Molecular Diagnostics and Therapy is ready to provide all the advanced facilities of radiology and diagnostic imaging to CEC of Axial / Coronal / Sagittal from an NABL- and NABH-accredited centre. A specialized CT (computed tomography) scan is used to examine the paranasal sinuses in a variety of planes, sinus inflammation or infection, sinus anatomy variation, masses, and other abnormalities that could impact the nose/paranasal sinuses.
About CECT PNS (Axial / Coronal / Sagittal)
Special imaging procedures that include the use of a contrast medium given intravenously (special X-ray) are used to study the paranasal sinuses and nearby structures, called computed tomography (CT) with intravenous (IV) contrast dye (cecutomography paranasal sinus). It describes the nasal cavity, the walls of the sinuses, adjoining soft tissues, and adjoining anatomical structures in detail. There are three directions from which it is examined, and thus an image is obtained in each of them: in the axial direction, in the coronal direction, and in the sagittal direction. If there are any concerns regarding mass and/or soft tissue infection, or if another concern exists, then masses may be recommended.
What is CECT PNS (Axial / Coronal / Sagittal)?
CECT is an acronym for Contrast-Enhanced Computed Tomography, and PNS is “paranasal sinuses”. In these kinds of scans, if necessary, a special dye containing iodine is injected intravenously (into a vein) into the blood to show the area, blood flow, or abnormalities in the targeted area. The frontal, maxillary, ethmoid and sphenoid sinuses and nasal cavity and its surrounding structures are assessed. These images can be reconstructed in different planes (axial, coronal, and sagittal) to allow a full evaluation of the sinuses. The images aid doctors in making a diagnosis concerning sinus anatomy, thickening of the mucosa, the presence of fluids within the sinus walls, soft-tissue irregularities, suspected masses, and potential complications.
Common Reasons for CECT PNS
Persistent Sinus Symptoms (Ongoing Nasal Congestion): Further investigation of persistent nasal congestion, facial discomfort, or facial pressure.
Suspicion of Sinus Infection: Evaluation of complicated and/or atypical sinus infection.
Recurrent Sinusitis: Structural abnormalities and/or potential complication evaluation of patients with recurrent symptoms.
Evaluation of suspected paranasal sinus and/or nasal cavity mass or lesion indicates a nasal/sinus mass.
Evaluation of sinus and soft tissue abnormalities, facial swelling, or pain.
Assessment for Suspected Complications: Evaluation of the potential for the bacterial infection to spread to tissues/adjacent organs around the eye.
Preoperative Evaluation: An in-depth assessment of the anatomy, as indicated by the type of sinus surgery chosen.
Conditions Evaluated
Sinus Inflammation and Infection
CT imaging can help identify sinus mucosal thickening, presence of fluid, and other abnormalities of the sinuses related to an inflamed sinus. Contrast imaging procedures can be used to obtain more information if there is suspicion of complications or unusual abnormalities of soft tissue.
Chronic and Recurrent Sinusitis
The extent of the involvement of the sinus with any associated anatomic changes can be seen on examination. May assist doctors in deciding whether or not certain circumstances for chronic or recurrent sinusitis exist.
Nasal and Paranasal Sinus Masses
CECT PNS will be helpful in the identification and characterization of the masses that are suspected in the nasal cavity and PNS. Contrast enhancement can provide data on lesion enhancement, lesion relationships, and lesion extent.
Anatomical Variations
The exam could exhibit variations in sinus structure, nasal septal deviation, and other structures that may be meaningful in the clinical assessment or surgical planning of a patient.
Sinus-Related Complications
CT, with or without intravenous contrast depending on the clinical indication, can help assess whether an infection has spread beyond the sinuses into adjacent soft tissues, including the tissues around the eyes.
Bone and Sinus Wall Abnormalities
In CT images, fine details of paranasal bony walls are seen. It might be useful for helping to determine erosion, thickening, remodeling, and other changes in structure.
Postoperative Sinus Changes
In some cases, an imaging scan of the PNS might be recommended, particularly after sinus surgery, so the surgeon can see the final result after surgery, to check if there are any complications still left, or to explore any accidental complications.
Why Choose Molecular Diagnostics and Therapy?
A high-tech center for molecular diagnostics and therapy accredited by NABH, NABL, and equipped with advanced facilities in diagnostic services of Radiology, Nuclear Medicine, and Pathology, all in one place. Backed by the latest in CT technology, standard imaging protocols, highly experienced radiology professionals, comfort, safety, and accurate reporting for the patient.
Book Your CECT PNS (Axial / Coronal / Sagittal)
If you have consulted a doctor or E.N.T. specialist, who has advised you for a CECT PNS, then it would mean you should make an appointment to have an examination performed by Molecular Diagnostics and Therapy. Tell the imaging procedure doctors if you have received another contrast dye procedure or have any health issues or kidney concerns before the procedure is performed.
