Computed tomography of the spine

Computed tomography is a non-invasive and painless method of radiation diagnostics, which is highly informative.

During the procedure, the area of interest is illuminated by a beam of X-rays in different directions. When passing through tissues, the radiation is attenuated according to the density of the structure under study. Special sensors record the ionizing flow and convert the energy into electrical signals. Subsequent processing is carried out using a computer program.

When to do a CT scan of the spine

As a result of scanning, you can get a series of thin slices in axial projection. Layered images of the object under consideration allow assessing the state of the internal structures of the human body and identifying even minor pathological changes.

What is a CT scan of the spine and in what cases is the procedure necessary?

Tomography is prescribed for degenerative-dystrophic diseases, inflammation, secondary neoplastic processes. CT of the back helps to establish the causes of pain, impaired motor function and the functioning of internal organs.

Scanning is carried out to control treatment and evaluate the result after surgical interventions on the spine.

Indications for a CT examination of the spine are:

  • persistent pain syndrome in the lumbosacral spine;
  • impaired sensation in the limbs: numbness, goosebumps, etc.;
  • traumatic injuries of the vertebral bodies and their processes;
  • inflammatory diseases of the structures of the spine (as a clarifying diagnostic manipulation);
  • anomalies in the development of bone and cartilage tissue;
  • malignant and benign tumors;
  • osteochondrosis, determining the degree of osteoporosis, deforming arthrosis.

Spine scanning is prescribed in doubtful cases, to clarify and confirm the diagnosis.

If there are contraindications to MRI, it is advisable to use computed tomography.

What does a CT scan of the spine show

The software allows you to get detailed images of the tissue section and helps to establish the correct diagnosis.

Computed tomography of the back is used for suspected pathological processes of an inflammatory and degenerative nature, the presence of tumors, etc. The study allows you to get an accurate picture of the state of bone structures and diagnose:

  • the smallest damage, cracks, dislocations, complex fractures;
  • displacement of vertebrae;
  • damage to the intervertebral discs;
  • deformities of the spinal column;
  • spinal stenosis;
  • degree of prevalence of tumor growth, metastases;
  • hemorrhages, vascular pathologies.

CT diagnostics is most effective for detecting bone injuries, spinal injuries and hematomas.

Types of computer diagnostics

This procedure is widely used in clinical practice. The good quality of the images and the accuracy of the study make it possible to identify the presence of pathology in the early stages and determine further treatment tactics.

The following scan types are used for diagnostic purposes:

  1. Spiral tomography, during which the X-ray tube rotates in a spiral. Depending on the speed, the device takes several pictures per revolution and makes it possible to obtain reliable data.
  2. Multispiral (MSCT) technique is characterized by high resolution and allows you to get up to 300 images. Such tomographs are equipped with sensors arranged in a row. The technique is able to fix the processes that occur in the body, and therefore it is often used in emergency situations.
  3. CT using a contrast agent allows you to get the maximum clarity and saturation of the image. The method is especially effective in the diagnosis of tumors and pathology of blood vessels. In most cases, iodine-containing preparations are used as a contrast.

The preferred method of conducting the examination is determined by the specialist, depending on the purpose of the diagnosis, symptoms, the presence of concomitant pathology, age, general condition and individual characteristics of the patient.

How a CT scan of the spine is done

Examination without contrast does not require prior preparation. It is recommended to wear comfortable clothes that do not restrict movement, remove metal objects and accessories.

In the case of using contrast, a number of conditions must be met:

  • take a blood test for creatinine;
  • Patients suffering from diabetes mellitus should stop taking Metformin no later than 48 hours before the procedure, agreeing to stop the drug with the endocrinologist;
  • Women should stock up on breastfeeding while breastfeeding as the baby should not be breastfed for one or two days after the scan.

In the presence of chronic diseases, allergic reactions to iodine and seafood, taking medications on an ongoing basis, you need to inform the doctor in advance to avoid undesirable consequences.

How is the procedure going?

