MCQ Tomography Equipment
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The third generation of CT scanners allowed for further reduction in ___?

  • fan-beam width
  • scanning time (correct)
  • both a and b
  • both a and c
  • scattered radiation (correct)
  • Filtered back projection in CT refers to ___?

  • image reconstruction (correct)
  • beam scattering
  • spatial resolution
  • beam filtration
  • pre-patient collimation
  • In helical CT, a single transverse slice represents ___?

  • Different window levels in CT images
  • Different patient dose
  • A reconstruction made from projections at neighboring scan axis positions
  • A plane through the body oblique to the scan axis
  • A plane through the body perpendicular to the scan axis (correct)
  • In helical CT, pitch is defined as ___?

    <p>Table movement in 360 degrees / beam width (C)</p> Signup and view all the answers

    In helical CT, a low-pitch technique might be most helpful for ___?

    <p>Detecting a non-displaced fracture (B)</p> Signup and view all the answers

    Which of the following numbers reported by the scanner best reflects the total amount of radiation delivered to the patient?

    <p>Dose-length product (DLP) (A)</p> Signup and view all the answers

    The following term refers to a measure designed to reflect stochastic (cancer) risk from radiation: ___?

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

    The dose parameter used to correct CTDI for patient size is the ___?

    <p>Size-specific dose estimate (SSDE) (A)</p> Signup and view all the answers

    Positioning the patient off-center within the CT gantry will result in ___?

    <p>Increased dose (E)</p> Signup and view all the answers

    The major determinant of temporal resolution in CT is ___?

    <p>Gantry rotation speed (D)</p> Signup and view all the answers

    A dose-reduction strategy in prospectively gated cardiac CT would be ___?

    <p>Utilizing ultrahigh pitch technique (C)</p> Signup and view all the answers

    High radiation doses seen in retrospectively gated cardiac CT, as compared to prospectively gated CT, are a result of ___?

    <p>Increased scanner pitch (D)</p> Signup and view all the answers

    The most important physical process responsible for tissue contrast in CT imaging is ___?

    <p>Photoelectric absorption (A)</p> Signup and view all the answers

    The CT number (Hounsfield unit) of fat depends on ___?

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

    Beam hardening in x-ray imaging refers to ___?

    <p>Increased average x-ray energy as a beam passes through a dense material (A)</p> Signup and view all the answers

    A hardened beam has what effect on the CT appearance of soft tissue ___?

    <p>Darker with poorer contrast (C)</p> Signup and view all the answers

    Advantages of dual-energy CT include all the following except ___?

    <p>Separation of dozens of different materials (D)</p> Signup and view all the answers

    When compared with conventional X-ray, CT produces diagnostic images with improved ___?

    <p>Low contrast resolution (A)</p> Signup and view all the answers

    In 1917, the Austrian mathematician ______ proved that it was possible to reconstruct a three-dimensional object from the infinite set of all projections.

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

    Which of the following is not commonly used as a CT scintillation detector?

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

    Which of the following is able to measure the density of the body tissue?

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

    A patient had head trauma, and you suspect that he has “intracranial hemorrhage”. Which of the following modalities you will choose?

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

    On which amount of exposure to radiation, the patient will suffer from CNS symptoms and could die within 1-2 days?

    <p>5000 rem (D)</p> Signup and view all the answers

    The radiologist wears [blank] to know the amount of exposure?

    <p>Thermoluminescent Dosimeter (TLD) (D)</p> Signup and view all the answers

    In the Negative-contrast, the organ becomes [blank] because of [blank]...

    <p>Radiolucent - Low atomic weight (A)</p> Signup and view all the answers

    CAT scan is essentially ___?

    <p>x-ray of soft tissues (C)</p> Signup and view all the answers

    Why is contrast used in CT scan?

    <p>To enhance a particular tissue (E)</p> Signup and view all the answers

    The current generation CT scanner use ______ for scanning.

    <p>electron beam and detectors</p> Signup and view all the answers

    In order to visualize the flow of blood in the renal arteries, what process is done with CT?

    <p>CT Angiography (E)</p> Signup and view all the answers

    X-rays are modified [blank]?

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

    Best imaging modality to diagnose liver mass is ___?

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

    Generally, the total work load that an x-ray tube can be safely operated at is limited by radiation intensity at 1 meter

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

    In an x-ray tube, the target, usually tungsten, is mounted in the solid copper [blank]?

    <p>anode (E)</p> Signup and view all the answers

    If 5000 joules of energy are released in a 100mA, 1-second exposure, the tube potential is ___?

    <p>50 kV (B)</p> Signup and view all the answers

    For maximum image sharpness the plane of the film and the plane of the object should be ___?

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

    Flashcards

    Benefits of the third generation CT scanners

    The third generation of CT scanners introduced a significant reduction in the time required for the scanning process, as well as a substantial decrease in the amount of scattered radiation generated during the scan. This was achieved through advancements in technology and design.

    Filtered Back Projection in CT

    In Computed Tomography (CT), the process of filtered back projection is a crucial step in reconstructing the image from the collected x-ray data. It involves mathematically manipulating the acquired projections to create a cross-sectional image of the scanned area.

