Head and Neck Flashcards

1
Q

Figure B 1 was acquired in the ____plane

A

sagital imaging plane

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2
Q

Figure B 1 is an example of a ____ weighted image

A

T 1 weighted image

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3
Q

Figure B 1 is likely to be acquired with ____TR _____TE

A

short TR and short TE

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4
Q

Figure B 1 arrow A is pointing to

A

superior sagittal sinus

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5
Q

Figure B 1 the tissue indicated by arrow A is made up primarily of

A

flowoing blood

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6
Q

Figure B 1 arrow B is pointing to

A

parietal lobe

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7
Q

Figure B 1 the tissue indicated by arrow B is made up primarily of

A

gray matter

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8
Q

Figure B 1 arrow C is pointing to

A

frontal lobe

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9
Q

Figure B 1 arrow D is pointing to

A

Genu of the corpus callosum

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10
Q

Figure B 1 the tissue indicated by arrow D is primarily

A

white matter

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11
Q

Figure B 1 arrow E is pointing to

A

thalamus

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12
Q

Figure B 1 arrow F is pointing to

A

optic chiasm

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13
Q

Figure B 1 arrow G is pointing to

A

pituitary gland

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14
Q

Figure B 1 arrow H is pointing to

A

pons

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15
Q

Figure B 1 arrow H is pointing to a structure that is one complonent of the brainstem. the components that make up the brainstem include

A

Pons

medulla

midbrain

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16
Q

the components that make up the basil ganglia include

A

caudate nucleus

lentiform nucleus

thalamus

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17
Q

components that make up the circle of willis

A

anterior cerebral arteries

posterior cerebral arteries

anterior communicating artery

posterior communicating arteries

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18
Q

components that make up the diencep[halon

A

hypothalamus

hyperthalamus

thalamus

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19
Q

Figure B 1 arrow I is pointing to

A

subcutaneous fat

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20
Q

Figure B 1 arrow J

A

anterior horn of the lateral ventricle

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21
Q

Figure B 1 tissue indicated by arrow J

A

cerebrospinal fluid

CSF

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22
Q

Figure B 1 arrow K

A

splenium of the corpus callosum

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23
Q

Figure B 1 arrow L

A

cerebral aquesuct

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24
Q

Figure B 1 tissue indicated by arrow L

A

CSF

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25
Q

Figure B 1 arrow M

A

fourth ventricle

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26
Q

Figure B 1 tissue indicated by arrow M

A

CSF

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27
Q

Figure B 1 arrow N

A
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28
Q

Figure B 1 arrow O

A

spinal cord

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29
Q

Figure B 1 tissue indicated by arrow O

A

gray matter

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30
Q

likely that Figure B 1 was acquired with

A

head transmit/receive coil

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31
Q

the best view for the base of the tongue and epiglottis is the

A

sagittal

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32
Q

to optimize brain imaging when evaluating patients for metastatic disease and FDA approved contrast agent can be administered

A

with single dose followed by rapid imaging

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33
Q

the patient with a history of seizures can be imaged using cardiac gating

A

to minimize pulsitile flow motoin artifact in the temporal lobe

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34
Q

the best view to evaluate patients with seizures is

A

coronal

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35
Q

when a patient arrives at the imaging center with a cranial scar the technologist should

A

screen the patient, their Dr and or family to find out what tyupe of surgery they have had

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36
Q

when scanning patients to rule out brain tumors, the weithed images acquired to evaluate the extent of the lesion after injection of gadolinium are

A

T1

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37
Q

when imaging a patient with decreased consciousness an area of high signal intensity is noted on both the T1 and T2 weighted images. the type of lesion is likely to be

A

hemorrhage

methemoglobin

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38
Q

to best visulaize the pituitary gland in MRi the optimal planes for high resolution T1 weighted images are

A

sagittal and coronal

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39
Q

for a patient with a suspected pituitary microadenoma contrast is injected and imaging is performed

A

rapidly because lesions have low signal intensity compated to the enhanced pituitary gland

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40
Q

the optimal plane for high resolution T1 weighted images of the internal auditory canals include

A

axial

coronal

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41
Q

when imaging the brain of a child under 1 yr of age, since the brain is not fully developed or myelinated, the BEST visualization of gray and white matter differences is demonstrated on ______whereby white matter is hyperintense to gray matter

