Name of the Procedure:

Computed tomography (CT) of the thoracic spine with contrast material

Summary

A CT scan of the thoracic spine with contrast material is an imaging procedure used to get detailed pictures of the upper and middle parts of the spine. The contrast material helps to highlight the spinal structures, making it easier to identify any abnormalities.

Purpose

This procedure is used to diagnose and evaluate conditions affecting the thoracic spine, such as fractures, tumors, infections, or degenerative diseases. The goal is to obtain high-resolution images that help in making an accurate diagnosis and planning appropriate treatment.

Indications

• Persistent back pain in the thoracic region
• Suspected spinal tumors or infections
• Trauma to the thoracic spine
• Symptoms suggesting spinal stenosis or herniated discs
• Pre-surgical planning and post-surgical evaluation

Preparation

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

Procedure Description

1. The patient changes into a hospital gown and removes any metal objects.
2. An IV line is inserted into a vein to administer the contrast material.
3. The patient lies on a table that slides into the CT scanner.
4. As the scan is performed, the patient may be asked to hold their breath momentarily to get clear images.
5. The contrast material is injected through the IV line, and another set of images is taken.
6. The procedure is monitored by a radiologist and a technologist from a control room.

Duration

Typically takes between 30 to 60 minutes.

Setting

Performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologist
• Radiologic technologist
• Nurse or assistant (for IV insertion and patient care)

Risks and Complications

• Allergic reaction to contrast material
• Mild discomfort at the IV site
• Exposure to a small amount of radiation
• Rarely, kidney problems due to the contrast material

Benefits

• Provides detailed images for accurate diagnosis
• Helps in formulating a treatment plan
• Non-invasive and quick procedure

Recovery

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

Alternatives

• Magnetic Resonance Imaging (MRI)
• X-rays
• Ultrasound
• Physical therapy evaluation and management

Patient Experience

During the procedure, the patient might feel a warm sensation when the contrast material is injected. The table may be slightly uncomfortable, but pain is minimal. Post-procedure, there might be a temporary feeling of fatigue or discomfort at the IV site.