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301 Cards in this Set

  • Front
  • Back


b.14 was acquired in the


a. axial


b. sagittal


c. coronal


d. oblique


c


coronal


b.14 is an example of


a. T1


b. T2


c. proton density


d. T2*


a


T1


arrow a is pointing to the


a. trachea


b. esophagus


c. thyroid gland


d. carotid artery


a


trachea


arrow b is pointing to the


a. ascending aorta


b. aortic arch


c. thoracic aorta


d. pulmonary artery

b


aortic arch


arrow c is pointing to the


a. superior lobe of the right lung (apex)


b. superior lobe of the left lung (apex)


c. middle lobe of the right lung


d. middle lobe of the left lung


e. inferior lobe of the right lung (base)


f. inferior lobe of the left lung (base)


a


superior lobe of the right lung apex


on b.14 there is no signal arising from within the lung (indicated by arrows C, E and G) because


a. there are no protons in air


b. there is no air in the lung during image acquisition


c. there are not enough mobile protons in air


d. air and moving blood have the same number of protons and, therefore, both appear black


c


there are not enough mobile protons in air


arrow d is pointing to the


a. ascending aorta


b. aortic arch


c. thoracic aorta


d. pulmonary artery


d


pulmonary artery


arrow e is pointing to the


a. superior lobe of the right lung apex


b. superior lobe of the left lung apex


c. middle lobe of the right lung


d. middle lobe of the left lung


e. inferior lobe of the right lung base


f. inferior lobe of the left lung base


c


middle lobe of the right lung


arrow F is pointing to the


a. ascending aorta


b. aortic arch


c. thoracic aorta


d. pulmonary artery


a


ascending aorta


arrow g is pointing to the


a. superior lobe of the right lung apex


b. superior lobe of the left lung apex


c. middle lobe of the right lung


d. middle lobe of the left lung


e. inferior lobe of the right lung base


f. inferior lobe of the left lung base


e


inferior lobe of the right lung base


arrow H is pointing to the


a. base of the right lung


b. apex of the right lung


c. diaphragm


d. right main pulmonary artery


c


diaphragm


arrow I is pointing to the


a. right atrium


b. left atrium


c. right ventricle


d. left ventricle


a


right atrium


arrow J is pointing to the


a. right apex


b. left apex


c. right ventricle


d. left ventricle


d


left ventricle


to minimize pulsatile flow motion artifacts, cardiac images are acquired by


a. taking the patient's pulse, calculating the heart rate in beats per minute, then entering these data into the imaging system


b. cardiac gating (or triggering)-attach ECG leads, monitor the cardiac cycle, and "time" the scan or "trigger" the scan from the heart beat


c. performing cardiopulmonary resuscitiation


d. none of the above


b


cardiac gating


b.15 was acquired in the


a. axial


b. sagittal


c. coronal


d. oblique

a

axial


b.15 is an example of


a. spin echo acquisition


b. FSE


c. FLAIR


d. gradient echo acquistion


d


gradient echo. spin echo images, flowing blood is dark. On gradient echo images, flowing blood is bright.


