Artifacts Flashcards

1
Q

Name the artifact in the image on the left (improved appearance on the right)

What is the cause of the artifact? How can you fix it?

A

Speckle: interference of echoes from the distribution of scatter in tissue, causing a granular appearance of the image

FIX: increase frequency, spatial compounding, THI

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2
Q

Name the artifact in the image on the left (improved image on the right).

What is the cause of the artifact? How would you (try to) fix it?

A

Clutter artifact: Acoustic noise arising from side-lobes, grating-lobes, and multipath reverberation. Typically seen in fluid-filled structures.

FIX: spatial compounding, THI

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3
Q

Name this artifact.

What is the cause of the artifact?

A

Reverberation: Occurs at highly reflective surfaces (e.g., tissue-gas interface). Some echoes are reflected back and forth between gas and transducer, then interpreted to exist at twice the depth of the original interface.

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4
Q

Name this artifact.

What is the cause of the artifact?

A

Comet tail artifact: a form of reverberation artifact with reflections occurring from two closely spaced reflective surfaces (calculi, surgical clips, etc)

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5
Q

Name this artifact.

What is the cause of the artifact?

A

Acoustic shadowing artifact: Structures that are strong reflectors or attenuators cause reduction in the beam intensity distal to them, resulting in a dark shadow.

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6
Q

What is refraction and in what situation is it most likely to occur? Which specific artifacts arise from refraction phenomenon?

A

Refraction: Occurs when the beam strikes a highly oblique interface, such as the lateral aspect of a curved surface, and with interfaces between substances such as fat and muscle with disparate speeds of sound

Includes: misregistration, ghosting, and edge-shadowing

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7
Q

Name this artifact.

What is the cause of the artifact? How would you (try to) fix it?

A

Edge shadowing artifact: Refractive artifact that occurs at the edge of a large curved boundary with a different speed of sound than that of the surrounding tissues

FIX: spatial compounding, change angle of insonation

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8
Q

Name this artifact.

What is the cause of the artifact?

A

Misregistration artifact: The actual location of an object is altered by refraction of the beam at an interface superficial to it; object appears to be in a different place than it actually is.

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9
Q

Name this artifact.

What is the cause of the artifact? How would you (try to) fix it?

A

Side lobe artifact:

  • off axis beams at the edge of US beam (side lobe beam) bounces of strong reflector and goes back to the transducer
  • incorrectly placed as if the echo originated from the main beam

Usually too low energy to make a big difference, however in an anechoic structure, can appear to be sludge in the GB or urinary bladder

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10
Q

What is the difference between side lobe and grating lobe artifact?

A

Grating lobe artifact: same concept but occur at more oblique angles and higher amplitude than side lobe

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11
Q

Name this artifact (image on the right)

What is the cause of the artifact? How would you (try to) fix it?

A

Anisotropy artifact: angle of insonation alters reflective pattern. Normal or hyperchoic when perpendicular; hypoechoic appearance (‘false lesion’) when off angle.

To fix: change the angle of the transducer

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12
Q

Name this artifact.

What is the cause of the artifact?

A

Distal enhancement (through transmission): As sound passes through low-attenuating structure, there is less attenuation than expected and the returning echo will be stronger.

CAUTION: a homogeneous solid lesion with a lower attenuation than the adjacent tissues will also exhibit increased through transmission.

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13
Q

Name this artifact.

What is the cause of the artifact?

A

Mirror image artifact: Created when sound reflects off a strong reflector and is redirected toward a second structure (target), where it then reflects back to the first reflector, then back up to probe. This creates a second image of the target in the path of the original beam and deeper than the actual target

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14
Q

Name this artifact.

What is the cause of the artifact?

A

Electronic noise artifact: Stray electric signal from electric equipment such as lights, clippers, and electrocautery units may cause artifacts to appear that remain when the transducer is not in contact with the animal.

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15
Q

Name this artifact.

What is the cause of the artifact?

