CT (computed tomography) face radiology search pattern
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- čas přidán 1. 05. 2024
- When you start taking call as a radiology resident, a common test you are going to encounter is a maxillofacial CT, or face CT. This is especially true if you are taking call at a level 1 or level 2 trauma center. A lot of times, this is done in conjunction with a head and/or cervical spine CT. This is an extremely common test in the setting of trauma, including assault and car accidents (MVA or MVC). The key in these settings is to rule out a significant fracture or soft tissue injury to the face.
Because there are a lot of structures, it is important to have a useful search pattern. Reconstructions, especially the coronal reconstruction, are key when interpreting CT of the face. These allow you to see key structures that are parallel to the slice plane on axial images. Symmetry is extremely helpful, as the left should match the right. Additionally, making sure all the fat and fascia planes are clean is very useful.
This video will walk you through a step-by-step approach to evaluating a CT of the face. I recommend a pattern where you start with the coronals at the cranial (top) part of the image, and then work your way down. In this way, you can look at the brain, orbits, sinuses, palate, mandible, and so forth, minimizing the risk of missing a significant finding. Then you can repeat the pattern with the axial images. Finally, the sagittal images are a nice troubleshooting tool, especially for the mandible and cervical spine. As you practice, you will find you can move more quickly through your search without necessarily focusing on each individual element for too long.
The level of this lecture is appropriate for medical students, junior residents, and trainees in other specialties who have an interest in neuroradiology or may be involved with patients with facial injuries and other abnormalities.
Check out this video and additional content on www.learnneuroradiology.com
Underated !!! Thank you so much
Your lectures are priceless! Thank you for sharing them!
Glad you like them!
Excellent ! Thank you very much for these videos.
Thanks! Glad you like the video!
Excellent Presentation.
Thanks for the support!
Thank you very much .
Glad you like the video and you get the chance to come back and watch the videos on the channel!
Let me know if you have ideas for other videos and I can prioritize my efforts.
@@LearnNeuroradiology Thank you , you can't imaging how you are usefull , would appreciate if you show your serch pattern reporting a degeneratif cervical spine .
Thank you in advance
Thank you sir , it ia really really really helpful
You are most welcome
Thank you sir
Thanks for watching!
The merchant did while on boat radiance of the seas
Can a CT Scan be used too assist inside the mouth, and for Trigeminal Neuralgia please
Inside the mouth - depends what you mean. We do use CT to see the bones which hold the teeth and evaluate dental conditions. It's also used for tumors of the tongue and oral cavity.
Trigeminal neuralgia - not really. you can see some large tumors or bony masses which might cause trigeminal neuralgia, but for most you would prefer to have MRI
Can check on my head fracture
where can you get help for a crunching fracture bone on the right side of nose bone
Sounds like you need a plastic surgeon my dude.
is ct scan of face is helpful in finding issue in temporal bone after accident
Usually a CT of the face does not include the temporal bones, at least completely. If you have continued symptoms you might talk to your doctor about whether you need anything additional.
This this take a image of the hard palate swelling?
Yes, to a certain extent. If there is any bony damage to the hard palate, you would be able to see it. If there was a small soft tissue injury or tumor, you wouldn't see it. However, you would be able to see it with your eyes just by looking in the mouth, which is what we recommend.
@@LearnNeuroradiology what if was a periodontal issue calculus and infection?
No. Dental and periodontal disease is best seen either by visual inspection (looking) or specialized dental x-rays
@@LearnNeuroradiology so it has to be a special X ray not a CT scan ? I thought CT picked up everything ?
The resolution of standard CT is not good enough to evaluate many dental issues. Dental xrays or specialized dental CT is needed for that.
Standard CT with contrast is sometimes used for dental abscess (infection) or larger tumors.
Ford
Very poor voice, it ruins the entire video!
You need to speak louder and more clearly rather than running all your sentences together in a low croaky lazy sounding voice.
It's a bit of a lazy comment to come on here and say what a bunch of other people have already said.