Центр семейной медицины «Созвездие»

Multispical computed tomography

CT scan — это метод лучевой диагностики, который является гораздо более информативным, чем обычное рентгеновское исследование, это современный и точный метод диагностики, позволяющий быстро получить информацию о состоянии внутренних органов человеческого тела. Метод позволяет врачам своевременно и правильно поставить диагноз, определить тактику лечения.

Преимущества МСКТ перед обычной компьютерной томографией:

• Резкое улучшение качества изображения;
• Увеличение скорости сканирования, и как следствие уменьшение времени исследования;
• Улучшение контрастного разрешения;
• Увеличение соотношения сигнал/шум;
• Большая зона анатомического покрытия;
• Уменьшение лучевой нагрузки на пациента.

Все эти факторы значительно повышают скорость и информативность исследований.

В рамках исследования вам может быть предложено введение контрастного вещества. Методики контрастного усиления позволяют определять и различать характер выявленных изменений, когда это невозможно при обычном исследовании.

Наш центр компьютерной томографии предоставит вашему врачу всю возможную информацию, необходимую для правильной постановки диагноза и выбора оптимального лечения.

Компьютерная томография назначается врачом с учетом клинических данных и всех предыдущих методов исследования (в большинстве случаев необходима предварительная рентгенография или УЗИ). Такой подход позволяет точнее определить область интереса, сделать исследования целенаправленным, избежать проведение исследований без показаний, снизить дозу лучевой нагрузки.

You'll get:

• Письменное заключение врача по результатам исследования (обычно — в течение 24 часов).

Кроме того, полученные результаты можно записать на компакт диск и/или распечатать снимки с изображениями за дополнительную плату.

Наш центр оборудован рентгеновским компьютерным томографом «Somatom Emotion 6 Slice Configuration», производства фирмы «Siemens», который имеет в своем составе рентгеновскую трубку (максимальное анодное напряжение 130 кВ) и предназначен для проведения исследований любых органов. Обеспечивает высочайшее качество изображений при минимально возможной лучевой нагрузке на пациента, высокую скорость сбора данных и отображение в реальном времени, непревзойденную детализацию костных структур и мягких тканей с разрешением до 0,32 мм.

Среди многочисленных достоинств и преимуществ компьютерных томографов:

• Быстрота исследования;
• Трехмерные изображения;
• Точность исследования;
• Безопасность и комфорт.

Siemens Somatom Emotion — потрясающая клиническая эффективность.

Противопоказания КТ-исследованию

Абсолютных противопоказаний для проведения компьютерной томографии нет.Абсолютных противопоказаний к проведению МСКТ нет.Since the study is associated with radiation exposure, when planning the examination of pregnant (and breastfeeding) women and young children, it is necessary to carefully weigh the need for MSCT in each case.

Restrictions on conducting computed tomography studies:

• The presence of barium suspension in the stomach and intestines during the study of the abdominal organs;
• Inappropriate behavior of the patient;
• The subject's body weight is more than 120 kg;
• Pronounced claustrophobia;
• The patient's condition, which does not allow holding his breath for the time necessary for the scan;
• The presence of a plaster cast and (or) a metal structure in the study area.

1. MSCT of the chest organs

The organs of the chest are a complex of lungs and mediastinal organs located in the bone and tissue frame. The mediastinum is an organocomplex consisting of the heart, trachea, esophagus, blood vessels, thymus gland, lymph nodes surrounded by fatty tissue and located in the space between the lungs.

Multislice computed tomography is currently the preferred method for diagnosing the condition of the organs of the chest cavity. The study is performed in the axial projection, on inspiration, mainly with contrast enhancement and takes about 10 minutes. Sometimes the study is supplemented by an exhalation scan, the so-called respiratory test, which is mainly used in the diagnosis of chronic obstructive pulmonary disease.

