Radiography (General) Flashcards
Computed Tomography (4)
- Ionizing radiation
- Better resolution, eliminates superimposition structures, but more radiation than RG
- Orientation is patient laying on back, I’m looking at the bottom of their feet, and they’re cut off at the waist (or wherever you’re looking)
- Window settings allow you to focus on a particular type of structure (ex. soft tissue vs bone)
- Iodine and Barium are contract media for entric (both) or intravenous (iodine only)
Centrally vs Laterally Herniated Disc
Central - pushes on nerve below disc (L4)
Lateral - pushes on nerve above disc (L5)
Ex. disc between L4/L5 is herniating
Anteroposterior (AP) vs Posteroanterior (PA)
AP - stomach to back, facing source
PA - back to stomach, facing detector
Spondylolysis vs Spondylolisthesis
Spondylolysis - fracture of pars interarticularis
Spondylolisthesis - forward displacement of a vertebra
Myelography
- Regular or CT
- Iodine injected into thecal sac via lumbar puncture
- Nerves are outlined by contrast
T2
- MRI
- Bright (static) fluid
- Higlights pathgology
Magnetic Resonance Imaging Scale
Fat Bone
Hyperintense -> Isointense -> Hypointense
White ———————————————-> Black
High Signal Intensity —-> Low Signal Intensity
- SI is relaticve to its surroundings
Radiography (5)
- X-ray photons
- Affected by atomic number and thickness
- Iodine and Barium are contrast agents (show up white)
- Intravascular only uses Iodine
- Orientation is looking patient in eyes
Computed Tomography Scale
Metal -> Bone -> Contrast -> Soft Tissue -> Fluid -> Fat -> Gas
White ———————————————————————> Black
High Attenuation ————————————> Low Attenuation
- Relative to surroundings
- More detalied bone and better ST that RG
Invertered Display from Myelogram
- Dark bones
- White fat
T1
- MRI
- Dark fluid
- Higlights anatomy
Fat Saturation
- MRI
- Makes fat dark
Nerve Root Exits
- Just below Pedicales of respected vetrebra
- Except for cervical nerves (exit superior to vertebra)
Ultrasound Gray Sound Image Scale
Echogenic/Hyperechoic -> Hypoechoic -> Echolucent/Anaechoic
Bone/Gas (sound won’t pass at all) ——> Soft Tissue ——–> Liquid
White ————————————————————————–> Black
Lots of echos ———————————————–> No echos
- Produced by amplitude of returning sound waves
- Relative to surroundings (isoechoic if same as surrpundings)
- Frequency changes if target is moving
Vascular contrast
- MRI
- Used with T1
- Makes vessels & organs bright