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CT ANGIOGRAPHY. CT IMAGE OF THE BLOOD VESSEL OPACIFIED BY CONTRAST. REQUIREMENTS FOR CTA. PATIENT PREPARATION ACQUSITION PARAMETERS CONTRAST MEDIUM ADMINISTRATION POSTPROCESSING TECHNIQUES. PATIENT PREP. INFORMED CONSENT. PATIENT PREP. BUN 7-20 mg/dl CREAT.- 0.6 –1.2 mg/dl
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REQUIREMENTS FOR CTA • PATIENT PREPARATION • ACQUSITION PARAMETERS • CONTRAST MEDIUM ADMINISTRATION • POSTPROCESSING TECHNIQUES
PATIENT PREP. • BUN 7-20 mg/dl • CREAT.- 0.6 –1.2 mg/dl • IODINE ALLERGY- STEROID THERAPY • HYPERVENTILATION BEFORE EXAM FOR BETTER BREATHOLD
GAUGE SUITABLE FOR CTA 18 OR 20
PARAMETERS • USUALLY ROUTINE CT PRECEDES A CTA EXAM. THE ROUTINE EXAM IS USED AS A REFERENCE SCAN HELPING TO DETERMING THE SCANNING RANGE IN CTA.
SLICE THICKNESS SPATIAL RESOLUTION SLICE THICKNESS
CEREBRAL CTA ABDOMINAL CTA THORACIC CTA 1MM (LOWER mA) 3MM 3MM SLICE THICKNESS
PITCH SPATIAL RESOLUTION SPIRAL PITCH
SPIRAL PITCH • UP TO 2
kVp, mA, TIME • SIMILAR TO NON- CTA EXAM OF THE SAME BODY PART
RECONSTRUCTION INTERVAL • 50% OF OVERLAP
UTILIZE SUBSECOND SCANNING • INCREASED TISSUE VOLUME COVERAGE • REDUCTION IN MOTION ARTIFACT
POWER INJECTOR PARAMETERS VOLUME OF CONTRAST-ml RATE ml/sec TIME OF INJECTION – sec SCAN DELAY TIME - sec
CONTRAST WARMER WHY???
RATE OF INJECTION 3-5 ml/sec
ORAL CONTRAST???? WATER NEGATIVE CONTRAST
AUTOMATED CONTRAST ADMINISTRATION SYSTEMS • SMARTPREP • CARE • SURESTART
CONTRAST ADMINISTRATION AND SCANNING METHODS • BOLUS TRACKING • BOLUS TIMING • MANUAL PRESET TIME
Circle of Willis?! 40 SEC