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CT Angiography of the Circle of Willis and Carotid Arteries — With or Without Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

A CT imaging test that examines arteries in the brain and neck, including the Circle of Willis and carotid arteries, to evaluate blood flow and vessel abnormalities.

Quick summary

["This test uses CT scans to look for narrowing, blockage, or bulging of arteries supplying the brain."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
87855-3
Short code
CTA Circ of Willis+Carot aa WO+W contr IV
Synonyms
CTA Circ of Willis+Carot aa WO+W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct-angio
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

CT angiography, or CTA, is an imaging test that creates detailed pictures of blood vessels. It may be used to examine the carotid arteries in the neck and the Circle of Willis, a network of vessels at the base of the brain.

Why might I need this test?

Your clinician may order this test to evaluate symptoms such as a sudden or one-sided headache, weakness, speech difficulty, vision changes, or dizziness. It can also be used to investigate suspected narrowing or blockage of arteries, aneurysms, or other blood-vessel abnormalities.

How is the test performed?

You lie on a CT scanner while X-ray images are taken. If the study includes intravenous contrast, a needle is placed in a vein and an iodine-based contrast medicine is injected to make the arteries easier to see.

How do I prepare for the test?

Follow your imaging center's instructions, as fasting may be requested for some studies. Tell the care team if you are pregnant, have kidney disease, or have had an allergic reaction to iodinated contrast. You may also be asked about medicines, including blood thinners or diabetes medicines.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may include narrowing, blockage, or irregularity of the carotid or brain arteries, which can reduce blood flow to the brain. An artery that bulges outward may represent an aneurysm. Other findings can include abnormal vessel anatomy or signs related to an acute clot, although the results must be interpreted with your symptoms and other examinations.

Short name

CT angiography of brain and carotid arteries

Frequently asked questions

Is CT angiography a blood test?
No. It is an X-ray-based imaging test that shows blood vessels, although contrast medicine may be given through a vein.
What can CT angiography detect?
It can help detect narrowed or blocked arteries, aneurysms, and certain abnormalities in the arrangement of blood vessels.
Is intravenous contrast always used?
No. Some CT angiography protocols include intravenous contrast and others do not, depending on the reason for the examination and the protocol chosen by your care team.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy