Instrumentation Flashcards

1
Q

Survey Meter/ Gas - Filled Detectors: Operating Principals:

A

Based on ionization of gas molecules by radiations, followed by collection of ion pairs as current with the application of a voltage between two electrodes. The measured current is primarily proportional to the applied voltage and the amount of radiations.

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2
Q

Survey Meter/ Gas-Filled Detectors: Geiger Muller:

A

Used for detecting Low level beta and gamma rads. Considered of a Geiger muller ( G-M) tube, sensing element which detects radiation, and processing electronic. The GM tube is filled with an instant gas such as helium to which a high voltage is applied. The two briefly contains electrical charge when a particle or proton of incident radiation makes a gas conductive by ionization. The ionization considerably amplified within the tube to produce an easy measured pulse. Operating voltage is around 1000 V.

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3
Q

Survey meter/gas fill detectors: Ionization chamber (cutie pies):

A

Used for measuring high intensity radiation sources. Contains of a gas fill - chamber,with two electrodes: anode and cathode. A voltage potential is applied between the electrodes to create an electric field in the gas.. when gas between the electrodes is ionized by incident ionizing Radiation, Ion- pairs are created the resultant positive polarity Uber the influence of the electric field. Operating volts is around 50/300 V.

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4
Q

Quality control: frequency and types of checks:

A

Daily reference checks and performed by measuring a long-lived source using consistent, geometry before each use to verify instrument calibration. Acceptable readings are within + -20% of the calibrated exposure rate.

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5
Q

Quality control: frequent and types of checks

A

1: battery check: before each use
2: reference check( deducted source): before each use.
3: Calibration: Annually

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6
Q

Quality control: Interpretation and record keeping:

A

Records of dearly references checks do not need to be kept her ever, the NRC dose require that Records be retained 3 years.

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7
Q

Dose Calibrator: Operating Principles:

A

One of the most essential instruments in NM for measuring activity of rads for formulating and dispensing rph’s. It’s filled with argon, traces of halogen at high pressure and operating voltage is about 150 V. Because radiations of different types and energies produce different amounts of ionization equals,
activities of different radionuclide generate different quantities of current. The settings of isotope selections are basically the calibration factors for different radionuclides which are determined by measuring the current produced by one mCi.

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8
Q

Quality control: frequently and type of checks:

A

1: consistency(Daily before use) - (Precision) determines the reproducibility of measurements of a source of known activity from day to day. 2: Linearity of Activity (Quarterly)- how accurate the DC’s measurements are over a wide range, from MCI to UCI. Test involves measuring a source with short half -life over several days. Acceptable range is +-10%. 3: Accurately (Annually)- assesses ability to provide a true measure of activity of radionuclide of different y energies. 2 different long- lived strandards should be used, 1 with a proton energy between 100 and 500 KV. Accessible range is +-10%. 4: Geometric Variation(Instillation)- determinations the effect of sample volume and configuration on the measurement of a sample’s activity.

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9
Q

Interpretation and record keeping:

A

Records must include the model/serial number of instrument, date of calibration, results, and name of individual, who performed the test. Must be retained for 3 years.

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10
Q

Scintillation Detector System: operating principles:

A

Basically, gamma rays from a source interact in the NAI(TI) detector and light protons are emitted. The latter strike the photocathode of a photomultiplier (PM) tube and a pulse is generated at the end of the PM tube. The pulse is 1st amplified by a preamplifier and then by a linear amplifier. A pulse height analyzer sorts out the amplified pulses according to the desired energy of the gamma ray and finally feeds the pulse into a scaler, magnetic tape, computer,cathode ray tube or x-ray film.

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11
Q

Scintillation detector System: well Counter:

A

Used for wipe test to detect very low levels of removal of Contamination. Also use for blood counts, plasma and urine samples.

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12
Q

Scintillation detector systems: Uptake Probe:

A

Ex: thyroid, surgical: Quantitate activity within a patient.

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13
Q

Quality control: Radionuclide Source:

A

1: Energies: Well counters: very low levels of radioactivity, sensitivity limits the instruments use of B/C activities greater than 74KBQ(2 uCi) can causes coincidence loss. uptake probe.
2: type of sources;well counter: any activity that can not be spilled; uptake probe Radioactivity’s iodine.

