Podcast
Questions and Answers
What is a disadvantage of fourth-generation CT scanners?
What is a disadvantage of fourth-generation CT scanners?
- They are unable to detect scatter radiation.
- They require a lower acceptance angle for radiation.
- They produce lower quality images.
- Only 1/4th of detectors are in use at a single time. (correct)
How do incremental scanners acquire images?
How do incremental scanners acquire images?
- Using a stationary detector that moves during exposure.
- By keeping the patient stationary while the CT rotates.
- By continuously rotating the x-ray tube around the patient.
- With a stepping motion of the patient table for slice positioning. (correct)
What technological advancement eliminated the need for wired connections in helical CT imaging?
What technological advancement eliminated the need for wired connections in helical CT imaging?
- Magnetic resonance coupling.
- Slip-ring technology. (correct)
- Infrared wireless communication.
- Digital signal processing.
What primary issue did Single-Slice CT (SSCT) encounter?
What primary issue did Single-Slice CT (SSCT) encounter?
What does the 'z-axis' in Multi-Slice CT indicate?
What does the 'z-axis' in Multi-Slice CT indicate?
What is the significant feature of Multi-Detector CT (MDCT) scanners?
What is the significant feature of Multi-Detector CT (MDCT) scanners?
What advantage does MSCT provide over SSCT?
What advantage does MSCT provide over SSCT?
How does the design of the fourth-generation CT scanner differ from third-generation scanners?
How does the design of the fourth-generation CT scanner differ from third-generation scanners?
What is one major limitation of plain radiography compared to cross-sectional imaging?
What is one major limitation of plain radiography compared to cross-sectional imaging?
What does CT technology primarily utilize to create images?
What does CT technology primarily utilize to create images?
What distinguishes Multislice CT from conventional CT?
What distinguishes Multislice CT from conventional CT?
Which component of a CT scanner is responsible for controlling data acquisition?
Which component of a CT scanner is responsible for controlling data acquisition?
What is a primary disadvantage of first-generation CT scanners?
What is a primary disadvantage of first-generation CT scanners?
What scanning method is utilized in fifth-generation CT scanners?
What scanning method is utilized in fifth-generation CT scanners?
What advancement in CT imaging technology allows for higher spatial resolution?
What advancement in CT imaging technology allows for higher spatial resolution?
What is the primary purpose of collimating the beam before it enters the patient?
What is the primary purpose of collimating the beam before it enters the patient?
What improvement did third-generation CT scanners provide over the second generation?
What improvement did third-generation CT scanners provide over the second generation?
In a CT scanner, what purpose does the gantry serve?
In a CT scanner, what purpose does the gantry serve?
Which generation of CT scanners was specifically designed for cardiac scanning?
Which generation of CT scanners was specifically designed for cardiac scanning?
Which of the following detectors is known to produce light when exposed to ionizing radiation?
Which of the following detectors is known to produce light when exposed to ionizing radiation?
What is the primary function of the rotation in a CT scanner?
What is the primary function of the rotation in a CT scanner?
Which of the following is NOT a feature of MDCT technology?
Which of the following is NOT a feature of MDCT technology?
What is a characteristic of Xenon Gas Ionization Chambers?
What is a characteristic of Xenon Gas Ionization Chambers?
What main technological feature do second-generation CT scanners utilize for image acquisition?
What main technological feature do second-generation CT scanners utilize for image acquisition?
What was a limitation of the fifth-generation CT scanners?
What was a limitation of the fifth-generation CT scanners?
Which generation of CT scanners used a pencil beam to acquire images?
Which generation of CT scanners used a pencil beam to acquire images?
What was one reason why the First Generation of CT scanners became obsolete?
What was one reason why the First Generation of CT scanners became obsolete?
Which of the following statements correctly describes the imaging process in first-generation CT scanners?
Which of the following statements correctly describes the imaging process in first-generation CT scanners?
How did the introduction of larger arrays of detectors in third-generation CT scanners benefit imaging?
How did the introduction of larger arrays of detectors in third-generation CT scanners benefit imaging?
Which detector type has largely replaced previous scintillation designs due to lower afterglow?
Which detector type has largely replaced previous scintillation designs due to lower afterglow?
What scanning movement did the Third Generation of CT scanners implement?
What scanning movement did the Third Generation of CT scanners implement?
What is a notable feature of the Fourth Generation CT scanners?
What is a notable feature of the Fourth Generation CT scanners?
What is a primary advantage of using Third Generation Multidetector Helical CT compared to single-slice scanners?
What is a primary advantage of using Third Generation Multidetector Helical CT compared to single-slice scanners?
Which of the following components is housed in the circular gantry of a CT scanner?
Which of the following components is housed in the circular gantry of a CT scanner?
What effect does smaller pixel size have on image quality in CT scans?
