To locate a medical imaging or radiation oncology provider in your community, you can search the ACR-accredited facilities database. Y%~%b+1s6epsK_? 0000009151 00000 n
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2023 Cedars-Sinai. 2016;126(1):51-59. Image-guided navigation systems used in endoscopic sinus surgery have shown a reduction in the need for revision surgeries. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ After the ostiomeatal complex is accessed through the nostril with a rigid endoscope, the ostia and recesses are targeted, depending on the location and pattern of disease. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Center, Breast Needle Localization - Before During and After, Full-Field Digital Diagnostic Mammogram Procedure, Screening Mammogram: 2D and 3D Tomosynthesis, Ultrasound or Mammography Guided Localization, CT Angiography Abdomen, Kidneys, Extremities, CT Coronary Calcium Scan Procedure Information, CT Colonography: Colorectal Cancer Screening, Spine Survey (MRI) for Ankylosing Spondylitis, Uterine Fibroid Embolization Procedure Information, Selective Internal Radiation Therapy for Liver, Balloon Occlusion Test Procedure Information, Cerebral Embolization Patient Information, Cerebral Tumor Emboilization Patient Information, Epidural Steroid Injection Procedure Information, Facet Block or Selective Nerve Root Block, Facet Block/Injection Patient Information, Neurointervention (Endovascular Radiology), MR Guided Breast Needle-Core Biopsy Procedure Information, Botox Injection for Peripheral Nerve Entrapment: Post-Op Care, Calcific Tendonitis Aspiration: Post-Op Care, Perineural Injection for Pain Relief: Post-Op Care, PRP for Small Rotator Cuff Tear (Shoulder), PRP Wrist (Extensor carpi ulnaris - ECU tear), EVAR - Ultrasound of Aorta after Endovascular Repair of Aortic Aneurysm, Steal: Dialysis Access Arm and Hand Circulation, Parking for 8th Floor Interventional Procedures, Upload Your Outside Images Before You Arrive, Alphabetical List of Explanations and Preparations for Exams and Procedures, Preparing for Your Image-Guided Procedure, Preparing Your Child for an Imaging Study, General Interventional Radiology Preparation, Magnetic Resonance Imaging Preparations - Abdomen, Magnetic Resonance Imaging Preparations - Abdomen and/or Pelvis, Magnetic Resonance Imaging Preparations - Abdominal MRI with Deluxe Screening, Magnetic Resonance Imaging Preparations - Abdomen with Elastography, Magnetic Resonance Imaging Preparations - Abdomen with Feraheme, Magnetic Resonance Imaging Preparations - Abdomen with MRCP, Magnetic Resonance Imaging Preparations - Liver with Spectroscopy, Magnetic Resonance Imaging Preparation - MRI of Penis and/or Scrotum, PET Sarcoidosis Preparation for Diabetics on Oral Medication, PET Sarcoidosis Preparation for Non-Diabetics, PET Sarcoidosis Preparation for Diabetics on Insulin, 18F Sodium Fluoride (NaF) PET for Bone Scanning, Aortogram for Accurate Assessment of Aortic Size, Assessment of Left Ventricular Volume, Mass and Function, General Guidelines for Ordering Advanced Musculoskeletal Imaging Studies, Ankle MRI and CT to Rule Out Occult Fracture, CT Arthrogram of Knee to Rule Out Meniscal Tear, CT Arthrogram Shoulder: R/O Rotator Cuff or Labral Tear, MRI Arthrogram Shoulder: Rule Out Labral Tear, MRI Arthrogram Wrist: R/O TFCC, SL or LT Ligament Tear, Ultrasound of Hand to Rule Out Nonradiopaque Foreign Body, Imaging Center Residency & Fellowship Programs. Discuss the fees associated with your prescribed procedure with your doctor, the medical facility staff and/or your insurance provider to get a better understanding of the possible charges you will incur. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ The patient should be positioned in the bed, head generally positioned to the right for FESS. }d'z
Yxs`;Zh_yl6b If so, your doctor will explain why. You may need a follow-up exam. Soft tissue, such as the heart or liver, shows up in shades of gray.
PDF CT scanning protocol - Stryker CMF endobj `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ You may need to remove any piercings, if possible. CPT CODE AND GUIDELINES FOR CT SCANS SCHEDULE 203-878-2341 FAX 203-878-3429. Meta-analyses on commercial image-guided navigation systems suggest a reduction in major complications during endoscopic sinus surgery compared with non-image guided procedures.