arrow a is pointing to the


a. gluteal muscles


b. intercostal muscles


c. spinal muscles


d. pectoralis muscles


d


pectoralis muscles


arrow b is pointing to the


a. right atrium


b. tricuspid valve


c. right ventricle


d. left atrium


e. left ventricle


f. bicuspid valve


c


right ventricle


arrow c is pointing to the


a. right atrium


b. tricuspid valve


c. right ventricle


d. left atrium


e. left ventricle


f. bicuspid valve


b


tricuspid valve


arrow d is pointing to the


a. right atrium


b. tricuspid valve


c. right ventricle


d. left atrium


e. left ventricle


f. bicuspid valve


a


right atrium


arrow e is pointing to the


a. right atrium


b. tricuspid valve


c. right ventricle


d. left atrium


e. left ventricle


f. bicuspid valve


e


left ventricle


arrow f is pointing to the


a. right atrium


b. tricuspid valve


c. right ventricle


d. left atrium


e. left ventricle


f. bicuspid valve


f


bicuspid valve


arrow g is pointing to the


a. right atrium


b. tricuspid valve


c. right ventricle


d. left atrium


e. left ventricle


f. bicuspid valve


d


left atrium


arrow H is pointing to the


a. thoracic aorta


b. pulmonary artery


c. spinal canal


d. left atrium


b


pulmonary artery


arrow I is pointing to the


a. thoracic aorta


b. pulmonary artery


c. spinal canal


d. left atrium


a


thoracic aorta


arrow J is pointing to the


a. thoracic aorta


b. pulmonary artery


c. spinal canal


d. left atrium


c


spinal canal


figure b.16


arrow a is pointing to the


a. right vertebral artery


b. left vertebral artery


c. right common carotid artery


d. left common carotid artery


e. right carotid bifurcation


a


right vertebral artery


arrow b is pointing to the


a. right vertebral artery


b. left vertebral artery


c. right common carotid artery


d. left common carotid artery


e. right carotid bifurcation


e


right carotid bifurcation


arrow c is pointing to the


a. right vertebral artery


b. left vertebral artery


c. right common carotid artery


d. left common carotid artery


e. right carotid bifurcation


d


left common carotid artery


arrow d is pointing to the


a. right vertebral artery


b. left vertebral artery


c. right common carotid artery


d. left common carotid artery


e. right carotid bifurcation

c right common carotid artery


arrow e is pointing to the


a. right vertebral artery


b. left vertebral artery


c. right common carotid artery


d. left common carotid artery


e. right carotid bifurcation


d


left common carotid artery


arrow f is pointing to the


a. right subclavian artery


b. left subclavian artery


c. right innominate carotid artery


d. left innominate carotid artery


b


left subclavian artery


arrow G is pointing to the


a. right subclavian


b. left subclavia


c. right innominate artery


d. left innominate artery

c


right innominate artery


arrow H is pointing to the


a. superior vena cava


b. right vertebral artery


c. right common carotid artery


d. left common carotid artery


c


right common carotid artery


arrow I is pointing to the


a. superior vena cava


b. inferior vena cava


c. pulmonary artery


d. aortic arch


a


superior vena cava


arrow J is pointing to the


a. brachiocephalic artery


b. innominate artery


c. right vertebral artery


d. a and b


d


a and b


arrow K is pointing to the


a. superior vena cava


b. right vertebral artery


c. right common carotid artery


d. left common carotid artery

l


left common carotid artery


arrow L is pointing to the


a. superior vena cava


b. ivc


c. pulmonary artery


d. aortic arch


d


aortic arch


arrow M is pointing to the


a. superior vena cava


b. ivc


c. pulmonary artery


d. aortic arch


c


pulmonary artery


b.17


arrow a is pointing to the


a. ascending aorta


b. aortic arch


c. descending aorta


d. abdominal aorta


d. superior mesenteric artery


b


aortic arch


the optimal view or views for the evaluation of the aortic arch include:


1. sagittal


2. axial


3. coronal


4. oblique


a. 1 only


b. 2 only


c. 1 and 3 only


d. 1 and 4 only


d


1 and 4.....sagittal and oblique


arrow b is pointing to the


a. ascending aorta


b. aortic arch


c. descending aorta


d. abdominal aorta


e. pulmonary artery


e


pulmonary artery


arrow c is pointing to the


a. right atrium


b. left atrium


c. right ventricle


d. left ventricle


e. right lung


f. left lung


e


right lung


arrow d is pointing to the


a. ascending aorta


b. aortic arch


c. descending aorta


d. abdominal aorta


e. superior mesenteric artery


d


superior mesenteric artery


arrow e is pointing to the


a. liver


b. spleen


c. kidney


d. retroperitoneal fat

a


liver


arrow f is pointing to the


a. liver


b. spleen


c. kidney


d. retroperitoneal fat


b


spleen


arrow g is pointing to the


a. liver


b. spleen


c. kidney


d. retroperitoneal fat


d


retroperitoneal fat


arrow h is pointing to the


a. ascending aorta


b. aortic arch


c. descending aorta


d. abdominal aorta


e. superior mesenteric artery


b


aortic arch


arrow I is pointing to the


a. ascending aorta


b. aortic arch


c. descending aorta


d. abdominal aorta


e. superior mesenteric artery


c


descending aorta


arrow J is pointing to the most posterior chamber of the heart, which is the


a. right atrium


b. left atrium


c. right ventricle


d. left ventricle


e. right lung


f. left lung


b


left atrium


arrow k is pointing to the most anterior chamber of the heart, which is


a. right atrium


b. left atrium


c. right ventricle


d. left ventricle


e. right lung


f. left lung


c


right ventricle


arrow L is pointing to the


a. ascending aorta


b. aortic arch


c. abdominal aorta


d. superior mesenteric artery


d


superior mesenteric artery


arrow m is pointing to the


a. ascending aorta


b. aortic arch


c. descending aorta


d. abdominal aorta


e. superior mesenteric artery


e


superior mesenteric artery


figure b.18 the short axis views of the heart resemble images that are


a. axial to the plane of the heat muscle


b. sagittal to the plane of the heart muscle


c. coronal to the plane of the heart muscle


d. axial to the plane of the aorta


a


axial to the plane of the heart muscle


the LONG axis views of the heart resemble images that are


a. axial to the plane of the heart muscle


b. sagittal


c. coronal


d. axial to the plane of the aorta


b


sagittal to the plane of the heart muscle


the FOUR CHAMBER views of the heart resemble images that are


a. axial to the plane of the heart muscle


b. sagittal


c. coronal


d. axial to the plane of the aorta


c


coronal to the plane of the heart muscle

cardiac blood flow
1. enters the heart by way of the superior vena cava and the inferior vena cava. Deoxyhemoglobin within the svc and ivc enters the right atrium (RA) of the heart. From the RA, blood flows through the tricuspid valve into the right ventricle (RV). The RV is the most anterior chamber of the heart, located just behind the sternum. Blood from the RV travels through the pulmonary semilunar valve and into the pulmonary arteries.

all arteries

1. carry oxyhemoglobin (oxygenated or oxygen rich blood) away from the heart and to a structure EXCEPT the pulmonary arteries (PA)

pulmonary arteries


1. carry blood away from the heart and to a structure (the lungs) BUT this blood is deoxygenated (i.e. carrying deoxyhemoglobin)


2. deoxyhemoglobin carried by PA into the capillaries around the alveoli to obtain oxygen from the lungs and deposit carbon dioxide. then flows into venules and then the pulmonary veins to be returned to the heart

all veins

1. carry deoxyhemoglobin away from a structures and to the heart EXCEPT the pulmonary veins (PV)


2. pulmonary veins carry blood to the heart and away from a structure (the lungs) but carry oxyhemoglobin.

the portal vein

carries deoxyhemoglobin like other veins, but this blood travels to the liver

from the PV

oxygen rich blood enters the heart via the left atrium (LA). the LA is the most posterior chamber of the heart and is located just anterior to the thoracic spine, from the LA, blood flows through the bicuspid (mitral) valve, tri before you bi....cardiac valves tricuspid is between the atrium and ventricle of the right heart and tricuspid, left) from the tricuspid valve, blood flows into the left ventricle. The LV pumps blood out of the hteart and into the aorta (to supply blood to the entire body). Left ventricle is the chamber with the thickest wall

blood leaves the heart

by way of the aortic valve and flows into the ascending aorta. The heart feeds itself first- the first branches that arise from the ascending aorta are the coronary arteries. The right coronaries feed the right heart and the left coronaries fee the left heart. the aorta ascends superiorly and forms an "arch." three branches that arise from the arch, known as the great vessels. These vessels supply blood to the upper part of the body, including the arms, neck, and head. The blood flows through the aorta, continues around the arch, inferiorly through the thoracic aorta, and then down to the abdominal aorta

the heart

is oblique to the plane of the thorax

to acquire the short axis view (axial to the plane of the heart muscle), images can be acquired__________to the line from the apex of the heart to the base of the heart.

