Shoulder CT scan
Alternate Names : CAT scan - shoulder, Computed axial tomography scan - shoulder, Computed tomography scan - shoulder
Definition
A computed tomography (CT) scan of the shoulder is an imaging method that uses x-rays to create cross-sectional pictures of the shoulder.
Why is the Test Performed?
CT rapidly creates detailed pictures of the shoulder. The test may be used to: - Diagnose a dislocation, fracture, or other shoulder injury
- Diagnose or evaluate cancer or tumors
- Evaluate a mass that is felt during a physical exam
- Evaluate an abscess or infection
- Evaluate pain or other problems in the shoulder joint when MRI cannot be done
- Guide a surgeon to the right area during a biopsy
- Identify masses and tumors, including cancer
How is the Test Performed?
You will be asked to lie on a narrow table that slides into the center of the CT scanner. 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 shoulder. 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 shoulder 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. Generally, the scan should take about 30 minutes.
How to Prepare for the Test?
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 delivered 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.
How will the Test Feel?
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.
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