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Huda > Chapter 11 CT I > Flashcards

Chapter 11 CT I Flashcards

1
Q

how is power to the x-ray tube supplied?

A

slip ring technology

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2
Q

highest tube current

A

1000 mA

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3
Q

shortest rotation time for 360 degree of x-ray tube

A

0.3 s

typical is 1 s

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4
Q

focal spot sizes

A

1.2 mm and 0.6 mm

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5
Q

relative x-ray output

A

mAs
absolute output depends also on tube design and kV

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6
Q

how is the heel effect minimized?

A

anode-cathode axis is perpendicular to imaging plane

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7
Q

cost of CT x-ray tube

A

200 k

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8
Q

max power to CT x-ray tubes

A

100 kW

-use of 0.6 mm focal spot requires power reduced to 25 kW

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9
Q

heat deposition into anode

A

100 kJ every s

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10
Q

heat lost from x-ray tube

A

10 kJ/s, ten times less than rate of heat deposition

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11
Q

anode heat capacities

A

5 MJ, 10x higher than for normal radiographic and fluoro tubes

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12
Q

what can happen if CT are operated for a long time?

A

tube overheating

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13
Q

filtration on CT vs radiography and fluoro

A

heavier
reduces beam hardening effects

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14
Q

bow tie filter

A

minimize beam hardening differences
transmission through thinner body regions result in higher detector signals- prevent this with bow tie filter
low Z material (Teflon)

reduce scatter
reduce patient dose

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15
Q

antiscatter collimation

A

thin lamellae

between the detector elements

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16
Q

why do CT detectors have high data output rates (bandwidths)

A

multi-slice scanners
short gantry rotation times

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17
Q

photon starvation

A

small number of photons reaches detector

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18
Q

when are CT not quatum mottle limited?

A

when x-ray signals are low and electronic noise becomes significant

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19
Q

characteristics of CT scintillators

A

-low after-glow characteristics
-rapid signal decay
-scintillation detectors are coupled to light detectors
-high quantum efficiency (absorb most of the incident x-ray energy)

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20
Q

typical distance from x-ray tube focus to isocenter

A

60 cm

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21
Q

magnification of objects at patient center

A

X2

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22
Q

third generation CT system

A

-both x-ray tube and detector rotate around patient

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23
Q

FOV for fan beam of 50 degrees

A

50 cm diameter

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24
Q

how many detectors in fan beam?

A

up to 1000
~ 1.2 m from focal spot

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25
Q

detector offsets

A

-central rays acquired at 0 and 180 degrees do not overlap, but are offset by half detector width
-offset improves data sampling and spatial resolution

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26
Q

how many axial slices in a typical single rotation?

A

64
detector width of 0.625 mm
total beam width = 64 * 0.625 = 40 mm

such a scanner would cover a 32 cm long abdomen in 8 rotations

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27
Q

what are CT images?

A

2D patterns of x-ray attenuation coefficients

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28
Q

what do you call the x-ray transmission that each individual detector measures?

A

ray

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29
Q

what is a projection?

A

collection of rays for all detectors in each slice at a given tube angular projection

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30
Q

how many individual data points in a projection?

A

1000
corresponds to number of detectors (each has a ray)

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31
Q

how many projections are acquired for a single rotation of the x-ray tube?

A

1,000

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32
Q

what is sinogram

A

plot of projection vs x-ray tube angle
-each reconstructed slice requires a complete sinogram

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33
Q

axial scanning vs helical scanning

A

axial: table and patient are stationary while the tube rotates and acquires the necessary projection data

helical: patient moves through the gantry at same time as x-ray tube rotates. Reduces CT scan time

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34
Q

pitch

A

table increment distance/ (x-ray beam width)
pitch < 1 is oversapled
pitch > 1 is undersampled

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35
Q

interpolation algorithms for helical CT

A

at any given long patient axis position, helical CT scanning provides one of the 1,000 projections that are required

The 999 missing lines are obtained with interpolation algorithms with projections upsteam and downstram of the location of interest

-after interpolation, a sinogram is generated at eah z-axis location where image reconstruction is to be performed

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36
Q

effective mAs in helical scanning

A

true mAs/CT pitch

-increasing effective mAs increases patient dose and reduces image mottle

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37
Q

filtered backprojection

A

-acquired projection data are multiplied by a filter
-filtered projections undergo backprojection
-back projection allocates each ray value equally to each pixel along ray traced through the patient

38
Q

ramp filter

A

increases with increasing frequency
generates noisy images

39
Q

modified ramp filters

A

reduce noise but at expense of resolution
Shepp-Logan
Hanning
cosine

40
Q

where would you use filter that reduces noise? improves resolution?

A

reduce noise- low contrast liver lesion
good resolution- inner ear

41
Q

iterative reconstruction algorithms

A

-starts with assumed image
-computes projections from the image
-computed projections are compared with acquired projections
-improvements are based on differences between calculated and acquired projections
-process is repeated until agreement is satisfactory

42
Q

pros and cons of iterative reconstruction algorithms

A

-better reconstruction
-higher computation time

43
Q

where are iterative reconstruction algorithms always used?

A

PET and SPECT
-will eventually replace filtered backprojection in CT

44
Q

HU values of water, air, fat, soft tissue, bone

A

0, -1000, -100, 50, > 1000

45
Q

lesions with HU value of 10 attenuate what percent more than water?

A

1% (i.e. (10-0)/1000 *100%)

46
Q

doe attenuation coefficients depend on photon energy? Z?