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14
Q

Quality control: Parameters:

A

1: Energy Resolution: pulse heights of varying amplitudes, representing a range of energies around the photo-peak energy, form the familiar bell- shaped peak. The width of photo-peak is an indicator of the accuracy of the conversation from light to electrical energy, or the energy resolution of the instrument. Cs-137 is used, typical range is 8-12%. The resolution will degrade ( become larger) as the crystal ages or a problem with the amplified or PMT occurs.
2: Efficiency
3: High Voltage calibration:
4: Resolving Time: The shortest time interval between pulses in a nuclear counter that will permit them to be separately detected.
5: Sensitivity: Ability to to detect ionizing events in NaI(TI) crystal expressed in counts per sec/per microcurie(cps/uCi).
6: Energy Linearity: (LET) is term used in dosimetry. It describes the action of radiation upon matter. It is identical to the retarding force acting on a charged ionizing particle transfers to the material traversed per unit distance.
7: Chi-Square: A procedure that checks for random errors greater then those that would be predicted. Random errors affect the reproducibility ( precision) of measurements; always present in radiation counting because of random nature of radioactive decay. Acceptable P values are 0.1-0.9. Values are greater then 0.9 or less then 0.1 indicate variations and the instrument should be checked.

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15
Q

Interpretation and record keeping:

A

Same as others

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16
Q

Gas and Aerosol Delivery Systems: operating principles:

A

Air or oxygen is forced through the nebulizer at 30-50 psi to produce Aerosol droplets that are then inhaled by the patient through a mouthpiece. Exhaled air from the patient is trapped in the filter attached to the unit, preventing any contamination of the surrounding area.

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17
Q

Gas and Aerosol Delivery Systems: Exhaust system (EX: gas traps,Xe charcoal Filter): Negative Pressure:

A

An isolation technique used to prevent cross-contaminations from room to room. It includes a ventilation system that generates negative pressure to allow air to flow into the isolation room but not escape from the room, as air will naturally flow from areas with higher pressure to areas with lower pressure, thereby preventing contaminated air from escaping the room( should be activated when Xe is being used).

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18
Q

Interpretation and record keeping:Gamma Camera: Operating principles(y-camera)

A

Also called Scintillation camera or Anger Camera, is a device used to image gamma radiation emitting radioisotopes, a technique known as scintigraphy. The applications of scintigraphy include early drug development and nuclear medical imaging to view and analyze images of the human body or the distribution of medically, injected, inhaled, or ingested radionuclides emitting gamma rays. It consists of a call a meter, detector, p.m. tubes; preamplifier, linear amplifier, X/Y positioning circuits, PHA and display or storage.

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19
Q

Gamma Camera: Collimator:

A

Made of lead with number of different holes of different shape/size,it’s attached to face of a NaI(TI) detector to limit the FOV so that all radiation from outside the FOV prevented from reaching the detector.

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20
Q

Gamma Camera: Detector:

A

A sodium iodide crystal doped with a very small amount of thallium (NaI(TI) is most commonly used. Other detectors such as bismuth germinate (BGO) and lutetium Oxyorthosilicate (LSO) are also used. The choice of NaI(TI) crystals is due to their reasonable density, high atomic number of iodine (53) that result in efficient production of light photons in the presence of thallium. Most common thickness is 0.95 cm. Increases the probability of complete absorption of y rays(Sensitivity).

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21
Q

Gamma Camera: PM Tubes:

A

Consists of a light sensitive photocathode at one end, a series of metallic electrodes (dynodes) in the middle and an anode at the other end all enclosed in a vacuum glass tube. Number of PM tubes in a thyroid probe or well counter is one, whereas scintillation cameras vary from 19 to 94 . When a light photon from the NaI(TI) crystal strikes the photocathode, photoelections are emitted which race towards the dynode, strike dynode, create secondary electrons which are further accelerated producing a pulse that is attached to anode.

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22
Q

Gamma Camera: Preamplifier:

A

The pulse from the PM tube is small and must be amplified with a preamplifier. It is needed to adjust the voltage of the pulse shape and match the impedance levels between the detector and subsequent components to the pulse is accurately processed.

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23
Q

Quality control: Gamma camera: Flood Field uniformity(daily)

A

Ability of a scintillation camera to produce a uniform image when the source provides a uniform distribution of protons over the Detector. Clinically, it is the ability of the instrument to photons over the images of a radionuclides distribution and patients.

