{"id":5121,"date":"2012-02-09T12:36:21","date_gmt":"2012-02-09T11:36:21","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5121"},"modified":"2012-02-10T16:26:32","modified_gmt":"2012-02-10T15:26:32","slug":"att-anvanda-kontrast-till-ct-skalle","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/att-anvanda-kontrast-till-ct-skalle","title":{"rendered":"Att anv\u00e4nda kontrast till CT-skalle"},"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\" \/> Ser man mer mer med kontrast vid CT-skalle ex tum\u00f6rer?<\/p>\n<div id=\"attachment_5127\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/02\/ct_skalle_blodning_med_hematom_1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5127\" class=\"size-thumbnail wp-image-5127 \" title=\"CT-skalle med bl\u00f6dning och \u00f6dem\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/02\/ct_skalle_blodning_med_hematom_1-150x150.jpg\" alt=\"CT-skalle med bl\u00f6dning och \u00f6dem\" width=\"90\" height=\"90\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/02\/ct_skalle_blodning_med_hematom_1-150x150.jpg 150w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/02\/ct_skalle_blodning_med_hematom_1-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/02\/ct_skalle_blodning_med_hematom_1.jpg 550w\" sizes=\"auto, (max-width: 90px) 100vw, 90px\" \/><\/a><p id=\"caption-attachment-5127\" class=\"wp-caption-text\">CT-skalle<\/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\" \/> Tum\u00f6rer och bl\u00f6dningar har en tendens att skapa \u00f6dem (svullnad) kring sin lokalisation i hj\u00e4rnv\u00e4vnaden. Detta \u00f6dem kan ses vid en CT-skalle utan kontrastmedel. Man komplettera d\u00e5 unders\u00f6kningen med kontrastmedel till blodet f\u00f6r att utreda orsaken till detta \u00f6dem. \u00c4r \u00f6demet resultatet av en malign tum\u00f6r visar sig denna tum\u00f6r oftast bra med kontrast d\u00e5 tum\u00f6rer oftast har en onormal stor k\u00e4rlnybildning i sig.<\/p>\n<p>Kontrastmedel anv\u00e4nds \u00e4ven vid unders\u00f6kning av hj\u00e4rnans blodk\u00e4rl och &#8221;cirkulationsfysiologi&#8221; sk. CT-perfusion (CTP) vid infarkter (propp). Den infarcerade hj\u00e4rnmassan laddar d\u00e5 inte upp med kontrast. CTP t\u00e4cker dock bara in n\u00e5gra cm (2-4cm) av de centrala delarna av hj\u00e4rnan.<br \/>\nLikas\u00e5 \u00e4r det sv\u00e5rt att konstatera helt nya infarkter (inom 1-1,5tim) oavsett metod med eller utan kontrast.<\/p>\n<p>Problem \u00e4r \u00e4ven, oavsett metod, om patienten tidigare haft en infarkt, att kunna avg\u00f6ra om nytillkommen f\u00f6r\u00e4ndring i omr\u00e5det \u00e4r av gammalt datum eller en ny infarkt.<\/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\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ser man mer mer med kontrast vid CT-skalle ex tum\u00f6rer? Tum\u00f6rer och bl\u00f6dningar [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[64,142,38,60],"class_list":["post-5121","post","type-post","status-publish","format-standard","hentry","category-ct","tag-bilder","tag-ct","tag-kontrast","tag-skalle"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5121","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=5121"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5121\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5121"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5121"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5121"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}