A member asked:

Ct scan dects brain aneurysms? is it possible for a ct scan without contrast to reveal an unruptured brain aneurysm? is the test meant to find that sort of thing?

4 doctors weighed in across 3 answers
Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

It : It is possible for a noncontrast ct to reveal an unruptured aneurysm, but generally this is a very poor test for aneurysm evaluation. A noncontrast head ct will usually only finding very large aneurysms and smaller aneurysms will almost always be overlooked. A mr angiogram may be performed to screen for aneurysm; this uses no intravenous contrast and is performed in a standard MRI machine. A ct angiogram can also screen for aneurysm; this uses intravenous iodinated contrast scan and is performed in a multidetector ct scanner. A conventional angiogram is the gold standard in evaluation for aneurysm; this is performed by placing a needle and catheter into an artery in the groin and then injecting iodinated contrast into the arteries of the neck while taking x-ray images of the head.

Answered 1/5/2019

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NOT THE BEST WAY: Mri with contrast will pickup most large aneurysms over the blood vessels of the brain, and a cat angio or a magnetic resonance angio would be used to find smaller aneurysms. Standard cat not usually successful.

Answered 5/13/2016

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Dr. Abhineet Chowdhary answered

Specializes in Neurosurgery

Unlikely: A ct scan of the head without contrast is meant to look for bleeding, not aneurysms. Unless and aneurysm is quite large and/or has a thrombus in it, it is unlikely to be seen on a non contrast ct scan. A cta or mra are good diagnostic tests for detecting brain aneurysms.

Answered 9/28/2016

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