perpendicular

once the short axis view is acquired, _____________(long axis or sagittal to the heart) or long axis (_______________) views can be acquired


2 chamber


sagittal to the heart

for __________________ views, images are acquired _______________to the interventricular septum


long axis


parallel

for _________________ views, images are acquired_______________ to the interventriuclar septum


four chamber


perpendicular

arrow A is pointing to the


a. ascending aorta


b. right pulmonary artery


c. left pulmonary artery


d. descending thoracic aorta


a


ascending aorta


arrow b is pointing to the


a. ascending aorta


b. right pulmonary artery


c. left pulmonary artery


d. descending thoracic aorta


c


left pulmonary artery


arrow c is pointing to the


a. ascending aorta


b. right pulmonary artery


c. left pulmonary artery


d. descending thoracic aorta

b


right pulmonary artery


arrow d is pointing to the


a. ascending aorta


b. right pulmonary artery


c. left pulmonary artery


d. descending thoracic aorta


d


descending thoracic aorta


arrow e is pointing to the


a. spinal muscles


b. spinal canal


c. vertebral body


d. rib


b


spinal canal


arrow f is pointing to the


a. spinal muscles


b. spinal canal


c. vertebral body


d. rib


d


rib


arrow g is pointing to the


a. spinal muscles


b. spinal canal


c. vertebral canal


d. rib


a


spinal muscles


the gradient echo image to the right, arrow h is pointing to the


a. susceptibility artifact


b. bright signal from flowing blood-ascending aorta


c. bright signal from flowing blood-pulmonary artery


d. bright signal from flowing CSF in the spinal canal


e. chemical shift artifact


a


susceptibility artifact


arrow j is pointing to the


a. susceptibility artifact


b. bright signal from flowing blood-ascending aorta


c. bright signal from flowing blood-pulmonary artery


d. bright signal from flowing CSF in the spinal canal


e. chemical shift artifact


c


bright signal from flowing blood-pulmonary artery


arrow K is pointing to the


a. susceptibility artifact


b. bright signal from flowing blood-ascending aorta


c. bright signal from flowing blood-pulmonary artery


d. bright signal from flowing CSF in the spinal canal


e. chemical shift artifact



d


chemical shift artifact


arrow l is pointing to the


a. susceptibility artifact


b. bright signal from flowing blood-ascending aorta


c. bright signal from flowing blood-pulmonary artery


d. bright signal from flowing CSF in the spinal canal


e. chemical shift artifact


e


chemical shift artifact


figure b.20 arrow a is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


a


nipple


the images have been acquired with


a. sagittal high res imaging


b. axial hi res imaging


c. coronal hi res imaging


d. coronal hi res


e. oblique hi res imaging


b


axial hi res imaging


arrow b is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


b


fatty tissue of the breast


arrow c is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


c


pectoralis muscle


arrow d is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


f


enhancing breast lesion


arrow E is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


d


shading from fat suppression


arrow f is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


d


shading from fat suppression


arrow g is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


a


nipple


arrow h is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


e


neovascularity


the images were acquired WITH fat suppression


a. 1 and 2


b. 3,4, and 5


c. 6,7 and 8


d. 2,3,4,5,7 and 8


e. 1 and 6


d


2,3,4,5,7 and 8


the images were acquired WITHOUT fat suppression



a. 1 and 2


b. 3,4, and 5


c. 6,7 and 8


d. 2,3,4,5,7 and 8


e. 1 and 6

e


1 and 6


figure b.21 arrow A is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. shading from fat suppression


e. neovascularity


f. enhancing breast lesion


b


fatty tissue of the breast

these images have been acquired with


a. sagittal hi res


b. axial hi res


c. coronal hi res


d. oblique hi res


a


sagittal hi res


arrow b is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. ducts and lobules


e. neovascularity


f. enhancing breast lesion


d


ducts and lobules


arrow d is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. ducts and lobules


e. neovascularity


f. enhancing breast lesion


b


fatty tissue of the breast


arrow e is pointing to the


a. nipple


b. fatty tissue of the breast


c. pectoralis muscle


d. ducts and lobules


e. neovascularity


f. enhancing breast lesion


f


enhancing breast lesion


on figure b.21 the following images were acquired WITH fat suppression


a. 1,2 and 3


b. 4,5, and 6


c. 1 and 2


d. 3, 4,5 and 6


d


3,4,5 and 6


the following images were acquired WITHOUT fat suppression


a. 1,2 and 3


b. 4,5, and 6


c. 1 and 2


d. 3, 4,5 and 6


c


1 and 2


figure b.22 shows high res sagittal images of the breast in a patient with silicone implants with


a. fat suppression


b. water suppression


c. silicone suppression


d. silicone, water and fat suppression


d


silicone, water and fat suppression


images for the evaluation of silicone implants, whereby the silicone is to appear bright, should be acquired with the application of


1. fat suppression


2. water suppression


3. silicone suppression


a. 1 only


b. 1 and 2 only


c. 3 only


d. 1 and 3 only


e. 1,2, and 3


b


fat suppression and water suppression


images for the evaluation of silicone implants, whereby the silicone is to appear dark, should be acquired with the application of


1. fat suppression


2. water suppression


3. silicone suppression


a. 1 only


b. 1 and 2 only


c. 3 only


d. 1 and 3 only


c


silicone suppression only

typical breast imaging is typically performed with

hi res imaging protocols and with T1, T2, and gradient echo T1 fat suppressed dynamic contrast enhancement

high res protocol include

hi res unilateral or bilateral sagittal imaging (the so called US method) or hi res axial bilateral imaging (the so called European method or Porter method)

what does ACR recommend?

that hi res imaging is performed with 1 mm in plane resolution, whereby pixel size is 1 mm. also includes 3-4 mm through plane resolution whereby slice thickness is 3 or 4 mm

silicone implants


constructed of a polyurethane bag filled with a "sticky" substance (silicone).


