CT (Computed tomography)
A CT scan uses a combination of x-rays and computer
technology to produce cross-sectional images (often called slices), both
horizontally and vertically, of the body. A CT scan shows detailed images of any
part of the body, including the bones, muscles, fat, and organs. CT scans are
more detailed than general x-rays.
Children's Memorial Hospital recently purchased a new 64-slice CT scanner.
This scanner employs the latest technology to create high resolution images of
any part of a patient's body in a matter of seconds. These advances in imaging
technology can improve diagnoses and help avoid the need for sedation in young
children. New radiation reducing methods can reduce the patient's radiation dose
by up to 68% without compromising image quality. The scanner can also capture
pictures of the heart in 4-D (3-D plus heart motion). This allows physicians to
make a diagnosis without having to perform invasive procedures such as a cardiac
catheterization.
- Children's Memorial is the only free-standing pediatric hospital in
Illinois to offer the 64-slice CT technology.
Before the CT scan
Before coming to the
hospital, read this explanation and explain to your child what will happen
during the test. For young children, use simple words and explain only shortly
before the test.
Children 4 years and under may require sedation
for their procedure. You will be given certain eating and
drinking restrictions
necessary to complete the exam. The day of
the exam, a parent or guardian needs to be present to sign informed consent for
sedation.
If sedation is
necessary, a nurse or doctor will explain it to you. A parent or legal guardian
needs to be present to sign an informed consent for
sedation.
If your child is an
infant, it is helpful to bring along a bottle of formula or juice with you for
after the test. It is also recommended that you bring a pacifier, blanket or
special toy to help calm your baby.
For older children, it
is helpful to bring a book or toy to play with while waiting. It is helpful
to have another caregiver for your child's siblings. For young children or
babies, it is a good idea to bring a stroller.
During the CT scan
The patient
lies on the table, and x-ray equipment surrounds the part of the body to be
examined. A soft "machinery" sound is heard as the x-ray tube moves around the
patient.
Our exam rooms
were designed with families in mind. The size and layout of the rooms allow
parents to sit nearby and even hold their child's hand during the
procedure.
This 10-to
45-minute exam requires your child to remain motionless during each x-ray
exposure. Even though our CT machine is very fast and some children can get
through the test without moving, some still require sedation to keep
still.
In some cases,
the radiologists require the use of something called "contrast" in order to
better see organs and/or blood vessels. There are three ways this can be given
to your child: by mouth (oral), by rectum and through intravenous injection
(IV). The medical imaging nurses help with all three kinds of
contrast.
Oral contrast
is usually indicated for abdomen and pelvis scans. Your child will have to drink
contrast mixed with any clear fluid. Some of the choices we have available are
water, apple juice, grape juice or lemonade. You can also bring Gatorade or
Kool-Aid from home. Your child should drink the liquid over a one-hour period
(in most cases).
After the CT test
The child
eliminates the medicine from his / her body by urinating. Your
child should drink plenty of fluids and urinate often to help clear it from his
/ her body. It should be completely out of your child's body within 24 hours.
After the test, your
child may return to regular daily activities and meals. If your child had
sedation medicine, he will be monitored by a nurse in the recovery room until he
wakes.
This amount of time is
often unpredictable depending on the amount of sedation medicine given. It is
common for children to sleep 2 hours after the medicine is given.
A nurse will give you
special instructions. Results of the test will be available to your child's
doctor within 24 hours.
Technology/Scanners used
- Siemens Sensation 64-slice CT Scanner
- Siemens Emotion 16-slice CT Scanner
- GE 4-slice CT scanner (at our Clark Street facility)
Learn
more here about the people you will meet in Medical
Imaging.
See also Medical
imaging (radiology); Brandt travels halfway around the world for
treatment