CT of the lumbosacral region is performed in the supine position. The patient is placed on a mobile table of the tomograph and the limbs are fixed in order to maintain immobility during the manipulation. The specialist manages the process and maintains intercom from the adjacent room. If you feel unwell, you can use a special button to stop the procedure.

The examination lasts several minutes. If it is necessary to introduce a contrast agent, the time of tomography increases.

Contraindications

The procedure is associated with exposure to X-rays, therefore, it is carried out only as directed by a doctor.

This study should not be performed during pregnancy, regardless of the term, except for vital indications.

An absolute contraindication is the weight of the patient over 150 kg, which exceeds the permissible load on the tomograph. There are devices with a higher carrying capacity: the information needs to be clarified when registering with the clinic.

Children undergo CT scans on the direction of the attending physician, in exceptional cases. You should not assign a study to patients under 5 years of age due to the fact that the child cannot be immobile for the required time. Patients under 18 years of age do not undergo a procedure with contrast.

Contrast-enhanced tomography is contraindicated in the following cases:

  • history of allergies, intolerance to iodine preparations;
  • elevated creatinine;
  • diabetes mellitus (taking Metformin);
  • thyroid disease, accompanied by increased production of hormones;
  • renal dysfunction;
  • severe asthma

Severe pain syndrome, severe condition of the patient can become a limitation to performing CT scan.

When is it better to have an MRI rather than a CT scan

The choice of technique depends on the task of the study and the nature of the alleged pathology. CT is preferable for diagnosing spinal injuries, fractures, changes in the vertebrae. The procedure takes a few minutes, so it is widely used in emergency situations.

Computed tomography is not effective enough in relation to intervertebral hernias of the cervical and thoracic spine, as well as in the diagnosis of pathologies of the spinal cord.

Suspicion of the presence of inflammatory, tumor processes, ischemia, neurovascular pathologies is the reason for referral for MRI. Conducting magnetic resonance imaging is advisable in case of insufficient efficiency of CT and radiography.

Advantages of the technique

Computed tomography is a modern and effective way to visualize the anatomical structure in question.

Unlike traditional radiography, CT allows you to get a three-dimensional image of the area of interest with reduced radiation exposure. Other undoubted advantages of scanning include:

  • small duration of the procedure;
  • accessibility and security;
  • the ability to obtain high-quality and detailed images without projection distortion;
  • high sensitivity of the technique;
  • minimum number of contraindications;
  • results can be presented on film and stored on removable media.

CT is highly reliable in the study of pathological deviations of bone structures and allows subsequent three-dimensional processing of the obtained images.

CT of the spine in Moscow

The cost of the diagnostic procedure depends on the urgency of the study, the technical characteristics of the tomograph, the complexity of manipulation, the amount of contrast, etc.

The price of CT with contrast is higher compared to the standard procedure.

It is possible to make a CT scan of the spine on favorable terms and at an affordable price at night at the "K+31" clinic.

The clinic offers a full range of diagnostic procedures. Modern tomographs allow you to get high quality and accurate images, providet safety and fast CT scan with minimal exposure.

For more information about how much a CT scan of the spine costs, you need to call the clinic +7 (499) 999-31-31 or fill out a special online form on the website.

Service record



Specialists

All specialists
Sinitsyn
Valentine Evgenyevich

Chief Consultant in Radiation Diagnostics, Radiologist

Doctor of Sciences, PhD, professor

Puzakov
Kirill Borisovich

Leading Consultant in Radiology, Radiologist

Chichkanova
Tatyana Vladimirovna

Oncologist-mammologist, radiologist

Kondratyev
Eugene Valerevich

Leading CT Specialist, MRI

PhD, leading research fellow

Sychenkova
Irina Yuryevna

Leading MRI Specialist

Leading expert MNIOI them. P.A. Herzen

Schulz
Eugene Igorevich

Leading neuroradiologist in MRI and CT diagnostics

PhD

Vasilieva
Yulia Nikolaevna

Radiologist, leading specialist in radiation diagnostics

PhD

Maso
Michael Lvovich

Mammologist, radiologist, ultrasound diagnostician

PhD

Yagizarov
Imran Rasulovich

Head of the department of radiation diagnostics, radiologist