okok Flashcards

1
Q

What is nuclear medicine?

A

Medical specialty involving the application of radioactive substances in the diagnosis and treatment of disease.

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2
Q

What governs the uptake of a radioactive tracer?

A

Physiology.

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3
Q

What does the contrast in nuclear medicine images depend on?

A

Relative uptake of tracer between the organ of interest and the background.

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4
Q

What type of information does nuclear medicine provide?

A

Information about the function of an organ.

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5
Q

What is the spatial resolution of nuclear medicine?

A

Relatively poor.

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6
Q

Is nuclear medicine a high dose procedure?

A

Yes.

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7
Q

What are radiopharmaceuticals composed of?

A

Radionuclide and pharmaceutical.

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8
Q

What role does a radiopharmaceutical play in the body?

A

Acts as a tracer for a particular physiologic or chemical process.

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9
Q

What is Technetium-99m used for?

A

Most commonly used radionuclide for diagnostic imaging.

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10
Q

What is the half-life of Technetium-99m?

A

6 hours.

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11
Q

What is Technetium-99m produced from?

A

Decay of Molybdenum-99 (99Mo).

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12
Q

What is the half-life of Molybdenum-99?

A

28 days.

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13
Q

How is Molybdenum-99 produced?

A

By neutron irradiation of Molybdenum-98 or extracted from fission products.

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14
Q

What is the purpose of the Technetium-99m generator?

A

To elute Technetium-99m from Molybdenum-99.

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15
Q

What is the elution process in the Technetium-99m generator?

A

Technetium-99m is eluted from alumina by passing sterile saline through it.

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16
Q

What is sodium pertechnetate (NaTcO4)?

A

The resulting eluate from the Technetium-99m generator.

17
Q

What are common radiopharmaceuticals used in nuclear medicine?

A
  • Bone scan
  • Lung scan
  • Myocardial perfusion imaging
  • Kidney imaging.
18
Q

What does a gamma camera do?

A

Detects gamma rays emitted from radiopharmaceuticals.

19
Q

What is the function of the collimator in a gamma camera?

A

Controls the gamma rays reaching the scintillation detector.

20
Q

How are gamma rays converted in gamma cameras?

A

Into flashes of light by the scintillation crystal.

21
Q

What transforms light into electrical signals in gamma cameras?

A

An array of photomultiplier tubes (PMT).

22
Q

What do the X and Y signals in gamma cameras represent?

A

The spatial location of the scintillation.

23
Q

What does the Z signal in gamma cameras represent?

A

The energy deposited in the crystal by the gamma ray.

24
Q

What is the most common type of collimator in gamma cameras?

A

Parallel hole collimator.

25
Q

What determines the properties of a collimator?

A

The thickness and length of the lead septa separating the holes.

26
Q

What is the compromise in collimator performance?

A

Between spatial resolution and sensitivity.

27
Q

What is spatial resolution in collimators?

A

The ability to distinguish two small sources of radioactivity close to each other.

28
Q

What is sensitivity in collimators?

A

A measure of gamma rays incident on the collimator that pass through to the detector.

29
Q

What is the scintillation crystal made of?

A

Thin crystal of sodium iodide, doped with thallium (NaI(Tl)).

30
Q

What happens when a photon interacts with the scintillation crystal?

A

It emits a photon of visible light by the process of scintillation.

31
Q

What is the function of photomultiplier tubes (PMTs)?

A

Detect small amounts of light produced in scintillation.

32
Q

What is the purpose of dynodes in PMTs?

A

To accelerate electrons and amplify the signal.

33
Q

How does the distance from scintillation affect PMT output?

A

Closer tubes produce a larger amount of light.

34
Q

What does the sum of pulse heights in PMTs represent?

A

The total amount of light produced.

35
Q

What are CZT gamma cameras known for?

A

Improved energy resolution.

36
Q

What is unique about pixelization in CZT cameras?

A

Each hole in the collimator aligns with a single corresponding detector pixel.

37
Q

What is the benefit of registered collimation in CZT cameras?

A

Simplifies localization of events detected within a single tiny pixel.

38
Q

What are novel camera designs in nuclear medicine?

A

Spectrum Dynamics with 12 CZT detectors in a 360° configuration.