Intro Flashcards

1
Q

How do plain films work?

A

Small dose of radiation passed through body

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2
Q

How many millirentgens are you exposed to with a normal radiograph? Normal exposure to natural sources?

A

200 milliroentgens.

100 milliroentgens per year

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3
Q

How will denser tissue absorb radiation?

A

Denser the tissue, the more it absorbs the radiation

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4
Q

What is decreased opacity called?

A

Lucency

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5
Q

What is increased opacity called?

A

Sclerosis

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6
Q

what object has the most radiodensity? Least radiodensity?

A

Metal-most radiodensity

Air-least

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7
Q

What are plain films best at assessing?

A
Arthritis
Bony alignment
bone infections
bone CA
Fractures
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8
Q

What are the abc’s of radiographs?

A

Alignment
bone/bone density
cartilage
soft tissue

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9
Q

When checking allignment, is it alright to check one view?

A

NO! You must always check two views.

if possible compare to the other side

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10
Q

What should you notice about the cortical lines?

A

Make sure it is intact throughout

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11
Q

What could a disruption, bulging or buckling of cortical bone be?

A

A fracture.

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12
Q

What does a fracture look like?

A

Tend to appear as lucent lines

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13
Q

How long does it take for a stress fracture to show up?

A

at least 2-3 weeks

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14
Q

What do you look for when assessing cartilage on a plain film?

A

Look at joint space. Should be smooth and distance between bones should be appropriate

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15
Q

Does soft tissue usually show up on plain films?

A

Not usually

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16
Q

How does swelling appear on radiograph?

A

Increased area of swelling will show up cloudy

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17
Q

What two conditions of the soft tissue can show up on radiographs?

A

Heterotrophic ossification and Myositis Ossificans

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18
Q

What is it called when Air or contrast is injected into a joint?

A

Arthrography

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19
Q

What is arthrography used for?

A

Assessing certain internal joint structures

Assessing joint integrity

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20
Q

How long after radiopharmaceuticals are injected is a bone scan taken?

A

3-4 hours

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21
Q

Where does medication concentrate in during a bone scan?

A

Any area of increased metabolic activity. Bladder will always show up black b/c this is where medication is eliminated

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22
Q

What are bone scans good for detecting?

A

Bone cancer/mets
fracture
bone infection
Metabolic disease (Pagets disease)

23
Q

How is the specificity for bone scans?

A

low, as many conditions demonstrate increased uptake

24
Q

What is a CT scanner?

A

Special x-ray equipment used to collect image data from around the body producting cross section of body tissue and organs

25
What color scale is CT based on?
grey scale
26
What tissues show up well on CT scans?
lung, bone, internal organs and blood vessels
27
How much radiation is a person exposed to with a CT scan?
~3x what a person is exposed to from background ratiation
28
How do you view a CT image?
Axial images are always displayed as if the patient was supine and the examiner was positioned at the feet and looking up from below
29
How are saggital images reconstructed
images are viewed from the left to the right
30
Benefits of CT scans?
``` Less expensive more readily available Good alternatives for those with metallic implants good for those with claustrophobia quicker test time ```
31
What are the limitations of CT scans?
MRI is beter for fine details of soft tissue (IV discs, shoulder and knee, tissues with similar make up) Non displaced fx's images are only collected in axial plane
32
What is a myelogram?
Injection of contrast dye into subarachnoid space before CT/plain film is taken
33
What are myelograms used to assess?
the spinal cord, nerve roots, meninges, cysts
34
How do MRI's work?
Uses radio frequency and a strong magnetic field to produce detailed images of internal tissue
35
How many imaging sequences are used ?
2-6 imaging sequences that take 2-15 minutes each
36
What is T1 weighted imaging?
Good anatomical detail Fluids are dark bat and bone marrow are bright
37
What is T2 weighted imaging?
Good for detecting inflammation Water, CSF, edema bright Fat appears darker
38
What type of properties does proton density imaging have?
T1 and T2 properties. Little contrast between tissues
39
What is proton density imaging helpful with?
Looking at tendon, meniscus, ligament and cartilage
40
What detects occult fx's the best?
STIR (short tau inversion recovery) which are similar to T2 images that emphasize structures that are fluid rich
41
In all MRI's what a-pear black?
Tendons meniscus labrum ligaments
42
Negatives for MRI?
cant use if have pacemaker, ferromagnetic implants, metal distorts image CT better for unstable pts due to length of imaging doesnt always distinguish btwn edema and tumor
43
What are MRI's better for? Ultrasound?
MRI's-Joints, bones, scanning across lung fields | US-Muscles, tendons, ligaments, cysts and bursae
44
What are the two types of US transducers?
Linear and curvalinear
45
What is the relationship between frequency and depth with ultrasound?
Lower the frquency, deeper the sound waves travel
46
Pros/cons of curvalinear transducer?
Lower freq. Deeper structures but poorer resolution
47
Pros/cons of linear transducer?
higher freq. Not as deep but better resolution
48
How do nerves appear on an US?
Honeycomb appearance
49
What is hypoechoic?
appears darker on US
50
What is hyperechoic?
Appears lighter on US
51
How does muscle tissue appear on US?
Hypoechoic
52
How does bone/calcification appear on US?
Hyperechoic
53
How do tendons/ligaments appear on US?
Hyperechoic
54
How does hyaline cartilage appear on US? Fibrocartilage?
Hyaline-hypoechoic | Fibro-hyperechoic