A

Slice thickness/Volume Averaging Artifact – if two structures of differing attenuation are present in the same slice width, their intensities are averaged

Example: pseudosludge

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16
Q

Name this artifact.

What is the cause of the artifact? How would you (try to) fix it?

A

Range ambiguity artifact: Occurs when the echo from a distant structure reaches the transducer after a second pulse has been emitted. Transducer thinks that this echo is associated with the second pulse and therefore in the near field instead of the far field.

FIX: reduce number of focal zone, especially when imaging fluid-filled structures

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17
Q

Name this artifact.

What is the cause of the artifact?

A

Registration/propagation speed error: distance is calculated based on speed of sound through tissue. In fluid-filled structures, this may mean that the distal wall is actually farther from transducer than is displayed. In more dense objects, the distal wall may be closer than it appears.

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18
Q

Name this artifact.

What is the cause of the artifact? How would you (try to) fix it?

A

Aliasing artifact: occurs when the doppler shift frequency exceeds the Nyquist limit (1/2 PRF) –> information is mapped to the wrong side of baseline.

FIX: increase PRF, move baseline, decrease frequency, increase Doppler angle

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19
Q

What are the four general types of artifacts encountered in CT?

A
  1. Streaking
  2. Shading
  3. Rings
  4. Distortion

Barrett, J.F. & Keat, N. (2004) Artifacts in CT: Recognition and Avoidance. RadioGraphics 24, 1679–1691

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20
Q
  • Name this artifact.
  • What is the cause?
  • What are the two subtypes of this artifact?
A
  • Beam Hardening: as the beam passes through an object, its mean energy increases because lower- energy photons are absorbed more rapidly than the higher-energy photons
  • Subtypes:
    • Cupping – occurs with round/cylindrical objects (Figure 3)
    • Streaks and dark bands – occurs when beam passes between two very dense structures
      • Beam is more attenuated when it passes through both dense structures than when it is only passing through one (at a different angle)
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21
Q

What is this artifact and how do we fix it?

What was the technique for reducing this artifact as suggested by Mosenco et. al (2004) for dogs and horses?

A
  • Beam hardening (streaks/dark bands) in the interpetrous space.
  • FIX/REDUCTION:
    • Thick-section reconstructions of thin slices reduces this artifact.
    • Built-in software (filtration, calibration and BH correction)
  • Canine: five contiguous 1-mm slices added to create reformatted images of 5mm section thickness and interval
  • Equine: five contiguous 2-mm slices added to create images of 10mm section thickness

Porat-Mosenco, Y., Schwarz, T. & Kass, P.H. (2004) Thick-section reformatting of thinly collimated computed tomography for reduction of skull-base-related artifacts in dogs and horses. Veterinary Radiology and Ultrasound 45, 131–135

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22
Q

What is this artifact and how is it fixed?

A
  • Photon starvation: photons travelling through extremely dense structures are attenuated to the point that an insufficient number of photons reach the detector –> this leads to increased noise, which gets magnified during reconstruction
  • FIX:
    • Automatic tube current modulation
    • Adaptive filtration
      *
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23
Q

What is this artifact? How do we fix it?

A
  • Undersampling: occurs when there is too large of an interval between projections, resulting in misregistration, which leads to view aliasing
    • View aliasing = fine stripes appear to be radiating from the edge of, but at a distance from, a dense structure
  • FIX: increase projections (often means increasing rotating time)
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24
Q

What is this artifact? How is it reduced?

A
  • Metal artifact: attenuation higher than the upper limit the computer can read (incomplete attenuation profile)
  • FIX:
    • Gantry angulation
    • Software correction
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25
Q

What is this artifact and how can it be addressed?

A
  • Motion artifact
  • FIX:
    • Stabilize the patient
    • Overscanning/underscanning modes
    • Software correction
    • Gating
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26
Q

Name this artifact. How is it fixed?

A
  • Out of field: incomplete information about the portion out of the FOV
  • FIX:
    • Reposition the patient and/or remove detritus
    • Use a larger DFOV
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27
Q

What is this artifact? Fix?