Image-Guided Surgery Products - ENT Navigation Solutions A CT scan of the face produces images that also show a patient's paranasal sinus cavities. Contrast may be given, depending on the indications. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ When the computer software reassembles the image slices, the result is a very detailed multidimensional view of the body's interior. If a Stealth protocol CT cannot be obtained, a normal sinus CT can be utilized but may not provide the same level of accuracy. See the CT Safety During Pregnancypage for more information. Indenting and outdenting in richtext should work as well. Note: we are unable to answer specific questions or offer individual medical advice or opinions.
`l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ There is always a slight chance of cancer from excessive exposure to radiation. 0000002899 00000 n
The hand denotes child-specific content. 0000014189 00000 n
Protocol specifics will vary depending . Stryker ENT navigation system powered by Scopis software allows the analysis and identification of sinus cells in the complex patient anatomy and planning of the natural drainage pathways through the sinus cavity.
StealthStation Surgical Navigation - Navigation | Medtronic Wear comfortable, loose-fitting clothing to your exam.
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Iowa City, IA 52242-1089, Editor: Henry Hoffman, MD
Each IGS instrument should be registered and evaluated prior to utilization. H"BB^{NMMedC=q?oz-R. At the time the article was created Fabio Macori had no recorded disclosures. In many protocols a standard dose is given related to the weight of the patient: Weight < 75kg : 100cc. This is especially true for soft tissues and blood vessels.
Stryker ENT navigation system | Stryker Surgical Navigation can be utilized for a number of different surgical procedures. 2013; 149(1):17-29. Which test, procedure or treatment is best for me? 0000003850 00000 n
Figure 3A, 3B shows the CT appearance after FESS. You may feel warm or flushed as the contrast is injected.
Navigation and non-navigation CT scan of the sinuses: comparison of the Copyright 2023 Radiological Society of North America, Inc. (RSNA). 0000014677 00000 n
This will be determined by the ordering physician and/or the imaging physician.
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The paranasal sinusesare hollow, air-filled spaces located within the bones of the face and surrounding the nasal cavity, a system of air channels connecting the nose with the back of the throat. 0000136210 00000 n
Managing Editors: Sarah Elliott, Kay Klein, Claire Davis
Medtronic Operational Headquarters 710 Medtronic Parkway Minneapolis, MN 55432-5640 USA, Central/Eastern Europe, Middle East & Africa, Electromagnetic Compatibility Guide for Cardiac Devices, American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS), American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS). Yao WC, et al. Then, the table will move slowly through the machine for the actual CT scan. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Products For children, the radiologist will adjust the CT scanner technique to their size and the area of interest to reduce the radiation dose. Sometimes a follow-up exam further evaluates a potential issue with more views or a special imaging technique. Weight > 90kg : 150cc.
PDF NEURO CT PROTOCOLS - University of California, San Diego The CT scanner is typically a large, donut-shaped machine with a short tunnel in the center. endstream
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-t\7 }Hq7nl}3hQk^L7~!tZ0wf~z_t{aWdOjC"(FZ@!Z{!KzwKpSLjl%YkP The quality of the CT or CBCT scan is the most important aspect of creating
Stryker ENT navigation system powered by Scopis software Scopis is a next-generation solution for navigating functional endoscopic sinus surgery (FESS) offering surgeons highly advanced image guidance and visualization capabilities in a single system. Also tell your doctor about any recent illnesses or other medical conditions and whether you have a history of heart disease, asthma, diabetes, kidney disease, or thyroid problems. Computed tomography (CT) of the sinuses uses special x-ray equipment to evaluate the paranasal sinus cavities hollow, air-filled spaces within the bones of the face surrounding the nasal cavity. Image-Guided Surgery Products Surgeon and OR staff ensure the appropriate equipment are available and present in or near the OR room prior to transport of the patient to the OR. Some patients require an injection of a contrast materialto enhance the visibility of certain tissues or blood vessels. provide additional information about tumors of the nasal cavity and sinuses. A special electronic image recording plate captures the image.
`l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Unlike conventional x-rays, CT scanning provides very detailed images of many types of tissue as well as the lungs, bones, and blood vessels. CT imaging provides real-time imaging, making it a good tool for guiding. This unit has a smaller footprint and at UIHC is utilized in the ASC. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ These lines help ensure that you are in the correct position on the exam table. You also may have a metallic taste in your mouth.
