Erebouni Medical Center
Medical Journal Erebouni

Computed Tomography Department

General characteristics

Computed tomography is one of the most modern, high-tech, high-quality, efficient and reliable radiological diagnostic techniques. It is based on obtaining transverse "slices" of the patient's body with and its computed reconstructions. A modern CT scanner available in the department of CT has a high speed and resolution of the scan, improved visualization of vascular structures and the possibility of three-dimensional reconstruction.

 

   

 

With the help of computed tomography it is possible to discover pathology in the brain, chest and abdomen, retroperitoneum and pelvis, vessels, ENT organs, bones, joint, spine and others.

 

To increase the accuracy of diagnostics, in case of necessity, the CT procedure is conducted with intravenous contrasting. CT diagnostic method is very effective for detection of benign and malignant tumors of various organs even the smallest sizes, to clarify their nature, prevalence, vascularisation etc.

 


Computed tomography is carried out according to clinical indications.

 

There are no absolute contraindications for CT-scan procedure. The relative contraindications are mainly regards to the contrast agent:

 

  • Allergic diseases (especially bronchial asthma);
  • Allergic reaction to the iodine solution;
  • Severe heart disease and heart failure;
  • Myeloma, polycythemia, pheochromocytoma;
  • Kidney diseases, especially due to diabetes;
  • Pregnancy;


  Indications for performance of the:

 

Brain’s CT-scan:

  • Suspicion to acute intracranial hemorrhage (of traumatic and non-traumatic genesis);
  • Acute ischemic stroke
  • Acute subarachnoid hemorrhage;
  • Suspicion to arterial-venous aneurysm;
  • Suspicion to primary, secondary or residual brain tumor and its membranes;
  • Abnormalities of brain development in children;
  • Inflammation of brain (abscess, granuloma and etc.);
  • In case of hearing problems and suspicion to acoustic neuroma;
  • In presence of symptoms of intracranial hypertension;
  • Inflammatory diseases of brain (abscess, granuloma, empyema, etc.) and assessment of performed treatment;
  • For diagnostics of degenerative brain disease.

 

  CT scan of the orbits

  • volumetric formations of orbits  in cranio-orbital area;
  • exophthalmos of uncertain etiology
  • traumatic injuries                                                                                              

 

  CT scan of facial crania

  • inflammatory diseases of paranasal sinuses
  • tumors of paranasal sinuses
  • traumatic injuries
  • planning of procedure of tooth implants 

 

  CT scan of the chest (lungs, mediastinum);

  • Disseminated processes in the lungs;
  • Suspicion to the primary tumor in the lungs;
  • Detection of the hidden metastases to the  lungs and pleura in patients with the malignant tumor;
  • Suspicion to the tumor of the pleura on the base of X-ray examination
  • Estimation of the lungs condition in case of massive pleural exudation
  • Disease of lymphatic system and probability of involvement of lymphatic nodes


  CT of abdomen:


  • Suspicion to the traumatic rapture, bleeding;
  • Liver diseases;
  • Fatty hepatosis and hemochromatosis;
  • Suspected pancreatic diseases (tumors, cysts)
  • Primary and secondary tumor in abdomen;
  • Differential diagnostics of free and encysted effusion in abdomen;
  • Aneurysm of abdominal aorta;
  • Suspicion to the tumor of retroperitoneal space;
  • Retroperitoneal abscess, hematoma;
  • Pathology of retroperitoneal lymphatic nodes caused by hemoblastosis;
  • Metastasis to the retroperitoneal lymphatic nodes;
  • Suspicion to the kidney tumor;
  • In case of kidney dysfunction diagnosis based on X-ray radionuclide study;
  • Kidney injury;
  • Urolithiasis;
  • Neoplasm of pelvic area;

 

Patient preparation for CT scan


For the head, neck, thorax CT scan usually there is no need for special preparation of the patient.

 


For the CT scan of abdomen and small pelvis the preliminary preparation of the patient is necessary.

 

To increase the diagnostics accuracy of CT scan it could be necessary the intravenous injection of contrast agents.

Equipping
Erebouni Medical Center has been supplemented with advanced, innovative computed tomography (CT) scanners.

SIEMENS Healthineers SOMATOM go. UP from worldwide known Siemens company performs the most complex radiological researches thus allowing to broaden clinical range.Introducing groundbreaking CT products and services for decades, Siemens Healthineers is known as the innovation leader. By reducing repetitive workflow steps, GO technologies help standardize and simplify all processes.Unlike the previous generation tomographs, this new device gives a super-accurate image of the disease, diagnosing diseases at an earlier stages.

