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CT SCAN KEPALA

Hendra Saragih, dr.Sp.Rad


Radiologist

CT SCAN
Sumber energi sinar X
Gabungan dari beberapa komponen : sinar X

yang diteruskan oleh detektor untuk


ditampilkan pada viewing pada monitor

Potongan axial
Potongan coronal >> pada kasus tertentu
Scan diawali >> TANPA KONTRAS
KONTRAS >> LESI, ABSES & TUMOR
Scanning post kontras >> menurunkan dosis

radiasi pada kasus pediatrik

CRANIUM X RAY
.

Fraktur linear >> garis tajam


Fraktur impressi>> fraktur linear ke dalam
Fraktur diastasis >> Fraktur disertai sutura

yg melebar

CT SCAN ditemukan 1970


Gambaran radiologik :

1.Hypodens>>hitam , daerah yg berisi


cairan
2.Isodens >> jaringan
parenkim otak sendiri
3.Hyperdens >> padat, kalsifikasi dan
perdarahan

HOUNSFIELDS UNIT
ATENUASI JARINGAN
Udara >> 1000
Air >> 0-30
Tulang >> 400
Perdarahan >> 50-70
Parenkim >> 30-40

CT SCAN ABNORMAL
EKSTRAKRANIAL
INTRAKRANIAL

>>intraaxial : intraparenkim
otak>>meningioma
>>extraaxial : diluar
parenkim Otak >> daerah scalp

PERDARAHAN

Arrowheads point to the epidural


hematoma, which is a collection of
blood between the skull and the dura.
Arrow points to shift of midline to the
right.

Subarachnoid Hemorrhage / Subdural


Hemorrhage
Arrowheads point to subarachnoid blood in the sulci
and SA space.
Black arrow points to subdural blood.

Diagnosis: Acute Intracerebral Hematoma


Acute intracerebral hematoma within the right temporal lobe (arrow) with
surrounding edma (E).
60 year-old patient with melanoma. Hemorrhage is from metastatic tumor
bleed. Acute hematoma is seen by non-contrast imaging as an area of
high density. CT can detect acute intracerebral blood as small as 2mm,
due to contrast between high density of blood and low density of
surrounding brain (arrows).

CERVICAL
-THORAKOLUMBAL
POSISI :

1.AP
2.Lateral
3.Obliq

THANK YOU