Brain Imaging Flashcards
Which brain imaging modality uses a rotating x-ray beam?
Computed Axial Tomography (CAT) Scan
How are attenuation variations in tissue detected in CT Scan?
X-ray source and X-ray detector move circularly and the detector picks up radiodensity information from several directions to reconstruct a 3D Image. Patient moving through scanner slowly allows more information to be detected.
CT enhances visualization of what in the brain?
- bony anatomy
- elements with high atomic numbers(Ca, Fe,I, Ba, Pb)
What pathologies are often detected by CT ?
Infarction, Tumors, Calcification, hemorrhage, acute stroke, and bone trauma
In a CT Scan Tumor is detected by:
swelling and anatomical distortion
In a CT Scan, a hypodense (dark) structure indicates:
Edema and infarction (differences in grey matter appear and differences in gray/white differentiation disappear)
In a CT Scan, a hyperdense sturcture (bright) can indicate:
calcifications and hemorrhage
Bone trauma is detected in a CT Scan by observation of:
bone disjunctions in bone windows
Loss of blood suppply and oxygen to portion of the brain is known as :
An Infarct
Spatial Resolution is greater in CT or MRI?
CT (several mm); MRI (1mm)
TBI diagnosis and prognosis is significantly affected by what clinical finding?
Intracranial bleeding
Heme and other blood products released during trauma lead to what pathologies?
- Subarachnoid Hemorrhages
- Intraparenchymal Contusion (bruising of brain tissue)
- Hematomas (bleeding in or around brain)
- Intrinsic Cellular Injury
Which brain imaging modality uses Nuclear Magnetic Resonance?
Magnetic Resonance Imaging (MRI)
What is the advantage of using MRI?
No radiation is used; Frequency waves are used instead of X-rays
What are the advantages of using CT scans?
It is faster and less expensive than MRI thus can be used as an initial screening and assessment tool
Does a CT Scan or MRI have better contrast difference (high resolotion and detailed visualization) between soft tissues?
MRI
What pathologies can best be detected on MRI and why?
demyelinating and infectious diseases because MRI has special ability to visualize anatomy- gray, white matter, CSF
What in a proton produces a magnetic field?
The Spin
How much of the body is made of hydrogen atoms?
63%
Describe the response of a protein spin to an external magnetic field.
It aligns against or with the field. It wobbles or “precess” at a frequency proportional to the field. This leads to a net magnetization of the tissue.
What is the purpose of applying the radiofrequency pulse?
It tips the protons away from the direction of magnetaization allowing a more readily detection of magnetization. The RF signal is picked up by an antennae and is formed by the energy decay that occurs when a proton realigns with the field when the radiofrequency pulse is turned off. Rate of decay differs by tissue type.
Fourier transform algorithms purpose:
to decode RF signal into images.
What does a numerical index represent in Digital Image Construction?
Gray-scale level represented by Tissue composition of the particular pixel