CT scan of the thoracic spine

Computed tomography (CT) is a modern method of visualizing the internal structures of the body, which is widely used for diagnosing spinal pathologies. The method is based on the use of X-rays and digital image processing, which allows you to obtain detailed layer-by-layer sections of the spinal column. CT of the thoracic spine is especially informative, since this segment is difficult to assess using conventional X-rays.

At the Oxford Medical Medical Center, the examination is performed on a 64-slice Siemens Somatom Go.UP tomograph. This device creates ultra-thin sections with a thickness of 0.7 mm and provides high-quality images with minimal radiation exposure. This allows doctors to quickly and accurately detect pathological changes even in the early stages.

If your doctor has prescribed a CT scan of the spine for you, make an appointment for an examination at the Oxford Medical Medical Center in Kyiv. Experienced specialists will conduct an examination, explain the results and help determine further treatment tactics.

CT of the chest can be performed both without contrast and with the use of a contrast agent. The choice of method depends on the clinical task and the patient's condition.

Non-contrast CT is used for the initial assessment of bone structures: vertebral bodies, intervertebral discs, joints and spinal canal. This option is recommended for suspected osteochondrosis, herniated discs, fractures, degenerative changes, spondylosis or spondyloarthrosis.

CT with contrast is prescribed when it is necessary to study the vessels, spinal cord or neoplasms in detail. Intravenous administration of contrast allows you to assess tissue vascularization, detect tumors, metastases, abscesses or other pathologies associated with soft tissues or blood circulation.

Before CT with contrast, it is mandatory to assess kidney function and collect a history of allergic reactions.

CT of the spine allows for a detailed assessment of:

• The structure of the vertebral bodies, arches, and processes.
• Intervertebral discs and signs of their degeneration.
• The condition of the intervertebral joints and ligamentous apparatus.
• The presence of compression or traumatic fractures.
• Signs of osteochondrosis, spondylosis, kyphosis, scoliosis.
• Changes in the spinal canal (narrowing, hernias, neoplasms).
• Metastatic lesions or primary tumors of bone tissue.
• Inflammatory changes (osteomyelitis, epidural abscesses).
• Vascular anomalies when using contrast.

A doctor may recommend a CT scan if the following indications are present:

• Persistent or intermittent pain in the thoracic spine.
• Suspected intervertebral hernias that cause compression of the nerve roots.
• Limited mobility or stiffness in the thoracic spine.
• Post-traumatic pain, suspected vertebral fracture.
• Suspected tumor lesions or metastases.
• Detection of changes on X-ray that require clarification.
• Monitoring the effectiveness of treatment for spinal diseases.
• Preparation for surgery.

Preparation for a chest CT scan depends on whether a contrast agent is planned.

No special preparation is required for a standard CT scan.

If a CT scan with contrast is scheduled, the patient is advised to:

• Not eat for 4–6 hours before the examination.
• Inform the doctor about allergies, chronic diseases, especially kidney diseases.
• Have a biochemical blood test for creatinine level (as prescribed by the doctor).

Patients with diabetes, pregnant women, or people with impaired kidney function need to consult a doctor in advance.

Before the procedure, the patient is placed on the tomograph table in a horizontal position. During the scan, it is necessary to remain still so that the images obtained are clear.

The examination lasts up to 10 minutes without contrast and about 20 minutes with contrast. During the injection of the contrast agent, a brief feeling of warmth or a metallic taste in the mouth is possible - this is a normal reaction.

The images are formed in digital format and transmitted to the radiologist for analysis. The results can be obtained on disk, film or in electronic form together with the conclusion.

There are few absolute contraindications to performing a CT scan of the chest. However, there are situations that require caution:

• Allergy to iodine-containing contrast agents (for CT with contrast).
• Severe renal failure.
• Thyrotoxicosis (relative contraindication to contrast).
• Severe general condition of the patient, in which it is impossible to remain immobile.

In such cases, the question of the feasibility of CT is decided individually, taking into account alternative methods.

The price of a CT scan of the thoracic spine depends on whether the study is performed with or without contrast. You can find out the prices in advance here.

Do not postpone taking care of your health. If you are concerned about back pain, limited movement or other symptoms, contact a specialist. You can make an appointment for a CT scan of the thoracic spine at a time convenient for you by phone or via the online form.