    Single Transverse Slice in Helical CT

    A single transverse slice in helical CT refers to a reconstructed image representing a plane that cuts through the body perpendicular to the direction of the scan. This 'slice' provides a cross-sectional view of the area being scanned.

    Pitch in Helical CT

    The pitch in helical CT is defined as the ratio of the table movement during one 360-degree rotation of the x-ray tube to the thickness of the reconstructed slices. It essentially determines how much of the body is scanned per rotation.

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    Low Pitch Technique in Helical CT

    A low-pitch technique in helical CT might be beneficial for detecting subtle lesions or evaluating intricate anatomical structures. This is because a lower pitch leads to increased overlap of data, resulting in higher image quality and clarity.

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    Dose-Length Product (DLP)

    The Dose-Length Product (DLP) is a parameter that best reflects the total radiation dose delivered to a patient during a CT scan. It takes into account the dose received in each slice and the total length of the scanned area.

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    Effective Dose in CT

    Effective dose is a measure designed to quantify the stochastic (cancer) risk from ionizing radiation. It takes into account the type and energy of the radiation, as well as the sensitivity of different organs and tissues to radiation.

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    Size-Specific Dose Estimate (SSDE)

    The size-specific dose estimate (SSDE) is a dose parameter that factors in the patient's size when calculating the radiation dose during a CT scan. It adjusts the dose based on the individual's body characteristics.

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    Off-Center Patient Positioning in CT

    Positioning a patient off-center within the CT gantry can potentially result in reconstruction artifacts. These artifacts can interfere with the accuracy of the reconstructed image, making it difficult to interpret.

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    Temporal Resolution in CT

    The major determinant of temporal resolution in CT is the gantry rotation speed. A faster rotation speed allows for a shorter scan time, leading to improved temporal resolution and the ability to capture rapidly moving structures, such as the beating heart.

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    Prospectively Gated Cardiac CT

    A prospectively gated cardiac CT technique aims to minimize the motion artifacts caused by the beating heart. This involves syncing the scan with the patient's heartbeat, allowing for a more precise and accurate reconstruction of the cardiac structures.

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    Radiation Dose in Retrospectively Gated Cardiac CT

    High radiation doses in retrospectively gated cardiac CT compared to prospectively gated CT arise from the need for multiple scans over a longer period. This is necessary to collect data from different phases of the cardiac cycle, potentially exposing the patient to a higher cumulative dose.

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    Photoelectric Absorption in CT

    The most important physical process responsible for tissue contrast in CT imaging is photoelectric absorption. This occurs when an x-ray photon is absorbed by an atom, causing the ejection of an electron and resulting in a difference in x-ray attenuation, which creates variations in the imaging signal.

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    CT Number of Fat

    The CT number (Hounsfield unit) of fat is not constant but slightly varies depending on factors such as the x-ray beam energy (kV) and the composition of the fat itself. However, these variations are generally small and can be considered negligible for practical purposes.

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    Beam Hardening in CT

    Beam hardening in x-ray imaging refers to the phenomenon where the average energy of an x-ray beam increases as it passes through a dense material. This occurs because lower energy photons are preferentially absorbed, leaving behind a higher energy spectrum.

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    Influence of Hardened Beam on Soft Tissues

    A hardened beam in CT can affect the appearance of soft tissues in the image, making them appear darker with poorer contrast. This is because higher energy photons are less likely to be absorbed by soft tissues, resulting in less contrast.

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    Advantages of Dual-Energy CT

    Dual-energy CT offers numerous advantages, including the ability to create virtual non-contrast images, separate various materials, and generate perfusion maps. However, it doesn't guarantee a decrease in radiation dose compared to conventional CT.

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    Improved Spatial Resolution with CT

    Computed Tomography (CT) provides diagnostic images with improved spatial resolution compared to conventional x-ray imaging. This means that CT can resolve minute details and smaller structures, resulting in a more accurate representation of the scanned area.

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    Radon's Contribution to CT

    In 1917, the Austrian mathematician Johann Radon proved that it was possible to reconstruct a three-dimensional object from infinite projections taken from different angles. This fundamental concept laid the foundation for the development of Computed Tomography (CT).

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    Cadmium Tungstate in CT

    Cadmium tungstate is commonly used as a scintillation detector in CT. This material is highly efficient at converting x-ray photons into visible light, which is then detected by a photomultiplier tube.

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    CT's Ability to Measure Tissue Density

    Computed Tomography (CT) is the only modality among the options that can accurately measure the density of body tissues. This is due to its ability to generate cross-sectional images with high spatial resolution, allowing for precise assessment of tissue densities.

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    CT for Intracranial Hemorrhage Diagnosis

    For diagnosing intracranial hemorrhage, CT with contrast is often the preferred imaging modality. This is because CT can quickly visualize blood vessels and identify the presence of bleeding within the brain.

