoracic examination must be performed in arterial phase to outline

the borders of the heart and major blood vessels
• It must include the adrenal glands to determine if a neoplastic lesion found in the
lungs has its primary in the adrenals. To ensure adequate arterial opacification
occurs a pressure injector must be used.
• An injection rate of 2 ml per second is used. The volume of contrast that is needed
for a standard thoracic examination can vary from 75-100 ml of 300-370 strength
(300-370 mg iodine per ml) IV contrast. As the patient’s size and weight increases
a greater volume of IV contrast and a faster injection rate needs to be used.
• Scan technique involves a 10 mm slice acquisition using a pitch of 1.5. Spiral/helical
imaging is recommended as the entire lung area can be imaged in one single breath
hold. FOV is to skin edge.
• Tube voltage only needs to be minimal because the structures imaged are mainly
air filled lungs. If the mA is increased too dramatically it can have an adverse affect
on IV contrast density (i.e. increasing the mA will decrease the apparent image
density of the IV contrast media). Rotation time should be as fast as possible to
decrease the amount of time that the patient has to hold his/her breath.