A

of course
HU increases as photon energy decreases
changes in HU with energy are large for high Z materials (iodine (Z=53) with HU of 400 at 80 kV would have HU of 100 at 140 kV)
soft tissue (Z~7) HU drops from 60 to 50 with tube voltage change from 80 to 140 kV

47
Q

definition of FOV

A

diameter of body region being imaged

48
Q

head CT FOV

A

250 mm

49
Q

body CT FOV

A

400 mm

50
Q

CT image matrix sizes

A

512 X 512

51
Q

pixel sizes

A

0.5 mm head scan (250 mm/512)
0.8 mm body scan (400 mm/512)

52
Q

fundamental factors that limit CT resolution

A

focal spot size
x-ray detector size
smaller pixels won’t improve resolution if inherent limits are reached

53
Q

slice thickness

A

1.25 - 5 mm
-too thin will be too noisy

54
Q

what is each pixel coded with?

A

12 bits = 2 bytes of computer memory

55
Q

how many shades of grey can be used with 12 bits?

A

2^ 12 = 4096

56
Q

storage requirement for each CT image

A

0.5 MB
i.e. 512X512 pixels * 2 bytes/pixel

chest/abdo/pelvis CT has 100 images - 50 MB

-acquired raw data takes even more storage because each sinogram needs 2 MB/slice
-may be more acquired thin slices than displayed thick slices

57
Q

what are CT images displayed on?

A

2 MP monitors - display up to 8 512^2 images at full res

58
Q

what happens to lesion brightness as level is increased?

A

-brightness is reduced
HU value never changes only brightness

59
Q

what happens to image contrast as window width increases?

A

contrast decreases (but see larger range of HU components)

i.e. if window width is 50, all HU values outside of level +/-25 appear black

60
Q

window level settings for head

A

window = 80
level = 40

61
Q

window level setting for chest (mediastinum)

A

window = 400
level = 50

62
Q

window level setting for chest (lung)

A

window = 1500
level = -500

63
Q

window level setting for abdomen (liver)

A

window = 150
level = 60

64
Q

how is CT output best quantified

A

CTDIvol
-with identical techniques, small phantoms record twice the dose as large phantoms

65
Q

what is CTDIvol proportional to?

A

at constant kV it is proportional to mAs
at constant mAs, it is proportional to kV^2.6

66
Q

what is dose-length product?

A

CTDIvol * scan length
measures total amount of radiation incident on a patient
proportional to patient stochastic radiation risk

67
Q

when does increasing CT beam quality reduce patient dose?

A

when tube output (mAs) is adjusted so Kair at CT detectors is constant
-must be adjusted by operator in CT (not done automatically after quality change like it is in mammo, fluoro, radiography)

68
Q

what determines patient transmission?

A

beam quality
attenuator atomic number
density
thickness

69
Q

tissue HVL for typical CT

A

4 cm

70
Q

transmission through obese patient

A

patient thickness for neonate is 10 cm
50 cm for obese patient
40 cm is 10 HVLs
-thus obese patients transmit 1000 less than a neonate (2^10)

when patient penetration is inadequate, increasing mAs does not improve image quality
-must improve quality to increase penetration

71
Q

HVL of 80 kV CT

A

4.5 mm Al

72
Q

HVL of 120 kV CT

A

9 mm Al

73
Q

what does AEC do in CT?

A

CT doesn’t have radiation detector at image receptor (unlike fluoro, mammo, radiography)
-operator must set kV, mA, and rotation time for average patient attenuation
AEC increases mA when patient attenuation increases and vice versa

If operator changes beam quality, they must adjust mA manually (it is not done automatically like in fluoro, radiography, mammo)

74
Q

angular modulation

A

tube currents are modulated as x-ray tube rotate around patients
-tube current for lateal projection through shoulders will be more than AP or PA projection

75
Q

longitudinal modulation

A

tube currents are modulated as patients move through the gantry
tube current in chest will be lower than in the abdomen

76
Q

commercial AEC

A

vendors have different programs to adjust current based on patient size etc
-includes angular and longitudinal modulation

77
Q

making the lamella in anti-scatter grid longer will result in better?

A

contrast
-less scatter

78
Q

what does smooth filter too?

A

-reduces noise but also hurts resolution

79
Q

1 HU corresponds to an increase of what % in attenuation?

A

0.1%

80
Q

a head CT with 20 images requires how much storage space?

A

one CT image has 500x500 = 250,000 pixels
2 bytes required per pixel
one image is 0.5 MB
20 images is 10 MB

81
Q

are anode capacities in CT higher than radiography?

A

yes 10 X higher

82
Q

small focal spot (0.6 mm) power

A

25 kW

83
Q

large focal spot (1 mm) power

A

100 kW

84
Q

what are bow tie filters made of?

A

Teflon
tissue-like material to minimize beam hardeningn

85
Q

how much of the incident fluence do CT detectors absorb

A

> 90%

86
Q

doubling both CT pitch and effective mAs would do what do patient dose?

A

double it
patient dose is proportional to effective mAs. Doubling mAs at twice the pitch value requires mAs be quadrupled
thus patient dose doubles

87
Q

a head CT with 20 images requires what storage space?

A

one CT image has 500x500 = 250000 pixels, and requires 2 bytes for each pixel
20 images thus need 10 MB

88
Q

dose from projection radiograph is what % of dose from CT chest exam?

A

< 5 %

89
Q

what kV are dual energy CT scans acquired at?

A

usually highest and lowest kV available

90
Q

contrast between fat and tissue

A

fat = -100 HU
tissue = 50 HU

difference is 150 HU

91
Q

best achievable temporal resolution for dual source CT

A

1/4 of xray tube rotation time

92
Q

directly irradiated organs receive more or less than CTDI dose?

A

more
-about 50% more

Huda (20 decks)

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