Indications for research:

• Infectious diseases of the lungs (pneumonia, infectious destruction, tuberculosis of the respiratory organs, pneumoconiosis, parasitic infections);
• Tumors of the lungs (including central, peripheral, bronchioloalveolar cancers);
• Metastatic lesions of the lungs, lymph nodes of the mediastinum;
• Diseases of the bronchi (bronchiectasis, cysts, cicatricial stenosis of the bronchi, foreign bodies of the bronchi, bronchiolitis);
• Pulmonary circulation disorders (pulmonary embolism, pulmonary infarction, septic pulmonary embolism, pulmonary vascular anomalies);
• Interstitial lung diseases (alveolitis, lymphogenous carcinomatosis, histiocytosis, sarcoidosis, silicosis and anthracosis, hypersensitivity pneumonitis, emphysema);
• Diseases and injuries of the thoracic aorta and its branches;
• Extrapulmonary pathological processes (neoplasms of the mediastinum, mediastinitis), pathology of the pleura (pleural effusion, pneumothorax, tumors of the pleura), chest wall, lymphadenopathy.

2. MSCT of the organs of the abdominal cavity and retroperitoneal space

MSCT of the abdominal cavity and retroperitoneal space is a highly informative research method based on layer-by-layer X-ray scanning in the axial projection with the subsequent construction of reformation data. MSCT is carried out in order to assess the state of organs and tissues, identify pathological changes in them and conduct a possible differential diagnosis of the nature of the identified changes.

Abdominal cavity and retroperitoneal space – This is a complex of fabrics, organs and systems, including the following structures:

• Liver, gallbladder and biliary ways (intrahepatic bile ducts, shared liver duct, bubble duct, choledo);
• Pancreas;
• Spleen;
• Adrenal glands, kidneys, urinary paths;
• Lymphatic knots, vascular structures, abdominal fiber, belly wall cloth.

Retrunistital space includes:

• Kidney;
• Adrenal glands;
• The lymph nodes.

Traditionally, the borders of the study are:

• From above – dome of the diaphragm;
• Below is the level of the beginning of the pelvic bones.

During the study, it is estimated:

• Position and sizes of organs;
• Their structure;
• The presence of pathological formations or changes of diffuse nature;
• State of intra and extrahepatic bile ducts;
• The presence of x-ray-contained concrections (in the bustling bubble, bile ducts, in the kidneys, ureters);
• Condition of lymph nodes;
• The presence of fluid in the abdominal cavity;
• Changes of spine and ribs (screering pathology).

Preparing for research:

For MSCT Abdominal organs and retroperitoneal space Requires:

1. Restriction of hard food and carbonated beverages for 4-6 hours before the study;
2. The study is conducted on an empty stomach – The last meal must be no longer later than 6-8 hours before the start of the study.

Indications for research:

• Primary or secondary tumor lesion of the liver and biliary ducts, liver dystrophy, abscesses, cysts, including parasitic;
• Fatty dystrophy, liver cirrhosis;
• Diseases of biliary tract;
• Hepatomegaly unclear etiology;
• Traumatic damage to the abdominal organs and retroperitoneal space;
• Diseases of the pancreas (acute and chronic pancreatites, tumor lesions of the gland);
• Diseases of the spleen, splenomegalya unclear etiology;
• Tumor, inflammatory damage to the kidneys and urinary tract;
• Urolithiasis disease;
• Anomalies of abdominal organs and retroperitoneal space;
• Hyperplasia, tumor lesion of adrenal glands;
• The pathology of the abdominal aorta and its branches (aneurysm, stenosis, suspicion of damage to the vessel (separating aneurysm).

3. Small pelvis organs

Indications for research:

• Tumor lesion, urinary bubble diverticulus;
• Urolithiasis (with a suspected stone of the bottom third of the ureter, bladder);
• Diseases and damage to urinary tract;
• Assess the degree of prevalence of tumor lesion of small pelvis;
• Pathology of iliac vessels (aneurysm, stenosis, thrombosis, compression);
• Diseases and damage to bone pelvis structures.

