Name of the Procedure:

Computed Tomography (CT) Scan of the Cervical Spine without Contrast Material

Summary

A CT scan of the cervical spine without contrast material is an imaging procedure used to create detailed pictures of the neck bones, spinal cord, and surrounding structures without the use of contrast dye.

Purpose

This procedure is employed to diagnose and evaluate conditions affecting the cervical spine, such as fractures, spinal stenosis, herniated discs, tumors, or infections. The goal is to obtain clear images for accurate diagnosis and treatment planning.

Indications

• Neck pain or stiffness
• Trauma or injury to the neck
• Suspected spinal fractures
• Degenerative diseases, such as osteoarthritis
• Unexplained numbness or weakness in arms or hands
• Monitoring of known spinal conditions

Preparation

• No special preparation is required since no contrast material is used.
• Patients may need to remove metal objects, such as jewelry or eyeglasses, which could interfere with the imaging.
• An initial medical assessment may be performed to review patient's history and current health status.

Procedure Description

1. The patient lies on a motorized table that slides into the CT scanner.
2. The patient must remain still during the scan to ensure high-quality images.
3. The CT scanner rotates around the patient’s cervical spine, capturing multiple images from different angles.
4. The technology used includes an X-ray tube and detectors.
5. No anesthesia or sedation is typically required unless the patient cannot remain still due to pain or anxiety.

Duration

The procedure typically takes about 10-15 minutes.

Setting

CT scans are usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologic technologist to operate the CT scanner
• Radiologist to interpret the images
• Support staff as needed for patient assistance

Risks and Complications

• Exposure to low levels of radiation, though considered minimal and generally safe.
• There are no common risks associated with the procedure itself since no contrast dye is used.
• Rarely, patients may experience anxiety or discomfort from lying still during the scan.

Benefits

• Provides a quick, non-invasive, and accurate assessment of cervical spine issues.
• Helps guide the diagnosis and treatment of spinal conditions.
• Immediate visualization of bone and soft tissue details aids in prompt diagnosis.

Recovery

• No recovery time is needed; patients can return to normal activities immediately following the scan.
• Post-procedure instructions are typically not required unless advised by the healthcare provider.

Alternatives

• MRI (Magnetic Resonance Imaging) without contrast: Better for soft tissue evaluation but longer and more expensive.
• X-rays: Less detailed, typically used for initial assessments.
• Ultrasound: Limited to soft tissue evaluation and not used for bone detail like the cervical spine.

Patient Experience

• The patient may feel a bit of discomfort from lying still on the hard table.
• Some may experience anxiety inside the CT scanner; communication with the technologist is possible throughout the procedure.
• No pain is involved during the scan itself.
• Measures for patient comfort include blankets or pillows if necessary.