STIR is used to suppress fat and water sat is used to suppress water

breast MRI for lesions


imaging plane: axial hi res, sagittal hi res


centering breasts at isocenter


image contrast: T1, T2 and T1 Gradient echo with dynamic GAD


enhancement with fat suppression

breast MRI for implants


imaging plane: sagittal or axial


breasts at isocenter


image contrast: fat and water suppression, or silicone suppression


figure b.23 was acquired in the


a. axial


b. sagittal


c. coronal


d. off axis oblique


c


coronal


is an example of


a. T1


b. T2


c. spin (proton) density


d. FLAIR image


b


T2


arrow A is pointing to the


a. left kidney


b. spleen


c. liver


d. stomach


e. right lung


e


right lung


was acquired with


a. short TR, short TE with fat suppression


b. short TR, short TE with water suppression


c. long TR, long TE with fat suppression


d. long TR, long TE with no suppression


d


long TR, long TE with no suppression


arrow b is pointing to the


a. left kidney


b. spleen


c. liver


d. stomach


e. right lung


c


liver


arrow C is pointing to the


a. left kidney


b. spleen


c. liver


d. stomach


e. right lung


b


spleen


arrow d is pointing to the


a. right adrenal gland


b. left adrenal gland


c. liver


d. stomach


e. crux of diaphragm

e crux of the diaphragm


arrow e is pointing to the


a. right adrenal gland


b. left adrenal gland


c. liver


d. stomach


e. crux of diaphragm


a


right adrenal gland


arrow f is pointing to the


a. kidney


b. spleen


c. liver


d. stomach


e. right lung


a


kidney


arrow g is pointing to the


a. psoas muscle


b. rectus abdominus muscle


c. oblique abdominal muscle


d. gluteal muscle


a


psoas muscle


arrow h is pointing to the


a. psoas muscle


b. rectus abdominus muscle


c. oblique abdominal muscle


d. gluteal muscle


c


oblique abdominal muscle


the high signal arising with the abdomen, indicated by arrow I, represents


a. peritonitis


b. CSF in the spinal canal


c. abdominal ascites


d. retroperitoneal fat


B


CSF in the spinal canal


arrow J is pointing to the


a. psoas muscle


b. rectus abdominus muscle


c. oblique abdominal muscle


d. gluteal muscle


d


gluteal muscle


The FDA approved (iron oxide) oral contrast agent used for MRI makes bowel appear


a. bright on T1/bright on T2


b. Dark on T1/dark on T2


c. bright on T1/dark on T2


d. dark on T1/bright on T2


b


dark on T1 dark on T2

figure b.24 was acquired in the


a. axial


b. sagittal


c. coronal


d. off axis oblique



a


axial

b.24 is a gradient echo image acquired with


a. fat suppression


b. water suppression


c. no suppression tecnique


d. silicone suppression

a


fat suppression

arrow a is pointing to the


a. abdominal muscles


b. stomach


c. bowel


d. liver


e. spleen

a


muscles

arrow b


a. abdominal muscles


b. stomach


c. bowel


d. liver


e. spleen

b


stomach

arrow c


a. abdominal muscles


b. stomach


c. bowel


d. liver


e. spleen

d


liver

arrow d


a. abdominal muscles


b. stomach


c. bowel


d. liver


e. spleen

c


bowel

arrow e


a. portal vein


b. aorta


c. vertebral body


d. spinal cord


e. hepatic artery

a


portal vein

arrow f


a. portal vein


b. aorta


c. vertebral body


d. spinal cord


e. hepatic artery

b


aorta

arrow g


a. portal vein


b. aorta


c. vertebral body


d. spinal cord


e. hepatic artery

c


vertebral body

arrow h


a. portal vein


b. aorta


c. vertebral body


d. spinal cord


e. hepatic artery

d


spinal cord

arrow I


a. abdominal muscles


b. stomach


c. bowel


d. liver


e. spleen

e


spleen

due to it's size and orientation within the body, the entire pancreas can possibly be visualized on one imaging section if it is acquired


