Showing posts with label Diagnostic tools. Show all posts
Showing posts with label Diagnostic tools. Show all posts

Cerebral arteriography

In cerebral arteriography, a catheter is threaded through the major arteries of the trunk and into the carotid or vertebral artery. Dye (or contrast medium) is injected to outline arteries not normally seen in X-ray imaging. This helps reveal abnormalities or obstructions.
See video.

MRI

Magnetic resonance imaging (MRI) uses a magnetic field and radio waves to create clear and detailed cross-sectional images of your head and body.
You don't need to prepare for an MRI. Unless otherwise instructed, eat normally (before the procedure) and if you take medications, continue to do so. Once checked in, you'll likely change into a gown and robe.
Remove all accessories, such as your watch, jewelry and hairpins. Also remove things like wigs, dentures and hearing aids. Tell your MRI technologist if you have metal or electronic devices in your body, because their presence may be a safety hazard. The magnet may disable your electronic device or affect the MR image quality.
Before your exam, the MRI technologist may confirm your health issues and answer any last-minute questions.
Most MRI machines look like a big doughnut. A large magnet is housed within a circular structure. You'll lie down on a table that slides into the opening of the magnet. Depending on where you need magnetic resonance imaging, a small device called a coil may be placed around the body part being examined. The coil receives the magnetic resonance signal.
Your technologist will monitor you from another room, but you can talk with him or her by microphone. In some cases, a friend or family member may stay with you. If you are especially anxious or have claustrophobia, you may be offered a mild sedative.
Magnetic resonance imaging is safe for children, and an adult may stay in the scanning room for reassurance. Young children, toddlers and infants may need sedation since they must remain still throughout the imaging process.
The exam itself is painless, but noisy. You don't feel the magnetic field or radio waves, and there are no moving parts to see. However, the magnet produces repetitive tapping and thumping sounds, so you'll likely be offered earplugs or special metal-free headphones to help block the noise. MRIs that require your head to be in the machine often include a mirror for you to see out.
Animation: Here's how an MRI is created. Most machines use tube-shaped magnets. The strong magnetic field is produced by passing an electric current through wire loops inside of the magnet's protective housing. Other coils in the magnet send and receive radio waves.
Once you're positioned inside the magnet, some protons within your body will align with the magnetic field. This is harmless and you won't feel it happening.
Once aligned, these protons respond to low-power radio waves that stimulate signals from your body. The radio waves are generated by specialized radio frequency coils (RF coils), which are antennas designed for medical imaging.
The signal that your body returns is detected by the coils surrounding the specific body part targeted for imaging. A computer processes all the signals and reconstructs a highly detailed image.
The final picture is a composite, three-dimensional representation of your body. Any two-dimensional plane — or slice — can be electronically created and displayed on a computer for interpretation. These images can also be converted from the screen into photographic film for further study.
Narrator: An MRI exam lasts between 30 and 90 minutes. Because movement can blur the resulting images, remain still and breathe quietly without moving your head or body.
Although not shown in this video, contrast agents are sometimes injected into your veins to enhance the appearance of certain tissues or blood vessels.
Once your MRI is complete, you may be asked to wait until the images are reviewed to make sure that no additional imaging is necessary. If no further studies are required, you'll be released and can resume your regular activities.

Lumbar Puncture

Lumbar puncture, also called a spinal tap, is the procedure doctors use to obtain a sample of cerebrospinal fluid (the liquid that surrounds the brain and spinal cord) for tests. Cerebrospinal fluid (CSF) is formed in special areas of the brain called ventricles. It flows down from the ventricles into the area around the spinal cord. CSF is usually clear and contains small amounts of proteins and glucose (sugar).

REASONS FOR HAVING A LUMBAR PUNCTURE
Suspected meningitis (infection of the covering of the brain and spinal cord)
Leukemia or lymphoma
Evaluation for neurological diseases, such as multiple sclerosis, neuropathy, or recurrent seizures Fever of unknown origin
Lumbar puncture is also done by anesthesiologists to administer spinal anesthesia (also known as subarachnoid block) for some types of surgery.
For cancer treatment, chemotherapy medications are sometimes injected directly through the lumbar puncture needle into the CSF. The medicine flows freely in the CSF and can go to the brain or spinal cord where it is needed.
WHAT TO EXPECT DURING A LUMBAR PUNCTURE
During a lumbar puncture, you either lie on your side or sit upright. Your back is scrubbed with an antiseptic solution. Local anesthetic medicine is injected into the skin. When the skin is numb from the local anesthetic, a small needle is inserted into your back at the level of the hip bones below the bottom of the spinal cord. The needle is pushed forward gently until the CSF is found. For testing, 1 to 2 teaspoonfuls of fluid are removed and put into special sterile tubes. If you are receiving spinal anesthesia for surgery, no spinal fluid is drained out. The anesthetic medicine is injected directly into the CSF, and your legs and buttocks will begin to feel numb.
Sometimes lumbar puncture can be difficult to perform. Persons who have had back surgery, who have an abnormal back shape such as scoliosis (curvature of the spine), are pregnant, or are very obese are at risk for difficulty in the lumbar puncture. Lumbar puncture is easier to perform if the patient follows positioning instructions completely.


FOR MORE INFORMATION
American Academy of Pediatrics http://www.aap.org/
American Society of Anesthesiologists http://www.asahq.org/patienteducation.htm
Video