A computed tomography (CT) scan of the arm is an imaging method that uses x-rays to create cross-sectional pictures of the arm.

CT rapidly creates detailed pictures of the body, including the arms. Reasons to perform this test include:

• Diagnose or evaluate a cancer or tumor
• Evaluate a mass that is felt during a physical exam
• Evaluate an abscess or infection
• Evaluate pain or other problems in the wrist, elbow, or shoulder joints (usually when MRI cannot be done)
• Guide a surgeon to the right area during a biopsy
• Identify or evaluate a fracture

You will be asked to lie on a narrow table that slides into the center of the CT scanner. The arm being scanned will be held still with small foam pads.

Once you are inside the scanner, the machine's x-ray beam rotates around you. (Modern "spiral" scanners can perform the exam in one continuous motion.)

Small detectors inside the scanner measure the amount of x-rays that make it through the arm. A computer takes this information and uses it to create several individual images, called slices. These images can be stored, viewed on a monitor, or printed on film. Three-dimensional models of the arm can be created by stacking the individual slices together.

You must be still during the exam, because movement causes blurred images. You may be told to hold your breath for short periods of time.

The scan should take only a few minutes.

Certain exams require a special dye, called contrast, to be delivered into the body before the test starts. Contrast can highlight specific areas inside the body, which creates a clearer image.

Some people have allergies to IV contrast and may need to take medications before their test in order to safely receive this substance.

Contrast can be given through a vein (IV) in your hand or forearm. If contrast is used, you may also be asked not to eat or drink anything for 4-6 hours before the test.

If you weigh more than 300 pounds, have your doctor contact the scanner operator before the exam. CT scanners have a weight limit. Too much weight can cause damage to the scanner's working parts.

Since x-rays have difficulty passing through metal, you will be asked to remove jewelry and wear a hospital gown during the study.

Some people may have discomfort from lying on the hard table.

Contrast given through an IV may cause a slight burning sensation, a metallic taste in the mouth, and a warm flushing of the body. These sensations are normal and usually go away within a few seconds.