What is a CT scan for the cervical spine and why might it be needed? How do scans with and without contrast differ?

A CT scan for the cervical spine is a special type of X-ray that helps doctors see detailed images of the bones, blood vessels, and other structures in your neck. This scan is often used if you have neck or shoulder pain to find out what's causing it. The cervical spine is the top part of your spine that goes through your neck and ends at your brain. Problems in this area can cause pain and other issues. The CT scan uses computers to create 3D images of your neck. Sometimes, doctors also use MRI scans, which use magnets and radio waves instead of X-rays, to get detailed images of soft tissues like muscles and the spinal cord. CT scans are better for looking at bones and blood vessels, while MRI scans are better for soft tissues. Before the scan, a nurse or technician will ask about your medical history and any allergies. You'll need to remove jewelry and might have to wear a hospital gown. If the scan uses contrast, a dye will be injected into your arm to help highlight certain areas. The scan itself takes about 10 to 30 minutes. If you move during the scan, the images might be blurry. For scans without contrast, you can eat and drink normally. For scans with contrast, you shouldn't eat or drink for 4 to 6 hours before the test. After the test, drink plenty of water to help flush out the dye. If you have kidney problems or take diabetes medication like metformin, your doctor might choose a scan without contrast. The dye can cause side effects like nausea or headaches, but serious reactions are rare. CT scans are generally safe and use a small amount of radiation. The benefits of the scan usually outweigh the risks. After the scan, a radiologist will review the images and send a report to your doctor, who will discuss the results with you.