a. coronally with thin sections


b. sagittally with thin imaging sections


c. axially with thin imaging sections


d. obliquely with thin imaging sections

d


obliquely with thin imaging sections

on T2 weighted images, hemangiomas of the liver appear


a. hyperintense to normal liver


b. hypointense to normal liver


c. isointense


d. only with contrast enhancement

a


hyperintense to normal liver

figure b.25. arrow a


a. subcutaneous fat


b. abdominal muscles


c. superior mesenteric artery


d. abdominal aorta

a


subcutaneous fat

arrow b


a. subcutaneous fat


b. abdominal muscles


c. superior mesenteric artery


d. abdominal aorta

b


abdominal muscles

arrow c


a. stomach


b. abdominal muscles


c. transverse colon


d. superior mesenteric artery


e. abdominal aorta

c


transverse colon

arrow d


a. superior mesenteric artery


b. abdominal aorta


c. vertebral body


d. spinal cord


e. erector spinae muscles

a


superior mesenteric artery

arrow e


a. pancreas


b. liver


c. spleen


d. adrenal gland


e. kidney

d


adrenal gland

arrow f


a. superior mesenteric artery


b. abdominal aorta


c. vertebral body


d. spinal cord


e. erector spinae muscles

b


abdominal aorta

arrow g


a. superior mesenteric artery


b. abdominal aorta


c. vertebral body


d. spinal cord

c


vertebral body

arrow h


a. right kidney


b. left kidney


c. right adrenal gland


d. left adrenal gland


e. pancreas

a


right kidney

arrow I


a. vertebral body


b. spinal cord


c. spinal canal


d. erector spinae muscles

c


spinal canal

arrow J


a. vertebral body


b. spinal cord


c. spinal canal


d. erector spinae muscles

b


spinal cord

arrow k


a. vertebral body


b. spinal cord


c. spinal canal


d. erector spinae muscles

d


erector spinae muscles

b.26. arrow a


a. liver


b. spleen


c. gallbladder


d. head of the pancreas


e. body of the pancreas


f. tail of the pancreas

a


liver

arrow b


a. liver


b. spleen


c. gallbladder


d. head of the pancreas


e. body of the pancreas


f. tail of the pancreas

c


gallbladder

arrow c


a. liver


b. spleen


c. gallbladder


d. head of the pancreas


e. body of the pancreas


f. tail of the pancreas

d


tail of the pancreas

arrow d


a. liver


b. spleen


c. gallbladder


d. head of the pancreas


e. body of the pancreas


f. tail of the pancreas



f


tail of the pancreas

arrow e


a. liver


b. spleen


c. gallbladder


d. head of the pancreas


e. body of the pancreas


f. tail of the pancreas

b


spleen

arrow f


a. liver


b. spleen


c. stomach


d. colon


e. gallbladder

d


colon

arrow g


a. gallbladder


b. head of the pancreas


c. body of the pancreas


d. tail of the pancreas

c


body of the pancreas

arrow h


a. gallbladder


b. abdominal aorta


c. right kidney


d. left kidney


e. adrenal gland

b


abdominal aorta

arrow I


a. gallbladder


b. abdominal aorta


c. right kidney


d. left kidney


e. adrenal gland

c


right kidney

arrow J


a. gallbladder


b. abdominal aorta


c. right kidney


d. left kidney


e. adrenal gland

d


left kidney

figure b.27. arrow a


a. liver


b. abdominal aorta


c. spleen


d. gallbladder


e. right kidney

a


liver

arrow b


a. liver


b. abdominal aorta


c. spleen


d. gallbladder


e. right kidney

b


abdominal aorta

arrow c


a. liver


b. abdominal aorta


c. spleen


d. gallbladder


e. right kidney

c


spleen

arrow d


a. liver


b. abdominal aorta


c. spleen


d. gallbladder


e. right kidney

e


right kidney

arrow e


a. rectus abdominus muscles


b. oblique muscles


c. psoas muscles


d. gluteal muscles

c


psoas muscles

arrow f


a. cruz of the diaphragm


b. adrenal gland


c. right kidney


d. left kidney


e. pancreas

a


cruz of the diaphragm

arrow g


a. cruz of the diaphragm


b. adrenal gland


c. right kidney


d. left kidney


e. pancreas

b


adrenal gland

arrow h


a. cruz of the diaphragm


b. adrenal gland


c. right kidney


d. left kidney


e. pancreas

d


left kidney


arrow I


a. rectus abdominus muscles


b. oblique muscles


c. psoas muscles


d. lumbar vertebral body


e. intervertebral disk

d


lumbar vertebral body

arrow j


a. rectus abdominus muscles


b. oblique muscles


c. psoas muscles


d. lumbar vertebral body


e. intervertebral disk

e


intervertebral disk

figure b.28 shows images during various phases of contrast enhancement, including early (arterial-first pass), intermediate (cortico venous phase-second pass), and delayed phases (third pass). arterial phase imaging demonstrates all of the following characteristics EXCEPT


a. spleen is hyperintense to the liver


b. spleen is mottled or marbled enhancement


c. only the cortex of the kidneys is enhanced


d. the spleen and liver have the same signal intensity (isointense)

d


the spleen and liver have the same signal intensity

b.28 shows images during various phases of contrast enhancement. Most liver cancers are "arterially fed" and therefore are visualized on


a. first pass


b. second pass


c. delayed images


d. all phases

a


first pass

b.28 show images during various phases of contrast enhancement. hemangiomas are "benign" lesions (typically watch and wait lesions) that are venous fed, and therefore are visualized on


a. first pass


b. second pass


c. delayed images


d. all phases

c


delayed imaging

patient positioning for abdominal MR images includes all of the following positions EXCEPT


a. supine, head first within the head coil


b. supine, head first with torso array coil


c. supine, feet first within the torso array coil


d. prone, feet first within the torso array coil

a


supine head first within the head coil

b.29 arrow a


a. abdominal aorta


b. celiac artery


c. splenic artery


d. hepatic artery


e. inferior vena cava (IVC)

