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Image Quality in CT Scans

This quiz covers the fundamentals of image quality in Computed Tomography (CT) scans, including contrast resolution and the limitations of imaging low-contrast objects. It's a great resource for students of radiology and medical imaging.

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@SoftCobalt
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Questions and Answers

The contrast resolution provided by ______________ is considerably better than that available in radiography.

CT

The ability to image low-contrast objects with CT is limited by the size and uniformity of the object and by the ______________ of the system.

noise

If a ______________ medium such as water is imaged, each pixel should have a value of zero.

homogeneous

This variation in CT numbers above or below the average value is the ______________ of the system.

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

The magnitude of noise is equal to the ______________ deviation of the CT number values within the region of interest.

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

Noise is the percentage ______________ deviation of a large number of pixels obtained from a water bath image.

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

The patient radiation dose, the number of x-rays used by the detector to produce the image, controls the ______________.

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

In statistics, noise is called a ______________ deviation and is symbolized by σ.

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

If the CT imaging system is properly adjusted, the value of ______ should be zero.

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

The characteristic of having constant pixel values in all regions of the reconstructed image is called ______ uniformity.

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

A histogram or line graph can be plotted using an internal software package to test ______ uniformity.

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

If all values of the histogram or line graph are within two standard deviations of the mean value, the system is said to exhibit ______ spatial uniformity.

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

The 'cupping' artifact is caused by ______ beam hardening.

<p>X-ray</p> Signup and view all the answers

The 'cupping' artifact can be demonstrated by imaging the water bath inside a ______ ring to simulate bone.

<p>Te on</p> Signup and view all the answers

Noise appears on the image as ______.

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

Low-______ images appear very smooth to the eye, and high-______ images appear spotty or blotchy.

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

Noise should be evaluated daily through imaging of a ______-cm-diameter water bath.

<p>20</p> Signup and view all the answers

The ROI must encompass at least ______ pixels when the CT technologist measures noise.

<p>100</p> Signup and view all the answers

Computed tomography imaging systems must be ______ frequently so that water is consistently represented by CT number zero.

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

Uniformity is defined as the ______ of the CT numbers of an image of a homogeneous material across the scan field.

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

Uniformity is calculated using the following equation: |______ - ______|, which is the difference in the mean CT number in the centre from that at the periphery of the image.

<p>CTm,c; CTm,p</p> Signup and view all the answers

When a uniform object such as a water bath is imaged, each pixel should have the same ______ because each pixel represents precisely the same object.

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

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Study Notes

Image Quality

  • CT images have better contrast resolution than radiography due to scatter radiation rejection by pre-patient and pre-detector collimators.
  • CT can image low-contrast objects, but is limited by object size and uniformity, and system noise.

Noise

  • Noise is the variation in CT numbers from the mean value in a defined area of a uniform phantom.
  • Noise is measured by the standard deviation of CT number values within the region of interest.
  • Factors affecting noise include kVp, filtration, pixel size, slice thickness, detector efficiency, and patient dose.
  • Noise appears as graininess on the image, with low-noise images appearing smooth and high-noise images appearing spotty or blotchy.
  • Noise is symbolized by σ (standard deviation) and should be evaluated daily through imaging of a 20-cm-diameter water bath.

Spatial Uniformity

  • Spatial uniformity is the consistency of CT numbers in an image of a homogeneous material across the scan field.
  • Spatial uniformity can be tested with an internal software package that plots CT numbers along any axis of the image as a histogram or line graph.
  • A system exhibits acceptable spatial uniformity if all values are within two standard deviations of the mean value (±2 σ).

X-ray Beam Hardening and Cupping Artifact

  • X-ray beam hardening can cause a decrease in CT numbers, making the middle of the image appear darker than the periphery (cupping artifact).
  • This artifact can be demonstrated by imaging a water bath inside a Te on ring to simulate bone.

Calibration and Linearity

  • CT imaging systems must be calibrated frequently to ensure water is represented by CT number zero and other tissues by appropriate CT numbers.
  • A daily calibration check can be made using the five-pin performance test object of the American Association of Physicists in Medicine (AAPM).
  • The plot of CT number versus linear attenuation coefficient should be a straight line passing through CT number 0 for water.

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