CT Scanner Quality Control Test
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Questions and Answers

What is the axial plane spatial resolution achievable with modern CT scanners?

  • 2-5 mm
  • 1-2 mm
  • 0.6-0.9 mm (correct)
  • 0.3-0.5 mm
  • How does the number of detector rows affect scan volume and scan time?

  • More detector rows increase scan time
  • More detector rows do not affect scan time
  • More detector rows decrease scan time (correct)
  • More detector rows have no effect on scan volume
  • What is the advantage of iterative reconstruction over filtered backprojection?

  • Lower radiation doses
  • Faster reconstruction time
  • Improved image quality (correct)
  • All of the above
  • What is the advantage of using 64 active detector rows in a CT scanner?

    <p>Improved longitudinal spatial resolution</p> Signup and view all the answers

    What is the maximum scan volume covered by a 320 detector row CT scanner?

    <p>160 mm</p> Signup and view all the answers

    What is the purpose of algebraic reconstruction in CT imaging?

    <p>To improve image quality</p> Signup and view all the answers

    What is the effect of using multiple rotations in a helical acquisition?

    <p>Improved longitudinal spatial resolution</p> Signup and view all the answers

    What is the advantage of fast simple backprojection over iterative reconstruction?

    <p>Faster reconstruction time</p> Signup and view all the answers

    What is the primary limitation of spatial resolution in CT scanners?

    <p>All of the above</p> Signup and view all the answers

    What is the unit of measurement for temporal resolution in CT scanners?

    <p>Seconds</p> Signup and view all the answers

    What is the primary factor that affects low-contrast resolution in CT scanners?

    <p>Image noise</p> Signup and view all the answers

    What is the purpose of the Catphan 500 phantom in CT quality control tests?

    <p>To measure all of the above</p> Signup and view all the answers

    What is the range of spatial resolution in 64-slice CT scanners, expressed as the full-width half-maximum of the point spread function?

    <p>0.6-0.9 mm</p> Signup and view all the answers

    What is the term used to describe the graphical representation of system performance in spatial resolution tests?

    <p>Modulation Transfer Function (MTF)</p> Signup and view all the answers

    What is the purpose of the sensitometry module in CT quality control tests?

    <p>To measure CT linearity</p> Signup and view all the answers

    What is the term used to describe the in-plane x-y direction and longitudinal in z-direction of spatial resolution in CT scanners?

    <p>Spatial resolution</p> Signup and view all the answers

    What is the purpose of scanning a patient in a specific position during radiotherapy treatment planning?

    <p>To ensure accurate radiation dosage</p> Signup and view all the answers

    What is the primary application of dual energy CT imaging?

    <p>Discriminating certain tissues and pathology</p> Signup and view all the answers

    What is the purpose of the CatPhan phantom in CT imaging?

    <p>To evaluate the numerical value of Hounsfield units</p> Signup and view all the answers

    What is the primary goal of daily quality control tests for CT?

    <p>To ensure optimal image quality</p> Signup and view all the answers

    What is the purpose of the air calibration test in CT quality control?

    <p>To calibrate the zero value of the detector</p> Signup and view all the answers

    What is the purpose of the standard test from safety code 35 in CT quality control?

    <p>To check CT number accuracy and cross-field uniformity</p> Signup and view all the answers

    What is the purpose of the noise test in CT quality control?

    <p>To measure the standard deviation in the phantom</p> Signup and view all the answers

    What is the primary application of 4D CT imaging?

    <p>Visualizing the movement of joints</p> Signup and view all the answers

    What is the purpose of ECG dose modulation in cardiac CT scanning?

    <p>To reduce the radiation dose in the phases that are not of interest</p> Signup and view all the answers

    What is the benefit of using prospective ECG-triggered reconstructions in cardiac CT?

    <p>Reduced patient dose</p> Signup and view all the answers

    What is the term used to describe the ratio of table translation per 360° tube rotation relative to the nominal beam width in helical CT?

    <p>Pitch factor</p> Signup and view all the answers

    What is the advantage of using multislice CT scanners over single slice CT scanners?

    <p>Increased number of transmission profiles measured simultaneously</p> Signup and view all the answers

    What is the purpose of cardiac motion minimization in cardiac CT scanning?

    <p>To freeze the cardiac motion during scanning</p> Signup and view all the answers

    What is the benefit of retrospective ECG-gated reconstructions in cardiac CT?

    <p>Ability to select cardiac phase retrospectively</p> Signup and view all the answers

    What is the purpose of helical scanning in CT acquisition?

    <p>To enable the measurement of a large number of transmission profiles simultaneously</p> Signup and view all the answers

    What is the advantage of using 16 or 64 adjacent active arrays of detectors in multislice CT scanners?

