Impact of Improper Breathing During Abdominal CT Scan on Image Quality - Radiology

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Abdominal Computed Tomography (CT) Scan


Hello, doctor.
I recently underwent an abdominal CT scan, but I didn't take a deep breath as instructed and just held my breath.
Will this affect the interpretation of the images? Thank you for your response.

Doreen, 30~39 year old female. Ask Date: 2023/08/22

Dr. Wang Yifen reply Radiology


Hello, it should not be an issue.
If there is an impact on the interpretation, the testing facility will notify you to retake the examination.
If you are not asked to retake it, it means there is no impact.
Please take this into consideration, and I wish you peace and good health.

Reply Date: 2023/08/22

More Info


Improper breathing during an abdominal CT scan can indeed have a significant impact on image quality and the overall diagnostic utility of the scan. When a patient is instructed to hold their breath during a CT scan, it is crucial that they do so at the correct phase of the respiratory cycle—typically at full inspiration or expiration, depending on the specific area being scanned. This is because the movement of the diaphragm and other abdominal organs during breathing can lead to motion artifacts, which can obscure or distort the images captured by the CT scanner.

If a patient does not hold their breath properly—such as inhaling but not holding the breath long enough or exhaling too soon—this can result in several issues:
1. Motion Artifacts: These artifacts can appear as blurring or streaking on the images, making it difficult for radiologists to accurately assess the structures within the abdomen. This is particularly problematic in areas where fine detail is necessary, such as in the evaluation of small lesions or the assessment of organ boundaries.

2. Increased Noise: Inadequate breath-holding can lead to increased noise in the images, which can further complicate the interpretation. Noise can mask important findings or mimic pathology, leading to potential misdiagnosis.

3. Compromised Diagnostic Accuracy: If the images are not clear due to motion artifacts or noise, the radiologist may miss critical findings, such as tumors, cysts, or other abnormalities. This can delay diagnosis and treatment, potentially impacting patient outcomes.

4. Need for Repeat Scans: In some cases, if the images are deemed too poor in quality for accurate interpretation, the radiologist may recommend repeating the scan. This not only increases the patient's exposure to radiation but also adds to the time and cost associated with the diagnostic process.

To mitigate these issues, it is essential for patients to follow the instructions given by the technologist or radiologist closely. If you find yourself in a situation where you are unsure about how to breathe during the scan, it is always best to ask for clarification before the scan begins. The staff is trained to ensure that you understand the process and can help you achieve the best possible images.

In conclusion, while improper breathing during an abdominal CT scan can affect image quality and diagnostic accuracy, it is important to communicate any difficulties you may have during the procedure. If you are concerned about the quality of your scan due to improper breathing, it may be worthwhile to discuss this with your healthcare provider. They can assess whether a repeat scan is necessary and ensure that you receive the most accurate diagnosis possible.

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