A

inversion recovery

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42
Q

typical brain protocols consist of

A

Sagittal T1 SE

Axial T2 FSE

axial FLAIR

axial diffusion

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43
Q

figure B 2 was acquired in the

A

axial plane

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44
Q

figure B 2 is an example of a

A

spin (proton) density weighted image

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45
Q

figure B 2 arrow A

A

cerebral cortex

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46
Q

figure B 2 arrow A is pointing to a structure composed of tissue made uip primarily of

A

gray matter

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47
Q

figure B 2 arrow B

A

genu of the corpus callosum

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48
Q

figure B 2 structure arrow B is made up of

A

white matter

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49
Q

figure B 2 arrow C

A

caudate nucleus

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50
Q

figure B 2 structure arrow C is made up of

A

gray matter

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51
Q

figure B 2 arrow D

A

internal capsule

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52
Q

figure B 2 structure arrow B is made up of

A

white matter

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53
Q

likely figure B 2 was acquired with a

A

long TR and short TE

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54
Q

figure B 2 arrow E

A

lentiform nucleus

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55
Q

figure B 2 arrow F

A

thalamus

56
Q

figure B 2 arrow G

A

right, posterior horn of the lateral ventricle

57
Q

figure B 2 arrow H

A

splenium of the corpus callosum

58
Q

on a short TR/TE spin echo (or FSE) imaging sequences white matter appears

A

hyperintense to gray matter

59
Q

the craniual nerves running through the internal auditory canal are

A

VII and VIII

60
Q

the ACR guidelines for brain imaging suggest that the minimum imaging procedure should include a three plane locallizer and

A

sagittal T1

axial T2

axial PD or FLAIR

diffusion

61
Q

figure B 3 was acquired in (plane)

A

axial

62
Q

typical diffusion images (figure B 3) are acquired with a B value of

A

1000ms

63
Q

figure B 3 arrow A

A

frontal lobe of the brain

64
Q

figure B 3 arrow B known as

A

sylvian fissure

latteral fissure

middle cerebral artery

65
Q

figure B 3 arrow C

A

third ventricle

66
Q

figure B 3 arrow D

A

posterior horn of the lateral ventricle

67
Q

on a typical diffusion image (figure B 3) the high signal indicated by arrow E represents

A

early (hyperacute) infarct

68
Q

figure B 3 high signal in the right posterior portion of the brain is visualized on the diffusion image but not the FLAIR imagebecause

A

new stroke has restricted molecular diffusion

69
Q

for the most brain imaging procedures the patient is positioned ______ and centered for a landmark at the _____

A

supine

nasion

70
Q

for the evaluation of a patient with tinnitus images should be centered at the level of the

A

external auditory meatus

71
Q

for optimal imaging of the thyroid gland patients are positioned

A

supine and local coils are placed on the anterior neck

72
Q

figure B 4 was acquired in the plane

A

coronal

73
Q

figure B 4 is an example of (weighting)

A

T2

74
Q

figure B 4 was likely acquired with an SE or FSE acquisition with a

A

long TR and long TE

75
Q

figure B 4 arrow A

A

superior sagittal sinus

76
Q

figure B 4 arrow B

A

longitudinal fissure

77
Q

figure B 4 arrow C

A

body of the corpus callosum

78
Q

figure B 4 arrow D

A

right anterior horn of the lateral ventricle

79
Q

figure B 4 arrow E

A

sylvian fissure

lateral fissure

80
Q

figure B 4 arrow F

A

thalamus

81
Q

figure B 4 arrow G

A

temporal lobe (hippocampus)

82
Q

figure B 4 arrow H

A

tentorium

83
Q

figure B 4 arrow I

A

fourth ventricle

84
Q

figure B 4 arrow J

A

cerebellum

85
Q

figure B 4 CSF appears bright becasue

A

waster has a long T2 relaxatoin time

86
Q

the difference between the images demonstrated in figure B 5 is the

A

image on the left shows gadolinium enhancement

87
Q

gadolinium contrast media provides images whereby enhancing structures appear _____ on T1 weighted images

A

hyperintense

88
Q

tissues with short T1 relaxatoin times (fat and gad) appear____as compared to normal structures on a T1 weighted image

A

hyperintense

brighter

89
Q

dynamic susceptiblility weighted imaging is performed for the evaluatoin of stroke T2* MR images are acquired before, during and after contrast to provide images whereby normal brain appears ________to brain affected by stroke