a


abdominal aorta

arrow b


a. celiac artery


b. splenic artery


c. hepatic artery


d. superior mesenteric artery


e. spinal artery

b


splenic artery




arrow c


a. celiac artery


b. splenic artery


c. hepatic artery


d. superior mesenteric artery


e. spinal artery

a


celiac artery

arrow d


a. abdominal aorta


b. celiac artery


c. splenic artery


d. hepatic artery


e. superior mesenteric artery

d


hepatic artery

arrow e


a. celiac artery


b. splenic artery


c. hepatic artery


d. superior mesenteric artery


e. internal iliac artery



d


SMA

arrow f


a. superior mesenteric artery


b. right renal artery


c. left renal artery


d. spinal artery


e. femoral artery

b


right renal artery

arrow g


a. hepatic artery


b. superior mesenteric artery


c. right renal artery


d. left renal artery

d


left renal artery


arrow h


a. splenic artery


b. right renal artery


c. left renal artery


d. spinal artery


e. common iliac artery

d


spinal artery

arrow I


a. abdominal aorta


b. celiac artery


c. common iliac artery


d. internal iliac artery


e. external iliac artery

c


common iliac artery


arrow J


a. common iliac artery


b. internal iliac artery


c. external iliac artery


d. femoral artery

c


external iliac artery

arrow k


a. spinal artery


b. common iliac artery


c. internal iliac artery


d. external iliac artery


e. femoral artery

c


internal iliac artery

vascular imaging of the abdominal vasculature is typically acquired with


A. 2D TOF MRA


B. 3D TOF MRA


C. 2D OC MRA


D. 3D PC MRA


E. CONTRAST ENHANCED (ce) MRA

E


contrast enhanced MRA

b.30. arrow a


a. abdominal aorta


b. inferior vena cava


c. femoral vein


d. portal vein


e. iliac artery

a


abdominal aorta

arrow b


a. femoral vein


b. portal vein


c. splenic vein


d. renal vein


e. iliac artery

a


femoral vein

arrow c


a. femoral vein


b. portal vein


c. splenic vein


d. renal vein


e. superior mesenteric vein

b


portal vein

arrow d


a. portal vein


b. splenic vein


c. renal vein


d. superior mesenteric vein

c


renal vein

arrow e


a. portal vein


b. splenic vein


c. renal vein


d. superior mesenteric vein


e. iliac artery

d


superior mesenteric vein

arrow f


a. abdominal aorta


b. inferior vena cava


c. femoral vein


d. portal vein


e. iliac artery

b


inferior vena cava

arrow G


a. abdominal aorta


b. inferior vena cava


c. femoral vein


d. portal vein


e. iliac artery

e


iliac artery

vascular imaging of the venous abdominal vasculature is typically acquired with


a. 2D TOF mra


b. 3D TOF mra


c. 2D OC mra


d. 3D PC mra


e. contrast enhanced MRA-delayed

e


contrast enhanced MRA delayed

b.31 illustrated vascular imaging of the abdominal vasculature and runoff. This acquisition is acquired with dynamic contrast enhancement and


