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    Indication and Requests for Radiological Examination

    Indication and Requests for Radiological Examination
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    CT

    Computer tomography (CT) is a technique that, similarly to conventional X-ray, uses radiation (see X-ray/CT technique module). The difference is that where a conventional X-ray shows the 2D image, a CT obtains a 3D image of the body. It is a quick investigation where in a few seconds substantial amounts of the body can be imaged. CT images have a high resolution, so small lesions can frequently be seen. In addition, the 3D images can be reconstructed to view the body in different planes and cross sections. 

    Of all the imaging techniques CT gives the most information on the lung parenchyma. It can be used following an X-ray or inconclusive US. Through use of intravenous contrast, we can further image vascular structures and assess blood flow or perfusion (fig 8). 

    CT angiography (CTA) of the thorax. CT angiography (CTA) of the thorax.
    Figure 8. CT angiography (CTA) of the thorax. Transverse section of an aneurysm of the ascending aorta. Note the dense (white) contrast agent, primarily found in the aorta and less so in the pulmonary artery; in this way the aorta can be properly assessed.
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    Literature: sources and author

    Text

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)

    With special thanks to:
    Dr. J.C. Korving (Abdominal Radiologist at Reinier de Graaf Hospital, Delft)
     

    Illustrations

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)


    Sources:

    • B. Block. Abdominal Ultrasound: Step by Step (2004).
    • W.D. Middleton et al. The Requisites – Ultrasound (2004).
    • M. Prokop; Spiral and Multislice Computed Tomography of the body (2003)
    • C. Westbrook et al; MRI in Practice. 2011

    30/05/2019 

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