Brain CT (Maid Alwahadneh)

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Brain CT

Basic protocol
Brain CT
Indications :
Trauma
CVA
Hydrocephalus
Headache
Tumors and follow up
Brain CT
 Preparation : no special
 1- Explain the procedure to the patient and insure that the patient
in stable position to avoid movement during the procedure
 2- Move any radiopaque material in the area of examination

 Pt. position : supine , head first (head in head rest) , Hands on


the patients side and extend the legs, OML parallel to gantry .??

 Scout : lateral skull

 To determine the slice thickness, position and number on it and to


control the position
 Divided into 2 group
 1- posterior fossa
 2- anterior fossa
Brain CT
Brain CT
Posterior Anterior  Gantry angulation:
fossa fossa
12-15 degree
Start point Foramen 3 rd
magnum venticle  Pitch: 1if helical
End point 3rd Vault of  kV: 120 kv
venticle brain  mAs: 300 mAs per
Slice 5 mm 10 mm slice
thickness
 Note:Thin slices used
Table 5 mm 10 mm
increment in posterior fossa
because we have
small structures and to
reduce partial volume
artefact.
Brain CT
Brain CT in MDCT
Scanning parameters
kVp 120 , mA 400
Rotation time 0.75 sec.
Slice thickness 3 mm
Detector configuration 64*0.625
Scan mode Helical
Pitch 0.876 (< 1)
Window soft tissue / bone
WL : 40/200
WW 200/2000
Brain CT
CM Usage:
Non-ionic CM 300 mg/iodine/ml
CM maybe used in follow up and
metastasis cases
The dose when CM is used:
Adult : 50 ml
Children 1ml/kg up to 50 ml
CT angiogram 100 ml, delay 15 second
Hydrocephalus
Ventriculoperitoneal (VP) shunt

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