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24
Q

Quality control: High Count Uniformity correction: (Monthly):

A

The necessary data may be acquired using the same set up as used,for the daily uniformity test,except that; a much larger number of counts ( 60-100 million) must be acquired.

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25
Q

Quality control:Spatial Linearity (Weekly):

A

Ability of a scintillation camera to produce a uniform image with straight lines corresponding to straight lines in a phantom. Clinically, it is the accurate portrayal of true organ shape. Linearity can also be assessed with along with resolution by examining the straightness of a set of parallel bars.

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26
Q

Quality control: Spatial resolution (weekly):

A

Ability of a scintillation Camera to separate small objects in space or how much each point in an image is blurred. Clinically, it affects the ability to visualize small defects.

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27
Q

Quality control: Energy resolution (EX: FWHM):

A

Ability of detector to accurately determine the energy of the incoming radiation. No system is capable of determining precisely , What energy proton struck the Crystal. Instead, the system can only determine within a range of values, what energy radiation it is detecting. Most cameras have a energy resolution in the range of 11% to 13% FWHM at 140 Kev.

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28
Q

Quality control: Detector Sensitivity (Quarterly):

A

Ability to the detector ionizing events in a sodium iodide crystal expressed in counts per second per microcurie (cps/uCi). It can be affected by incorrect energy settings, incorrect collimation or improper detector to source distance.

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29
Q

Quality control: Extrinsic Versus Intrinsic:

A

(Part of field uniformity): Extrinsic ( with a collimator) assesses the instrument as it is used clinically. Intrinsic( without a collimator) monitors the condition of the NaI(TI) crystal and electronics associated with the detector.

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30
Q

Quality control center of rotation ( COR )(weekly):

A

Used to correct for slight variations in the position of the camera head as it rotates. When rotation is perfect, the matrix well always place a pixel in the same location.

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31
Q

Quality control: SPECT phantom measurements (Daily and weekly)

A

Jaszczak SPECT phantom provides consistent performance information for any SPECT or PET System: COR error, non uniformity, spatial resolution changes,etc.

32
Q

Quality control:

A

Interpretation and record keeping: 3 years

33
Q

Image acquisition: Detector system : Count or time mode:

A

Either the total number of kinds or for a fixed length of time. Students can either be acquired; in frame most common or list mode. In frame, all kinds are collected into one stage matrix in a given time period. A spot view bone well,only have one frame of data collected. Dynamic frame mode acquisition, a Renal function study, Will have a framing rate and time set per frame for multiple frames. In list mode, counts are stored sequentially as X and Y coordinates.

34
Q

Imaging:detector orientation:

A

The detector is positioned in the best possible viewing angle/ coordinates to capture the organ/system/ROI in the best. 360 degrees viewing angle are possible.

35
Q

Imaging: Photopeak energy setting and window width:

A

Using a pulse- height analyzer(PHA), the photopeak energy is used as the center line and size of the window is determined by a percentage of the centerline energy. A 20% window for Tc-99m would use a 140 keV centerline, include energies that fall between 126 Kev and 154Kev and would be 28 keV wide. Wider the window, greater the sensitivity. But if the window is widened so that included more Compton, scatter, resolution will decrease.

36
Q

Imaging: Multi-energy acquisition:

A

Simultaneous imaging of different radionuclides from TC-99m (140 Kev) and I-131(364Kev).

37
Q

Collimator Selection: Types: Parallel-Hole:

A

Several Variations; low-energy all purpose (LEAP) designed to optimize resolution and sensitivity, General All Purpose (GAP), high resolution (improved quality but decreases sensitivity) and high sensitivity (more photons but poor resolution).

38
Q

Collimator selection: Parallel-hole: Medium:

A

1: (In- 111, I-131 and Ga-67) and High (F-18) energy collimators provide lower b/c more crystal is covered with lead due to rph’s.
2: Diverging: Resolution decreases, sensitivity decreases.
3: Converging: Resolution decreases, sensitivity increases then decreases.
5: Pinhole: Resolution decreases, sensitivity increases ( depends on distance of source organ to collimator).

