Podcast
Questions and Answers
What is the axial plane spatial resolution achievable with modern CT scanners?
What is the axial plane spatial resolution achievable with modern CT scanners?
How does the number of detector rows affect scan volume and scan time?
How does the number of detector rows affect scan volume and scan time?
What is the advantage of iterative reconstruction over filtered backprojection?
What is the advantage of iterative reconstruction over filtered backprojection?
What is the advantage of using 64 active detector rows in a CT scanner?
What is the advantage of using 64 active detector rows in a CT scanner?
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What is the maximum scan volume covered by a 320 detector row CT scanner?
What is the maximum scan volume covered by a 320 detector row CT scanner?
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What is the purpose of algebraic reconstruction in CT imaging?
What is the purpose of algebraic reconstruction in CT imaging?
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What is the effect of using multiple rotations in a helical acquisition?
What is the effect of using multiple rotations in a helical acquisition?
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What is the advantage of fast simple backprojection over iterative reconstruction?
What is the advantage of fast simple backprojection over iterative reconstruction?
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What is the primary limitation of spatial resolution in CT scanners?
What is the primary limitation of spatial resolution in CT scanners?
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What is the unit of measurement for temporal resolution in CT scanners?
What is the unit of measurement for temporal resolution in CT scanners?
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What is the primary factor that affects low-contrast resolution in CT scanners?
What is the primary factor that affects low-contrast resolution in CT scanners?
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What is the purpose of the Catphan 500 phantom in CT quality control tests?
What is the purpose of the Catphan 500 phantom in CT quality control tests?
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What is the range of spatial resolution in 64-slice CT scanners, expressed as the full-width half-maximum of the point spread function?
What is the range of spatial resolution in 64-slice CT scanners, expressed as the full-width half-maximum of the point spread function?
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What is the term used to describe the graphical representation of system performance in spatial resolution tests?
What is the term used to describe the graphical representation of system performance in spatial resolution tests?
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What is the purpose of the sensitometry module in CT quality control tests?
What is the purpose of the sensitometry module in CT quality control tests?
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What is the term used to describe the in-plane x-y direction and longitudinal in z-direction of spatial resolution in CT scanners?
What is the term used to describe the in-plane x-y direction and longitudinal in z-direction of spatial resolution in CT scanners?
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What is the purpose of scanning a patient in a specific position during radiotherapy treatment planning?
What is the purpose of scanning a patient in a specific position during radiotherapy treatment planning?
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What is the primary application of dual energy CT imaging?
What is the primary application of dual energy CT imaging?
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What is the purpose of the CatPhan phantom in CT imaging?
What is the purpose of the CatPhan phantom in CT imaging?
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What is the primary goal of daily quality control tests for CT?
What is the primary goal of daily quality control tests for CT?
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What is the purpose of the air calibration test in CT quality control?
What is the purpose of the air calibration test in CT quality control?
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What is the purpose of the standard test from safety code 35 in CT quality control?
What is the purpose of the standard test from safety code 35 in CT quality control?
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What is the purpose of the noise test in CT quality control?
What is the purpose of the noise test in CT quality control?
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What is the primary application of 4D CT imaging?
What is the primary application of 4D CT imaging?
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What is the purpose of ECG dose modulation in cardiac CT scanning?
What is the purpose of ECG dose modulation in cardiac CT scanning?
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What is the benefit of using prospective ECG-triggered reconstructions in cardiac CT?
What is the benefit of using prospective ECG-triggered reconstructions in cardiac CT?
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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?
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?
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What is the advantage of using multislice CT scanners over single slice CT scanners?
What is the advantage of using multislice CT scanners over single slice CT scanners?
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What is the purpose of cardiac motion minimization in cardiac CT scanning?
What is the purpose of cardiac motion minimization in cardiac CT scanning?
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What is the benefit of retrospective ECG-gated reconstructions in cardiac CT?
What is the benefit of retrospective ECG-gated reconstructions in cardiac CT?
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What is the purpose of helical scanning in CT acquisition?
What is the purpose of helical scanning in CT acquisition?
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What is the advantage of using 16 or 64 adjacent active arrays of detectors in multislice CT scanners?
What is the advantage of using 16 or 64 adjacent active arrays of detectors in multislice CT scanners?
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What is the unit of measurement for CTDIvol?
What is the unit of measurement for CTDIvol?
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What is the formula to calculate DLP from CTDIvol?
What is the formula to calculate DLP from CTDIvol?
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What is the CT pitch factor, θp, equal to?
What is the CT pitch factor, θp, equal to?
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What is the formula to calculate the weighted CT Kerma Index, Cw?
What is the formula to calculate the weighted CT Kerma Index, Cw?
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What is the unit of measurement for DLP?
What is the unit of measurement for DLP?
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What is the scan length of the patient in the example scenario?
What is the scan length of the patient in the example scenario?
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What is the value of CTDIvol in the example scenario?
What is the value of CTDIvol in the example scenario?
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What is the value of DLP in the example scenario?
What is the value of DLP in the example scenario?
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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.