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38 Cards in this Set

  • Front
  • Back
Conventual x-ray suffers from the collapsing of 3D structures into
2D image
Spatial resolution is low in CT but......
it has very good low contrast resolution, which make sit good for very small changes in tissue type.
CT good give accurate diagnostic information about the distribution of
structures inside the body.
Construction of a CT scanner
Aperture = bore
tube
detectors
cathode
- negative
anode
+ positive
X - Ray uses
bremsstrahlung radiation which means breaking radiation
Anode/ tungsten target
is where the beam of electrons hit the rotating wheel and is produced into x-rays (negative)
The tungsten target need to rotate because
the wheel will burn a hole into it if the same spot was getting hit with electrons of energy
X rays produced by the x ray tube are
polychromatic
The effective energy used in CT is less than the gamma rays we use in nuclear medicine.
120 kVp has an effective energy of about 50 keV.
Tc99m
140 keV
F-18/FDG
511 keV
Co-57
122 keV
I 123
153 keV
What are we measuring?
the average linear attenuation coefficient between tube and detectors
Attenuation coefficient reflects the degree to wich the x-ray intensity is ________ by a material
reduced
u values are scaled to that of water to give CT number
u tissue- u water x 1000 = CT #
u water
water =
0
air =
1000
bone =
1000
slip rings
allow for continuos rotation
Helical Scanning
combines continuos gantry rotation with table movement
Path of x-ray beam around the patient follows a
helical path
Multi-slice helical reconstruction
produces a set of interleaved helices
Advantages of Multi-slice
Same acquisition in shorter time or thin slices give better z axis resolution or scan larger volumes in same time
Multi-slice scanners have scan times of
0.5 seconds or 0.7 to 0.8 for a single slice
Pitch
is the table movement per width of the collimated scan beam
Pitch =
table movement per rotation
------------------------------------------
(# of slices per rotation)(slice width)

all values in mm
Thus, with a pitch greater than 1
WE HAVE LOWERED THE PT RADIATION DOSE...the table is moving faster than the tube is rotating, spreading out the exposure
Raising the pitch to high will.....
degrade the image quality..... a certain amount of radiation is needed to create a good picture.
Therefore, with a pitch less than 1
WE HAVE RAISED THE PT RADIATION DOSE....we are over-scanning parts of the body....some areas are being exposed more than once....small parts in the body such as the sinuses need overexposure for a good picture.
Streak artifacts caused by metallic materials
- dental fillings
- prosthetic devices
-surgical clips
-electrodes
Isotropic resolution
ideal case for imaging three dimensional structures is to have resolution identical in all dimensions
In PET/CT scans the ________ ___________ co-efficient numbers are used for attenuation correction of the PET portion of the scan
linear attenuation
1.)This provides a _________ attenuation map because of the high photon portion of the scan
noiseless
2).Using a CT..... we do not have to replace radioactive sources in the PET machine
3.) It is faster than acquiring correction info from external radioactive sources.
However, the energy of the CT scan must be corrected to match the 511 keV from PET because their penetrating ability varies.
Using CT for AC does not work well with filtered backprojection.......PET/CT scanners use iterative reconstruction methods.