Indications and contraindications for the computed tomography scan

Indications for the CT scan

The decision on the type of examination to be undertaken, in cases of both private examinations and those reimbursed by the NFZ, is made by the referring physician after the patient’s physical examination and after taking the patient’s medical history. The method of examination is selected each time by the radiologist on the basis of a referral letter submitted by the patient, taking into account the current medical standards, and on the basis of the latest knowledge relating to the selected diagnostic issue and an analysis of the test results to date.
The radiologist performing the scan may, at the patient’s request, provide information on the procedure, possible modification (on the basis of the obtained medical history) and possible side effects. As a matter of routine, information on the procedure is passed to the patients by the electro-radiology technician just before the start of the procedure. The radiologist conducting the procedure decides on the intravenous administration of the contrast medium. The decision is made individually on the basis of medical knowledge on the side effects of the use of intravenous contrast media, including information on diagnostic problems as well as the patient’s current health status.
Current guidelines concerning the application of intravenous contrast media in imaging diagnostics are available on the ESUR (European Society of Urogenital Radiology) website.

Contraindications for the CT scan

Contraindications for the CT examination result strictly from the Nuclear Law Act (Ustawa Prawo Atomowe) of 29 November 2000 (uniform text Dz. U. 2007 Nr 42 poz. 276) and the Regulation issued by the Minister of Health dated 18 February 2011, on the safe application of ion-based radiation for all types of medical exposures (Dz. U. Nr 51 poz. 265)

Contraindications for the use of iodinated contrast media:

  • Allergy to iodine
  • Toxic goitre of the thyroid
  • Planned radioiodine treatment of thyroid cancer

Contraindications against the use of ion-based contrast media in patients:

  • Children below 2 years of age
  • Pregnant women
  • Persons over 60 years of age
  • Persons with complications after the previous administration of a contrast medium
  • Persons with acute and chronic circulatory and respiratory failure
  • Persons with hepatic and renal failure (also dialyzed patients)
  • Persons with asthma and pulmonary oedemas
  • Persons with allergies
  • Persons with insulin-dependent diabetes
  • Persons with hypertension
  • Persons with convulsions of cerebral aetiology
  • Persons with glaucoma