Radiologic examination, complex motion (ie, hypercycloidal) body section (eg, mastoid polytomography), other than with urography; bilateral
CPT4 code
Name of the Procedure:
Radiologic Examination, Complex Motion (Hypercycloidal) Body Sectioning (e.g., Mastoid Polytomography), Other Than with Urography; Bilateral
Summary
In this procedure, specialized X-ray imaging is used to create detailed, cross-sectional images of the body, often focusing on areas like the mastoid bone near the ear. This complex imaging technique, known as hypercycloidal tomography, takes detailed slices of both sides of the body to help diagnose and evaluate various conditions.
Purpose
This advanced imaging technique is employed to diagnose and assess conditions involving small, complex anatomical structures like the mastoid bone. The goal is to provide high-resolution images that help doctors identify abnormalities, infections, tumors, or other issues that may not be visible with standard X-rays.
Indications
- Persistent ear infections or mastoiditis
- Suspected tumors or growths in the ear or surrounding structures
- Chronic ear pain or hearing loss
- Pre-surgical planning for ear or skull base surgeries
Preparation
- Patients may be advised to fast for a certain period before the procedure.
- Medications may need to be adjusted or temporarily discontinued.
- Initial diagnostic tests like standard X-rays or hearing tests might be performed.
Procedure Description
- The patient is positioned on the examination table.
- Specialized radiologic equipment, designed for hypercycloidal tomography, is set up.
- The X-ray tube and detector are rotated around the body part being examined in a complex motion to capture multiple detailed, thin sections of the area.
- No anesthesia is typically required, but sedation may be offered for anxious patients or children.
Duration
The procedure typically takes about 30 to 60 minutes.
Setting
This examination is usually performed in a hospital radiology department or an advanced outpatient imaging center.
Personnel
- Radiologist
- Radiologic Technologist
- Nursing staff (if sedation is required)
Risks and Complications
- Exposure to radiation, though minimal and within safe limits
- Rare allergic reaction to contrast material, if used
- Discomfort from staying still during the procedure
- Potential for needing additional imaging if results are inconclusive
Benefits
- High-resolution images that improve diagnostic accuracy
- Detailed visualization of complex anatomical structures
- Can lead to more effective treatment planning and better outcomes
Recovery
- No significant recovery period needed
- Patients can typically resume normal activities immediately
- Follow-up if additional treatment or diagnosis is required
Alternatives
- Standard X-ray imaging: Less detailed, often used as an initial diagnostic tool
- CT or MRI scans: Provide different types of detail, may be used based on specific clinical indications
- Ultrasound: Less detailed for bony structures, but no radiation exposure
Patient Experience
- Patients may feel slight discomfort from remaining still during the procedure.
- The machine noise can be bothersome, but it is generally well-tolerated.
- No pain is experienced, and any anxiety can be managed with sedation if necessary.
- Post-procedure, there are typically no side effects, and normal activities can be resumed.