Saturday, 24 December 2011

5th Week : CT scan

  • On friday, I met with senior Azmi Sulaiman who currently working at Arunamari SMC klang and Encik Zulfadli our beloved lecturer who currently pursuing his master. Advice taken.
  • A month already past and i am getting more and more comfortable with this place. 
  • This week happen to be more "happening" compare to the previous 4 weeks.
  • The fact that i'm the only student at CT doesn't make me less talkative. heh
  • All the senior radiographer treat me very well, WELL some of them do look like they want to ignore me. but hell. this is ME. :D. En/Cik/Puan "Azman, Harris,liyana,rohaida,zaileha,nurul,nurain,aina,amir,mamaton,zurita,zana" they all taught me something
  • Let's go straight to the point shall we. Most common CT done is
    • CT Brain (contrast/without contrast)
    • CTU (Plain)
    • CT TAP (with contrast) short for "thoracic,abdomen,pelvic
    • and the extremities "hip n etc"
  • There were TWO CT machine each in separate room (ofcourse la kan)  in HTAR. The old/new one. basically for the old one they use it to do CT BRAIN. because they said the image looks better using the old one. And it would be a waste if they don't use it right.(because the "new CT machine can do a LOT MORE faster than the old one)
CT BRAIN
  • If everything went well, it took less than 10 minutes to do CT brain. 
  • But if contrast is given. maybe another 5 or 10 minutes added. 
  • contrast given was omnipaque? :p 50ml for adult using 2x 20ml syringe and 1x 10ml syringe. for childreN? it have something to do with the patient body weight.  i ll come back to this later. heh. 
  • And i'm lucky because Encik Azman taught me how to do CT Brain. Like seriously TAUGHT me. (baseseq,cerebseq)
  • And Encik Amir taught me how to read the image. But only the basic one i guess. Circle of willis, the chinese smile face appear usually if the brain is normal (most of them is normal 0.0) :D, the grey/white matter,the vertebra arteries to look if there is any calcification, and a few more i regret of not taking note.
CT TAP/CTU/ and others
  • Most of the procedure ↑ done using the new CT machine. 
  • Feet 1st,hand above the patient head
  • For CTU center at Nipple line, Usually plain image (without contrast).
  • For TAP center at level of chin
  • others depend.
  • Make sure the MCP & MSP is align.
Assessment.
  • Nothing was done.
Clinical Study
  • Still haven't got the approval letter to start our clinical study from the "pengarah hospital".
  • Currently focusing on ovarian malignancy.

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