CT Procedures for Sinuses and Temporal Bones
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Questions and Answers

What is the primary purpose of performing a CT of the Orbits?

  • To evaluate spinal alignment
  • To detect tumors in the lungs
  • To diagnose conditions related to the eyes and orbital socket (correct)
  • To assess blood flow in the brain

What is the role of the contrast agent used in an Orbit CT scan?

  • To provide a clearer image of bone structures only
  • To enhance the visibility of soft tissues (correct)
  • To increase the exposure time during the scan
  • To measure the patient's heart rate

In an Orbit CT scan, what is the imaging window used for assessing bone structures?

  • Soft Tissue Window
  • Lateral Window
  • Bone Window (correct)
  • Coronal Window

What scan coverage is typically used for an Orbit CT?

<p>From the maxillary sinus to the frontal sinuses (D)</p> Signup and view all the answers

Which of the following parameters is NOT typically adjusted for an Orbit CT scan?

<p>Patient's weight (D)</p> Signup and view all the answers

What is one of the primary uses of a sinus CT scan?

<p>Detecting the presence of inflammatory diseases (B)</p> Signup and view all the answers

What is the recommended thickness of the CT scan for sinuses?

<p>3 mm (B)</p> Signup and view all the answers

During a sinus CT scan, where should the alignment of the scan be positioned?

<p>Perpendicular to the hard palate (C)</p> Signup and view all the answers

What role does the contrast agent Omnipaque 300 IV play in a sinus CT scan?

<p>Allows visualization of soft tissue tumors (A)</p> Signup and view all the answers

Which area does the scan coverage for a sinus CT scan start from?

<p>Maxillary teeth (C)</p> Signup and view all the answers

What does the Bone Window setting (WC: 200, WW: 2000) in a sinus CT scan primarily highlight?

<p>Fractures and dense structures (D)</p> Signup and view all the answers

In the context of sinus CT scans, what is the significance of evaluating fluid levels?

<p>Assists in identifying acute sinusitis (D)</p> Signup and view all the answers

Which anatomical structures are primarily evaluated in a sinus CT scan?

<p>Nasal cavity and sinuses (D)</p> Signup and view all the answers

What is the typical purpose of a temporal bone CT scan?

<p>To assess infection, tumor, or hearing disorders in the ear (B)</p> Signup and view all the answers

What is the recommended thickness of slices for a facial bones CT scan?

<p>2 - 3.5 mm (A)</p> Signup and view all the answers

Which window settings are used for soft tissue in a temporal bone CT scan?

<p>WC: 50, WW: 350 (A)</p> Signup and view all the answers

What coverage is recommended for a temporal bone CT scan?

<p>Above the petrous ridges to the tip of mastoids (B)</p> Signup and view all the answers

Which contrast agent is used for temporal bone CT scans?

<p>Omnipaque 100cc 300 IV (C)</p> Signup and view all the answers

What is the primary utility of a CT scan of the facial bones?

<p>To assist in the diagnosis of facial trauma and malformations (A)</p> Signup and view all the answers

In temporal bone CT scans, how is the patient positioned for the scout image?

<p>Supine position (C)</p> Signup and view all the answers

Which of the following fractures is not typically assessed with a facial bones CT scan?

<p>Temporal bone fracture (B)</p> Signup and view all the answers

Flashcards

Orbit CT

A medical imaging technique that uses X-rays to create detailed cross-sectional images of the bones, tissues, and organs of the orbit (eye socket).

Orbit CT - Bone Window

A type of CT scan image that shows the bones of the orbit in detail.

Orbit CT - Soft Tissue Window

A type of CT scan image that shows the soft tissues of the orbit in detail.

Orbital Blow-out Fracture

A fracture that occurs when the bony wall of the orbit breaks and is pushed outward.

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Coronal Reformat

A type of 3D image reconstruction created from a CT scan. This image provides a clear view of the structures within the orbit from the side.

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Sinus Mucus Retention Cyst

A condition where fluid builds up in the sinuses, causing pressure and pain.

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Otitis Media

An inflammatory or infectious process in the middle ear, often involving the mastoid bone.

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Temporal Bone CT

A specialized CT scan used to evaluate the temporal bone, focusing on the outer ear, middle ear, and inner ear structures.

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Temporal Bone Fracture

A fracture of the temporal bone, potentially affecting the ear structures and hearing.

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Facial Bones CT

A comprehensive CT scan encompassing the facial bones, including the jaw, nose, eye sockets, and cheekbones.