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    Radiation Dose and CNS Symptoms

    A person exposed to around 1000 rem (roentgens equivalent man) of radiation can experience CNS (central nervous system) symptoms and potentially die within one to two days. This highlights the significant dangers of high radiation doses.

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    Thermoluminescent Dosimeter (TLD)

    A thermoluminescent dosimeter (TLD) is a device used by radiologists to monitor their exposure to radiation. It absorbs energy from radiation and emits light when heated, allowing the amount of radiation received to be measured.

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    Negative Contrast in CT

    In negative contrast, an organ appears radiolucent because it has a lower atomic weight than the contrast medium used. The contrast medium absorbs more x-rays, making the organ appear darker against a brighter background.

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    CT Scan Functionality

    CT scan involves using x-rays to create detailed cross-sectional images of the body. It can visualize not only bones but also soft tissues, making it a powerful tool for diagnosing a wide range of conditions.

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    Use of Contrast Media in CT

    Contrast agents are used in CT scans to enhance specific tissues or structures, making them more visible and easier to differentiate from surrounding tissues. This helps radiologists to identify abnormalities and diagnose various conditions.

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    Technology in Modern CT Scanners

    Current generation CT scanners utilize fan beams and rotating detectors for scanning. The fan beam is a wide beam of x-rays that covers a significant portion of the patient's body, and the rotating detectors allow for rapid acquisition of data from multiple angles.

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    CT Angiography

    CT angiography is a specialized CT procedure that uses a contrast agent to visualize the flow of blood in arteries. This technique is particularly helpful for diagnosing conditions affecting blood vessels, such as aneurysms and blockages.

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    Nature of X-rays

    X-rays are a form of electromagnetic radiation. They are produced when high-energy electrons impact a target material, usually tungsten, inside an x-ray tube. The interaction of electrons with the target material results in the emission of x-ray photons.

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    CT for Liver Mass Diagnosis

    CT scan is often the best imaging modality for diagnosing liver masses. It can clearly visualize the liver and surrounding structures, allowing for the detection of tumors, cysts, and other abnormalities.

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    X-Ray Tube Workload Limit

    The total workload that an x-ray tube can operate at safely is primarily limited by the heat generated at the target and anode. The intense interaction of electrons with the target material releases a significant amount of heat, which can damage the tube if not controlled.

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    X-Ray Tube Target and Anode

    In an x-ray tube, the target is made of tungsten and is mounted on the solid copper anode. This design helps to dissipate the heat generated during x-ray production and prevent damage to the tube.

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    Image Sharpness and Film Alignment

    To maximize image sharpness, the plane of the film and the plane of the object should be parallel to each other. This ensures that the x-ray beam travels perpendicular to the film, minimizing distortions and improving image clarity.

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    Study Notes

    MCQ Tomography Equipment

    • Third-generation CT scanners reduce scanning time and scattered radiation.
    • Filtered back projection in CT involves image reconstruction.
    • A single transverse slice in helical CT represents a plane through the body perpendicular to the scan axis.
    • Helical CT pitch is defined as table movement in degrees divided by beam width.
    • Low-pitch techniques in helical CT are helpful for scanning tachypneic patients, detecting subtle liver lesions, or scanning young children and for accurate multiplanar reconstructions.
    • The scanner's dose index (CTDI) measures radiation delivered to the patient.
    • Dose-length product (DLP) reflects stochastic (cancer) risk from radiation.
    • Dose-area product (DAP) corrects CTDI for patient size.
    • Size-specific dose estimate (SSDE) and CTDI volume (CTDIvol) are also dose parameters.
    • Positioning a patient off-center in the CT gantry increases the dose.
    • Temporal resolution in CT is mainly determined by gantry rotation speed.
    • Increasing tube mAs or kV increases radiation dose in cardiac CT.
    • High radiation doses in retrospectively gated cardiac CT are due to increased scanner mAs and kV.
    • Inherent contrast in CT imaging results from photoelectric and incoherent scattering.
    • The Hounsfield unit (HU) of fat is a constant value independent of kV or mAs.
    • Beam hardening decreases average x-ray energy as the beam passes through dense materials.
    • Dual-energy CT advantages include virtual non-contrast images, material separation, perfusion maps, and calcium subtraction.
    • CT images offer improved low contrast resolution, spatial resolution, and minute detail compared to conventional X-rays.
    • The 1917 Austrian mathematician who determined 3D object reconstruction from projections is Cormack.
    • Common CT detectors include ceramic rare earth, silver halide, and bismuth germinate.
    • CT can measure tissue density.

    X-ray/Fluoroscopy and CT

    • A CT scan is a finer and more detailed X-ray used to image bones, soft tissues, and other structures of the body.
    • Contrast materials affect organs.
    • Some conditions requiring contrast use X-ray.
    • The radiologist will use specialized equipment for patient safety when monitoring exposure.
    • Different modalities are used for accurate diagnoses.

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    Test your knowledge of tomography equipment through this MCQ quiz. Covering key concepts such as CT scanner technology, radiation dose metrics, and imaging techniques, this quiz is essential for students and professionals in medical imaging. Challenge yourself and deepen your understanding of the subject.

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