Tuesday, February 4, 2020

Routine CT scanning protocols of head, chest and abdomen Essay

Routine CT scanning protocols of head, chest and abdomen - Essay Example As with the benefits of any new medical technology, CT also has its share of woes in terms of exposure of patients to high dose radiation. It is challenging to optimise and reduce the dose without compromising the image quality and resolution. This paper aims at bringing out optimization of the radiation dosage by modifying existing parameters based on latest discoveries and innovations. The most direct method of reducing the radiation dose reduction is that of decreasing the tube voltage and tube potential. However, the use of other techniques including Automatic Emission Control, Imaging Filters and Noise Reducing Filters also aid in reduction of radiation dosage without diminishing the image quality. The machines used for routine CT at KSMC are the General Electronics system, the Philips system and the Siemens Somatome Sensation 16 Slice. For this evaluation, I would focus on the Siemens system as my experience is confined to the same. The CT scanning protocols for head, chest and abdomen will be covered in this paper. CT can be performed with or without contrast and the procedure essentially depends on the physician performing the imaging procedure. Table 1 shows the numerous parameters and dimensions for the CT scan of the human skull using KSMC’s protocol. Skull imaginative view, reconnoitre vision of the brain SOM (supra orbito meatal) line are the baselines for this assessment. This protocol does not use IV contrast or oral contrast. The second protocol used is for mass lesion or tumour. The second protocol is similar to the first one but uses IV contrast that is set between 100cc to 120cc of Omnipaque 350. Patient preparation and training vary for protocols with and without contrast. In protocols using no contrast, patient training is not necessary, while procedures using contrast require that the four elementary steps be completed, the steps being; only one CT scan

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