a. stationary table placement


b. table stepping from the abdomen down to the legs


c. table stepping from the legs up to the abdomen


d. with no specific table movement

b


table stepping from the abdomen down to the legs

arrow a


a. abdominal aorta


b. common iliac artery


c. internal iliac artery


d. external iliac artery

a


abdominal aorta

arrow b


a. abdominal aorta


b. abdominal aorta aneurysm


c. common iliac artery


d. internal iliac artery

b


abdominal aorta aneruysm

arrow c


a. abdominal aorta


b. common iliac artery


c. internal iliac artery


d. external iliac artery


e. femoral artery

b


common iliac artery

arrow d


a. common iliac artery


b. internal iliac artery


c. external iliac artery


d. femoral artery

d


femoral artery

arrow e


a. common iliac artery


b. internal iliac artery


c. external iliac artery


d. common femoral artery


e. superficial femoral artery

d


common femoral artery

arrow f


a. common iliac artery


b. vascular occlusion


c. femoral artery


d. popliteal artery

b


vascular occlusion



arrow g


a. popliteal artery


b. anterior tibialis artery


c. posterior tibialis artery


d. peroneus brevus artery

a


popliteal artery

arrow h


a. popliteal artery


b. anterior tibialis artery


c. posterior tibialis artery


d. peroneus brevus artery

c


posterior tibialis artery

arrow I


a. popliteal artery


b. anterior tibialis artery


c. posterior tibialis artery


d. peroneus brevus artery

b


anterior tibialis artery

arrow J


a. popliteal artery


b. anterior tibialis artery


c. posterior tibialis artery


d. peroneus brevus artery

c


posterior tibialis artery

arrow K


a. popliteal artery


b. anterior tibialis artery


c. posterior tibialis artery


d. peroneus brevus artery



d


peroneus brevus artery

b.32. arrow a


a. subcutaneous fat


b. rectus abdominus muscles


c. oblique muscles


d. lumbar spine


e. sacrum

a


subcutaneous fat

arrow b


a. subcutaneous fat


b. rectus abdominus muscles


c. oblique muscles


d. lumbar spine

b


rectus abdominus muscles


arrow c


b. rectus abdominus muscles


c. oblique muscles


d. lumbar spine


e. sacrum

e


sacrum

arrow d


a. subcutaneous fat


b. rectus abdominus muscles


c. oblique muscles


d. lumbar spine


e. bowel

e


bowel

arrow e


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix

b


myometrium

arrow f


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix

c


junctional zone

arrow g


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix

a


fundus

arrow h


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix

d


endometrium

arrow I


a. fundus


b. endometrium


c. cervix


d. bladder


e. rectum

d


bladder

arrow J


a. uterus


b. junctional zone


c. endometrium


d. cervix


e. bladder

d


cervix

arrow k


a. uterus


b. fundus


c. cervix


d. bladder


e. rectum

e


rectum

b.33. arrow a


a. spinal canal


b. subcutaneous fat


c. rectus abdominus muscles


d. lumbar spine


e. sacrum

a


spinal canal


arrow b


a. rectus abdominus muscles


b. oblique muscles


c. gluteal muscles


d. fallopian tubes


e. ovaries

c


gluteal muscles

arrow c


a. spinal canal


b. subcutaneous fat


c. lumbar spine


d. sacrum


e. bowel

d


sacrum

arrow d


a. lumbar spine


b. sacrum


c. bowel


d. ilium


e. gluteal muscles

d


ilium

arrow e


a. uterus


b. fundus


c. cervix


d. fallopian tubes


e. ovaries

e


ovaries

arrow f


a. uterus


b. fundus


c. cervix


d. fallopian tubes


e. ovaries

d


fallopian tubes

arrow g


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix

c


junctional zone


arrow H


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix



d


endometrium

arrow I


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix

b


myometrium

arrow J


a. bowel


b. uterus


c. bladder


d. rectum

c


bladder

arrow k


a. rectus abdominus muscles


b. lumbar spine


c. sacrum


d. femoral head

d


femoral head

b.34. arrow a


a. subcutaneous fat


b. rectus abdominus muscles


c. oblique muscles


d. lumbar spine

a


subcutaneous fat

arrow b


a. subcutaneous fat


b. rectus abdominus muscles


c. oblique muscles


d. lumbar spine


e. sacrum

b


rectus abdominus muscles

arrow c


a. uterus


b. fundus


c. myometrium


d. junctional zone


e. endometrium

e


endometrium

arrow d


a. uterus


b. fundus


c. myometrium


d. junctional zone


e. endometrium

d


junctional zone

arrow e


a. uterus


b. fundus


c. myometrium


d. endometrium


e. cervix

d


endometrium

arrow f


a. subcutaneous fat


b. rectus abdominus muscles


c. oblique muscles


d. roof of the acetabulum

d


roof of the acetabulum

arrow g


a. fundus


b. myometrium


c. junctional zone


d. endometrium


e. cervix

e


cervix

arrow h


a. rectus abdominus muscles


b. uterus


c. bladder


d. rectum


e. femoral head

d


rectum

for female pelvic imaging, the best view for the evaluation of the uterus is


a. sagittal


b. axial


c. coronal


d. oblique

a


sagittal

for female pelvic imaging, the best view to evaluate the ovaries is


a. sagittal


b. axial


c. coronal


d. oblique

c


coronal

b.35. arrow a


a. symphysis pubis


b. pubic bone


c. rectum


d. bladder

a


symphysis pubis

arrow b


a. symphysis pubis


b. pubic bone


c. central glad of the prostate


d. rectum

b


pubic bone

arrow c


a. central gland of the prostate


b. peripheral zone of the prostate (with cancer)


c. peripheral zone of the prostate (without cancer)


d. neurovascular bundle


e. rectum

a


central gland of the prostate


arrow d


a. central gland of the prostate


b. peripheral zone of the prostate (with cancer)


c. peripheral zone of the prostate (without cancer)


d. neurovascular bundle


e. rectum

b


peripheral zone of the prostate with cancer


arrow e


a. central gland of the prostate


b. peripheral zone of the prostate (with cancer)


c. peripheral zone of the prostate (without cancer)


d. neurovascular bundle


e. rectum

c


peripheral zone of the prostate without cancer

arrow f


a. symphysis pubis


b. pubic bone


c. neurovascular bundle


d. obturator internus muscle


e. rectum

c


neurovascular bundle

arrow g


a. symphysis pubis


b. pubic bone


c. neurovascular bundle


d. obturator internus muscle


e. rectum

d


obturator internus muscle

arrow h


a. pubic bone


b. central gland of the prostate


c. rectum


d. bladder


e. prostatic urethra

c


rectum

b. 36. arrow a


a. neurovascular bundle


b. rectum


c. bladder


d. seminal vesicles

c


bladder

arrow b


a. seminal vesicles


b. vas deferens


c. prostatic urethra


d. base of the prostate


e. apex of the prostate

a


seminal vesicles

arrow c


a. seminal vesicles


b. vas deferens


c. prostatic urethra


d. base of the prostate


e. apex of the prostate

b


vas deferens

arrow d


a. central gland of the prostate


b. peripheral zone of the prostate with cancer


c. peripheral zone of the prostate without cancer


d. neurovascular bundle

a


central gland of the prostate

arrow e


a. neurovascular bundle


b. vas deferens


c. prostatic urethra


d. base of the prostate


e. apex of the prostate

d


base of the prostate

arrow f


a. symphysis pubis


b. pubic bone


c. obturator internus muscle


d. gluteal muscles

c


obturator internus muscles


arrow g


a. neurovascular bundle


b. vas deferens


c. prostatic urethra


d. base of the prostate


e. apex of the prostate

e


apex of the prostate

arrow H


a. symphysis pubis


b. seminal vesicles


c. vas deferens


d. prostatic urethra

d


prostatic urethra

b.37. arrow a


a. bowel gas


b. symphysis pubis


c. pubic bone


d. rectum


e. bladder

a


bowel gas

arrow b


a. central glad of the prostate


b. peripheral zone of the prostate


c. neurovascular bundle


d. seminal vesicles



d


seminal vesicles

arrow c


a. symphysis pubis


b. rectum


c. pubic bone


d. bladder

b


rectum


arrow d


a. bowel gas


b. bladder


c. symphysis pubis


d. pubic bone


e. central gland of the prostate


f. rectum

b


bladder

arrow e


a. vas deferens


b. prostatic urethra


c. base of the prostate


d. apex of the prostate

c


base of the prostate


arrow f


a. central gland of the prostate


b. peripheral zone of the prostate


c. seminal vesicles


d. base of the prostate


e. apex of the prostate

b


peripheral zone of the prostate

arrow g


a. symphysis pubis


b. central gland of the prostate


c. peripheral zone of the prostate


d. obturator internus muscle


e. apex of the prostate

e


apex of the prostate

arrow h


a. symphysis pubis


b. central gland of the prostate


c. obturator internus muscle


d. gluteal muscles

a


symphysis pubis

since joints are situated obliquely within the body, mr imaging is acquired in the


a. sag


b. axial


c. coronal


d. oblique

d


oblique

b.38. arrow a


a. frontal lobe


b. parietal lobe


c. temporal lobe


d. sylvian fissure

a


frontal lobe

arrow b


a. frontal lobe


b. parietal lobe


c. temporal lobe


d. sylvian fissure

c


temporal lobe


arrow c


a. frontal lobe


b. parietal lobe


c. temporal lobe


d. condyle of the mandible


e. mandible

c


temporal lobe


arrow d


a. frontal lobe


b. parietal lobe


c. temporal lobe


d. meniscus

d


meniscus

arrow e


a. sylvian fissure


b. parietal bone


c. temporal bone


d. condyle of the mandible


e. meniscus

d


condyle of the mandible

arrow f


a. frontal lobe


b. sylvian fissure


c. parietal lobe


d. temporal lobe

b


sylvian fissure


arrow g


a. eminence


b. condyle of the mandible


c. meniscus


d. mandibular fossa

a


eminence

arrow h


a. meniscus


b. eminence


c. mandibular fossa


d. external auditory meatus

a


meniscus

arrow I


a. condyle of the mandible


b. mandibular fossa


c. external auditory meatus


d. temporal bone (fossa)


