Radiologic examination, sella turcica
CPT4 code
Name of the Procedure:
Radiologic Examination of the Sella Turcica
Common name(s): Sella Turcica X-ray, Skull X-ray for Sella, Cranial X-ray
Summary
A radiologic examination of the sella turcica involves taking X-ray images of the small, saddle-shaped area in the sphenoid bone at the base of the human skull. This exam helps assess abnormalities in the sella turcica, where the pituitary gland resides, potentially indicating different medical conditions.
Purpose
The procedure is used to diagnose and monitor conditions affecting the pituitary gland such as tumors, cysts, or other abnormalities.
- Goals: To identify and monitor pituitary gland dysfunction or structural abnormalities in the sella turcica.
Indications
- Symptoms like chronic headaches, vision problems, hormonal imbalances, or growth abnormalities.
- Suspected pituitary adenomas, cranial or pituitary gland abnormalities.
- When other imaging modalities like MRI are unavailable or contraindicated.
Preparation
- No specific preparation is usually required.
- Patients might be asked to remove any metal objects from the head and neck area, as these can interfere with the X-ray images.
- Sharing medical history and current medications with the healthcare provider.
Procedure Description
- The patient is asked to sit or lie on an X-ray table.
- The head is positioned to center the sella turcica in the X-ray beam.
- X-ray images are taken from multiple angles to get comprehensive views.
- The technology used includes standard X-ray equipment.
- Anesthesia or Sedation: This procedure typically does not require any anesthesia or sedation.
Duration
The procedure typically takes about 10-15 minutes.
Setting
Performed in radiology departments within hospitals, outpatient clinics, or specialized diagnostic imaging centers.
Personnel
- Radiologist (to interpret the images)
- Radiologic technologist (to operate the X-ray equipment)
Risks and Complications
- Common Risks: Minimal exposure to ionizing radiation.
- Rare Risks: Potential allergic reaction to contrast agents if used, though this is uncommon.
Benefits
- Provides detailed images of the sella turcica and pituitary gland.
- Early detection of abnormalities leading to prompt treatment.
- Non-invasive with minimal discomfort.
Recovery
- No special post-procedure care is typically required.
- Patients can generally resume normal activities immediately.
- Follow-up appointments if necessary based on radiologic findings.
Alternatives
- MRI (Magnetic Resonance Imaging): More detailed imaging without radiation exposure but can be more expensive.
- CT Scan (Computed Tomography): Provides more detailed images but involves higher radiation exposure.
- Pros and Cons: MRI is preferable for detailed soft tissue imaging but might not be available or feasible for all patients. CT scans provide detailed information but with higher radiation exposure.
Patient Experience
- During Procedure: Mild discomfort from holding still; otherwise, it is painless.
- After Procedure: There are usually no adverse after-effects. Pain management is typically not necessary.