Computed Tomography Technologist Practice Exam

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What is the bolus triggering method of administering IV contrast?

A continuous infusion of contrast

A single, axial slice is taken followed by an automatic trigger

The bolus triggering method of administering IV contrast is characterized by a single, axial slice being taken followed by an automatic trigger. This technique is designed to optimize the timing of image acquisition in relation to the peak enhancement of the contrast agent within the vascular system.

When the contrast agent is administered, it travels through the bloodstream, reaching a peak concentration that enhances the visibility of vascular and perfusion structures on the imaging study. By capturing an initial axial slice and using an automatic trigger based on a predefined criteria (such as a change in density detected by the CT scanner), this method ensures that imaging is performed at the precise moment when the contrast enhancement is at its maximum. This leads to improved quality of the images obtained, allowing for better diagnosis and evaluation of the area of interest.

In contrast to this method, continuous infusion of contrast would not utilize the same triggering mechanism and would provide a steady contrast flow without the advantages of timing enhancement. Manual administration lacks the automation and precision that the bolus triggering method provides. Lastly, a series of low-resolution scans without triggering would not effectively utilize the timing of peak contrast uptake, resulting in poor-quality images.

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A manual administration of contrast only

A series of low-resolution scans without triggering

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