Introduction to Advanced Imaging Flashcards

1
Q

what are CT amd MRI images

A

tomographic imaging

produce slice of patient

avoids superimposition

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2
Q

what are the planes of imaging in CT and MRI

A

sagittal

dorsal

transverse

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3
Q

what is CT

A

computed tomography

ionizing radiation

shows slices

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4
Q

how does CT take an image

A

x-ray beam passes through patient and strikes detectors

x-ray tube and detectors rotate around patient

cross-sectional image generated

high-energy x-ray beam

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5
Q

what is back projection

A

measurement of total beam attenuation along path

measurement at multiple angles

gives final image

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6
Q

how is CT image displayed

A

tissue attenuation measured in Hounsfield Units (HU)

can adjust window centre and width to highlight different tissues

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7
Q

what are the uses of CT

A

lung and bony structures (resp and orthopaedic disease

3D reconstruction

higher resolution than convential radiography

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8
Q

what is MRI useful for

A

excellent for soft tissue (CNS)

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9
Q

how does MRI work

A

body placed in strong magnetic field with receiver coil

protons align with magnetic field

electromagnetic pulse moves protons from alignment with main field

as protons relax back to main field, change in signal is detected by receiver coil

image is generated

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10
Q

what are the two sequences of MRI

A

T1 and T2

different tissues have different relaxation properties –> image sequence can highlight different relaxation property, appearance depends on imaging sequence used

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11
Q

what are hypointense (dark) tissues on T1 weighted sequences

A

fluid

cortical bone

gas

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12
Q

what are isointense (grey) tissues on T1 weighted sequences

A

CNS

muscle

organs

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13
Q

what are hyperintense (white) tissues on T1 weighted sequences

A

fat

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14
Q

what are hypointense tissues on T2 weighted sequences

A

cortical bone

gas

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15
Q

what are isointense tissues on T2 weighted sequences

A

muscle

organs

CNS

white vs. grey matter

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16
Q

what are hyperintense tissues on T2 weighted sequences

A

fat

fluid

17
Q

what are other sequences

A

T1w + contrast (contrast –> gadolinium, highlights vascular tissues)

FLAIR (like T2w, but free fluid is hypointense)

STIR (like T2w but fat is hypo/isointense)

gradient echo (hemorrhage is hypointense)

18
Q

what is fluoroscopy

A

real time radiography

good for dynamic diseases (swallowing, tracheal, vascular)

19
Q

what is scintigraphy

A

radioactive material injected into blood stream (technetium99)

bound to tracer (localizes to specific tissue)

radiation detected by gamma camera

increased tissue activity –> infection, tumour (increased radio-activity of that tissue)

physiological imaging