30: Neuro Imaging Flashcards
What is light and dark on a CT?
Dark = least dense (air, CSF) Bright = most dense (bone)
When looking at CT, what view are you looking at the patient
From an inferior view
What vessels are ruptured in an epidural vs subdural hematoma?
Epidural: middle meningeal A
Subdural: bridging veins
Why is an epidural hematoma classically shaped like a lens/lemon?
Dura separates from skull but is strongly attached at the sutures and wont cross that
Classic history of an epidural hematoma
Trauma -> unconscious -> lucid internal -> loss of mental status
Classic shape of subdural hematoma and why
Banana/crescent shaped - blood not restricted by sutures but limited by falx cerebri
How MRI works
- Magnetic field lines up randomly aligned protons
- Radiofrequency pulse -> changes proton alignment in magnetic field
- Radiofrequency pulse deactivates -> protons realign with magnetic field -> release energy -> read by MRI machine
What does changing the sequence of MRI do?
Change color of tissues/fluids, producing different contrasts
Two things you can change in changing MRI sequence
TR: repetition time
TE: time echo
TR: Repetition time
Time between radiofrequency pulse in MRI
TE: Time Echo
Time between radiofrequency pulse and receipt of energy from protons in MRI
What does FLAIR stand for?
Fluid attenuated inversion recovery
What is contrast used for in MRI and CT?
Find disruptions of BBB
CT vs MRI constrast
CT: iodine-based
MRI: gadolinium-based
Con of using contrast in CT/MRI
Can cause kidney injury