Computerized Tomography Overview

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Questions and Answers

What is one advantage of CT scans over MRI scans?

  • CT scans use magnetic force to align protons.
  • CT scans are less expensive. (correct)
  • CT scans take longer to produce images.
  • CT scans provide superior spatial resolution.

Which of the following conditions may make MRI unsuitable for a patient?

  • Presence of a metal fragment in the body. (correct)
  • Desire for high-quality spatial resolution.
  • Time constraints for imaging.
  • Need for contrast imaging.

How does MRI technology primarily differentiate between types of tissue?

  • By assessing the conductivity of tissues.
  • By capturing the electromagnetic fields emitted by tissues.
  • By measuring the mass of each tissue type.
  • By recording the realignment time and energy release of protons. (correct)

What feature of MRI provides a clearer image compared to CT?

<p>Superior spatial resolution. (D)</p> Signup and view all the answers

What happens initially when a person is placed inside an MRI scanner?

<p>Protons are aligned by a powerful magnet. (D)</p> Signup and view all the answers

Which brain imaging technique is better for rapid scanning needs?

<p>CT scans. (A)</p> Signup and view all the answers

What primary benefit does MRI provide regarding brain structure imaging?

<p>Better contrast between gray and white matter. (C)</p> Signup and view all the answers

What type of imaging allows researchers to measure ongoing regional brain activity?

<p>Functional neuroimaging (A)</p> Signup and view all the answers

Which imaging technique provides structural information about the brain at a single point in time?

<p>MRI (A)</p> Signup and view all the answers

What is one disadvantage of EEG compared to structural imaging techniques?

<p>It has poor spatial resolution. (B)</p> Signup and view all the answers

What do MRS-derived levels compare between groups?

<p>Metabolic activity of molecules (C)</p> Signup and view all the answers

Which technique can visualize activity in the brain by using a radioactive tracer?

<p>PET (B)</p> Signup and view all the answers

Which of the following techniques involves manually tracing regions of interest on MRI slices?

<p>Volumetric analyses (B)</p> Signup and view all the answers

What is the function of event-related potentials (ERPs)?

<p>Link electrical activity to events (D)</p> Signup and view all the answers

Which type of imaging technique typically has high temporal resolution but poor spatial resolution?

<p>EEG (D)</p> Signup and view all the answers

How do voxel-based morphometry (VBM) techniques differ from earlier volumetric analyses?

<p>They compare differences within 3D pixels. (C)</p> Signup and view all the answers

What does the term 'Tesla' refer to in MRI imaging?

<p>The strength of the magnetic field (B)</p> Signup and view all the answers

In which range does the strength of clinical MRI scanners typically fall?

<p>1.5 to 3.0 T (B)</p> Signup and view all the answers

How does cerebrospinal fluid appear on T1-weighted images?

<p>Dark (D)</p> Signup and view all the answers

What is the purpose of fluid-attenuated inversion recovery (FLAIR) imaging?

<p>To suppress the signal from cerebrospinal fluid (D)</p> Signup and view all the answers

What advantage does Diffusion Weighted Imaging (DWI) provide?

<p>It provides indirect estimates of white matter (D)</p> Signup and view all the answers

How can DWI information be visually represented?

<p>Using colorized reconstructions of white matter pathways (B)</p> Signup and view all the answers

What is a significant difference between T1 and T2 images in MRI?

<p>T2 images show brighter fluid than T1 images (D)</p> Signup and view all the answers

What does the 'T' in T1 and T2 refer to?

<p>Time constant (C)</p> Signup and view all the answers

Which imaging method is primarily used for reconstructing directional information of diffusion patterns in the brain?

<p>Diffusion Weighted Imaging (DWI) (C)</p> Signup and view all the answers

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Study Notes

Computerized Tomography (CT)

  • CT is the preferred brain imaging method in scenarios where cost and speed are crucial.
  • Rapid scanning is beneficial, especially in emergencies.
  • MRI is contraindicated for patients with pacemakers, metal fragments, or who are agitated.

Magnetic Resonance Imaging (MRI)

  • MRI offers superior spatial resolution compared to CT, producing clearer brain images.
  • Detailed visualization of gyri and sulci, and better contrast between gray and white matter.
  • Protons in the body align with a magnetic field during MRI scans, disrupted by radio frequency pulses.

MRI Mechanics

  • Protons return to alignment post-pulse; a computer records alignment time and energy release.
  • Data collected allows differentiation of tissue types such as bone, blood, and fluid, facilitating image creation.
  • Modern MRI scanners achieve spatial resolution of millimeters.

Magnetic Resonance Spectroscopy (MRS)

  • MRS evaluates metabolic activity through the levels of molecules like amino acids and glutamate in specific brain regions.
  • Comparison between experimental and control groups helps assess metabolic differences.

Regions of Interest (ROIs) Analysis

  • Early studies utilized volumetric analyses with manual tracing on MRI brain slices.
  • Voxel-based morphometry (VBM) measures 3D pixels (voxels) for comparative volume analysis.

Structural vs. Functional Neuroimaging

  • CT and MRI (including VBM) reveal brain structure at specific time points.
  • Functional neuroimaging captures real-time brain activity.
  • EEG provides electrical brain activity through scalp electrodes.

EEG Metrics

  • Event-related potentials (ERPs) measure brain activity linked to specific stimuli.
  • EEG and ERP have high temporal resolution but limited spatial resolution.

Functional Imaging Techniques

  • Positron emission tomography (PET) and single-photon emission computed tomography (SPECT) utilize radioactive tracers to highlight active brain areas.
  • Active regions are identified based on tracer uptake during specific tasks.

MRI Scanner Strength

  • Tesla (T) indicates magnetic field strength; higher fields yield sharper images.
  • Clinical MRI scanners typically range from 1.5 to 3 T, while research scanners can go up to 7 T.

T1 vs. T2 Imaging

  • T1 and T2 are sequences that affect proton relaxation times and image contrast.
  • Fluid appears dark on T1 images and bright on T2 images.

FLAIR Imaging

  • Fluid-attenuated inversion recovery (FLAIR) imaging suppresses cerebrospinal fluid signals to enhance detection of brain lesions.

Diffusion Weighted Imaging (DWI)

  • DWI assesses white matter by tracking water diffusion across axon membranes.
  • Directional diffusion information is used to create white matter maps (diffusion tractography).

Cognitive “Subtraction” Technique

  • This technique compares complex tasks against simpler tasks to identify brain regions engaged in complex cognitive processes.

PET and SPECT Tracers

  • Common PET tracer, [18F]–fluorodeoxyglucose (FDG), measures glucose metabolism indicating neural activity.
  • Alzheimer’s disease often shows decreased FDG activity in the medial temporal lobe.

Radioligands

  • Radioligands are attached to molecules, targeting specific receptors like acetylcholine or dopamine.
  • Pittsburgh compound B (PIB) detects beta-amyloid deposition in the brain.

Functional MRI (fMRI)

  • Blood oxygenation level dependent (BOLD) imaging tracks changes in blood oxygenation linked to neuronal activity.
  • fMRI does not require radioactive tracers and is more widely accessible than PET.

Brain Changes with Aging

  • "Last in, first out" concept: brain areas developing last are first affected by aging.
  • Thinner myelin areas are more susceptible to age-related declines; overall brain volume decreases after age 30.

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