The Radiology Assistant : CT contrast injection and protocols To avoid unnecessary delays, contact your doctor well before the date of your exam. If you have a hard time staying still, are claustrophobic, or have chronic pain, you may find a CT exam to be stressful. Figure 2A, 2B, 2C, 2D shows the steps of the FESS technique. H\j0~
DOC IGS_Medtronic_Stryker sinus v1.0 - ARA Diagnostic Imaging Recommended protocol for medical CT scanners Patient positioning Scan Spacing: Less than 1.25 mm (equal to slice thickness) Slice Thickness: Less than 1.25 mm (equal to scan spacing) . 0000132692 00000 n
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`l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Sometimes, the exam table will move during the scan. The IGS instrumentation and registration protocols will vary with based on the brand and model of the system used. Scanning and registration protocols that enable accuracy StealthMerge ENT software that fuses different imaging modalities (CT, MRI) together for improved visualization Instruments that are designed and calibrated for use in image-guided surgery Benefits of image-guided surgery for ENT procedures This difference allows the doctor to distinguish body parts from one another on an x-ray or CT image. 0000123602 00000 n
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612 0 0 -792 0 792 cm Women should always inform their physician and the CT technologist if there is any possibility that they may be pregnant. Reference article, Radiopaedia.org (Accessed on 01 May 2023) https://doi.org/10.53347/rID-92692. Image 3: The equipment shown here is required for the positioning the Electromagnetic Field Generator (EMG seen in figure 4) within the space adjacent to the surgical field. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ At UIHC, this is equipment is kept in a mobile storage unit that can be positioned outside the room prior to the start of the case. 0000001403 00000 n
J Laryngol Otol. (2021). `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ #p gp[5{Gq7?YhVc!1O%"o=hr`IBx}q"O({RkI9ZvcX1vScV'WgYE5UBb:.C,3{GK$*kDJCm-%6X_l.1R`[{\(X[>ub^O yl"aGmTzKJ) _-P9eKbQv-Xw:9:;ck_ jU
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Metal objects, including jewelry, eyeglasses, dentures, and hairpins, may affect the CT images. 2).
endstream 2015;5(8):761-763, Bernardeschi D, et al. CrSC^{6`yJ V5//()PgC1!AR $2KifepQ#v? 2018;46(6):937-941. Intra-Operative Use of Computer Aided Surgery. 7 0 obj Surgical 3D Head. If you choose to logout it will log you out from all the applications.
no financial relationships to ineligible companies to disclose. Operating with its association, andmedical provider consultations to a single sinus cavities.
Sinus CT scan - UCSF Health DOC IGS_Medtronic_Stryker sinus v1.0 - ARA Diagnostic Imaging These occur as the CT scanner's internal parts, not usually visible to you, revolve around you during the imaging process. StealthStation ENT navigation system offers electromagnetic technology that expands what was previously possible with image-guided surgery so you can see more, do more.
Laryngoscope. Sinuses - Limited Indications o Anosmia, allergic sinusitis Sequences o Coronal sections without contrast Comments o Scans should be perpendicular to the hard palate. It is usually performed as a non-contrast study. 0000108025 00000 n
If neoplasia is suspected, the use of an intravenous contrast medium is indicated. 8t4c-mc\XrZkM_L-*p|EbizJ::E;iH82RgU9'Xi)
"u$u/LYLfl7mn!. Including: CT of the brain (or spine) with stealth protocol. CT of the sinuses is now widely available and is performed in a relatively short time, especially when compared to. trailer
2012;126(12):1224-1230. 0000051505 00000 n
In neoplastic, inflammatory and infectious disorders, a CT scan of the paranasal sinuses is performed to demonstrate bony erosions, osteolytic lesions, and calcifications. A conventional x-ray exam directs a small amount of radiation through the body part under examination.
Unable to process the form. Shorter operative times 6,7. As a separate examination, it is most often performed as a non-contrast study. Image-guided surgery has become an industry standard for many endoscopic sinus surgeries. 12 A CT scan provides greater definition of the sinuses and is . `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Cq Q `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ endstream `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000009020 00000 n
NB: This article aims to frame a general concept of a CT protocol for the assessment of the paranasal sinuses. inbqo@O[nF{su:t(//A (hA222=h)D'@/w8}{aaaEB[xxeqJyg-w3h7 . Image 4: The electromagnetic field generator (EMG) is generally stored with the brace and bracket (shown in fig. 0000327514 00000 n
The IGS equipment requires positioning of a registration unit on the patient.
