HEPATOBILIARY CT SCAN

INDICATION
Indications:
1. Suspected liver lesion and characterization.
2. Staging malignancy.
3. To facilitate placement of needles (eg, biopsy)
4. Follow up after surgical or radiological
intervention.
5. Right upper quadrant pain.
6. Assess for :
Injuries
Bleeding
Infections
Abscesses
Unexplained abdominal or RUQ pain
Obstructions
 TECHNIQUE
• Change into a patient gown and remove all piercings and leave all
jewellery
• An intravenous (IV) line will be set on the arm for injection of the contrast
dye
• Patient lie on a scan table that slides into scanning machine. Pillows and
straps may be used to prevent movement during the procedure.
• Remain very still during the procedure.
• Any side effects or reactions to the contrast dye, such as itching, swelling,
rash, or difficulty breathing.
• If any pain, redness, and/or swelling at the IV site ask patient to notify
doctor as this could indicate an infection or other type of reaction.
• Otherwise, there is no special type of care required after a CT scan of the
liver and biliary tract
RISK
• Radiation exposure during
pregnancy may lead to birth
defects.
• If contrast dye is used, there
is a risk for allergic reaction to
the dye.
• There is a small chance of
contrast material leakage
from the IV line (known as
contrast extravasation), which
may cause swelling, stinging
pain, or skin damage at the IV
site.
 CT cholangiography
• is a technique of imaging the biliary tree with
the usage of hepatobiliary excreted contrast.
• It is useful in delineating biliary anatomy,
identifying a bile leak or looking for retained
gallstones within the biliary system.
 MAGNETIC RESONANCE
CHOLANGIOPANCREATOGRAPHY
(MRCP)
• Magnetic resonance cholangiopancreatography,
an application of MRI (magnetic resonance
imaging)
• a non-invasive imaging technique to visualize
intra and extrahepatic biliary tree and pancreatic
ductal systemNo contrast is administered within
the body.
• Fasting for 4 hours prior to the examination is
required to reduce gastroduodenal secretions,
reduce motility to eliminate motion artifacts and
to promote distension of gall bladder.
 INDICATION
Identification of congenital
anomalies of the cystic and
hepatic ducts
Post-surgical biliary anatomy
and complications
Pancreas divisum
Anomalous pancreaticobiliary
junction
Choledocholithiasis
Benign biliary strictures
Malignant biliary strictures
Chronic pancreatitis
 TECHNIQUE AND PROTOCOL
• No contrast is administered within the body.

• Fasting for 4 hours prior to the examination is

required to reduce gastroduodenal secretions,
reduce motility to eliminate motion artifacts
and to promote distension of gall bladder