A
  • Stair step artifact: appears around the edges of structures in multiplanar and three-dimensional reformatted images when wide collimations and non-overlapping reconstruction intervals are used.
  • Fix:
    • Thin slices
    • Use 50% overlap on recon slices incrementation
28
Q

Name this artifact. How do we fix it?

A
  • Apparent thickening occurring due to blurring (backprojection reconstruction), increased modulation transfer associated with lower spatial frequency objects, and partial volume average artifact
  • Fix:
    • Decrease slice thickness
    • Use bone filter
    • Larger WW
29
Q

Name it. How do we fix it?

A
  • Ring artifact: due to a broken detector element
  • Call someone
30
Q

Name the artifact.

What is the cause of the artifact? How can you fix it?

A
  • Memory
  • DR needs a brief latent period to allow photoconductors to return to ground state. If a second exposure is made before this happens, can have a faint, superimposed negative (indirect DR) or positive (direct DR) impression of the previous image
31
Q

Name the artifact

A
  • Dead pixel
32
Q

Name the artifact

A
  • Calibration mask
  • Errors in original calibration (e.g., dust on the calibration mask) will leave an imprint on the mask of variable attenuation
  • FIX: clean and recalibrate
33
Q
A

Upside-down cassette

34
Q

Name it

A
  • Grid cutoff
  • Incorrect position or orientation of the grid will lead to excessive reduction of incident x-rays
  • Generally appears as underexposed, white strips at the periphery of the radiograph
  • FIX: adjust grid placement
35
Q
A
  • Double exposure
  • CR – same plate used twice without being read-out in between
  • DR – electrical interruptions or data transfer error
  • FIX: with CR, plate readout immediately every time
36
Q
A
  • Quantum mottle
  • Insufficient number of incidents x-rays due to low mAs technique –> increased noise (grainy image)
  • FIX: increase exposure factors, blurring techniques.
37
Q

What two artifacts are shown in this image?

A
  • Saturation & planking
  • Both occur secondary to overexposure
  • FIX: re-take and decrease exposure
38
Q

What is this artifact and how do you fix it?

A

Paradoxical overexposure

FIX: decrease exposure factors

39
Q

What is this artifact and how do you avoid it?

A
  • Radiofrequency interference
  • FIX: keep detector away from RF sources
40
Q

What is this artifact?

A
  • Light leak (CR only)
  • Plate exposed to light after xray exposure but before readout
  • FIX: maintain functional cassettes
41
Q

What is the artifact in the image on the left (A)? How do you prevent it?

A
  • Fading
  • Readout of cassette performed long after exposure leads to loss of energy and grainy image
  • FIX: read out immediately
42
Q

What is this artifact?

A

Debris on the cassette

43
Q

What is this artifact and how do you fix it?

A
  • Dirty light guide
  • FIX: clean it
44
Q

What is this artifact and how do you fix it?

A
  • Moire artifact
  • Occurs when the grid frequency and readout frequency intersect
  • FIX: use an oscillating Bucky grid oriented perpendicular to the detector
45
Q

What is this artifact and how do you fix it?

A
  • Faulty transfer
  • Fluctuation in power or loose data cable
  • FIX: secure power source and stabilize connection
46
Q

What is this artifact and how do you fix it?

A
  • Border detection
  • Erroneous application of image border at the margins between highly attenuating objects or when imaging plate is rotated more than 3* relative to the collimated field
  • FIX:
    • Use semiautomatic detecion
    • Don’t use separate sections of the same plate for multiple rads
    • Reprocess with deactivation of border detection
47
Q

What is this artifact and how do you fix it?

A
  • Diagnostic specifier
  • Error in post-processing in the automatic or manual LUT
    • Incorrect selection of area of interest (thorax, abdomen, etc)
  • FIX: Reprocess; select correct area of interest
48
Q

What is this artifact and how do you fix it?

