Intro to Imaging Flashcards

1
Q

axial plane

A

top (cranial/superior) vs bottom (caudal/inferior)

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2
Q

Nuclear medicine

A

Radioactive agents allow for physiologic imaging (PET uses glucose analog taken up by metabolically active cells)

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3
Q

ultrasound pros/cons

A

pros: non-invasive, no ioninzing radation, can be used to evaluate bloodflow or guide procedures, portable
cons: dependent on operator skill, cannot penetrate air or bone

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4
Q

mri pros/cons

A

pros: no ionizing radiation, detail of soft tissues and blood vessels
cons: expensive, slower, no pt with pacemakers

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5
Q

ALARA

A

“as low as reasonably achievable” - need to always weigh risks and benefits of imaging

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6
Q

Physics of X-ray

A

Electromagnetic radiation: electrons emitted from cathode interact with metal (W or Mb) target/anode, generating x-rays

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7
Q

coronal plane

A

front (anterior/ventral) vs back (posterior/dorsal)

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8
Q

MRI physics

A
  1. Energy from an oscillating magnetic field aligns the spin of the protons in the water molecules in the body
  2. Radiofrequency current applied to change magnetic field
  3. Protons absorb energy and spins flip
  4. Field is turned off and protons “precess” back to normal, generating a radio signal
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9
Q
A
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10
Q

CT

A

3D radiograph generated by rotating source/detector

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11
Q

ionizing radiation

A

Particle or wave with sufficient energy to remove an electron from an atom (shorter wavelength and higher frequency than UV)

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12
Q

Imaging modalities that do (and do not) use ionizing radiation

A

ionizing radiation:

  • radiography (mammography, angiography)
  • CT
  • nuclear imaging/PET

no ionizing radiation:

  • ultrasound
  • MRI
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13
Q

MRI image description

A

“intensity”

hyperintense = white

hypointense = black

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14
Q

X-ray image description

A

“density”

air (black) => fat => soft tissue => calcium/bone => metal/contrast (white)

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15
Q

sagittal plane

A

left vs right

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16
Q

Ultrasound physics

A

Transducer sends sound waves into the body and receives echoing waves with different speeds and wavelengths

17
Q

Ultrasound image description

A

“echogenicity”

anechoic (black - fluid, air) => hypoechoic (gray - soft tissue) => hyperechoic (whiter - bone, fat)

**cannot penetrate bone or air

18
Q

radiation dose from:

chest x-ray

cheast CT

average annual background radiation

annual occupation exposure limit

A

chest x-ray = 0.1 mSv

chest CT = 5-8 mSv (~50-100x more than x-ray)

average background = 3.5 mSv

occupational limit = 50 mSv (~500 chest x-rays/yr)

19
Q

pros/cons of radiography

A

pros: widely available, cheap, fast, bony detail
cons: ioninzing radation, 2D, lower tissue detail