39
Q

Parameters

A

Ex: energy resolution sensitivity

40
Q

Dynamic/ static acquisition: Matrix selection:

A

The matrix size describes the number of pixels that will be used to acquire an image. To determine the total number of pixels being used,one multiples. (Ex. 64x64 matrix is 4096. Matrix size influences the spatial resolution. The larger the matrix (greater number and length), the better the spatial resolution.

41
Q

Dynamic/ static acquisition: Framing:

A

Ex: number and length

42
Q

Dynamic/ static acquisition: Gating

A

In Nuc Med, ECG has 2 different applications; 1. Monitor the patient’s cardiac status during stress testing, 2. Interface with the camera to trigger data acquisition. The later application is referred to physiologic gating and uses the R wave (well-defined wave) to control how data is acquired during equilibrium blood pool and MPI.

43
Q

Dynamic/ static acquisition: List Mode:

A

The counts are stored sequentially as X and Y. Other parameters may be stored such as time markers and the R wave from ECG. An advantage of using this method is it may be used to enhance image or change it by processing the data in a different way. The matrix and frame rate are also selected so these can be changed until the optimum parameters are identified.

44
Q

Dynamic/static acquisition:

A

1: Angular sampling/number of views ( EX: 180 vs 360):?/ typically 64x64 or 128 x128 data points matrix.
2: Matrix selection: same as dynamic/ static acquisition.
3: Attenuation Correction: CT data can then to correct for tissue attenuation in SPECT scans on a slice- by- Slice basis. Because the CT data are acquired in a higher- resolution matrix then the SPECT data. From the attenuation coefficient data are blurred to match the SPECT data. From the attenuation coefficient data acquired correct the SPECT data for attenuation, yielding the attenuation- corrected SPECT data.

45
Q

SPECT acquisition: Duration of acquisition:

A

Either for the total number of counts or for a fixed length of time.

46
Q

PET/CT Scanner: PET operating Principles:

A

PET images are produced by recognizing events created by the annihilation reaction of piton rich radionuclides.

47
Q

PET/CT Scanner: PET quality Control:

A

1: Frequently and types of checks: PET QC is essential to ensure the acquisition and creation of high quality diagnostic images.
2: Characterization and correction: QC is composed of types of calibrations: Characterization- calibrations fundamental to the operation of the scanner and perform meaningful scaling of the image. Much of the routine QC is done in a automated fashion and requires only verification the system is functional.

48
Q

PET/CT Scanner energy window Calibration (Quarterly)

A

PET operates at one energy (511 Kev): Typically performed after repairing during a quarterly or as recommended preventative maintenance or before normalizing is done.

49
Q

PET/CT Scanner: Gain setting (Daily):

A

Calibration and adjustments of gains from PMTs are fundamental to ensuring that a uniform sensitivity response from individual detector is maintained. Gain settings should be adjusted to compensate for temperature changes that affect performance and stability of the electronics.

50
Q

PET/CT Scanner: Coincidence timing Calibration (Weekly):

A

Adjusts for the timing differences in the event detection circuitry. Timing information is analyzed to determine differences from various detector circuits.

51
Q

PET/CT Scanner: Reference (air/blank) Scan (Daily):

A

Performed to provide accurate transmission data for attenuation correction of images/overall indicator of scanner performance using the rod sources or a Ge68 cylinder. Blank scans are used as a reference uniformity measure for the transmission scan in attenuation correction. They should be evaluated visually for any abnormal streaks that show specific crystal or changes in regional sensitivity. Broad diagonal bands will be seen when PMT problems arise.

52
Q

PET/CT Scanner: Normalization Calibration (Quantity):

A

Performed to ensure that individual detectors display the same response to to a uniform source. Used much like a high -count uniformity correction, takes at least 6hrs and uses the rod sources or a Ge68 cylinder.

53
Q

PET/CT Scanner: Absolute activity (well counter) Cablibration (Quarterly).

A

Used to convert pixel values into a measure of absolute activity per voxel. Performed by taking a precisely known amount of activity and loading a water- filled phantom by taking a precisely known amount of activity of activity and loading a water- filled phantom whose value is known. The phantom is imaged, reconstructed and processed into a set of correction factors the allows the conversion of an image that represents a quantitative measurement of standard uptake values (SUVs injected dose per volume or gram of tissue) of tissue or tumors.

54
Q

PET/CT Scanner:

A

Interpretation and record keeping: 3 years.

