Ch27: Medical Imaging Flashcards

1
Q

What is the approximate range of wavelengths for X-Rays?

A

10^-8 to 10^-13 m

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2
Q

Approximately how many times more energy do X-ray photons have than visible light?

A

10-10 000 times more

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3
Q

How are X-ray photons produced?

A

Very fast moving electrons fired from a cathode and are slowed down by interaction with the atoms of a metal anode such as Tungsten. The kinetic energy of the electrons becomes high energy photons.

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4
Q

What is the energy gained by an electron when accelerated through p.d: V?

A

eV, where e is the elementary charge

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5
Q

How can we calculate the maximum energy of an X-ray Photon?

A

max X-ray energy = kinetic energy of electron

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6
Q

What is the equation for wavelength of an X-ray photon in relation to the electron that produced it?

A

λ = hc/eV

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7
Q

Name the 4 ways an X-ray photon can interact with matter.

A
  • Simple scatter
  • Photoelectric effect
  • Compton scattering
  • Pair production
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8
Q

Describe the effect of Simple scatter? What is its photon energy range?

A

Electrons in an atom scatter the X-ray to a different direction as the photon does not have enough energy to remove the electron.
< 20keV

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9
Q

Describe the Photoelectric effect?

A

A photon is fully absorbed by an electron and removes it from the atom with no left over photon.
<100keV

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10
Q

What is the typical voltage range for hospital X-ray machines?

A

30-100kV

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11
Q

Describe the effect of Compton scattering? What is the photon energy range?

A

A photon provides enough energy to remove an electron from an atom, with enough energy left over to allow a low energy photon to escape as well.
0.5-5MeV

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12
Q

Describe the effect of pair production? What is the photon energy range?

A

A photon interacts with a nucleus, the electromagnetic energy of the photon creates an electron and a positron which are ejected in opposite directions.
> 1.02MeV

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13
Q

What is an attenuation coefficient?

A

A value which describes how well a substance absorbs X-rays.

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14
Q

What is the equation for transmitted intensity of X-rays?

A

I = Io(e^-μx)

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15
Q

Why are contrast mediums used?

A

to increase absorption coefficients of soft tissues so their structure is visible in an X-ray.

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16
Q

What are the two most common contrast mediums for X-rays and how are they used?

A

Iodine: typically injected
Barium: typically eaten

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17
Q

What is the attenuation coefficient proportional to?

A

The attenuation coefficient is proportional to the cube of the atomic number (Z).

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18
Q

What does C.A.T stand for?

A

Computerised axial tomography

19
Q

What are the advantages and disadvantages of C.A.T scans?

A

A: produces a 3D image
D: High radiation exposure and long time to do (10-30 min)

20
Q

How are CAT scans done?

A

An X-ray tube produces a fan of x-rays which move 360 degrees around a patient while the patient also moves through the machine; producing slices which a computer puts together to form a 3D image.

21
Q

What are the key parts of a CAT scan machine?

A

Rotating gantry, X-ray tube, detector, patient bed, display, and computer.

22
Q

What are the parts of a gammas camera in order?

A

collimator, scintillator, light guide, photomultiplier tubes, circuits, computer, and display

23
Q

What is the most common medical tracer used with the gamma camera?

A

NaTcO4 (Tc-99)

24
Q

What is the function of a collimator in a gamma camera?

A

Only allows through photons travelling straight at the camera.

25
What is the function of the scintillator in a gamma camera?
Turns gamma photons to visible light (only approximately 1 in 10)
26
What are two common isotopes used in tracers for PET scans?
Fluorine-18 and Carbon-11
27
What does P.E.T stand for?
Positron emission tomography
28
How do Pet scans work?
An isotope ingested by the patient decays releasing a positron which almost immediately annihilates with an electron within the body, this creates two gamma photons in opposite directions. These are then detected by a ring of gamma cameras which determine where the two came from.
29
What is the function of a gamma camera in a PET scan?
detecting gamma photons
30
What are the advantages and disadvantages of a PET scan?
A: non invasive, can diagnose cancer, monitor brain function, and plan complex surgeries. D: expensive, only used for complex patients
31
What are the benefits of ultrasound imaging?
Non-ionising, non-invasive, quick
32
What is the frequency range of medical ultrasound?
1-15MHz
33
What device is used to generate and receive ultrasound?
An ultrasound transducer.
34
What is the piezoelectric effect?
The creation of e.m.f in some crystals by stretching, compressing or distorting them. or vice versa
35
How does a transducer generate ultrasound?
By running an alternating pd through a crystal to quickly stretch and compress it, producing an intense ultrasound signal.
36
What is the typical frequency of ultrasound pulses?
5kHz pulses (of 5MHz ultrasound)
37
What is the difference between A-scans and B-scans?
A scans scan only one direction, generating an oscilloscope reading. while B-scans produce 2D or 3D images.
38
What is acoustic impedance?
The product of a substance's density (p) and the speed of ultrasound in that substance (c)
39
What is the equation for acoustic impedance?
Z = pc
40
What is doppler imaging?
A process which uses the reflection of ultrasound off moving objects in the body (usually liquid) to determine their speed.
41
What are some uses of doppler imaging?
Can reveal blood clots, identify narrowing of the walls of veins/arteries, and evaluate blood flow to transplanted organs.
42
How can colour doppler scans be created?
A computer connected to the ultrasound transducer can assign colours for speed in different directions, such as in an umbilical cord.
43
What is the equation associated with Doppler imaging? Define the terms.
``` Δf = (2fvcosθ)/c Δf: change in frequency f: frequency of transmitted ultrasound c: speed of sound in substance v: velocity of object/fluid ```