Test information: Fasting for 4–6 hours.
Reporting: Within 24 hours*
Fasting is required for 4–6 hours before the examination. Follow the diagnostic centre's instructions regarding food and fluids.
Inform the radiology staff if you are pregnant or suspect that you may be pregnant.
Inform the staff if you have previously experienced an allergic reaction to iodinated contrast material or any other contrast agent.
Tell the radiology team if you have kidney disease, diabetes, thyroid disorders, asthma, or any other significant medical condition.
Inform the staff about all medicines you are taking, particularly diabetes medication. Do not stop or change any prescribed medicine without consulting your treating doctor.
Bring your doctor's prescription, previous CT or MRI scans, relevant reports, and medical records, if available.
Inform the radiology staff if you have undergone any previous contrast-enhanced imaging examination.
Remove jewellery, earrings, nose pins, spectacles, hair clips, and other metallic accessories around the head and face before scanning.
You may be asked to change into a hospital gown to avoid interference from clothing or metallic objects.
Follow the radiology staff's instructions during intravenous contrast administration and image acquisition.
Inform the staff immediately if you experience itching, rashes, breathing difficulty, dizziness, or any unusual discomfort after contrast administration.
जाँच से पहले 4–6 घंटे तक खाली पेट रहना आवश्यक है। भोजन और पानी के संबंध में डायग्नोस्टिक सेंटर द्वारा दिए गए निर्देशों का पालन करें।
यदि आप गर्भवती हैं या गर्भावस्था की संभावना है, तो रेडियोलॉजी स्टाफ को पहले ही सूचित करें।
यदि आपको पहले कभी आयोडीन युक्त कॉन्ट्रास्ट या किसी अन्य कॉन्ट्रास्ट माध्यम से एलर्जी हुई है, तो इसकी जानकारी दें।
यदि आपको किडनी की बीमारी, डायबिटीज, थायरॉइड की समस्या, अस्थमा या कोई अन्य गंभीर स्वास्थ्य समस्या है, तो स्टाफ को बताएं।
आप जो भी दवाएँ ले रहे हैं, उनकी जानकारी दें, विशेष रूप से डायबिटीज की दवाओं की। डॉक्टर की सलाह के बिना कोई भी दवा बंद न करें या उसमें बदलाव न करें।
डॉक्टर की पर्ची, पिछली CT या MRI स्कैन, संबंधित रिपोर्ट और मेडिकल रिकॉर्ड उपलब्ध हों तो साथ लेकर आएँ।
यदि आपने पहले कोई कॉन्ट्रास्ट वाली इमेजिंग जाँच कराई है, तो इसकी जानकारी रेडियोलॉजी स्टाफ को दें।
स्कैन से पहले सिर और चेहरे के आसपास पहनी हुई ज्वेलरी, झुमके, नोज पिन, चश्मा, हेयर क्लिप और अन्य धातु की चीज़ें हटा दें।
कपड़ों या धातु की वस्तुओं से इमेजिंग में बाधा न आए, इसके लिए आपको अस्पताल का गाउन पहनने के लिए कहा जा सकता है।
नस के माध्यम से कॉन्ट्रास्ट देने और स्कैन के दौरान रेडियोलॉजी स्टाफ के निर्देशों का पालन करें।
कॉन्ट्रास्ट देने के बाद खुजली, त्वचा पर चकत्ते, सांस लेने में परेशानी, चक्कर या कोई असामान्य परेशानी होने पर तुरंत स्टाफ को बताएं।
The patient is asked to lie on the CT scanner table, usually on their back, and is positioned appropriately for imaging of the paranasal sinuses.
An intravenous cannula is placed in a vein, usually in the arm, for administration of the iodine-based contrast material.
Initial images may be acquired before contrast administration, depending on the prescribed imaging protocol.
The contrast material is administered through the intravenous line to improve the visibility of relevant blood vessels and soft-tissue structures.
The scanning table moves through the CT scanner while multiple images of the paranasal sinuses and surrounding structures are acquired.
Axial images are obtained, and coronal and sagittal images are reconstructed from the acquired scan data to provide views in three anatomical planes.
The patient is instructed to remain still during scanning to minimise motion-related image blurring.
The radiology team checks the acquired images for adequate coverage and diagnostic quality before completing the examination.
The radiologist reviews the images to assess the frontal, maxillary, ethmoid, and sphenoid sinuses, nasal cavity, sinus walls, and surrounding soft tissues.
The findings are documented in the radiology report for the referring doctor or ENT specialist to correlate with the patient's symptoms and clinical history.
After the scan, the intravenous cannula is removed when appropriate, and the patient may be given further instructions regarding hydration and post-contrast care.
* For details, please see service-related policies
Disclaimer: The information provided on this page is for educational and informational purposes only.
It is not intended to replace professional medical advice, diagnosis, or treatment.
Always consult a qualified healthcare professional for advice regarding your individual health condition or treatment.