What effect does smaller pixel size have on image quality in CT scans?
Which statement accurately describes a voxel in computed tomography?
Which statement accurately describes a voxel in computed tomography?
What is a disadvantage of Third Generation Multidetector Helical CT scanners?
What is a disadvantage of Third Generation Multidetector Helical CT scanners?
How is the attenuation profile produced during a CT scan?
How is the attenuation profile produced during a CT scan?
In CT imaging, what does a Hounsfield unit represent?
In CT imaging, what does a Hounsfield unit represent?
What feature helps to reduce motion artifacts in CT scans?
What feature helps to reduce motion artifacts in CT scans?
What causes ring artifacts in CT imaging?
What causes ring artifacts in CT imaging?
Which type of artifact occurs due to a voxel representing tissues of differing densities?
Which type of artifact occurs due to a voxel representing tissues of differing densities?
How does Dual Energy CT (DECT) enhance imaging of blood vessels?
How does Dual Energy CT (DECT) enhance imaging of blood vessels?
What advantage does Dual Energy CT provide for patients with kidney stones?
What advantage does Dual Energy CT provide for patients with kidney stones?
What benefit does metal artifact reduction software (MARS) provide in Dual Energy CT scans?
What benefit does metal artifact reduction software (MARS) provide in Dual Energy CT scans?
Flashcards
Fourth-generation CT scanner
Fourth-generation CT scanner
A CT scanner where the x-ray tube rotates around the patient, and a fixed circular array detects the remnant beam.
Detector drift
Detector drift
A problem in CT scanners where detectors gradually shift in their position or sensitivity, leading to ring-like artifacts in the images.
Ring artifact
Ring artifact
An image artifact appearing as a ring-like structure in CT scans due to detector drift or other issues.
Incremental scanner
Incremental scanner
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Helical (Spiral) CT
Helical (Spiral) CT
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Slip-ring technology
Slip-ring technology
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Single-slice helical CT (SSCT)
Single-slice helical CT (SSCT)
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Multislice CT (MSCT)
Multislice CT (MSCT)
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Multi-detector CT (MDCT)
Multi-detector CT (MDCT)
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Collimated fan beam
Collimated fan beam
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Collimation
Collimation
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Scattered photons
Scattered photons
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Detector
Detector
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Scintillation Detector
Scintillation Detector
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Ionization Detector
Ionization Detector
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First-Generation CT Scanner
First-Generation CT Scanner
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Second-Generation CT Scanner
Second-Generation CT Scanner
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Third-Generation CT Scanner
Third-Generation CT Scanner
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Fourth-Generation CT Scanner
Fourth-Generation CT Scanner
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Plain Radiography
Plain Radiography
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Cross-Sectional Imaging (CT)
Cross-Sectional Imaging (CT)
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Tomography
Tomography
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Computed Tomography (CT)
Computed Tomography (CT)
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CT Scanner Components
CT Scanner Components
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Gantry (CT)
Gantry (CT)
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X-ray Tube (CT)
X-ray Tube (CT)
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Multislice CT
Multislice CT
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Dual-energy CT
Dual-energy CT
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Spectral CT
Spectral CT
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1st Gen CT Scanners
1st Gen CT Scanners
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2nd Gen CT Scanners
2nd Gen CT Scanners
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3rd Gen CT Scanners
3rd Gen CT Scanners
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4th Gen CT Scanners
4th Gen CT Scanners
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5th Gen CT Scanners
5th Gen CT Scanners
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Fan Beam
Fan Beam
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Cardiac CT
Cardiac CT
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Multidetector Helical CT
Multidetector Helical CT
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Detector Array
Detector Array
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Scan Time
Scan Time
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Motion Artifact
Motion Artifact
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Gantry
Gantry
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Matrix
Matrix
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Pixel
Pixel
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Voxel
Voxel
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CT Number (Hounsfield Unit)
CT Number (Hounsfield Unit)
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Image Resolution
Image Resolution
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Ring Artifacts (CT)
Ring Artifacts (CT)
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Partial Volume Artifact (CT)
Partial Volume Artifact (CT)
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Beam-Hardening Artifact
Beam-Hardening Artifact
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Dual Energy CT (DECT)
Dual Energy CT (DECT)
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DECT and Contrast Agents
DECT and Contrast Agents
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DECT and Single Examination
DECT and Single Examination
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DECT and Stone Analysis
DECT and Stone Analysis
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Metal Artifact Reduction (MARS)
Metal Artifact Reduction (MARS)
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Study Notes
Oral Radiology - Computed Tomography (CT)
- CT scanners use X-rays to produce 3D images.
- Unlike plain radiography, CT overcomes the superimposition problem in conventional radiography.
- CT employs tomography and computer processing to generate 3D images from 2D images.