PDF .6 / 0/ 5 /-./ /./ / *-/ This unit has both electromagnetic and optical capabilities. The CT paranasal sinus protocolserves as an examination for the assessment of the study of the mucosa and bone system of the sinonasal cavities.
A diagnosis via CT scan may eliminate the need for exploratory surgery and surgical biopsy. Recognition and utilization of surgical landmarks is imperative for the surgeon. Any motion, including breathing and body movements, can lead to artifactson the images. Next-Generation Surgical Navigation Systems in Sinus and Skull Base Surgery. 0000108295 00000 n
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The use of image-guided surgery in endoscopic sinus surgery: an evidence-based review with recommendations. The IGS serves as a useful tool in assisting with difficult areas, but the system itself is inherent to built in and user error. Become a Gold Supporter and see no third-party ads. However, these are only side effects of the contrast injection, and they subside quickly. 5 0 obj Image 5: The power station is secured to the bed with the EMG cord plugged in (shown here), along with the power cord and base unit connection cords (see fig. An advanced navigation protocol for endoscopic transsphenoidal surgery. Any of these conditions may increase the risk of an adverse effect. The system offers optical and Electromagnetic (EM) tracking capabilities, and integrates with external devices like microscopes, ultrasound, and a broad array of . Some CT exams will require you to remove hearing aids and removable dental work. Ahn S, et al. The technologist may ask you to hold your breath during the scanning. Department of Otolaryngology
This unit has a variety of software packages available for Neurosurgery, Spine and Orthopedic procedures among others. 0000014739 00000 n
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`l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ CT scanning is painless, noninvasive and accurate. The goal of sinus surgery is to restore ventilation and drainage while preserving mucosa. Myeolography CT Prep: NPO 4 hours; may drink clear liquids up to 30 minutes prior to exam Arrival time: 30 minutes prior to exam for registration and prep Myelogram Cervical Myelogram Thoracic Myelogram Lumbar Musculoskeletal CT Prep: NPO 2 hours for all studies w/ contrast Arrival time: 30 minutes prior to exam for registration and prep Web page review process: This Web page is reviewed regularly by a physician with expertise in the medical area presented and is further reviewed by committees from the Radiological Society of North America (RSNA) and the American College of Radiology (ACR), comprising physicians with expertise in several radiologic areas. The technologist or nurse, under the direction of a physician, may offer you some medication to help you tolerate the CT scanning procedure. D.:%PyGTz.Rp4*H. Return toParanasal Sinus Surgery Protocols. You can return to your normal activities immediately. The University of Iowa does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this web site. /Matrix [1 0 0 -1 0 792]
Brain stereotaxis protocol (MRI) | Radiology Reference Article CT STEALTH PROTOCOL (HEAD / FACIAL BONES WITHOUT IV CONTRAST) NOTES: LMP on pts of child-bearing age Shield children when possible Follow GFR and metformin protocol for contrast studies Any deviation from protocol MUST be Radiologist approved. Uses a special computer system for image-guided surgeries. Powered sinus surgery with a microdebrider has several benefits compared to surgery with manual instruments alone: Minimized mucosal damage 5-8.
These measure the amount of radiation being absorbed throughout your body. CT is beneficial in studying chronic disease of the paranasal sinuses, not least to assess whether it has spread to surrounding structures. The University of Iowa appreciates that supporting benefactors recognize the University of Iowa's need for autonomy in the development of the content of the Iowa Head and Neck Protocols. The optical capability refers to the infrared light based camera that monitors reflections from the spheres placed on the surgical instrumentation. 0000014920 00000 n
Patient undergoing computed tomography (CT) scan. For a CT scan of the sinuses, the patient is most commonly positioned lying flat on the back. With modern CT scanners, you may hear slight buzzing, clicking and whirring sounds. 4000 HU), soft tissue kernel (e.g. 0000112147 00000 n
These medications must be taken 12 hours prior to your exam. With an updated browser, you will have a better Medtronic website experience.
`l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ Women will need to remove bras containing metal underwire. All Rights Reserved
In addition, in the case of planned surgery, imaging can provide the surgeon with necessary information regarding any anatomical variants and allow the diagnosis of clinically silent diseases, e.g. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ However, the technologist will always be able to see, hear and speak with you through a built-in intercom system.
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Ear, Nose & Throat To the left of the picture are inputs for the EGM cords (shown in figure 4). 0000006859 00000 n
Image 1: AxiEM System powerbox with cords for connecting to the base unit.