Preparing for research:

For the study requires:

• Restriction of hard food and carbonated beverages for 4-6 hours before the study;
• The study is conducted on an empty stomach – the last reception of food should not be later than 6-8 hours before the start of the study.

4. MSCT brain

Indications for research:

• Tumor and inflammatory brain diseases (combined with magnetic resonance tomography);
• Malformation of brain vessels, intracranial vessels;
• Diseases and damage to the bones of the skull;
• Acute violations of the cerebral circulation (over 3 days in combination with magnetic resonant tomography);
• Card-brain injury of any degree of gravity (over 3 days in combination with magnetic resonance tomography);
• The consequences of injuries and inflammatory diseases (cysts, hydrocephalus, bark atrophy).

Multspiral computed tomiopball brainAs a rule, it is carried out without the use of contrast drugs, but under certain testimony, for example, with suspicion of volumetric education, contrast may need. In most cases, the MSCT of the brain is carried out in the presence of contraindications for the implementation of MRI, as well as in the case of sharp brain circulation disorders (stroke), in early dates after head injuries, to exclude or clarify changes in the brain bones of the brain skull.

Study of brain vessels

* Perform only with multi-phase contrasting amplification

The examination of the vessels is carried out with intravenous bolus administration (electron syringe under pressure) of the X-ray-contrast substance in a large volume of 80-120 ml. The study is practically non-invasively in contrast to selective angiography, because With the exception of the formulation of an intravenous catheter for the introduction of a contrast preparation, no manipulations are carried out. The study is performed in 5-10 minutes, the information obtained makes it possible to assess the state of the vascular bed, the walls of the vessels and identify the features or defects of their development.

Indications for research:

• Atherosclerotic damage to vessels;
• Vascular malformations;
• Suspicion of damage to the vessel;
• Dynamic control after vessel operations;
• Pathological sorrow of vessels.

Preparation for MSCT angiography.

The last meal must be 4-5 hours before the study, at this time do not drink coffee, strong tea, do not smoke.

5. temporal bone

Study of temporal bone

It is performed with the aim of diagnosing pathology with a decrease in hearing, dizziness, the pathology of the equilibrium body. Does not require (with rare exception) the introduction of contrasting substances. Non-alternative radiation diagnostic method.

6. Orbits.

Information about bones that make up orbit is unique. CT allows you to visualize the eyeball, optic nerve, straight muscles of the eye, fatty tissue. Highly informative with orbit pseudo-pumps. Together with ultrasound diagnostics, it is a choice of eye injuries and orbits. May be the main method of radiation diagnosis.Spiral CT is preferred.

7. Nose and Occolone Sneakers

Indications for research:

• Assessment of the state of the nasal partition;
• Tumor and inflammatory damage to the nose and the incomplete sinuses.

8. Kosty-articular system

Computed tomography is a highly informative method in assessing the state of the bones of the facial and brain skull, brushes and feet, bones of the pelvis, the tailbone, limbs (femoral, shoulder bone, bones of the forearm, shin). The method is effective:

• To evaluate the cortical and spongy layers, bone marrow cavity, soft fabrics of the limbs;
• For diagnosing fractures, their complications and outcomes;
• When identifying tumors, benign or malignant: primary, secondary;
• To diagnose inflammatory processes (tuberculosis, osteomyelitis, rheumatic granulomas of bones, osteomycoma, etc.).

Kt. Scanning the bone-articular system is painless and non-invasive. You can simultaneously visualize bones, soft tissues and vessels. Computer tomography unlike MRI Less sensitive to the patient's movements can be carried out at any implanted devices.

9. MSCT spine

The study is carried out to confirm or eliminate damage to the spinal column in patients who have suffered injury (compression fracture, a luxury fracture, traumatic spondylitis, isolated fractures of processes and arms, traumatic damage to intervertebral discs, etc.) and spine estimates before and after the operation bone and soft tissues, standing metal structures, etc.).