A
  • Clipping
  • Information in the area of interest is discarded
  • FIX: retake
49
Q
A
  • Density threshold
  • Very high attenuation objects result in widening of the grayscale, which makes the lower attenuation objects darker and less contrasting
  • FIX: adjust to make objects above the density threshold appear white
50
Q

What is this artifact and how do you fix it?

A
  • Uberschwinger
  • Caused by unsharp masking techniques for edge enhancement
  • FIX: reduce use of edge enhancement
51
Q

What two artifacts are shown?

A
  • Cracked NaI crystal and edge-packing
  • FIX:
    • Replace crystal (crack)
    • Edge-packing = highly intense ring of activity at edge around flood field – fix by masking the ring mechanically or electronically
52
Q

What is this artifact and how do you fix it?

A

Malfunction of PMT – hot or cold area in flood field

FIX: call service

53
Q

What is this artifact and how do you fix it?

A

Blown PMT

FIX: call service to replace the PMT

54
Q

What is this artifact and how do you fix it?

A
  • Septal penetration
  • Incident photons penetrate through lead collimator septa of a lower energy collimator
  • FIX: use correct collimator (medium energy) with higher energy nuclides
55
Q

What is this artifact?

A

Collimator septal damage

56
Q

What is this artifact and how do you fix it?

A
  • Pixel rollover
  • Image depth is too low
  • Acquire imades in “word mode” (16 bit)
57
Q

What is this artifact and how do you fix it?

A

Off peak floods

Left = 10% below peak

Right = 10% above peak

58
Q

What is this artifact and how do you fix it?

A

Self-contamination (urine)

59
Q

What is this artifact and how do you fix it?

A
  • Aliasing (wraparound)
  • Imaging FOV is smaller than the anatomy being imaged
  • FIX:
    • Align PEG with the shortest anatomical axis
      • Swap PE & FE directions
    • Increase FOV
    • Pre-saturation pulses to extraneous tissue
    • No phase wrap technique (extended matrix/oversampling)
60
Q

What is this artifact and how do you fix it?

A
  • Chemical shift misregistration
  • Fat-containing structures are misregistered in the FREQUENCY ENCODING direction
  • Can’t be totally avoided, but can be improved with:
    • Increased receiver bandwisth
    • Fat suppression techniques
    • Decrease FOV
    • Align FEG with long structures
61
Q

What is this artifact, why does it occur, and how do you fix it?

A
  • Magic angle
  • Normal tendons/ligaments have low SI due to their highly structured nature –> fast T2 relaxation time due to high dipole-dipole interactions between protons.
  • When angle is about 55, dipole interaction (trigonometry involving cosine) = 0 –> normally low SI is now increased
  • FIX:
    • Longer TE (>120 ms)
    • Change angle of structure
    • Decrease FA on GRE sequences
62
Q

What is this artifact and how do you fix it?

A
  • Bladder pseudolayering
  • Occurs with varying concentrations of Gd in the urine – with a high concentration of Gd (23-45 mmol/L), T2 shortening effects predominate and it’ll become hypointense again
  • No fix, but just be aware
63
Q

What is this artifact and how do you fix it?

A
  • Zipper artifact
  • Leakage of external RF signals into MR room either from a break in shielding or from electrical equipment in the room
  • Affects all sequences
  • OCCURS IN THE FREQUENCY ENCODING DIRECTION
  • FIX: remove electrical things, fix shielding
64
Q

What is this artifact?

A

Spike shielding artifact

Spike in noise due to a bad data point in k-space; usually due to bad electrical connection or build-up of static electricity

65
Q

What is this artifact and how do you fix it?

A
  • Ghosting
  • FIX:
    • Swap PEG/FEG
    • Saturation bands
    • Sequences with faster acquisition times
    • ECG/RR-gating
    • Motion correction algorithms
66
Q

What is this artifact and how do you fix it?

A
  • CSF flow artifact
  • Altered magnetization of CSF as it moves; more prominent in areas of turbulent flow
  • FIX:
    • Image in different planes
    • Try a GRE sequence