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Questions and Answers
What is a major disadvantage of a CT scan?
What is a major disadvantage of a CT scan?
Which of the following accurately describes an advantage of nuclear medicine?
Which of the following accurately describes an advantage of nuclear medicine?
What is the radiation dose for a chest X-ray compared to the annual background radiation?
What is the radiation dose for a chest X-ray compared to the annual background radiation?
What type of imaging technique can provide poor detail for tendons and ligaments?
What type of imaging technique can provide poor detail for tendons and ligaments?
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Which frequency range typically marks the beginning of ultrasound technology?
Which frequency range typically marks the beginning of ultrasound technology?
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What type of echo pattern is characterized by minimal reflection of ultrasound waves?
What type of echo pattern is characterized by minimal reflection of ultrasound waves?
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Which imaging modality has the highest risk of fatal cancer per mSv of radiation exposure?
Which imaging modality has the highest risk of fatal cancer per mSv of radiation exposure?
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Which of the following is NOT a type of study in nuclear medicine?
Which of the following is NOT a type of study in nuclear medicine?
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How does echogenicity in ultrasound imaging classify structures?
How does echogenicity in ultrasound imaging classify structures?
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What does poor anatomical detail in nuclear medicine imply?
What does poor anatomical detail in nuclear medicine imply?
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What is the primary purpose of radiology?
What is the primary purpose of radiology?
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Which imaging modality is associated with the use of ionizing radiation?
Which imaging modality is associated with the use of ionizing radiation?
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Among the listed imaging tests, which one is performed the most frequently?
Among the listed imaging tests, which one is performed the most frequently?
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What is a major disadvantage of X-rays?
What is a major disadvantage of X-rays?
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Which of the following is NOT a component of CT concepts?
Which of the following is NOT a component of CT concepts?
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Which imaging modality provides good bone detail?
Which imaging modality provides good bone detail?
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What unit is used to describe the density of materials in CT imaging?
What unit is used to describe the density of materials in CT imaging?
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Which windowing technique is primarily used to enhance lung imaging in CT scans?
Which windowing technique is primarily used to enhance lung imaging in CT scans?
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Which of the following correctly describes the advantage of MRIs over X-rays?
Which of the following correctly describes the advantage of MRIs over X-rays?
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What is typically an important factor to consider when interpreting CT imaging?
What is typically an important factor to consider when interpreting CT imaging?
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Study Notes
What is Radiology?
- Radiology is using technology to see living anatomy.
- There are two main categories within radiology: Diagnostic and Interventional.
Why is Radiology Important?
- There were over 43 million imaging tests carried out in 2021-22.
- This included 21 million x-rays, 10 million ultrasounds, 6.6 million CT scans and 3.7 million MRI scans.
Radiology Modalities
- Radiology modalities include X-ray, CT, Ultrasound, MRI and Nuclear Medicine.
X-rays
- X-rays are a form of electromagnetic radiation.
- They use ionizing radiation.
- X-rays are good at showing bone detail.
- X-rays are also good at showing lung detail.
- They are quick and readily available.
- X-rays show a 2D representation of 3D structures.
- They have poor detail of soft tissue.
CT
- CT scans are a more advanced type of X-ray, which produces a 3D image.
- They use ionizing radiation.
- CT scans can show vascular structures with contrast.
- CT scans are good at showing the anatomy of a 3D structure.
- CT scans can't see the spinal cord well.
- The detail of the brain and tendons/ligaments is low.
CT Concepts
- Anatomical Planes: Axial, Sagittal, Coronal.
- Orientation: Anterior/Posterior, Right/Left, Superior/Inferior.
- Density: Measured in Hounsfield units (HU).
- Windowing: Allows for visualization of different tissue types.
- Contrast: Used to enhance the visibility of specific structures.
Nuclear Medicine
- Nuclear medicine uses radioactive isotopes to image the function of organs and tissues.
Ultrasound
- Ultrasound uses sound waves to create images of the body.
- It uses the Piezoelectric effect to convert electrical energy to mechanical energy and vice versa.
- The frequency of sound waves used in ultrasound ranges from 1000 000 Hz to 10 000 000Hz.
- Ultrasound is a safe imaging modality, as it does not use ionizing radiation.
- Echogenicity is the level of reflectivity, on ultrasound.
- Anechoic means no reflectivity (black on an ultrasound image).
- Hypoechoic is low reflectivity (grey on an ultrasound image).
- Isoechoic is the same echo as surrounding tissues (grey on an ultrasound image).
- Hyperechoic is a high level of reflectivity (bright white on an ultrasound image).
Radiation Risks
- The annual background radiation dose is 2.2 mSv.
- A chest x-ray has a radiation dose of 0.04 mSv.
- A CT scan of the chest, abdomen, and pelvis has a dose of 8 mSv.
- The fatal cancer risk from radiation is around 1 in 20,000 per mSv.
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Description
Explore the fundamentals of radiology, including its importance in medical imaging and the various modalities used, such as X-rays and CT scans. Discover how these technologies help visualize living anatomy and support diagnoses.