* SOMATOM go.Up provides new opportunities, with entirely new technologies, new style and design.* SOMATOM go.Up features a line-up of innovative solutions that bring an unparalleled level of flexibility and mobility to daily CT routines.

In addition to the technical advantages, high-end CT scanner also helps to enhance patient comfort. These solutions are especially for those who have a fear of closed spaces.
Due to its effective workflow, SOMATOM go.Up allows to broaden clinical range and grow with profound clinical results. Premium technologies deliver high-quality results.
Benefits of SOMATOM go.UP:
* New age engineering solutions have reduced the research period by 1.5 times
* Radiation dose is minimized from 4 to 6 times
* contrast media dosage is minimized while maintaining the image quality
One of the exceptional features of SOMATOM go.UP is a low-exposure lung test, which is equivalent to fluorescence, but is more informative and also suitable for preventive research.

SOMATOM go.Up has a patient table with scannable range up to 160 cm that can hold up to 170 kg for bariatric patients. Multi-function table is equipped with newly designed accessories.

Main activities

Computed Tomography Department serves more than 40 people per day with various pathologies.
On first place come patients with acute cerebral circulation disturbance and polytraumas. Then - the patients with oncological and inflammatory diseases.

 

  • CT-scan of the brain in patient with acute cerebral circulation disturbance
  • CT of patients with poly-traumas
  • CT- angiography with bolus contrasting
  • CT of patients with acute surgical states
  • CT of patients with oncological diseases
  • Vascular pathologies
  • Bone pathologies

 

Staff
Arshak Zohrabyan, MD Arshak Zohrabyan, MD Write a letter Head of Computed Tomography Department radiologist PhD, Grand PhD professor
Hamaspyur Mnatsakanyan, MD Hamaspyur Mnatsakanyan, MD Write a letter radiologist
Nune Sargsyan, MD Nune Sargsyan, MD Write a letter radiologist
Susanna Vardanian MD Susanna Vardanian MD Write a letter radiologist
Hayk Simonyan, MD Hayk Simonyan, MD Write a letter radiologist
Lusine Malkhasyan MD Lusine Malkhasyan MD Write a letter Radiologist
Write a letter
Education

Chair
-  Chair of radio-diagnostics  (for post diploma and continuous medical education), Yerevan State University after M. Heratsi
- Chair of radio-diagnostics, Armenian Medical Institut  


Staff of the chair
Professor  - Arshak Zohrabyan,
Assistant Professor – Lusine Hakobyan


The amount of students per year and the level of their education.
About 80 students per year are passing their training at the Department of CT (bachelor degree, master degree, specialization, clinical residency and PhD).

Education material for specialists

 

Education material for Patients

 

  CT scan
 
Price list

 

  

  

 

 

 

                                          Computed Tomography Department

                                                      Price List

 

14.01.2019

 

Service

Price (AMD)

 

CT examination of 1 segment

40.000

 

CT examination of 2 segments

50.000

 

CT examination of 3 and more segments

60.000

 

CT examination for 1 additional segment / the price is added

10.000

 

CT examination for 2 additional segments / the price is added

20.000

 

CT angiography examination of 1segments

70.000

 

CT angiography examination of 2 segments

80.000

 

CT angiography examination of 3 segments

90.000

 

CT angiography examination of 4 and more segments

110.000

 

Repeated CT examination of 1 segment

20.000

 

Repeated CT examination of 2 segments

25.000

 

Repeated CT examination of 3 and more segments

30.000

 

Repeated CT angiography examination of 1 segment

50.000

 

Repeated CT angiography examination of 2 segments

55.000

 

Repeated CT angiography examination of 3 segments

60.000

 

CT of paranasal sinuses

20.000

 

Repeated CT examination of paranasal sinuses

10.000

 

CT urography of 1 segment (the price includes the cost of contrast agent)

50.000

 

CT of orbit, eyeball and retrobulbar space

20.000

 

CT of joints or simple cases

30.000

 

Price of contrast agent used for CT angiography

30.000

 

Analysis of doctor based on the CD brought in from outside and provision of film

3.000

 

CD reading and results provision (to the patient) brought in from outside

15.000

 

Coinsurance:  CT examination of 1 segment without IV Contrast

5.000

 

Coinsurance: CT examination of 2 segments without IV Contrast

6.000

 

Coinsurance: CT examination of 3 or more segments without IV Contrast

7.500

 

Coinsurance: CT angiography or CT examination of 1 segment with IV contrast (the price includes the cost of contrast agent)

8.500

 

Coinsurance: CT angiography or CT examination of 2 segments with IV contrast (the price includes the cost of contrast agent)

12.000

 

Coinsurance: CT angiography or CT examination of 3 and more segments with IV contrast (the price includes the cost of contrast agent)

14.000

 


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