Test 2: lecture 11 and 12 CT, MRI, nuclear Flashcards
___ uses x-rays. Measures attenuation of x-rays by tissue (number of x-rays absorbed or scattered). Gives cross-sectional anatomy
CT → slices through the patient
why does superimposition decrease in CT scans
slices are so thin, there is very little overlap
why does CT have better contrast
can detect 4000 shades of grey
vs an xray that can detect 5 opacities
how does CT work
gantry: xrays taking 360 around patient and then moves slowly down
computer takes this info and turns it into slices
can make a 3D model from the slices
a + CT number =
a - CT number =
attenuation greater then water (bone)
attenuation less then water (fat or gas)
disadvantages of CT
increases radiation dose
artifact- metal will cause artifact (confuses the computer)
soft tissue contrast- MRI is better for tiny lesions in brain
benefit of MRI
no ionizing radiation
what is the term used for opaque in CT and MRI
CT: hyper attenuating
MRI hyper intense
white
how to tell CT vs MRI
CT bone will be hyper attenuating → very white
fat→ hypo attenuating → black
MRI bone is hypo intense→ grey
Fat→ hyper intense → white
which one CT which one MRI
CT bone will be hyper attenuating → very white
fat→ hypo attenuating → black
MRI bone is hypo intense→ grey
Fat→ hyper intense → white
CT or MRI
MRI
fat is bright → white
MRI contrast
Paramagnetic substances such as rare earth metals: Gadolinium
In chelate form (Gd is toxic)
Principle: acts paramagnetic = enhances magnetic properties of neighboring molecules (shortens T1 relaxation)
Increased contrast uptake: increased vascularity, leaky vessels (tumor), BBB interruption, vascularized vs. non-vas
why use MRI
better picture for brain and Spine then CT
no radiation
what is better for nasal picture and why
nasal → CT cause bone is white
in MRI bone is dark so cant really see as much detail
scintigraphy
diagnostic imaging branch of nuclear medicine