An Introduction to Luminal GI imaging Flashcards
Name imaging that has ionising raditiation
- X ray plain film
- CT
- Fluoroscopy
- Nuclear Medicine
Name imaging that is non-ionising radiation
- MRI
- ultrasound
Name the types of anatomical planes
- Coronal plane
- Sagittal plane
- transverse plane
What does fluoroscopy do
- uses contrast to highlight the internal structures
Name the type of CT
- portovenous - standard CT and contrast
- CT KUB - low dose and no contrast - good for looking for calcified stones
- Angiogram - to look at aorta and arteries
What happens in functional imaging
- the tracer will accumulate in areas of high metabolic activity
what does luminal GI anatomy entail
- oropharynx
- larynx
- oesophagus and stomach
- small bowel - jejunum and ileum
- large bowel - colon adn appendix
- accompanying mesenteries
what does large bowel look like in the CT
- contains haustrations
What does the small bowel look like in the CT
- folds are frequent in the jejnum and become less frequent in the ileum
- attached by mesentery
What structures lie in the retroperitoneum
- D2
- D3
- Ascending colon
- descending colon
- rectum
- adrenal glands
- aorta
- IVC
- pancreas except tail, ureters and kidneys
What structures are intraperitoneal
- stomach
- D1
- D4
- Jejunum
- ileum
- transvere colon
- sigmoid colon
what does the imaging modality selection depend upon
- clinical question
- clinical status of patient
- body habitus
- availability
- expertise
- pregnancy
what imaging should you use in bowel obstruction/perforation
- AXR
- CT (just in case you cannot see the fluid filled bowel on the AXR)
what imaging should you use in ruptured AAA
CT (US for surveillance)
What imaging should you use in inflammatory bowel disease
- US/MRI enterography