55
Q

PET image acquisition: 2D vs 3D

A

In 2D mode, thin septa of lead or tungsten separates each crystal ring and coincidences are only recorded between detectors within the same ring or lying in closely neighboring rings. In 3D mode, the septa are removed and coincidences are recorded between detectors lying in any ring combination.

56
Q

PET image acquisition: List Mode:

A

The counts are stored sequentially as X and Y. Other parameters may be stored such as time markers and the R wave from ECG. An advantage of this message is it allows frames durations to be determined after acquisition. Thus, it avoids having to choose between long-short scan, time and poor, good temporal resolution.

57
Q

PET Image acquisition: Respiratory gating:

A

A method of synchronizing images with respiratory motion to reduce smearing due to breathing and improve quantitative of F-18 uptake lung lesions. A camera- based gating system, real - time management (RPM), is used to monitor the respiratory cycle. Each cycle is divided into discrete bins triggered at a defined amplitude or phase within the patients breathing motion,into which PET data are acquired. The acquired data within the time bins correspond to different lesions positions within the cycle.

58
Q

PET Image acquisition: Time of Flight(TOF):

A

The concept means simply that for each annihilation event, we note the precise time that each of the coincident photons is detected and calculated the difference. Since the closer photon will arrive at it’s detector 1 st, difference in arrival times helps pin down the location of the annihilation event along the line between the two detectors.

59
Q

PET image acquisition:

A

CT operating principles

60
Q

PET image acquisition: CT quality Control: Tube Warm- Up:

A

Daily time being with an x-ray to warm up. The results will the play that the system is acceptable for use or report result/possible services needed. 

61
Q

PET Image Acquisition: CT quality Control: CT number (water phantom):

A

The pixel values aside in the CT image(Hounsfield units). They are determined by calculating the relative difference between the linear attenuation coefficient of tissue and tissue and water. CT number for water is 0 and the CT number for air is -1000. A water filled cylinder phantom is used to test number values, noise level, resolution pattern. Images should appear uniform without any streaks or rings.

62
Q

CT imaging acquisition: Kip (Killovolt peak):

A

Typically range from 80-140. Factors to determine the appropriate peak depend on the body part, size of patient and position of arms during acquiring. Increasing kVp increase penetration of the object being X rayed(increases x-ray energy), decreases noise and fewer beam Hardening artifacts. However, by doing so, increases dose to patient yet reduces attenuation differences in tissue.

63
Q

CT image acquisition: mA (milliampere):

A

Typically range from 20/120. Depending on age, size, height and weight of patient. Increases MAs; decreases image noise ( produces more X-ray energy), increases contrast resolution but increases patient radiation dosage.

64
Q

CT image acquisition: Pitch:

A

The ratio of the patients movement through the gantry during one 360 beam rotation relative to the beam collimator. It is entered as a parameter that is set in defining the procedure for the acquisition. EQ: Pitch= table movement per rotation(mm) / (number of slices)( slice width in mm). decreases number of views per scan which decreases rad exposure. Decreasing pitch increases number of views which increases improved spatial resolution.

65
Q

CT Image Acquisition: Slice Thickness:

A

Defined as the full width at half maximum ( FEHW) of the sensitivity profile, requirement and generally lies between 1mm-10mm.

66
Q

CT imaging acquisition: Noise and Uniformity:

A

Results from the finite number of X-rays used to make an exposure. In CT, noise is directly related to the number of x-rays detected by each detector. Fewer X-rays result in more noise and vice a versa.
** Uniformity is the consistency of the CT numbers of an image of a homogeneous material across the scan field.

67
Q

CT Imaging acquisition: Artifacts:

A

3 common sources are operator, scanner and patients. ** Operator: A result of the parameters and setting settings selected by the operator,for the study (peak kilo-voltage,milliamperes, slice width,increment,kernel,etc). ** Scanner: Generated by the electrical or mechanical operation mechanical motion, image distortion, partial volume effects,etc). ** Patient: motion, beam hardening or metallic artifacts.