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Nasal Fracture

A break in the nasal bone, which can be simple or complex involving the nasal septum.

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Nasal Septum

The thin, bony partition within the nose that separates the nostrils and helps control airflow.

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Mastoid Process

A bony outgrowth on the temporal bone near the ear, containing air cells and contributing to hearing.

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Sinus CT Scan

A medical imaging technique that uses X-rays to create cross-sectional images of the body. It is often used to diagnose and monitor sinusitis.

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Screening Sinus CT

A type of sinus CT scan used to detect inflammatory diseases, plan surgery, and assess fluid buildup or thickening in the sinuses.

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Sinusitis

Inflammation of the sinuses, often caused by infection or allergies.

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Scout Image

An image taken before the CT scan to ensure proper alignment of the patient and the scanning device.

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Contrast

A contrast agent injected into the bloodstream to enhance the visibility of blood vessels and tissues in the CT scan.

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Scan Parameters

A specific set of parameters used during the CT scan to achieve the desired image quality. These parameters include factors like voltage (kVp), tube current (mAs), and rotation time.

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Field Of View (FOV)

The area of the body being scanned, adjusted to include all the necessary structures.

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Slice Thickness

The thickness of each slice captured in the CT scan. Thin slices provide more detailed images.

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Study Notes

Computed Tomography (CT) Procedures

  • CT scans are used to image sinuses, temporal bones, facial bones, orbits, and other structures.
  • CT scans of sinuses, facial bones, and orbits can assess for inflammatory diseases, tumors, sinusitis, facial trauma, and malformations.
  • CT scans of the temporal bones help diagnose infections, tumors, and hearing disorders.
  • CT scans of the orbit allow for diagnosis of injuries, diseases, and congenital defects.

Sinus CT Scan

  • Purpose: Detect inflammatory diseases, plan surgery, evaluate fluid-filled sinuses, and diagnose sinusitis.
  • Scout Image: Patient supine, scan perpendicular to hard palate.
  • Contrast: 100cc Omnipaque 300 IV contrast medium.
  • Parameters: kVp/Effective mAs/Rotation Time (sec): 120/130/0.75, FOV: 180 mm, Thickness: 3 mm.
  • Windows: Bone: WC:200, WW:2000; Soft Tissue: WC:50, WW:350.

Temporal Bone CT Scan

  • Purpose: Evaluate outer ear, ear bones, inner ear structures for infection, tumors, injuries, and hearing disorders.
  • Scout Image: Patient supine, scan parallel to orbitomeatal line.
  • Contrast: 100cc Omnipaque 300 IV, assess for malignant lesions with contrast.
  • Parameters: kVp/Effective mAs/Rotation time (sec): 120/160/1.0
  • Reconstruction Filter: Ultra High Bone Algorithm
  • Thickness: 1 mm
  • Resolution: High
  • Windows: Bone: WC: 400, WW: 4000; Soft Tissue: WC: 50, WW: 350

Facial Bones CT Scan

  • Purpose: Diagnose facial trauma and malformations.
  • Scout Image: Patient supine.
  • Parameters: Thin slices, (2-3.5 mm)
  • Windows: Bone: WC: 200, WW: 2000; Soft Tissue: WC: 50, WW: 350

Orbital CT Scan

  • Purpose: Diagnose eye and orbital socket injuries, diseases and congenital defects.
  • Scout Image: Patient supine.
  • Contrast: 100cc Omnipaque 300 IV, rule out infections/abscesses, orbital tumors, and optic atrophy.
  • Parameters: kVp/Effective mAs/Rotation Time (sec): 120/170/0.75
  • Resolution: High
  • Windows: Bone: WC: 200, WW: 2000; Soft Tissue: WC: 50, WW: 350

Scan Coverage

  • Sinuses: Maxillary teeth through frontal sinuses, set up to start posterior to the sphenoid sinus, continued anteriorly.
  • Temporal Bones: Above Petrous ridges to tip of mastoids, set up to start at the top of the anterior arch of C1, continue superiorly to the roof of the mastoid air cells.
  • Mandible: Below the Mandible through Frontal Sinuses, set up to start below the mandible, continue superiorly through frontal sinuses.

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Description

This quiz covers the essential computed tomography (CT) procedures for imaging sinuses, facial bones, and temporal bones. You will learn about the applications of CT scans in diagnosing diseases and conditions such as sinusitis, tumors, and hearing disorders. Test your knowledge on parameters, techniques, and the importance of scout images.

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