A computed tomography (CT) of the abdomen images the region from the thoracic diaphragm to the pelvic groin. The computed tomography technique uses x-rays to differentiate tissues by their different radiation absorption rates.
Oral contrast material can be given to opacify the bowel before scanning. An i.v. injection of a contrast agent (x-ray dye) improves the visualization of organs like liver, spleen, pancreas and kidneys and provides additional information about the blood supply.
Spiral- or helical CT, including improvements in detector technology support faster image acquisition with higher quality. Advanced CT systems can usually obtain a CT scan of the whole abdomen during a single breath hold. This speed increases the detection of small lesions (caused by differences in breathing on consecutive scans) and is beneficial especially in pediatric, elderly or critically-ill patients.
Changes in patient weight require variations in x-ray tube potential to maintain constant detector energy fluence. An increased x-ray tube potential improves the contrast to noise resolution (CNR).

An abdominal CT is typically used to help diagnose the cause of abdominal pain and diseases such as:
Other indications for CT scanning of the abdomen/pelvis include planning radiation treatments, guide biopsies and other minimally invasive procedures. Advanced techniques include for example 3D CT angiography, multiphasic contrast-enhanced imaging, virtual cystoscopy, virtual colonoscopy, CT urography and CT densitometry.

See also Contrast Enhanced Computed Tomography.

This term usually refers to the storage of patient data and images. Images are best archived in digital form (e.g., on optical disks, DVDs, PACS systems) and not only on films (hard copies, prints). Data compression via a reduction in matrix size, pixel depth or CT numbers, will result in a loss of spatial and contrast resolution. Digital images should be converted into a universal format such as DICOM. Raw data saving is necessary when additional image reconstructions are required.

See also Picture Archiving and Communication System, and Digital Imaging and Communications in Medicine.

(ALARA) 'As low as reasonably achievable' is a precautionary principle that should be part of basic radiation safety considerations in protection to the exposure as well as in other technologies of the medical, the nuclear and the industrial fields.
ALARA is based on three principles: Justification means that possible exposure to humans should yield a sufficient benefit to society to justify the risks of the radiation exposure. The ICRP in 1977 states that 'all exposures shall be kept as low as reasonably achievable, economic and social factors being taken into account'. The radiation exposure must be reduced to the lowest level possible, considering the costs of such a limitation in dose.

(CTDI) The computed tomography dose index is most commonly used dose descriptor, which represents the dose to a location (e.g., depth) in a scanned volume.
This index describes the dose from a single rotation of a CT scanner. CTDI must be corrected for pitch or couch increment to receive the dose for a series of slices. The CTDI100 is measured using a 100 mm long ionization chamber. The CTDIair is the value of CTDI determined free-in-air.
Different definitions of CTDI exist and are used in different applications.

(CECT) Contrast agents are used during contrast enhanced computed (or computerized) tomography examinations to highlight specific tissues and parts of the body. Bones can be clearly seen on x-ray images, the visualization of some other organs and soft tissues is more difficult. Sufficient contrast is important in perceiving a difference in the density between areas of a CT image. The identification of a disease may be challenging due to very low contrast between pathological tissues (for example tumors, metastases and abscesses), normal organ structures and surrounding tissues.
Contrast agents are used in CT angiography (CTA) to delineate vessels, in multiphasic CT studies to provide dynamic information of blood supply (e.g., liver CT) and in CECT studies of various body parts to achieve opacification of tissue of interest (e.g., kidney CT) in relation to the background tissue. Contrast enhanced multi-detector row CT (MDCT) replaces several conventional diagnostic imaging methods such as intravenous urography, cholangiography, or catheter angiography, due to advanced CT studies with fast examination times, high contrast enhancement, perfusion measurement and multiplanar reformatting capabilities.
See also Contrast Media Injector, Single-Head CT Power Injector, Multi-Head Contrast Media Injector, Syringeless CT Power Injector, CT Power Injector.