70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections

Name of the Procedure:

Computed tomography (CT) scan of the head or brain without contrast material, followed by contrast material(s) and further sections. Also known as a "CT head scan with and without contrast."

Summary

A CT scan of the head or brain is an imaging procedure that uses X-rays to create detailed pictures of the brain and skull. It starts without using a contrast dye and then uses a special dye (contrast material) for further imaging to provide more detailed visualization of the brain structures.

Purpose

This procedure helps diagnose and monitor conditions affecting the brain, such as tumors, bleeding, strokes, and other brain injuries. The goal is to provide detailed images to help healthcare providers accurately diagnose and plan appropriate treatment.

Indications

• Severe headaches
• Trauma to the head
• Sudden or unexplained neurological symptoms, such as weakness or vision changes
• Suspected brain tumors
• Stroke symptoms
• Seizures
• Follow-up for known brain conditions

Preparation

• Fasting may be required for a few hours before the procedure.
• Inform the healthcare provider of any allergies, especially to contrast material.
• Blood tests may be required to assess kidney function.
• Discontinue certain medications as advised by the healthcare provider.

Procedure Description

1. The patient lies on a motorized table that slides into the CT scanner.
2. Initial scans are taken without contrast material.
3. A contrast dye is then injected through an IV line in the patient's arm.
4. Additional scans are taken to capture enhanced images.
5. The patient needs to remain still during the scans, and may be asked to hold their breath at times.
   • Equipment involves the CT scanner machine and contrast material administered via an intravenous catheter.
   • Typically, no anesthesia or sedation is required unless the patient has difficulty remaining still.

Duration

The entire procedure typically takes about 30 minutes to an hour.

Setting

This procedure is usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist (a doctor specializing in imaging)
• Radiologic technologist (conducts the scan)
• Nurse or technician (administers the contrast material)

Risks and Complications

• Minor risks include allergic reactions to the contrast dye (e.g., itching, rash).
• Rarely, severe allergic reactions or kidney issues can occur.
• Radiation exposure, though minimal, is a potential risk.

Benefits

• Provides highly detailed images of brain structures.
• Helps in accurate diagnosis and treatment planning.
• Can detect a wide range of brain conditions.

Recovery

• Patients can usually resume normal activities immediately.
• Drink plenty of fluids to help flush the contrast material from the body.
• Follow-up appointments may be scheduled to discuss results.

Alternatives

• Magnetic Resonance Imaging (MRI): does not use radiation but takes longer.
• Ultrasound: limited use for brain imaging in adults.
• Simple X-rays: less detailed information.

Patient Experience

• Patients may feel a quick sting from the IV insertion for the contrast dye.
• Lying still inside the scanner may be uncomfortable, but it's painless.
• Some may experience a warm sensation or metallic taste when the contrast dye is injected.
• Minimal to no pain management is usually needed.

This markdown provides a structured overview of the CT scan of the head or brain with and without contrast, offering detailed descriptions and helpful guidance for patients considering or scheduled for the procedure.