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14 Cards in this Set

  • Front
  • Back
What are the main advantages of CT & MRI over digital radiography?
-better contrast resolution
-tomographic: imaging in slices (eliminates anatomic superimposition)
-MR provides for physiologic imaging: primarily looking at water
Order the following from best spatial resolution to worst spatial resolution: radiography, CT, MRI.
radiography
CT
MRI
Order the following from best contrast resolution to worst contrast resolution: radiography, CT, MRI.
MRI
CT
radiography
Order the following from best detail to worst detail: radiography, CT, MRI.
radiography
CT
MRI
What is the basic principle of CT image formation?
based on quantification of x-ray absorption: similar to radiography, but in slices

image generated by computer after measuring x-ray attenuation
What are characteristics of generic CT scanners?
-x-ray beam used to image slices of patient
-thickness of slice can be varied from 1-10 mm
-each slice takes ~1 s.
-table moves after each slice
What are characteristics of modern CT scanners?
-table moves continuously
-acquire > 1 image slice per tube resolution (4, 16, or 64)
-scan patient in a few seconds
-provides high quality data for exquisite images (allows valuable 3-D images to be made)
How can contrast medium be used w/ CT?
used to look for BBB leaks (helpful when looking for brain tumors), vascular leaks, & hypervascularity

contrast medium is iodinated & thus increase x-ray absorption: appears white on CT
On what does the image appearance depend in MRI?
image appearance depends on chemical composition: free water, tissue water, fat

-we are primarily imaging hydrogen protons (i.e. water)
-water creates a high signal in some MR image types
-most lesions have ↑ water, so we commonly look for signs of ↑ water
What are some advantages of MRI over CT?
much greater contrast resolution
image can be made in any plane
provides physiologic imaging
What are the basics principles of MRI?
-very strong magnetism
-magnet causes protons in patient to align w/ magnetic field
-radio wave (RF) knocks protons out of alignment into X-Y plane
*shielding used to keep outside radio waves from interfering
-misaligned protons create signal in receiving coil
-signal strength converted to gray scale in image
*high signal = white
*low signal = black
-safety concerns d/t very strong magnetism (1.5 Tesla)
What is the appearance of the following in T1 MRI?

a. fat
b. free water
c. tissue water
d. bone
a. white
b. black
c. gray
d. black
What is the appearance of the following in T2 MRI?

a. fat
b. free water
c. tissue water
d. bone
a. white
b. white
c. gray
d. black
How can contrast medium be used w/ MRI?
can be used in T1 images to look for areas of BBB breakdown, vascular leakage, & hypervascularity

contrast medium is magnetic & influences proton behavior