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66 Cards in this Set

  • Front
  • Back

Capilliaries are what size

7-10um

What is the most common indication for a lung scan

PE (pulmonary embolism )

What does PE look like on a CXR (chest x-ray)

Wedge shaped


D-dimer

Is a test that is a marker of blood clotting activity but is not diagnostic of VTE

Particle size range

10-90um

What happens if particles are smaller than they should be....

They will go straight to the liver and or spleen

Quantum mottle

Blotchy appearence that causes the image to look fuzzy...when too few particles are given

Why does xenon sink to the floor

B/c it is heavier than air

Classic "mismatch"

Normal vent, abnormal perfusion (seen in pe)

"Matched" defects

abnormal vent & perfusion (can be seen in lung CA, pneumonia, pulmonary infarction )

O2 flow rate

10L/min

Geometric mean

The sq. Root of the product of the anterior and posterior counts (used to estimate counts)

Split crystal

Quantificated lung study ..."old school" efor having both lungs in the field of view

Split crystal ratio

R55/L45

FUO (fever of unknown orgin)

Fever lasting minimum of 3weeks

Infection

Invasion of living tissue by pathogens

What do u see more in Ga67 liver or spleen

Liver

Safety factor of

Less than 1% (1000/1)

Ischemia

Dec in blood flow ST depression

J point

QRS meets ST wave helps determine elevation or depression

P wave

Atrial contraction "depolarization"

QRS complex

Represents depolarization of the ventricles

Low pass filters

Removes high frequency data ---> reducing noise &image resolution = lacks high res. Details--->too smooth

High pass filters "ramp"

Reduces blur in the image by retaining high freq. --> you preserve the spatial resolution & noise but decrease the smoothing of the images produced

ST elevation

Infarction or could indicate recent injury

Nitroglycerin

Like a vasodilator it dialates the patients blood vessels...usually a patch on the patient DO NOT REMOVE

Very sensitive collimator

Low resolution

Very high resolution

Low sensitivity

Voxel

Picture element with depth....2D pixel volume element

Viability study

Looking for infarcted area to fill in or redistribute

Propanolol

Beta blocker that should not interfere with I123 thyroid uptake study

Bruce protocol

10-22%...max ♡R 220-age

Modified bruce protocol

0-22% ..max ♡ rate of 120

What happens if you incorrectly subtract too much bkg when analyzing a MUGA study the calculated EF will be

falsely overestimated

Will a caudal tilt on a 45° LAO gared equilibrium blood pool help to separate the ventricles from each other or the atria

Atria

Give an example of a ramp filter

High pass filter

An insufficient #of views

Radial streaking

Most important thing in degrading SPECT

The distance from the camera

Reinjection technique used in some Tl201 studies is intended to demonstrate ______

Late reversibility

What is the main difference between Tl201 thallous chloride and 99mTc mibi

Higher photon flux with 99mTc

EF formula

EDV-ESV / EDV

What does the SA node do

Initiates the heart beat and produces contraction of the atrial musculature

Uncorrected flood field uniformities cause circular or stared shaped artifacts in tomographic reconstruction

Circular

Which view displays slice images from basal pprtion of the heart to the apex of the L.ventricle

Short axis

Optimal imaging time for localizing an infarct w/pyrophosphate 99mTc is ______after onset symptoms

24-48hrs

A false neg on a myocardial stress study are usually caused by___

Failure of the pt. To reach maximum stress

Butterworth filter w/ low cutoff is better suited for use in studies where more emphasis is on ____

Smoothing of images

Systole

Contraction or squeezing (top # of BP)

Diastole

Relaxation or filling (bottom # of BP )

Ef of the ♥

Is the % of bloid forced out of the ♥

Cardiac output

Amt of blood ejected from the L.ventricle into the systemic circulation or from the Rt. ventricle into the pulmonary circulation, over 1min

Normal ♡ rate

60-100 BPM OR 60-80

Stroke volume

Amt. Of bloid ejected in a single beat expressed in mL normal:80-100mL

Cardiac index

Measures the ability of the pts ♥ to pump effectively

Arrhythmia

Irregular rhythm

Asytoly

Flat line

Vertical long axis

From septum to lateral wall (coronal image)

What is CT used for ?

Attenuation correction ...it reduces artifacts from the diaphram and breast

Tl201 is used for what ?

Stress test..do stress 1st then rest

Tl201 1/2 life and decay

73 hours ....electron capture

Cardiogen-82 & dose

Rubidium82 and dose =40-60mCi

Tetrofosmin "myoview"

Clears more quickly from the liver than mibi...and allows for earlier imaging and thus greater output

Persantine

Dipyridamole=indirect coronary artery vasodilator

Adenosine

Is directly vasodilator

Dobutamine

Catecholamine that inc the ♥ rate ..inject every 3min until target ♡rate is reached -->radiotracer is injected at peak of ♡ rate

Regadenoson

Lexiscan has 3 1/2 lives ...2-4mins,30min,2hrs