Contrast Flashcards

1
Q

what is radiolucent

A

when x-rays can pass through

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2
Q

what is radio-opaque

A

when x-rays pass through at a lower extent

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3
Q

what property is similar for soft tissues

A

absorption

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4
Q

what absorbs more bone or soft tissue

A

bone

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5
Q

what are the two types of contrast

A

+ and -

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6
Q

describe negative contrast

A
  • not used
  • radiolucent (x-rays pass through)
  • less dense than soft tissues
  • absorbs less radiation than ST
  • structure becomes dark
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7
Q

describe positive contrast

A
  • absorbs more x-rays than ST
  • more dense than ST
  • radio-opaque
  • structures are white
  • used in RT
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8
Q

what contrast is barium sulphate

A

it is a positive agent which is found as a suspension used for the GI tract

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9
Q

what happens if the blood brain barrier is crossed

A

increased chance of substances passing through. the active section of the tumour has a high metabolic rate which has a faster uptake of contrast

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10
Q

what type of contrast is iodine based agents

A

positive

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11
Q

describe iodine based agents

A
  • liquid form
  • used in GI tract, kidneys and head and neck
  • can be ingested, injected or used in the body cavities
  • used for localisation
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12
Q

are ionic agents used in RT

A

no they have a higher osmolar contrast which dissociate into positive and negative ions

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13
Q

what are iso-osmolar agents

A

non ionic, which have no osmosis occur due to the concentration being relative to plasma.

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14
Q

an example of iso-osmolar

A

omni-opaque 300

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15
Q

describe non ionic agents

A

they contain a side chain which dissolves in water. It is a low osmolar media so the osmolarity side effects are reduced

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16
Q

what is the criteria for contrast

A
  • little/no side effects
  • concentrated in the area of interest
  • easily administered
  • stable
  • appropriate storage
  • appropriate viscosity
  • non toxic/carcinogenic
  • rapidly eliminated by the body
17
Q

what are the risk factors

A
  • extremities of age
  • previous reactions
  • allergies or asthma
  • cardiovascular disease
  • diabetes
  • dehydration
  • anxiety
  • blood disorders
18
Q

what are the minor complications (no risk)

A
  • anxiety
  • local pain
  • nausea
  • flushing
  • uritiaria or itching
19
Q

what are the intermediate complications (medical attention)

A
  • more severe minor complications
  • mild bronchospasm
  • mild hypotension
20
Q

what are the severe complications (urgent)

A
  • severe minor complications
  • respiratory collapse
  • cardiovascular collapse
  • convulsions
  • unconsciousness
  • cardiac arrest
  • laryngeal oedema
  • cardiac dysrhythmia
21
Q

what are the pre cautions

A
  • no previous reaction
  • emergency drugs close by
  • monitor patient closely
  • must stay within the department for 30 minutes afterwards