30: Neuro Imaging Flashcards

1
Q

What is light and dark on a CT?

A
Dark = least dense (air, CSF)
Bright = most dense (bone)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When looking at CT, what view are you looking at the patient

A

From an inferior view

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What vessels are ruptured in an epidural vs subdural hematoma?

A

Epidural: middle meningeal A
Subdural: bridging veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why is an epidural hematoma classically shaped like a lens/lemon?

A

Dura separates from skull but is strongly attached at the sutures and wont cross that

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Classic history of an epidural hematoma

A

Trauma -> unconscious -> lucid internal -> loss of mental status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Classic shape of subdural hematoma and why

A

Banana/crescent shaped - blood not restricted by sutures but limited by falx cerebri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How MRI works

A
  1. Magnetic field lines up randomly aligned protons
  2. Radiofrequency pulse -> changes proton alignment in magnetic field
  3. Radiofrequency pulse deactivates -> protons realign with magnetic field -> release energy -> read by MRI machine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does changing the sequence of MRI do?

A

Change color of tissues/fluids, producing different contrasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Two things you can change in changing MRI sequence

A

TR: repetition time
TE: time echo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

TR: Repetition time

A

Time between radiofrequency pulse in MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

TE: Time Echo

A

Time between radiofrequency pulse and receipt of energy from protons in MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does FLAIR stand for?

A

Fluid attenuated inversion recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is contrast used for in MRI and CT?

A

Find disruptions of BBB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CT vs MRI constrast

A

CT: iodine-based
MRI: gadolinium-based

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Con of using contrast in CT/MRI

A

Can cause kidney injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do EEG and EMG stand for?

A

EEG: electroencephalogram
EMG: electromyogram

17
Q

Needle electrode exam

A

Tests muscle contraction in response to an electrical signal

18
Q

T1 Weighted MRI Sequence: color of CSF, white matter, gray matter, and inflammation

A

CSF: dark
White matter: light gray
Gray matter: dark gray
Inflammation: dark

19
Q

T2 weighted MRI sequence: color of CSF, white matter, gray matter, and inflammation

A

CSF: bright
White matter: dark gray
Gray matter: light gray
Inflammation: bright

20
Q

T2 FLAIR MRI Sequence: color of CSF, white matter, gray matter, and inflammation

A

CSF: dark
White matter: dark gray
Gray matter: light gray
Inflammation: bright