    <p>Increased number of transmission profiles measured simultaneously</p> Signup and view all the answers

    What is the unit of measurement for CTDIvol?

    <p>mGy</p> Signup and view all the answers

    What is the formula to calculate DLP from CTDIvol?

    <p>DLP = CTDIvol * Scan Length</p> Signup and view all the answers

    What is the CT pitch factor, θp, equal to?

    <p>l / (N * T)</p> Signup and view all the answers

    What is the formula to calculate the weighted CT Kerma Index, Cw?

    <p>Cw = 1/3 (CPMMA,100,c + 2 * CPMMA,100,p)</p> Signup and view all the answers

    What is the unit of measurement for DLP?

    <p>mGy*cm</p> Signup and view all the answers

    What is the scan length of the patient in the example scenario?

    <p>16 cm</p> Signup and view all the answers

    What is the value of CTDIvol in the example scenario?

    <p>10 mGy</p> Signup and view all the answers

    What is the value of DLP in the example scenario?

    <p>160 mGy*cm</p> Signup and view all the answers

    Study Notes

    CT Acquisition Overview

    • Table translation in helical CT related to nominal beam width; referred to as pitch factor.
    • Launch of fast rotating multislice CT scanners in the late 1990s, enhancing clinical applications.
    • Single slice CT uses one linear detector array with a rotation time of 1-2 seconds and slice thickness of 5-10 mm.
    • Multislice CT utilizes multiple active arrays (4, 16, 64), significantly reducing rotation time to 0.3-0.4 seconds.

    Cardiac CT Techniques

    • Cardiac scanning aims to minimize motion for accurate imaging.
    • Preferred scanning phases are diastole or end systole when cardiac motion is least.

    ECG-Gated Acquisition Modes

    • Retrospective ECG-gated reconstructions involve overlapping pitch scanning and retrospectively selecting cardiac phases to minimize radiation in uninteresting phases.
    • Prospective ECG-triggered reconstructions are "step-and-shoot," reducing patient dose.

    Special CT Applications

    • Radiotherapy planning scans patients in the treatment position; wide bore scanners accommodate this.
    • Dual energy CT imaging enhances tissue discrimination by imaging at two photon energy levels.
    • Dynamic CT (4D CT) visualizes motion over time, useful for joints and perfusion studies.

    CT Image Quality Assessment

    • CatPhan phantom used for comprehensive image quality evaluation in CT scans.
    • Hounsfield units checked using inserts for specific materials to calibrate reconstructed images.
    • Low contrast acrylic inserts help assess detectability based on object size.

    Quality Control Tests

    • Daily tests by technologists include environmental inspection, tube warm-up, and air calibration.
    • Weekly tests assess CT number accuracy, cross-field uniformity, and noise levels.
    • Monthly tests check CT number linearity with various tissue densities.
    • Quarterly evaluations focus on spatial resolution, analyzing via line pairs phantom and Modulation Transfer Function (MTF) graphic representation.

    Detectors in CT Imaging

    • Multi-slice scanners are defined by their detector rows, enabling thinner, longer, and faster scans.
    • A typical single detector row scanner can cover 5 mm, whereas 4 active rows significantly improve longitudinal resolution from 5 mm to 1 mm.
    • CT scanners with up to 64 detector rows enable rapid acquisitions covering larger volumes, with 320-row scanners covering 160 mm in a single rotation.

    Image Reconstruction Techniques

    • Main techniques include simple backprojection, algebraic reconstruction, iterative reconstruction, and filtered back projection.
    • Filtered back projection (FBP) is rapid but noisy; iterative reconstruction improves picture quality at the cost of processing time.

    CT Dosimetry Parameters

    • CT pitch factor calculated by the distance moved by the patient couch per rotation, divided by the product of slice thickness and number of tomographic sections.
    • Dose-Length Product (DLP) calculated by multiplying Volume CT Dose Index (CTDIvol) by scan length.

    Example Calculations

    • An example illustrates calculating DLP using CTDIvol, which helps evaluate overall patient exposure and scan efficiency.
    • Key values for Weighted CT Kerma Index (Cw) and Volume CT Dose Index (CTDIvol) demonstrated through specific measurements, enabling assessment of radiation delivered to patients.

    General Image Quality Parameters

    • High-contrast spatial resolution factors include slice thickness, acquisition geometry, and reconstruction algorithms.
    • Current scanners achieve spatial resolution between 0.6-0.9 mm in all dimensions.

    Note on Contrast Resolution

    • Dependent on tube voltage, beam filtration, and the reconstruction algorithm, with image noise being the main limitation affecting low-contrast detectability.

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    Description

    This quiz tests knowledge of quality control tests for CT scanners, including linearity and spatial resolution tests using phantoms and modulation transfer function analysis.

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