Summary
Samenvatting MBRT CT TGV formulieren
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MBRT periode 7 radiologie assessment CT tgv formulieren, anatomie en pathologie
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InhoudTGV Formulier Radiologie - CT Thorax/long standaard (pneumothorax)..............................................................................2
Anatomie: Thorax standaard.............................................................................................................................................3
TGV Formulier Radiologie - CT thorax HR (airtrapping).........................................................................................................4
Anatomie Thorax HRCT.....................................................................................................................................................5
TGV Formulier Radiologie - CT Thorax (longembolie)............................................................................................................6
Anatomie Thorax...............................................................................................................................................................7
TGV Formulier Radiologie - CT Thorax/abdomen (metastasen abdomen)............................................................................7
TGV Formulier Radiologie - CT abdomen blanco(urolithiasis)...............................................................................................9
Anatomie: Abdomen blanco............................................................................................................................................11
TGV Formulier Radiologie - CT abdomen standaard (Appendicitis/abces)..........................................................................12
Anatomie: Abdomen standaard......................................................................................................................................13
TGV Formulier Radiologie - CT abdomen 4-fase (FNH)........................................................................................................14
Anatomie: abdomen 4-fase.............................................................................................................................................16
Pathologie: abdomen 4-fase............................................................................................................................................16
TGV Formulier Radiologie - CT Hersenen blanco (bloeding/gevallen).................................................................................17
Anatomie: hersenen blanco............................................................................................................................................18
TGV Formulier Radiologie - CT Hersenen Cirkel van Willis (bloeding/aneurysma)..............................................................19
Anatomie: Cirkel van Willis..............................................................................................................................................21
TGV Formulier Radiologie – CT sinus (sinusitis)...................................................................................................................21
Anatomie: sinus...............................................................................................................................................................23
TGV Formulier Radiologie - CT Oor/mastoïd (otitis media).................................................................................................23
Anatomie: mastoïd..........................................................................................................................................................25
Beeldherkenning................................................................................................................................................................. 25
Parameters.......................................................................................................................................................................... 26
AEC.................................................................................................................................................................................. 26
kV:................................................................................................................................................................................... 27
mA:.................................................................................................................................................................................. 27
Kernel:............................................................................................................................................................................. 27
WW/WL:.......................................................................................................................................................................... 27
Coupedikte:..................................................................................................................................................................... 27
Reconstructie-index:........................................................................................................................................................27
Pitch:............................................................................................................................................................................... 28
1
, Rotatietijd:....................................................................................................................................................................... 28
Spiraal scan:..................................................................................................................................................................... 28
Vragen................................................................................................................................................................................. 28
TGV Formulier Radiologie - CT Thorax/long standaard (pneumothorax)
Informatie Aanvraag
Gewenst Onderzoek: CT Thorax/long standaard
Zie aanvraag
Medische gegevens: Pt gevallen fiets. Pijn linker thoraxhelft. X-thorax ribfractuur. Fors benauwd
Zie aanvraag + verklaring betekenis
Concrete vraagstelling: Pneumothorax? (= klaplong= long ingeklapt door lucht in borstkas, deel longen gevuld
Zie aanvraag + verklaring betekenis met lucht zwart beeld lucht zonder vaten)
Voorbereiding patiënt
Voorbereiding patiënt: Eventuele gebitsprothesen en sieraden verwijderen, Zo nodig premedicatie
Oraal contrast/medicatie/enz.
Intraveneus Contrastprotocol
IV Contrast gewenst: n.v.t.
verklaar
Fase van scannen:
arterieel/portaal/(laat)veneus/excretie
verklaar
Overig
Hulpmiddelen: Kniesteun
Indien nodig
Aanvullende informatie:
Indien nodig
Acquisitieparameters
Spiraal/Slice to Slice: Spiraal
verklaar
Belichting: 110-130kV
Handbelichting (mA)/AEC AEC (80-100mAs)
Buisspanning (kV)
Acquisitie coupedikte: Zo dun mogelijk, want er zijn veel kleine snel wisselende structuren voor MPR
verklaar
Rotatietijd (sec): 0,6-1s afhankelijk van scanduur
<1 sec, 1 sec, >1 sec
verklaar
Pitch: <1: kleine afwijkingen
<1, 1, >1 meer informatie omdat er overlappend wordt gescand, dit is nodig omdat er veel
verklaar wisselende structuren in het transversale vlak zijn.
Reconstructie- en Beeldparameters
Kernel: Wekedelen: medium soft gemiddelde ruisonderdrukking
verklaar Longsetting: sharp hogere spatiële resolutie
Reconstructie coupedikte: Wekedelen: 3mm
2
, verklaar Longsetting: 1-2mm
WW/WL: Wekedelen: WW/WL 400/40
verklaar Longsetting: WW/WL 1400/-700
Uitvoering onderzoek
Projectie Topogram: PA topogram thoraxaperatuur t/m onderste ribben, bijnieren worden zeker
verklaar meegenomen en om uitspraak te kunnen doen over levermetastase
Scanrange: longtoppen t/m onderste ribben
Positionering patient: HF supine, armen boven hoofd
Head first/Feet first
Rugligging/Buikligging
Start- en eindpositie: Schouders t/m onderste ribben
Wat is de start- en eindpositie van Caudocraniaal om de kans op verademingsartefacten zo klein mogelijk te houden
de diagnostische scan?
Ademcommando: Inspiratie
Inspiratie/Expiratie/geen
verklaar
Beoordelingscriteria: Longen volledig afgebeeld
Waar moet de opname aan
voldoen om beoordeelbaar te
zijn?
Anatomie: Thorax standaard
Figuur (b): 6: Rechter ventrikel; 7: V. cava superior; 8: lever;
uur (a): 1: A. brachiocephalica; 2: V. subclavia; 3: A. carotis communis links; 9: Linker ventrikel; 10: Aorta descendens
A. vertebralis links; 5: A. subclavia links
3
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