Neuroimaging Flashcards

1
Q

What is CT scanning

A

Utilizes ionizing radiation to produce an image

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2
Q

What is CT scanning based on

A

differential attenuation of tissue

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3
Q

What absorbs the least to most amount of an x-ray beam

A

Air, fat…soft tissue, water, then bone then metal absorbs the most

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4
Q

What is and what are the advantages of multidetector scanning

A

Small, high efficiency detectors in both x and z planes, multiple single slices studied at once,
Allow a VOLUME to be studied.

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5
Q

What are the advantages of CT

A
  1. Rapid image aquisition
  2. Widely available
  3. Can scan multiple body parts
  4. can give contrast!
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6
Q

What is the disadvantage to using a CT Myelogram

A

Can only identify extrinsic lesion compressing the cord

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7
Q

What are the disadvantages of a CT

A
  1. Uses ionizing radiation, important if cumulative

12. Contrast agent can produce renal problems

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8
Q

what are Hounsfield units?

A

Used to convert attenuation coefficient values to grey scale units.
Whiter pixels = higher HU values

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9
Q

what are some uses of a CT scan

A
  1. Fractures - good bony anatomy visualization
  2. Acute blood (like hemorrhage), Acute blood has a high density - appears white
    (acute trauma)
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10
Q

What are some common features of an epidural hematoma

A
  1. Typically CN3 palsy (ipsilateral) and contralateral limb weakness
  2. middle meningeal arterial
  3. Lentiform shape
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11
Q

what does a hypodense subdural hematoma indicate

A
  1. Implies chronic bleed ! acute blood - white!
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12
Q

Where do cerebral contusions often occur?

A

Bifrontal cortex, at the grey/white matter junctions.

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13
Q

How does MRI work

A

Works on perturbing a precessing proton by radiofrequency, and the rate of relaxation back to its baseline state is measured

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14
Q

What is T1 relaxation

A

Spin-lattice relaxation time, relies on longitudinal relaxation - fat appears bright, fluid appears dark

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15
Q

What is T2 relaxation

A

Spin-spin relaxation?, relies on transverse relaxation, due to signal loss , fat is int-bright, fluid is bright

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16
Q

What would you use FLAIR imaging for?

A

Imaging for MS lesions

hyperintense on T2-weighted