Experts said: CT, nuclear magnetic examination have their own advantages

Release date: 2006-11-14

Experts said: CT, nuclear magnetic examination have their own advantages Modern medicine is inseparable from laboratory tests, but in the face of those projects, many people are confused. In order to help everyone understand, from this issue, this edition opens up the "Sunshine Inspection" column to introduce the common clinical tests and inspection related knowledge.
In clinical work, doctors often encounter such problems: "The doctor gave me a CT, I heard that nuclear magnetic is the best, can I do nuclear magnetic", "the price of nuclear magnetic is expensive, can I make a CT?" In fact, magnetic resonance imaging (MRI) and computed tomography (CT) have their own advantages and cannot be replaced.
The imaging principles of MRI and CT are different. CT is imaged by X-rays penetrating the human body; MRI is imaged by signals emitted by hydrogen protons contained in the human body.
CT examination can be used in all parts of the body. It is sensitive to internal hemorrhage, calcification, bone, air and fat. It is especially used to observe intrahepatic hemorrhage or calcification, bone lesions (such as fractures, bone tumors and bone degeneration). Etc. There are also advantages in lung examinations, abdominal examinations, etc. In addition, CT imaging is very fast, especially suitable for the display of the heart and large blood vessels, of course, this requires a certain amount of iodine-containing contrast agent to be injected into the vein.
MRI is superior to CT in soft tissue examination, and is mostly used for neurological diseases (including cerebral infarction, inflammation, tumor, myelitis, spinal cord tumor, vertebral lesions, etc.) and abdominal, pelvic, limb soft tissue lesions. In some areas, the combination of CT and MRI can improve the sensitivity of the examination, such as soft tissue lesions but suspected of bleeding calcification.
MRI and CT have their own shortcomings. The biggest disadvantage of CT is radiation damage, but it is safe as long as it does not exceed the national prescribed dose and pay attention to protection. In addition, CT may have relatively heavy artifacts in some areas, such as the posterior cranial fossa (the back of the head).
Although MRI has no radiation and high contrast, the biggest drawback is that the inspection time is relatively long, so the requirements of the subject are relatively high. During the examination, the part to be inspected must not move, especially the examination of the abdomen and heart part requires the patient to suffocate for 5-20 seconds, otherwise the effect is not good.
CT has no absolute contraindications. Except for the advantages and disadvantages of pregnant women and newborns, it is suitable for all people under the premise of radiation protection. If you are allergic to iodine, you cannot perform a CT-enhanced scan.
MRI does not have the above contraindications, but patients with cardiac pacemakers and metal prosthetic valves can't do it. Patients with aneurysm clips, vascular stents, artificial joints, and metal internal fixation can't do it unless they have special instructions. Indicate an acceptable MRI exam. In addition, due to the long time of nuclear magnetic examination, the noise is large. For patients who cannot cooperate, such as children, unconscious, claustrophobic patients, if you do not take sedative measures, you can not do MRI.

—— Information from: Life Times

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