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Our patient briefings explain a variety of diagnostic procedures and treatments, how patients should prepare for them, and what patients can expect to experience during and after the procedure. These briefings are provided as a service to help patients address their medical care with less anxiety and greater comfort.

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Our patient briefings explain a variety of diagnostic procedures and treatments, how patients should prepare for them, and what patients can expect to experience during and after the procedure. These briefings are provided as a service to help patients address their medical care with less anxiety and greater comfort.

 


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Q & A Tour on the Investigation of Painless Jaundice

By Dr Gnana Kumar & Dr B.J.J.Abdullah, Department of Radiology, University of Malaya Medical Centre

Answer

Computed Tomography of the Pancreas
This uses ionising radiation and is considerably more expensive (4-5 times more expensive) than ultrasound. The patient has to be fasted as it requires the use of intravenous iodinated contrast media to better differentiate the normal from abnormal tissue while oral contrast is given to delineate the bowel.
Axial images may be obtained and patient needs to hold his breath. Today with software and spiral/multislice CT scanners, axial images can be reconstructed in other planes such as coronal, sagittal and even oblique planes. 


Carcinoma of the Pancreas:  Axial CT section through the level of the body of the pancreas.

This image shows the presence of a large mixed attenuation tumour mass in the body of the pancreas (Mass). The word attenuation is used to describe the density of the mass compared to the surrounding structures. (High attenuation = Hyperdense, Low attenuation = Hypodense, of same attenuation = Isodense)

GB- Distended Gall bladder with multiple calculi

PV- Portal Vein

IVC-Inferior Vena Cava

AO-Abdominal Aorta

ST- Stomach

LT Kid- Left Kidney 

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Last Updated:
Thursday, 21 August, 2003