CT Scans: Safety, Procedure, and Risks Explained - Gastroenterology and Hepatology

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What is a computed tomography (CT) scan?


My father has abnormal liver function with a fatty liver index of 3375.
An abdominal ultrasound performed at the hospital showed fluid on the liver surface and abnormalities.
The doctor recommended a CT scan.
Due to the current SARS outbreak, we are hesitant to go to the hospital.
Therefore, I would like to ask:
1.
What is a CT scan? How is it performed? Are there any dangerous side effects?
2.
I have heard that a CT scan requires the injection of a contrast agent, which may pose risks.
Is this true? Thank you for your response!

Chen, 60~69 year old female. Ask Date: 2003/05/21

Dr. Yang Peizhen reply Gastroenterology and Hepatology


Hello: A computed tomography (CT) scan is a type of radiological examination that involves performing a circumferential scan of the abdominal organs approximately every 0.8 centimeters, creating an image that examines the body from the head down to the feet.
The procedure itself is not dangerous; however, it requires the injection of a contrast agent through a blood vessel, and a very small number of individuals may experience allergic reactions to it.
Mild reactions can include skin redness and swelling, while severe reactions may lead to shock and even pose a life-threatening risk, although the probability of this occurring is very low (about one in several thousand).
There is no need for excessive concern, and even in the event of an allergic reaction, prompt treatment can restore normalcy.
Best wishes for health from Dr.
Yang Pei-Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/05/21

More Info


CT scans, or computed tomography scans, are advanced imaging techniques that allow healthcare providers to obtain detailed cross-sectional images of the body. This technology combines X-ray images taken from different angles and uses computer processing to create comprehensive visual representations of internal structures. CT scans are particularly useful in diagnosing various conditions, including tumors, internal injuries, and diseases affecting organs such as the liver, lungs, and brain.


1. What is a CT Scan and How is it Performed?
A CT scan involves the use of a CT machine, which is a large, doughnut-shaped device. During the procedure, the patient lies on a table that slides into the machine. The CT scanner rotates around the patient, taking multiple X-ray images from different angles. These images are then processed by a computer to create detailed cross-sectional images of the body. The entire process typically takes only a few minutes, and patients are usually required to remain still during the scan to ensure clear images.


2. Safety and Risks Associated with CT Scans
CT scans do involve exposure to ionizing radiation, which can increase the risk of developing cancer over a lifetime. However, the amount of radiation exposure from a single CT scan is generally considered low and is outweighed by the diagnostic benefits it provides. For example, a typical abdominal CT scan may expose a patient to about 7 mSv of radiation, which is roughly equivalent to the natural background radiation a person would receive over two years.

The risk of radiation exposure is particularly concerning for younger patients, as their cells are more sensitive to radiation. However, medical professionals carefully weigh the risks and benefits before recommending a CT scan. In many cases, the information gained from the scan is crucial for accurate diagnosis and treatment planning.


3. Use of Contrast Agents
In some cases, a contrast agent may be injected into the patient’s bloodstream to enhance the visibility of certain structures or abnormalities during the scan. This contrast material can help highlight blood vessels, organs, and tissues, making it easier for radiologists to identify potential issues. While most patients tolerate contrast agents well, there is a small risk of allergic reactions or kidney complications, particularly in individuals with pre-existing kidney conditions. It is essential to inform your healthcare provider about any allergies or medical history before undergoing a CT scan with contrast.


4. Potential Side Effects and Aftercare
Most patients do not experience any immediate side effects from a CT scan. However, some may feel a warm sensation during the injection of a contrast agent or experience mild discomfort at the injection site. After the procedure, patients are typically advised to drink plenty of fluids to help flush the contrast material from their system.


Conclusion
In summary, CT scans are valuable diagnostic tools that provide detailed images of the body, aiding in the detection and management of various medical conditions. While there are risks associated with radiation exposure and the use of contrast agents, these are generally outweighed by the benefits of accurate diagnosis and timely treatment. If you have concerns about undergoing a CT scan, especially in light of current health issues like SARS, it is advisable to discuss these with your healthcare provider. They can provide personalized guidance based on your medical history and the necessity of the scan.

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