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The meniseus ean be visualised without the use of intra-artieular eontrast; however, the sean ean be performed following a 56 KNEES Fig. 18 lateral scout. Scan parallel to the tibial plateau. conventional knee arthrogram. If possible, slightly less contrast than usual should be used. 5 mm or 2 mm for menisci, 3 mm for patella alignment. For tumours 5 mm scans can be used. Slice Incrementation: Contiguous slices. field 01 View: If a single knee, 16 cm. If both knees, 24-32 cm, depending on size of patient and proximity of the knees.
51 KIDNEYS Patient Preparation Nil by mouth for 4 h before. Oral contrast as for abdomen. Patient Position Patient supine with arms above head. Scan on suspended respiration. Scan Parameters Frontal scanogram (Fig. 17). lf the kidneys only are to be imaged, scan from Tl2 to L3. lfthe whole abdomen is to be inc1uded scan from the dome of the diaphragm to the aortic bifurcation (L5). Slice Thickness: 10 mm. For improved spatial resolution a 5 mm slice may be helpful. U nenhanced scans are usually performed initially.
To assess the renal vein, dynamic seans without table inerementation should be obtained at the level of the renal vein (L2). The first sean should be at least 20 s after the beginning of the bolus injeetion. Delayed seans with the patient prone may be helpful in assessing the level of ureterie obstruetion, although dilated urine-filled ureters are usually quite easily identified on unenhaneed seans. Renal Calculi: Stones that are non-opaque on eonventional films may be identified on CT. v. eontrast may obseure the ealeuli.
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