CT exams are generally painless, fast, and easy. The radiological protocol is the 'type' of CT exam that will best suit the clinical question and patient presentation. The technologist begins by positioning patients on the CT examination table.
CT Scan of the Paranasal Sinuses - Medscape CT protocol | Radiology Reference Article | Radiopaedia.org <> This study should be downloaded from the server or onto a CD to be taken to the OR. 0000014366 00000 n
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CT is less sensitive to patient movement than MRI. Risks for a CT scan includes: Being exposed to radiation; Allergic reaction to contrast dye ; CT scans expose you to more radiation than regular x-rays. Dalgorf M, et al. Follow-up exams are often the best way to see if treatment is working or if a problem needs attention. Brain (CTA) Brain (helical adult) CTA Carotid and Brain.
PDF 3D SYSTEMS - Stryker Corporation
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Stryker ENT navigation system powered by Scopis software allows the analysis and identification of sinus cells in the complex patient anatomy and planning of the natural drainage pathways through the sinus cavity. 0000051976 00000 n
`l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ 0000004165 00000 n
Include the entire nose and ears 15 cm DFOV is used for all other series Contrast: CT scans in children should always be done with low-dose technique. 0000002620 00000 n
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CT lumbar spine (protocol) | Radiology Reference Article - Radiopaedia !
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CT Navigation Setup for Image Guided Surgery-Sinus and Skull Base For FESS, this is generally placed on the patients mid-forehead. 0000001928 00000 n
A CT scan of the sinus is first taken to locate the blockages and programmed into the Stryker's computer. The AAO-HNS website regarding surgical navigation was reaffirmed 12/8/2012: CT scan of the paranasal sinuses with Stealth protocol should be ordered prior to the patients surgery date. Acta Oto-Laryngologica, 133:10, 1047-1052, 2013, Stelter K, et al, Evaluation of an image-guided navigation system in the training of functional endoscopic sinus surgeons. %PDF-1.4 It is usually performed as a non-contrast study. Keep in mind that the images provided are based on the anatomy at the time of CT scan and the surgical anatomy may have changed prior to the start of the procedure (resolution/progression of infection, change in size of masses, etc). Introduction. 0000002100 00000 n
After a CT exam, the technologist will remove your intravenous line. Depending on the type of CT scan, the machine may make several passes. 0000111556 00000 n
The CT paranasal sinus protocol serves such in examination for the assessment starting the study of the thick and bone netz of the sinonasal cavities.
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CT Brain Special Protocols Computed tomography special protocols are ordered for specific requirements or surgical planning involving the brain. 0000051746 00000 n
5 Common Findings to Look For in a Sinus CT Scan The surgeon should ensure the desired patient, date of study, and anatomical location are obtained. `l\/ c+f>@@@@@V &x&p'@@@@@MlP_TEc+ kr>R8 N+[LW{ They should not have repeated CT exams unless necessary. 0000003480 00000 n
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Temporal Bones. 0000107831 00000 n
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This results in more detail. implants, specific indications. It might be combined or simultaneously acquired with a CT abdomen. GE VCT Protocols.
However, the most recent American College of Radiology (ACR) Manual on Contrast Media reports that studies show the amount of contrast absorbed by the infant during breastfeeding is extremely low. Stereotactic anatomical localization in complex sinus surgery: A systematic review and meta-analysis. Recommended protocol for medical CBCT scanners Scan time Longest available Voxel size 0.3 - 0.5mm Field of view Largest available File type CT (one file per slice) Reconstruction Axial Compression Uncompressed Thank you for taking a moment to read this protocol. Face/Sinus. The patient may also be positioned face-down with the chin elevated. Image-guided surgery with theStealthStation ENT Navigation Systemcan be used to surgically navigate tumors and lesions affecting the anterior and lateral skull base. A home for stryker sinus ct protocol radiographers, sonographers and students! The Department of Otolaryngology and the University of Iowa wish to acknowledge the support of those who share our goal in improving the care of patients we serve. > bjbj00 ZgZg_ V V 8 4 L = ^ .
CT Brain Special Protocols | Cedars-Sinai
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21151 Pomerantz Family Pavilion
The endoscopic view obtained of the surgical field and positioned instrumentation should be the primary focus while performing the surgery. Bones appear white on the x-ray. 393 0 obj
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If you have a known allergy to contrast material, your doctor may prescribe medications to reduce the risk of an allergic reaction.
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