Medical Imaging Flashcards

1
Q

What are 4 ionizing radiation imaging techniques?

A
  • Plain Radiographs (x-rays)
  • Computer Topography
  • Fluoroscopy
  • Nuclear Medicine
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2
Q

What are 2 non-radiation imaging techniques?

A
  • Magnetic Resonance Imaging (MRI)
  • Ultrasonography (ultrasound)
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3
Q

What are 2 non-radiation imaging techniques?

A
  • Magnetic Resonance Imaging (MRI)
  • Ultrasonography (ultrasound)
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4
Q

What is ionizing radiation?

A

Radiation that carried enough energy to free electrons from atoms or molecules, thereby ionizing them.

It is high energy radiation with potential adverse health effects.

  • Found further up the electromagnetic spectrum than non-ionizing radiation
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5
Q

What is a Sievert?

A

a unit of effective equivalent dose in the human 1 J/Kg

  • the mSv is the unit used to describe the dose received by a patient for an ionizing radiation used in medical imaging
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6
Q

What is a grey?

A

A unit of dose in the human - 1 Joule per Kg

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7
Q

How many mSv does the average UK resident receive per annum?

A

= 2.5 mSv

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8
Q

How many mSv is received after an intraoral x-ray?

A

= 0.005 mSv

(1 days worth of radiation)

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9
Q

How many mSv is received after a computed tomography CT - chest ?

A

= 7 mSv

(2 years of radiation)

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10
Q

How many mSv is received after radiography - chest ?

A

= 0.1 mSv

(10 days of radiation)

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11
Q

What is the aim to produce with all imaging procedures?

A

= an image contrast

The imaging technique emphasizes certain contrast characteristics of anatomical structures allowing us to differentiated structures and determine which structures are abnormal.

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12
Q

In x-rays what does denser material (bone) show up as ?

A

Denser material = white

(Rays are blocked from reaching the film)

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13
Q

In x-rays what does less dense material show up as ?

A

Less dense = black

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14
Q

What colour would gas, fat, water and soft tissue show up on an x-ray?

A

= Black and grey

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15
Q

What colour would bone or metal show up on an x-ray?

A

= White

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16
Q

Why do x-rays need to be taken at different postions?

A

Anterior/ posterior and lateral x-rays have to be taken to allow a full 3D view of the area.

Therefore a CT scan is not needed.

17
Q

What are 5 positives of x-rays?

A
  • Fast
  • Non - invasive
  • Painless
  • No special prep required
  • No recovery time
18
Q

What are 5 negatives of x-rays?

A
  • Risk of radiation
  • Can be low image quality
  • Distortion
  • Not good for viewing soft tissues
  • Inappropriate during pregnancy
19
Q

How do fleshy organs show up in a CT skan?

A

Fleshy organs area uniform in density

Computer enhanced techniques differentiate varying shades of grey.

20
Q

What images are produced in CT scans?

A

Transverse / horizontal images produced

21
Q

What are 6 positives of CT scans?

A
  • Fast
  • Non-invasive
  • Painless
  • No special prep required
  • No recovery time
  • Better for soft tissue
22
Q

What are 3 negatives of CT scans?

A
  • Higher radiation risk
  • Contrast issues
  • Inappropriate during pregnancy
23
Q

What can a contrast medium be used for?

A

Can be used to examine structures that don’t have inherent contrast differences
e.g.
- radiopaque
- GI system
- Lungs (air)
- Urography
- Angiography - arterial system contrast
medium

24
Q

What are 2 positives of a contrast medium?

A
  • Excellent differentiation of tissues
  • Sequential images - follow through
25
Q

What are 6 negatives of contrast medium?

A
  • Special preparation
  • Adverse reactions
  • Recovery time
  • Invasive
  • Slower
  • Transverse
26
Q

What is MRI imaging?

A

MRI scans essentially map the location of water and fat in the body

Detect differentiation of abnormal and different tissues.

27
Q

What are 8 positives of MRI scans?

A
  • Excellent differentiation of tissues
  • Sequential images - follow through
  • Any plane
  • Images structures better without contrast
  • Non invasive
  • Detect abnormal tissues
  • No risk to “normal” patients
  • No radiation
28
Q

What are 5 negatives of MRI scans?

A
  • Scans take longer
  • Patient has to remain completely still (hold
    breath)
  • Bowel movements and heart in constant
    motion
  • Distortion from metallic implants, fillings
  • Cost
29
Q

What is ultrasound?

A

A non invasive imaging that uses high frequency sound waves, echoes and reflections to generate an image.

30
Q

What are positives of ultrasound?

A
  • Quick
  • Low cost
  • Portable
  • No radiation
  • Risk free
  • Use on “high risk” patients
  • Live feedback - not static
  • Biopsy
31
Q

What are negatives of ultrasound?

A
  • Varying quality
  • Unable to cross tissue gas of tissues bone
    boundary
  • Gas containing structures can obscure
    deeper tissues
  • High degree of technical skill
32
Q

How can treatments be changed to create a diagnosis method?

A

e.g. Radiography to Radiotherapy

Extremely high doses of ionising radiation concentrated at a target e.g. tumour

e.g. Ultrasound to Therapeutic Ultrasound

High amounts of focused waves aimed at e.g. breaking up a kidney stone