CT image interpretation Flashcards

1
Q

What are the 3 anatomical planes?

A

Axial, coronal , sagittal

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2
Q

When is Volume rendering used?

A

Bone injury
Soft tissue stab injury
Vascular injury
Facial trauma

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3
Q

What are Hounsfield units?

A

Image data represents a distribution of values
Values are assigned to a CT number
These are scaled to hounsfeild units
values of water and air fixed

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4
Q

Definition of Hounsfield unit

A

The Hounsfield unit (HU) scale is a linear transformation of the original linear attenuation coefficient measurement into one in which the radiodensity of distilled water at standard pressure and temperature (STP) is defined as zero Hounsfield units (HU), while the radiodensity of air at STP is defined as -1000 HU

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5
Q

What is the HU value for water?

A

0

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6
Q

What is the HU and colour of value for air?

A

Black - 1000 Hu

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7
Q

What is the Hu value and appearance of bone?

A

White + 1000

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8
Q

How many grey levels are CT numbers displayed as?

A

256 or 2^8

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9
Q

What is the approximate window level and width for soft tissues?

A

350 width
50 level

narrow window as most tissues are similar density so we need narrow to distinguish different organs

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10
Q

What is the approximate window level for Lung

A

Width = 1500
level = -600

Can have a wider width as large contrast between lung and surrounding tissues

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11
Q

What is the approximate window level for bone?

A

Width = 2500
Level = 500

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12
Q

What is the approximate window level for brain?

A

Width = 80
level = 40

very narrow window to distinguish white and grey matter apart

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13
Q

What are 4 main types of contrast?

A

Inherent, IV, Oral, rectal

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14
Q

What is inherent contrast?

A

naturally occurring eg:
Air in lings, kidney stones or fat surrounding organs

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15
Q

What is contrast media?

A

A substance we add to highlight any abnormalities with the imaging procedure

it has a different atomic number and density to the surrounding tissue

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16
Q

What is a POM?

A

Prescription only medication

17
Q

Which patients are at increased risk after contrast?

A

Patients who have a history suggesting the possibility of a reduced eGFR:
Acutely unwell
Chronic Kidney Disease
Diabetes mellitus
Previous renal surgery I.e. Nephrectomy
Recently taken nephrotoxic drugs

18
Q

What are the common phases of IV contrast? with timings

A

Arterial (25-40s) depending on cardiac output
Venous (60-80s)
Delayed (100s-15min) depending on area
Biphasic/ Triphasic - combines a number of injections so that contrast is in more than one area

19
Q

What is oral contrast?

A

Can be Positive or negative

Positive - iodinated agents
negative - water
used to differentiate the GI tract

20
Q

What gas is used as a negative contrast in the bowel?

A

Carbon dioxide

21
Q

When reviewing images what do I need to consider?

A

What plane is the scan?
What contrast phase is the scan?
Which window are we using?
Can you identify any pathology?