- CT uses very sensitive crystal or gas detectors instead of radiographic film.
- The X-ray tube rotates around the patient, scanning one section at a time.
- Key components of a CT system include the computer, gantry, table, and operator's console.
- The computer controls data acquisition, reconstructs images, stores image data, and displays images.
- The gantry is a circular device housing the data acquisition system (DAS) which includes: the X-ray tube, detectors, filters, collimators, and ADC.
- MDCT (multi-detector CT) scanners operate at high tube voltage and tube current using x-ray tubes with rotating anodes.
- They operate in ranges, 80 to 140 kVp and 200-800 mA.
- X-ray beam is collimated to a thin fan beam prior to entering the patient to minimize patient exposure and scattered radiation.
- Detectors function as image receptors for remnant radiation converting the measurement into an electrical signal proportional to radiation intensity.
- Two main detector types: Scintillation (solid state) and lonization (xenon gas).
- Ceramic scintillators produce light when exposed to ionizing radiation, while Xenon gas ionization chambers are less efficient and unsuitable for rotate-rotate scanners.
- The table is an automated device linked to the computer and gantry.
- It moves in increments based on the technologist's scan program.
- CT scanners have evolved through different generations characterized by differences in beam configuration (pencil beam, small fan beam, large fan beam, large fan beam), detectors (one, multiple), and scanning methodologies (translation-rotation, rotation-rotation, rotate-stationary).
- First generation CT scanners utilized a pencil beam and a single detector.
- Second generation used a small fan beam and multiple detectors.
- Third generation incorporated a large fan beam and multiple detectors.
- Fourth generation used an array of detectors fixed in a ring around the patient.
CT System Advantages
- Detailed imaging of hard and soft tissues.
- Excellent differentiation between normal and diseased.
- Ability to perform thin slice imaging.
- Less exposure time and less motion artifact.
- Highly improved image quality compared to conventional tomography.
- Improved speed due to helical or spiral scanning.
- The ability to obtain both axial, coronal and sagittal cuts, as well as 3D images/reconstructions.
Types of CT Scanners
- Helical or Spiral CT Scanners: The patient is moved continuously through the gantry while the X-ray source moves continuously around the patient in a circle.
- Multislice (Multi-Detector) CT Scanners: These have multiple rows of detectors, resulting in significantly faster scanning time, enabling better images/reconstructions. Increased speed enables scanning to be performed without needing the patient to hold their breath for extended periods.
CT Scan Disadvantages
- High patient dose than single-slice scanners
- Equipment is expensive.
- Facilities are not widely available.
- Risks related to IV contrast agents.
- Metallic objects can produce streaking/star artifacts.
- Ring artifacts can be caused by miscalibration or failure of detector elements, or insufficient dose.
- Partial volume artifacts result when a single voxel represents tissues of differing densities.
- Beam hardening artifacts appear as dark streaks between two structures, such as compact bone, dental implants, and dental restorations.
Dual Energy CT
- Dual Energy CT (DECT) uses both normal X-rays (standard) and a less powerful x-rays (secondary beam).
- DECT provides various additional advantages such as detecting subtle differences in structures, allowing for better images/reconstructions of blood vessels and assisting diagnoses of medical conditions like kidney stones.
Image Processing
- Matrix: An array of numbers arranged in rows and columns.
- Pixel: A single square or picture element within the matrix (defines the resolution of the image).
- Voxel: The volume (depth/thickness of a pixel) represented on the image.
CT Numbers
- Each voxel is assigned Hounsfield Units (HU) between -1000 and +1000.
- This assignment is based on tissue absorption and forms the image's gray scale.
- Air has a value of -1000 (blackest areas on the image/contrast).
- Water has a value of 0.
- Bone has a value of +1000 (whitest areas on the image/contrast).
Image Manipulation
- In image manipulation, the Window level (WL) and Window Width (WW) are adjusted to highlight specific types of tissues or to accentuate subtle differences.
- These modifications allow radiologists to see and differentiate various tissue types and structures.
Indications of CT
- Intracranial disease
- Bony fractures
- Developmental anomalies
- Sinuses
- Oroantral fistula
- Cysts (e.g., follicular cyst maxilla)
- Benign tumours
- Malignant tumours
- Infection (sequestrum)
- Salivary gland lesions.
Preoperative Assessment of Bone
- CT is used in preoperative assessments to determine the height and thickness of the alveolar bone to guide implant placement.
CT Guided Biopsy
- CT is employed in guiding biopsies through imaging techniques.
- This approach facilitates accurate sample acquisition and improved diagnosis accuracy.
Advantages
- Superior resolution
- Detail in hard and soft tissue
- The speed due to helical/spiral scanning means the image reconstruction can be performed much faster.
Disadvantages
- More expensive
- High dose radiation
- Risks associated with IV contrast agents
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