e. mandible

c


external auditory meatus

b.38 shows images of the TMJ for the evaluation of range of motion, whereby images are acquired


a. open mouth only


b. closed mouth only


c. open and closed


d. with the mouth in a neutral position

c


open and closed

TMJ imaging is acquired with oblique acquisition. the sag oblique images are acquired with slices:


a. perpendicular to the mandibular condyle


b. parallel to the mandibular condyle


c. along the parietal lobe


d. perpendicular to the cervical spine

a


perpendicular to the mandibular condyle

TMJ imaging is acquired with oblique acquisition. The coronal oblique images are acquired with slices:


a. perpendicular to the condyle


b. parallel to the mandibular condyle


c. along the parietal lobe


d. perpendicular to the cervical spine

b


parallel to the mandibular condyle

b.39. arrow a


a. rectus muscles


b. temporal lobe


c. sylvian fissure


d. condyle of the mandible


e. meniscus

a


rectus muscles

arrow b


a. rectus muscles


b. parietal bone


c. temporal bone


d. condyle of the mandible

c


temporal bone


arrow c


a. rectus muscles


b. temporal lobe


c. condyle of the mandible


d. meniscus



d


meniscus

arrow d


a. parietal bone


b. temporal bone


c. condyle of the mandible


d. mandibular fossa

c


condyle of the mandible

shoulder imaging is acquired with oblique acquisition. The coronal images with slices


a. along the supraspinatus muscle (upper right-top)


b. perpendicular to the glenoid fossa (upper right-bottom)


c. straight coronal


d. a or b

d


a or b

b.40. arrow a


a. trapezius muscle


b. deltoid muscle


c. scaphoid subscapularis muscle


d. subscapularis muscle


e. biceps muscle

a


trapezius muscle

arrow b


a. humeral head


b. acromion


c. clavicle


d. acromio-clavicular joint

b


acromion

arrow c


a. trapezius


b. deltoid


c. supraspinatus muscle


d. infraspinatus muscle


e. subscapularis muscle

c


supraspinatus muscle

arrow d


a. trapezius muscle


b. deltoid muscle


c. rotator cuff


d. subscapularis muscle



c


rotator cuff

the structures that make up the rotator cuff include the:


1. trapezius muscle


2. supraspinatus muscle and tendon


3. infraspinatus muscle and tendon


4. teres minor muscle and tendon


5. subscapularis muscle and tendon


6. deltoid muscle


a. 1 and 6


b. 1,2, 3, and 4


c. 2,3,4 and 5


d. 1,2,3,4,5 and 6

c


2,3,4, and 5

b.40 arrow e


a. trapezius muscle


b. deltoid muscle


c. rotator cuff


d. biceps muscle

b


deltoid muscle


arrow f


a. rotator cuff


b. glenoid fossa


c. acromio clavicular joint


d. biceps muscle

b


glenoid fossa


arrow g


a. rotator cuff


b. humeral head


c. acromion


d. clavicle


e. AC joint

b


humeral head


arrow h


a. trapezius muscle


b. supraspinatus muscle


c. infraspinatus muscle


d. teres minor muscle


e. subscapularis muscle

e


subscapularis muscle

b.41. arrow a


a. acromion


b. clavicle


c. AC joint


d. humeral head

a


acromion

arrow b


a. acromion


b. clavicle


c. AC joint


d. humeral head

c


AC joint

arrow c


a. acromion


b. clavicle


c. AC joint


d. humeral head

b


clavicle




arrow d


a. supraspinatus tendon


b. infraspinatus tendon


c. teres minor tendon


d. subscapularis tendon


e. biceps muscle

a


supraspinatus tendon

arrow e


a. supraspinatus tendon


b. infraspinatus tendon


c. teres minor tendon


d. subscapularis tendon


e. biceps muscle

b


infraspinatus tendon

arrow f


a. supraspinatus tendon


b. infraspinatus tendon


c. teres minor tendon


d. subscapularis tendon


e. biceps muscle



c


teres minor tendon

arrow g


a. supraspinatus tendon


b. infraspinatus tendon


c. teres minor tendon


d. subscapularis tendon


e. biceps muscle

d


subscapularis tendon

arrow h


a. rotator cuff


b. acromion


c. clavicle


d. humeral head


e. biceps muscle

d


humeral head


arrow I


a. trapezius muscle


b. deltoid muscle


c. suscapularis


d. biceps muscle

d


biceps muscle


b.42. arrow a


a. pectoralis muscle


b. subscapularis tendon


c. lung


d. deltoid muscle

a


pectoralis muscle

arrow b


a. pectoralis muscle


b. subscapularis tendon


c. lung


d. subscapularis muscle


e. glenoid fossa

b


subscapularis tendon


arrow c


a. pectoralis muscle


b. subscapularis tendon


c. lung


d. deltoid muscle

c


lung

arrow d


a. pectoralis muscle


b. subscapularis tendon


c. lung


d. deltoid muscle


e. subscapularis muscle

d


deltoid muscle

arrow e


a. rotator cuff


b. humeral head


c. acromion


d. clavicle


e. scapula

b


humeral head

arrow f


a. trapezius muscle


b. subscapularis muscle


c. infraspinatus muscle


d. teres minor muscle

b


subscapularis muscle

arrow g


a. glenoid fossa


b. rotator cuff


c. AC joint


d. biceps muscle

a


glenoid fossa

arrow h


a. subscapularis muscle


b. supraspinatus muscle


c. infraspinatus muscle


d. teres minor muscle

c


infraspinatus muscle

arrow I


a. scapula


b. rotator cuff


c. humeral head


d. acromion


e. clavicle

a


scapula