The Spine
The spine needs to be rigid, yet also needs flexibility of movement. Meeting these requirements demands a complex structure.
Having a CT Scan
CT scanning of the lumbar spine takes about 30 to 45 minutes. Once you are referred for a scan the radiology department will contact you to arrange a time that is convenient for you to attend.
If other investigations such as x-rays are being arranged as well it will often be possible to get these done at the same time. When you arrive for your scan you will be shown to a changing room to get into a light gown and then taken through to the scanner. The CT scan is undertaken with you lying on your back. You will be asked to lie down on a sliding couch which will be used to position you within the large 'polo' shaped ring of the CT scanner. You will be able to listen to some music while the CT scan is underway. There is a wide choice of music available, or you may bring your own CD. The radiographer will be in constant contact with you, letting you know how the scan is progressing, and you will be able to speak to her at any stage. The CT scanner is very open and quite wide. Although some people find MRI scanning difficult because of a sense of claustrophobia, this is not usually a problem with CT scans. If you are concerned please let us know and we can arrange for you to have a look at the scanner before your appointment so you can see what will be involved.
Metal implants or clips are not in themselves a problem but if there are screws and rods or other implants in the spine, these may affect the images we obtain. We have the latest sophisticated computer programmes which will reduce any impact to a minimum. It is certainly worth checking that the radiographer is aware if you have implants in place, although Mr Boeree will have pointed this out when referring you for your scan.
A pacemaker does not present a problem with CT scanning, unlike MRI. Nonetheless, please let us know if you have a pacemaker. CT canning does use x-rays although the most recent generation of scanners do in fact use much lower radiation exposures, on a par with normal x-rays of the spine. Nonetheless, as a precaution we prefer to avoid undertaking a CT scan during pregnancy unless there is a particular clinical need. If you think you might be pregnant please let us know.
After your scan the images will very carefully be reviewed by the consultant radiologist and a detailed report prepared. An appointment will be arranged for you with Mr Boeree who will go through the scans with you, discussing what they show and the implications and options for your further clinical management. The CT scans will be yours to keep.
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In memory of Nick Boeree
Following the sudden death of Nick Boeree we have set up a tribute page to allow you to share your memories, thoughts, and feelings. Click here.
I would encourage everyone to considering ADR to look at "the spine clinic" UK
Cwurugger