A

hypointense

90
Q

figure B 5 was likely to have been acquired with a SE or FSE using

A

short TR and short TE

91
Q

figure B 5 was acquired in the plane

A

axial

92
Q

figure B 5 arrow A

A

anterior horn of the lateral ventricle

93
Q

figure B 5 arrow A tissue is

A

CSF

94
Q

figure B 5 arrow B

A

septum pellucidum

95
Q

figure B 5 arrow C

A

sylvian fissure

lateral fissure

96
Q

figure B 5 arrow D

A

lect lacunar branches of the middle cerebral artery

97
Q

figure B 5 arrow E

A

left posterior horn of the lateral ventricle

98
Q

figure B 5 arrow F

A

falx cerebri

99
Q

figure B 5 arrow G

A

superior sagittal sinus

100
Q

figure B 5 arrow H

A

occipital lobe

101
Q

MR images in figure B 6a are displayed with and without contrast. the images are T1`. the lesoin on the enhanced image appears bright because gadolinium

A

shortens T1 relaxatoin time

102
Q

the series of nine T2 images figure B 6b are EPI gradient echo sequences acquired before during and after the contrast. the brain tissue on the enhanced image appears darker because gadolinium

A

shotens the T2 (and T2*) relaxation times

103
Q

the decreased myeliniation found in brains of children under 1 yr old results in a lack of image contrast. consequently in comparision to scanning adults to achieve T2 weighted images during pediatric brain imaging often requires a

A

longer TE

104
Q

when performing an MRA of the cerebral arteries, a saturation band shoujld be placed ______to the axial slices

A

superior

105
Q

figure B 7 is projected in the plane

A

axial

106
Q

acquired by magnetic resonance angiography (MRA) figure B 7 is an example of

A

collapsed image

107
Q

figure B 7 arrow A

A

right anterior cerebral artery

108
Q

figure B 7 arrow B

A

right anterior cerebral artery

109
Q

figure B 7 arrow C

A

right middle cerebral artery

110
Q

figure B 7 arrow D

A

anterior communicating artery

111
Q

figure B 7 arrow E

A

posterior communicating artery

112
Q

figure B 7 arrow F

A

right posterior cerebral artery

113
Q

figure B 7 arrow G

A

left posterior cerebral artery

114
Q

when using MRA to evaluate intracranial vascularity flow within smaller (highervelocity blood flow) can best be demonstrated by

A

3D TOF MRA

115
Q

when using MRA to evaluate extracranial vascular flow such as that within carotid arteries a recommended technique is

A

2D TOF MRA

116
Q

when using MRA to evaluate peripheral vascular flow such as that with in arteries of legs, saturation pulses are

A

placed inferior to the acquired slices

117
Q

the cranial nerve associate with the optic nerve is the

A

second cranial nerve

118
Q

standard dose of gadolinium for imaging of the central nervous system is

A

0.1 mL/mmol

commonly known as cc.mmol

119
Q

the MRA technique that is typically used for the evaluation of venous structures of the head is

A

PC MRA

120
Q

figure B 8 arrow A

A

superior sagittal sinus

121
Q

figure B 8 arrow B

A

superior sagittal sinus

122
Q

figure B 8 arrow C

A

left transverse sinus

123
Q

figure B 8 arrow D

A

right transverse sinus

124
Q

figure B 8 arrow E

A

confluence of sinus

125
Q

figure B 8 arrow F

A

sigmoid sinus

126
Q

figure B 8 arrow G

A

internal jugular vein

127
Q

figure B 9 arrow A

A

internal carotid artery

128
Q

figure B 9 arrow B

A

internal carotid artery

129
Q

figure B 9 arrow C

A

internal carotid artery

130
Q

figure B 9 arrow D

A

external carotid artery

131
Q

figure B 9 arrow E

A

vertebral artery

132
Q

figure B 9 arrow F

A

common carotid artery

133
Q

figure B 9 arrow G

A

subclavian artery

134
Q

the 3D contrast enhanced MRI images of the neck vasculature shown in figure B 9 is acquired in the _plane

A

coronal

135
Q

on the coronal display of the neck vasculature the vertebral arteries are located

A

medial to the carotid arteries

136
Q

for optimal imaging of the thyroid gland patients are positioned

A

supine and local coils are placed on the anterior neck

137
Q

contrast media are utilized in CNS imaging for the evaluation of

A

infection

infarction

inflammation

neoplasm