CT Number (Hounsfield Unit) Calculation

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Questions and Answers

In computed tomography, what does the CT number represent?

  • The physical density of the tissue.
  • The actual X-ray absorption coefficient of a pixel.
  • The energy (kV) of the X-ray beam.
  • A normalized value of the calculated X-ray absorption coefficient of a pixel. (correct)

Why is it important to relate the tissue absorption coefficient to that of water at the same kV in CT imaging?

  • To increase the X-ray absorption.
  • To obtain a reference number independent of kV change. (correct)
  • To eliminate the need for a CT number.
  • To simplify the calculation of pixel size.

Which of the following is the correct simplified formula for calculating the Hounsfield Unit (HU), assuming the absorption coefficient of air is negligible?

  • $HU = \frac{\mu_{tissue} - \mu_{water}}{\mu_{water} - \mu_{air}} \times 1000$
  • $HU = \frac{\mu_{tissue}}{\mu_{water}} \times 1000$
  • $HU = (\mu_{tissue} - \mu_{water}) \times 1000$
  • $HU = \frac{\mu_{tissue} - \mu_{water}}{\mu_{water}} \times 1000$ (correct)

Based on the provided examples, how does the CT number of muscle change with increasing X-ray energy?

<p>It remains relatively constant. (C)</p> Signup and view all the answers

What is 'beam hardening' referring to in the context of X-ray imaging?

<p>The process where low-energy X-ray photons are absorbed, increasing the average energy of the remaining beam. (C)</p> Signup and view all the answers

How does beam hardening affect the penetration ability of an X-ray beam?

<p>It increases the penetration ability. (B)</p> Signup and view all the answers

What is one method to address the problem of CT number variation caused by changes in X-ray energy?

<p>Using a monochromatic beam of X-ray photons. (D)</p> Signup and view all the answers

According to the content, what is the relationship between X-ray tube voltage and the energy of the X-ray beam?

<p>The energy of the X-ray beam is controlled by and proportional to the X-ray tube voltage. (D)</p> Signup and view all the answers

Why is proper X-ray generator calibration important in CT imaging?

<p>To ensure accurate and reproducible CT numbers. (B)</p> Signup and view all the answers

In digital image formation, what role does the analogue-to-digital converter (ADC) play?

<p>It converts the analogue signal from the detectors into a digital format. (C)</p> Signup and view all the answers

What does the dynamic range in digital image formation represent?

<p>The ratio of the largest signal to the smallest signal that can be detected. (A)</p> Signup and view all the answers

What benefit does a wide dynamic range provide in CT imaging?

<p>It allows obese and slim patients to be imaged with the same standard and definition. (C)</p> Signup and view all the answers

Why can changes in CT number cause complications in the image process?

<p>Because changes in CT number also result in changes on the gray scale. (A)</p> Signup and view all the answers

According to the content, what part of the patient's body is more vulnerable to attenuation?

<p>Patient's body part under irradiation. (D)</p> Signup and view all the answers

In reference to example 2, calculate the CT number for fat with the following data for 60 kV: $\mu_{water}$ = 0.206 and $\mu_{fat}$ = 0.188

<p>-87.4 (D)</p> Signup and view all the answers

In reference to example 2, calculate the CT number for cartilage bone with the following data for 80 kV: $\mu_{water}$ = 0.184 and $\mu_{cartbone}$ = 0.428

<p>1326 (B)</p> Signup and view all the answers

In reference to example 1, calculate the CT number for the muscle at 100 keV if the absorption coefficient of water is doubled. $\mu_{water}$ = 0.3414 and $\mu_{muscle}$ = 0.1760

<p>-484 (A)</p> Signup and view all the answers

In reference to example 2, assume the value for water at 40kV is incorrect. Calculate the absorption coefficient of water if you obtain a CT number of -100 for fat at 40kV: $\mu_{fat}$ = 0.228

<p>0.25 (B)</p> Signup and view all the answers

In reference to example 1, what is the CT number equal to if the absorption coefficient of tissue/muscle is equal to that of water at 150 keV?

<p>0 (C)</p> Signup and view all the answers

Which of the following would be the best method in reducing the variation of the CT number?

<p>Use of proper x-ray generator calibration (A)</p> Signup and view all the answers

Flashcards

CT number

A normalized value of the calculated X-ray absorption coefficient of a pixel in a computed tomogram.

CT number calculation

HU = ((μtissue - μwater) / μwater) * 1000, where μ represents the absorption coefficient.

Beam hardening

The phenomenon where the average energy of an X-ray beam increases as it passes through a substance due to the absorption of lower-energy photons.

Dynamic Range

The range between the largest and smallest signals an analogue-to-digital converter (ADC) can detect, important for imaging different tissue densities.

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Study Notes

  • The CT number is a normalized value of the calculated X-ray absorption coefficient of a pixel in a computed tomogram.
  • The absorption coefficient of a tissue depends on the tissue's nature and the energy (kV) of the X-ray beam.
  • If the tissue absorption coefficient is related to the water absorption coefficient at the same kV, a reference number independent of kV change can be obtained.
  • CT number, also known as Hounsfield Unit (HU), is calculated using the formula: HU = ((µtissue - µwater) / (µwater - µair)) * 1000.
  • Since the absorption coefficient of air is negligibly small, the formula simplifies to: HU = ((µtissue - µwater) / µwater) * 1000.

CT Number Example: Muscle

  • The CT number for muscle is calculated using the formula: HU = ((µtissue - µwater) / µwater) * 1000.
  • At 80 keV: HU = ((0.1892 – 0.1835) / (0.1835)) * 1000 = 31.
  • At 100 keV: HU = ((0.1760 – 0.1707) / (0.1707)) * 1000 = 31.
  • At 150 keV: HU = ((0.1550 – 0.1504) / (0.1504)) * 1000 = 31.

Variation in CT Numbers with X-ray Energy

  • When an X-ray beam with varying energies passes through a patient's body, low-energy X-ray photons are absorbed, increasing the average energy of the remaining beam.
  • This is called hardening of the beam.
  • As the beam penetrates further, it hardens, increasing penetration ability because the average energy is higher.
  • CT numbers depend on the absorption ability of X-rays.
  • Changes in X-ray energy affect the CT numbers of the same tissue.
  • As shown in Figure 1, the CT number of cartilage bone decreases with increasing beam energy.
  • This variation in CT number changes the gray scale, causing complications in imaging.
  • A monochromatic beam of X-ray photons is a better option.
  • The energy of the X-ray beam is proportional to the X-ray tube voltage.
  • Higher tube voltage results in more energetic X-ray beams.
  • Controlling the tube voltage can produce a monochromatic beam to avoid variation in CT numbers.
  • Proper X-ray generator calibration ensures accurate and reproducible CT numbers.

CT Number Example: Fat and Cartilage Bone

  • CT number calculation is needed for fat and cartilage bone.

Dynamic range

  • In digital image formation, an analog-to-digital converter (ADC) must respond to a wide variation of attenuation in the patient's body under irradiation.
  • Dynamic range is the ratio of the largest signal (no absorption) to the smallest signal (maximum absorption).
  • This allows imaging of both obese and slim patients with the same standard and definition, including bone (high density) and soft tissues (low density).

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