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Fund. - Contrast

Lecture 10

QuestionAnswer
when a substance is introduced into the body to demonstrate structures not seen in plain film radiography contrast exam
purpose of contrast exam -demonstrate structures -eliminate need for surgery -diagnose -r/o disease
-gas or air -low atomic number -low x-ray absorption, will look black on a radiograph negative contrast
-commonly iodine or barium compounds into organ or vessel -high atomic number -high absorption of x-rays, will appear light on a radiograph -high viscosity, resistance of fluid to flow positive contrast
barium sulfate colloidal, inert organic salt, BaSO4, suspension not a solution, insoluble in water, used in GI tract, orally and rectally, atomic #56
-radiographic/flouroscopic examination of the distal pharynx, esophagus -also called a barium swallow -demonstrates diverticula, foreign bodies, perforation, or hiatal hernia -barium esophagram
radiographic /flouroscopic examination of the esophagus, stomach and duodenum, also called stomach -barium -demonstrates hiatal hernia, refllux, masses, gastritis ulcers, cancer, polyps UGI
radiographic/flouroscopic examination of the small intestine -may be done along with a UGI -purpose is to watch motility of the small bowl, fistulas, strictures, adhesions, tumors, crohns disease -timed study, radiographs taken every 15-30 minutes -ba SBFT-small bowel follow through
radiographic/flouroscopy of the large intestine -BE, BaE, lower GI, Colon -single column -double column barium enema
single column only barium
double column air and barium
air contrast enema -to demonstrate tumors, polyps, diverticulitis, hernias ACBE air contrast barium enema
where digestion and end products are absorbed into the blood stream and lymphatic system small bowel/intestine
primarily responsible for the absorption water, peristalsis of waste material, and defacation large bowel/intestine
because barium is not soluble in water, if it leaks outside of the gi tract it must be removed_________ surgically
water soluble, iodine based -therapeutic uses -provides less contrast than barium -iodine atomic #53 gastrografin
iodine contrast media -soluble in water -% of sodium and other organic salts -higher the concentration the higher the toxicity -urography, angiograpy, arthrography -excreted by kidneys
contrast medium that does not form the same ionic bonds in the body, few reactions than ionic contrast, higher cost non-ionic contrast medium
radiography procedure to demonstrate the urinary system - delayed function, calculi (obstruction), inflammation, urinary retention, cysts, cancers and tumors -tomography -injection given by catheter, bolus, or drip intravenous pyelogram-IVP
patient history considerations to iodinated contrast medium -food allergies -reactions to previous contrast medium -asthma -allergies to drugs -diabetes, myeloma, thyroid, sickle cell
radiographic examination of the urinary bladder -injection via catheter in bladder -investigate the bladder for any abnormal fistulas diverticula, tumors or obstruction (prostate) -300-500cc of contrast cystogram
radiographic examination of urinary bladder and urethra -injection of water soluble contrast into bladder via urinary catheter -once filled the patient is asked to void while radiographs are taken to watch voiding -investigate for reflux into ureters voiding cystourethrogram - VCUG
performed in surgery -catheter inserted into ureters through the bladder -contrast injected for visualization of the renal/pelvis and ureters -C-arm used to demonstrate the ureters -images are taken when surgeon requests retrograde pyelogram
biliary systems exams gallbladder, oral cholecystogram, telepaque, bilivist, oragraphin -to demonstrate the gallbladders ability to remove and excrete bile/contrast
-performed in surgery during cholecystectomy -checks ducts for residual stones -looks for lesions, strictures, and patency of ducts -C-arm used to see biliary system operative cholangiogram
a radiographic /flouroscopic exam of the pancreatic duct -evaluates the sphincter of odi and ampulla of vater -radiologist or gastric/internal medicine physician directs camera to the biliary tree -contrast is injected to demonstrate biliary system endoscopic retrograde cholangiopancreatogram ERCP
-a radiographic/flouroscopic exam of the spinal canal, L3-L4 interspace -investigates the spinal canal for tumors lesions, or a herniated disk -patient lies prone, radiologist inserts needle into subarachnoid space to inject contrast myelogram
-a radiographic/flouroscopic exam of the uterus and fallopian tubes -to investigate the patency of fallopian tubes -infertility hysterosalpingogram
a radiographic/flouroscopic exam of the joints -injection of water-soluble contrast into joint space -demonstrate injury or disease -shoulder-rotator cuff, knee-meniscus or torn ligaments -after contrast injection, patient is taken to CT or MRI arthrogram
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