Quiz (self-made) about choice of imaging modalities Flashcards

1
Q

Which is the most common form of medical imaging, using high-energy radiation to penetrate skin and tissues but not bone?
? Positron Emission Tomography (PET)
? Ultrasound
? X-ray
? Magnetic Resonance Imaging (MRI)

A

X-ray

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2
Q

Why does bone appear white on X-rays?
? X-rays are absorbed by bone
? X-rays cause a chemical reaction in bone that makes it glow white
? X-rays excite the atoms in bone so that they glow white
? X-rays are reflected off bone

A

X-rays are absorbed by bone

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3
Q

Which of these imaging techniques use X-rays?

A) Radiography
B) Fluoroscopy
C) Radiotherapy
D) Ultrasound
E) Computed Tomography (CT)
F) Magnetic Resonance Imaging (MRI)
G) Positron Emission Tomography (PET)

? A, B, C, and E
? C, E and F
? All seven techniques use X-rays
? D, F and G

A

A, B, C and E

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4
Q

Magnetic Resonance Imaging (MRI) is a medical imaging technique most commonly used in radiology to visualize the internal structure and function of the body. Which of these statements about MRI indicates a drawback of this technology?

? MRI imaging machines can cost between 1 and 3 million dollars and the suites required to house the machines cost up to $500,000 each
? MRI technology can be used to observe changes in brain activity in living time
? MRI is very safe for the patient because it does not use any radiation
? MRI can produce multiple two-dimensional images of body structures and three-dimensional reconstructions of them

A

MRI imaging machines can cost between 1 and 3 million dollars and the suites required to house the machines cost up to $500,000 each.

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5
Q

Fill in the blank.

The darker areas on a plain radiograph indicate that the x-ray beam has passed through ………….. density tissue.

A

low

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6
Q

True or false.

The radiation exposure from a chest x-ray is equivalent to 10 days of natural background radiation .

A

True

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7
Q

Fill in the blank.

You review an MRI scan noting that the joint fluid appears bright and subcutaneous fat is dark. This is characteristic of a T…….. weighted scan

A

t2

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8
Q

Why is iodine a good contrast agent for x-ray imaging?

High attenuation
Long radioactive half life
Only need a small amount
Produces pink colouration of photographic paper

A

High attenuation

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9
Q

X-rays are produced when high speed electrons strike a target material. The energy of these electrons can be converted to what, in terms of what is useful in medicine?

  • Light photons
  • Gamma rays
  • Alpha particles
  • Microwaves
A

Gamma rays

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10
Q

Which factors of tissues allow us to distinguish between different tissues on an x-ray image?

  • Thickness/distance from source - the longer the distance travelled, the lower the intensity of x-rays detected
  • Attenuation - a measure of the material’s ability to attenuate x-rays (higher attenuation = brighter image)
  • Oxygen concentration in the tissue
  • Fluid content of the tissue
A

Attenuation - a measure of the material’s ability to attenuate x-rays (higher attenuation = brighter image)

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11
Q

True or false.

Tissues that are more attenuating of x-rays appear brighter on x-rays (i.e. bones are highly attenuating so appear bright white)

A

True

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12
Q

Which generation of CT scan do modern systems use?
* Generation 1 - dual motion pencil beam scanner in a translate-rotate mechanism
* Generation 2 - dual motion narrow fan beam in a translate-rotate mechanism
* Generation 3 - single motion with a fan beam and rotating detector and source in a rotate-rotate mechanism
* Generation 4 - fan beam with rotating source only and stationary-rotate mechanism
* Generation 5 - scanning electron beam with stationary-stationary mechanism

A

Generation 3 - single motion with a fan beam and rotating detector and source in a rotate-rotate mechanism

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13
Q

In beta-plus decay, a proton breaks down into what?

  • A neutron and a positron
  • A proton and neutron
  • A proton and electron
  • Two protons
A

A neutron and a positron

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14
Q

What happens when a positron and an electron meet?
* They are converted into two gamma photons travelling in opposite directions
* They form two protons which travel in the same direction
* The positron is converted into an electron and the two orbit one another
* They form one neutron

A

They are converted into two gamma photons travelling in opposite directions

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14
Q

Why can we use the 18F isotope to monitor metabolism in tissues?

  • 18F can be incorporated into fluorodeoxyglucose which the body treats as standard glucose
  • 18F emits radiation in high carbon dioxide concentrations
  • 18F emits radiation in high oxygen concentrations
  • 18F reacts with acetyl CoA, emitting radiation
A

18F can be incorporated into fluorodeoxyglucose which the body treats as standard glucose

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15
Q

Fill in the blanks to describe the physics of MRI scanning.

Protons have the physical property of …. - they spin on their axes oriented in different directions. When placed inside a magnetic field, the protons align and become ….. Some protons will spin in a …. direction, others in a south-north direction. In the MRI scanner, a second electromagnet flips the protons off their axes, usually by …. degrees. The …. of the coil must exactly match the …. at which the protons are spinning. When we turn off the second electromagnet and the proton returns to its …. spin and releases …. signals which can be detected. Different tissues have different densities of …. so take different lengths of time to return to rest - these relaxation time differences form contrasting images.

A

Protons have the physical property of spin - they spin on their axes oriented in different directions. When placed inside a magnetic field, the protons align and become parallel. Some protons will spin in a north-south direction, others in a south-north direction. In the MRI scanner, a second electromagnet flips the protons off their axes, usually by 90 degrees. The frequency of the coil must exactly match the frequency at which the protons are spinning. When we turn off the second electromagnet and the proton returns to its resting spin and releases radio signals which can be detected. Different tissues have different densities of water so take different lengths of time to return to rest - these relaxation time differences form contrasting images.

16
Q

Why do MRI images not show bone?

  • Bone has low hydrogen content
  • Bone has high calcium content
  • Protons in bone do not have spin
  • Bone has high hydrogen content
A

Bone has low hydrogen content