68
Q

Data Processing: Quantitative analysis:

A

Aims to understand or predict behavior or events through the use of mathematical measurements and calculations, statistics modeling and research. ( Simpler, it aims to represent a given reality in terms of a numerical value.) 1:Region of interest: A closed boundary surrounding an area for which statistics are desired. Two methods are generally used: ** Manual Method in which The operator visually identifies edge of organ and Automatic edge detection Method: in which the computer identifies Oregon edge through use of one of the several edge detections algorithms. ** Electrons Fraction: Measurements of blood ejected from the ventricle during each contraction. ** Time activity Curve (TAC): total number of counts in ROI placed on a Organs at various frames of a dynamic study plotted as function of time. Provides information on the organ’s physiological function.Standardized uptake values SUV: used as a relative measure of FDG uptake. It is known common place in clinical FDG/PET/CT and collagen and has a pacific role in assessing patients response to cancer treatment, comparisons, between patient and face of the diagnosis

69
Q

Reconstruction: Registration (Image Fusion):

A

Registration is aligning one or more images ( moving) to another image (fixed). Fusion is combining information from 2 or more images to create a more informative image. We can consider image registration as a preprocessing step for image fusion.

70
Q

Reconstruction:

A

Orientation

71
Q

Reconstruction: Filter parameters:

A

Filters, Mathematical algorithm, are used to decrease statistical noise in an image or to enhance edges by removing or reducing the frequencies that make up an image. SPECT studies must be filtered to help eliminate the star artifact produced by backprojection and decreases effect of noise. Ramp Filter(high pass filter) Used to suppress the star artifacts and e chance edges only used in filter back projection reconstruction. ** Butter-worth (low pass) Two variables: 1: Critical Frequency (or cutoff frequency) The frequency at which the filter magnitude drops below a given value. If set too high ( unfiltered), image will be grainy or pixelated. If set too low ( over filtered), images will be overly the transition is made between frequencies that are kept and those that are eliminated. Higher the power factor, the more high frequencies removed. Lower the power factor, the more high frequencies are persevered. ** Hanning-Filter: Cutoff frequency at which the filter reaches 0. Frequencies above the cut-off are eliminated so the lower the cut-off, smoother the image.

72
Q

Reconstruction: Attenuation Correction:

A

Attenuation is the loss of detection of true coincidence events because of their absorption in the body or due to their scattering out the of the detector’s FOV. Attenuation problems are greater with PET imaging compared to traditional Nuc-Med imaging. The loss of true coincidence event detection due to interaction and PET imaging can range between 50 to 95%, Especially great in a large person. Loss of kinds due to interaction increases image noise, artifacts and distortion. INPET/CT, X-rays from a CT scan or are used to construct an attenuation map of density differences throughout the body that can be used to correct for the absorption of the photons emitted from FDG decay. The corrections process essentially “adds counts back” into areas that are more attenuated due to being deeper or being surrounding by relatively dense structures. Similarly, it “subtracts counts” from areas that are attenuated much less then all other tissues. (Lungs, body surfaces, etc;) Both data sets should be examined by the interpreter as reviewing both sometimes allows confirmation of an abnormality or benignity of a process which might have been incorrectly assessed with one set alone.

73
Q

Gated Images: cardiac procedure

A

An electrocardiogram (ECG) is interfaced with the scintillation camera to trigger data acquisition. It uses the patient’s R wave to control the way in which data are acquired during equilibrium blood pool and MPI imaging. Gating can be performed with 3 electrodes: Right arm and Left arm leads= placed on right and left clavicle, left leg lead placed on left abdomen near the waist. The computer needs a strong R wave in- order to initiate data acquisition so if the patient’s HR is very irregular, the cardiac data might be superimposed decreasing the accuracy of into. A 12 lead ECG provides more info then a 3- lead and is used to evaluate patterns. Changes in the baseline ECG may indicated myocardial ischemia or the electrical conduction path is being disrupted.

74
Q

Motion correction:

A

To correct the image time frames of a dynamic study for resolutions due to patient or organ movement. (MPI,PET,etc).

75
Q

Image management: PACS:

A

Or patient archiving and communication systems, is a medical imaging technology used for storing, retrieving, presenting and sharing images produced by various medical hardware modalities. (X rays, CT scan, MRI, Nuclear Med Ultrasound).

76
Q

Image Management: HIS/RIS:

A

(Hospital information system/Radiology information system) HIS is used to manage all the aspects of a hospital operation, such as medical, administrative, financial, and legal issues as well as the corresponding processing of services. RIS is used to schedule patient appointments and record a patient’s radiology history.