Scribd
Upload
53 views9 pages

CT Head

The document outlines the protocols and indications for non-contrast (NCCT) and contrast-enhanced (CECT) CT brain scans. NCCT is used for acute stroke, head trauma, and hydrocephalus, while CECT is indicated for tumors, infections, and vascular lesions. It also details patient positioning, scan parameters, contraindications, and preparation for both types of scans.

Uploaded by

khanadil39341
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
53 views9 pages

CT Head

The document outlines the protocols and indications for non-contrast (NCCT) and contrast-enhanced (CECT) CT brain scans. NCCT is used for acute stroke, head trauma, and hydrocephalus, while CECT is indicated for tumors, infections, and vascular lesions. It also details patient positioning, scan parameters, contraindications, and preparation for both types of scans.

Uploaded by

khanadil39341
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

NCCT & CECT

SAMAN KHAN
LECTURER
DEPT OF PARAMEDICAL SCIENCES
CT BRAIN WITHOUT CONTRAST (NON-CONTRAST CT
– NCCT)
• Indications:
• Acute stroke or hemorrhage (to detect intracranial bleeding,
infarcts, or mass effect)
• Head trauma (to assess fractures, contusions, hematomas)
• Hydrocephalus (ventricular dilation)
• Cerebral edema or midline shift
• Baseline imaging before contrast-enhanced scans
PROTOCOL

• Patient Position: Supine, head in a headrest, chin slightly tucked


• The table height is adjusted in the gantry so that the external auditory meatus is at
the centre of the gantry.
• Plane of scanning: parallel to the orbitomeatal line to avoid unnecessary radiation to
the eyes.
• Scan Range: From skull base to vertex
• Scan orientation/Topogram: Craniocaudal
• Slice Thickness: 2.5–5 mm axial slices (thin slices may be used for 3D
reconstructions)
• Reconstruction: Soft tissue and bone window settings
• Gantry rotation time 2.0 sec
• Kv 120
• mA 200-250
CONTRAINDICATION

• Presence of metallic objects


• Pregnancy
• Hypersensitivity to contrast
• Uncooperative patient
• Patient preparation
• All metallic objects should be removed from the area of interest to prevent the
appearance of artifacts in the images.
• A written consent is taken from the patient
• 18G or 22G scalp vein set is used
CT BRAIN WITH CONTRAST (CECT –
CONTRAST-ENHANCED CT)
• Indications:
• Tumors (primary or metastatic)
• Infections (abscess, meningitis, encephalitis)
• Vascular lesions (aneurysms, AVMs, venous thrombosis)
• Post-surgical or post-radiation follow-up
• Non-contrast scan first (if needed for comparison)
• Contrast Type: IV iodinated contrast (e.g., 50–100 mL of iodinated
contrast, typically non-ionic)
• Injection Rate: 2–4 mL/sec via power injector
• Scan Timing: After a 60–90 second delay post-contrast injection
• Reconstruction: Axial, coronal, and sagittal reformats

You might also like