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Orbit CT scan - Risks

Alternative Names

CT scan - orbital; Eye CT scan; Computed tomography scan - orbit

What the risks are:

CT scans and other x-rays are strictly monitored and controlled to make sure they use the least amount of radiation. The risk associated with any individual scan is small. The risk increases as numerous additional studies are performed.

In some cases, a CT scan may still be done if the benefits greatly out weigh the risks. For example, it can be more risky not to have the exam, especially if your health care provider thinks you might have cancer.

The most common type of contrast given into a vein contains iodine. If a person with an iodine allergy is given this type of contrast, nausea, sneezing, vomiting, itching, or hives may occur.

If you absolutely must be given such contrast, your doctor may choose to treat you with antihistamines (such as Benadryl) or steroids before the test.

The kidneys help filter the iodine out of the body. If you have kidney disease or diabetes, you should be closely monitored for kidney problems after this test. If you have diabetes or have kidney disease, talk to your health care provider before the test about your risks.

Before receiving the contrast, tell your health care provider if you take the diabetes medication metformin (Glucophage) because you may need to take extra precautions and stop the medication for 48 hours after the test.

Rarely, the dye may cause a life-threatening allergic response called anaphylaxis. If you have any trouble breathing during the test, you should notify the scanner operator immediately. Scanners come with an intercom and speakers, so the operator can hear you at all times.

  • Reviewed last on: 1/31/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jason Levy, MD, Northside Radiology Associates, Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Hackney D. Radiologic imaging procedures. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 419.

Massoud TF, Cross JJ. The orbit. In: Adam A, Dixon A, eds. Grainger and Allison’s Diagnostic Radiology. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 61.

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