Intro to Neuroradiology Flashcards

1
Q

How is electromagnetic radiation created?

A

electron beam targets tungsten –> radiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the pros and cons of XR?

A

pros: cheap, fast
cons: radiation, lack of soft tissue detail

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is fluoroscopy?

A

real-time X ray
used for diagnosis and intervention (swallow studies, angiography, myelography)
*uses contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the pros and cons of barium swallow?

A

pros: live demo of swallow coordination
cons: time consuming, contrast, radiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is myelography?

A

ueses fluoroscopy
cervical or lumbar puncture
inject contrast intrathecally –> can see spinal cord
f/u w/ CT to eval contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What do you use myelography for?

A

spinal stenosis, nerve root compression
CSF leak
if MRI contraindicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which imaging technique can allow you to see the subarachnoid space?

A

myelography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what imaging technique can be used to quantitate blood velocity?

A

U/S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are Hounsfield units?

A

measure radiodensity

0 HU = water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is white and dark in CT?

A
hyperdense = white
hypodense = dark
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What body substances are less dense than water?

A

fat

air

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the level and window of the houndsfield scale?

A

level = center of window
window = width of HU in generated view of CT
narrow windows compare areas w/ similar densities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the major pro of CT?

A

most beneficial for ruling out large pathology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

when would you use CT contrast?

A

neoplasm
infection
vascular disease
inflammatory disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What type of contrast is used in CT?

In MRI?

A

CT = iodine
MRI = gadolinium
*both bright on imaging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the risks of CT contrast?

A

risk of allergic rxn to iodine contrast

17
Q

What is the contrast used in MRI and how does it work?

What are the risks?

A

gadolinium = paramagnetic metal that increases T1 relaxation of nearby water protons (looks bright on MRI)
risk of nephrogenenic systemic fibrosis in pts w/ renal insufficiency

18
Q

What happens if you see enhancement in the brain from IV contrast?

A

BBB is absent or dysfunctional

19
Q

How does MRI work in general?

A

large magnet aligns all protons –> radiowaves passed and returning signals are converted into an image

20
Q

What are the basic MRI terms?

A
hyperintense = white/bright
hypointense = dark
21
Q

What do you see on T1 MRI?

A

CSF = dark (hypointense)
white matter = bright (hyperintense
good for anatomy

22
Q

What do you see on T2 MRI?

A

(To Fkn Bright)
T2–> csF = Bright (hyperintense)
white matter = dark

23
Q

What is T2 Flair?

A

removes CSF from T2 image
enhances fluid w/ increased protein content = great for seeing edema/abscesses
dying neurons sell as Na/K pumps stop working –> water accumulates within the cell
*bright area will be damaged area