{"id":4599,"date":"2011-10-11T13:43:08","date_gmt":"2011-10-11T12:43:08","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=4599"},"modified":"2011-10-12T15:11:14","modified_gmt":"2011-10-12T14:11:14","slug":"varfor-inte-hela-kroppen-nar-man-anda","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/varfor-inte-hela-kroppen-nar-man-anda","title":{"rendered":"Varf\u00f6r inte hela kroppen n\u00e4r man \u00e4nd\u00e5 r\u00f6ntgar"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Har gjort datortomografi med kontrast via blodet p\u00e5 halsen och d\u00e5 s\u00e5g man en f\u00f6r\u00e4ndring p\u00e5 ena lungan. Har f\u00e5tt ny tid f\u00f6r datortomografi p\u00e5 lungorna med b\u00e5de kontrast via blodet och kontrast som jag skall dricka.<br \/>\nMin fr\u00e5ga \u00e4r: \u00e4r det den optimala r\u00f6ntgen n\u00e4r man anv\u00e4nder sig av 2 kontrastmedel, i s\u00e5 fall, varf\u00f6r blir det d\u00e5 inte gjort redan fr\u00e5n b\u00f6rjan?<\/p>\n<div id=\"attachment_4609\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/10\/ct_hals_ivk_1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4609\" class=\"size-thumbnail wp-image-4609\" title=\"CT-hals\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/10\/ct_hals_ivk_1-150x150.jpg\" alt=\"CT-hals\" width=\"90\" height=\"90\" \/><\/a><p id=\"caption-attachment-4609\" class=\"wp-caption-text\">CT-hals<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/> N\u00e4r man unders\u00f6ker halsen med CT kommer endast \u00f6vre delarna av lungorna med p\u00e5 bild. Man f\u00e5r s\u00e5ledes ingen fullst\u00e4ndig unders\u00f6kning av lungorna.<\/p>\n<p>Det \u00e4r normalt att man vid CT av buken, f\u00f6rutom kontrast i blodet, \u00e4ven dricker kontrastmedel inf\u00f6r unders\u00f6kningen. Kontrast dricker man f\u00f6r att p\u00e5 CT-bilderna dels l\u00e4ttare kunna urskilja tarmarna fr\u00e5n alla andra organ i buken.<br \/>\nDetta beh\u00f6vs ju inte vid unders\u00f6kning av enbart lungorna och upp\u00e5t d\u00e4r endast en ytterst liten del av \u00f6vre delarna av buken kommer med p\u00e5 bilderna.<\/p>\n<div id=\"attachment_3390\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/02\/ct_thorax_ivk_cor_2.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3390\" class=\"size-thumbnail wp-image-3390\" title=\"CT-thorax\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/02\/ct_thorax_ivk_cor_2-150x150.jpg\" alt=\"CT-lunga med kontrast\" width=\"90\" height=\"90\" \/><\/a><p id=\"caption-attachment-3390\" class=\"wp-caption-text\">CT-lunga<\/p><\/div>\n<p>Att man inte g\u00f6r &#8221;det hela&#8221; n\u00e4r man \u00e4nd\u00e5 \u00e4r ig\u00e5ng beror p\u00e5 att bildtagning och kontrasttillf\u00f6rseln till blodet \u00e4r optimerad f\u00f6r olika organomr\u00e5den. B\u00e5de m\u00e4ngden kontrast och n\u00e4r bildtagningen sedan startar efter injektionen \u00e4r optimerad f\u00f6r ett eller flera specifika organs &#8221;uppladdning&#8221; med kontrast. \u00c4ven f\u00f6rberedelserna \u00e4r olika (dricka, etc.). Sedan ska man inte gl\u00f6mma att str\u00e5lningsm\u00e4ngden \u00f6kar vid avbildning av st\u00f6rre omr\u00e5den.<\/p>\n<p>Nu ska man inte \u00f6verdramatiserar str\u00e5lningsrisken. Kr\u00e4vs en kompletterande unders\u00f6kning \u00e4r detta helt klart indicerat med tanke p\u00e5 patientens h\u00e4lsa.<br \/>\nMen att p\u00e5 s\u00e5 s\u00e4tt \u00f6ka totala str\u00e5lningsm\u00e4ngden till en stor population \u00e4r inte befogat (eller lagligt).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/> K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Har gjort datortomografi med kontrast via blodet p\u00e5 halsen och d\u00e5 s\u00e5g man [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[38,24],"class_list":["post-4599","post","type-post","status-publish","format-standard","hentry","category-ct","tag-kontrast","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4599","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=4599"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4599\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=4599"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=4599"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=4599"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}