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Questions and Answers
What is one of the most used radionuclides in imaging that acts like glucose and is taken up by highly metabolic cells?
What is one of the most used radionuclides in imaging that acts like glucose and is taken up by highly metabolic cells?
Flourodeoxyglucose
Why is SPECT (Single Photon Emission Computed Tomography) sometimes preferred over PET (Positron Emission Tomography) despite PET being more sensitive?
Why is SPECT (Single Photon Emission Computed Tomography) sometimes preferred over PET (Positron Emission Tomography) despite PET being more sensitive?
SPECT is less expensive
How are GAMMA rays utilized in a PET scan?
How are GAMMA rays utilized in a PET scan?
To excite photons on a single atom in both directions perpendicular to the angle at which the Gamma rays entered
What tradeoff exists for each imaging device when considering spatial and contrast resolution?
What tradeoff exists for each imaging device when considering spatial and contrast resolution?
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What principle is MRI (Magnetic Resonance Imaging) founded on?
What principle is MRI (Magnetic Resonance Imaging) founded on?
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How does MRI work to generate images of the body?
How does MRI work to generate images of the body?
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What is the purpose of smearing the attenuation signal across a canvas in CT scans?
What is the purpose of smearing the attenuation signal across a canvas in CT scans?
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What is the main difference between CT scans and Nuclear Emission Imaging?
What is the main difference between CT scans and Nuclear Emission Imaging?
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What is the purpose of a radioactive tracer in PET scans?
What is the purpose of a radioactive tracer in PET scans?
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Why must radionuclides used in PET scans be produced using cyclotrons?
Why must radionuclides used in PET scans be produced using cyclotrons?
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Why do tracers used in PET scans need to be used the same day they are made?
Why do tracers used in PET scans need to be used the same day they are made?
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How are CT and PET scans commonly combined in medical imaging?
How are CT and PET scans commonly combined in medical imaging?
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What is the difference between CT and PET scans?
What is the difference between CT and PET scans?
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How do nuclear emission imaging techniques like PET and SPECT scans work?
How do nuclear emission imaging techniques like PET and SPECT scans work?
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What is the role of radionuclides in nuclear imaging?
What is the role of radionuclides in nuclear imaging?
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Explain why X-rays are not ideal for imaging soft tissues.
Explain why X-rays are not ideal for imaging soft tissues.
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How does a PET scan contrast with a CT scan in terms of the information they provide?
How does a PET scan contrast with a CT scan in terms of the information they provide?
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What is the main principle behind radionuclide imaging techniques such as PET and SPECT scans?
What is the main principle behind radionuclide imaging techniques such as PET and SPECT scans?
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Explain the scientific phenomenon that occurs when 1% of electrons are converted to X-rays upon hitting the anode.
Explain the scientific phenomenon that occurs when 1% of electrons are converted to X-rays upon hitting the anode.
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What equation can be used to calculate the intensity of an X-ray beam passing through tissue?
What equation can be used to calculate the intensity of an X-ray beam passing through tissue?
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Describe the phenomenon where X-rays knock electrons off atoms in tissue, emitting light.
Describe the phenomenon where X-rays knock electrons off atoms in tissue, emitting light.
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What is the phenomenon where X-rays become off-center after knocking electrons off the lowest energy shell?
What is the phenomenon where X-rays become off-center after knocking electrons off the lowest energy shell?
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How does tissue contrast in X-ray imaging depend on various factors?
How does tissue contrast in X-ray imaging depend on various factors?
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Explain how higher energy X-rays differ from lower energy X-rays in terms of scatter.
Explain how higher energy X-rays differ from lower energy X-rays in terms of scatter.
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Explain the significance of microcalcifications in imaging. What change in the tissues microenvironment leads to the deposition of calcium?
Explain the significance of microcalcifications in imaging. What change in the tissues microenvironment leads to the deposition of calcium?
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Why can a palpable mass in the breast be challenging to visualize in a mammogram? What alternative imaging technique is typically used in such cases?
Why can a palpable mass in the breast be challenging to visualize in a mammogram? What alternative imaging technique is typically used in such cases?
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Explain how fluoroscopy differs from traditional x-rays. What is required for fluoroscopy to function effectively?
Explain how fluoroscopy differs from traditional x-rays. What is required for fluoroscopy to function effectively?
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What is the main principle behind CT scans? How do CT scans differ from traditional x-ray imaging?
What is the main principle behind CT scans? How do CT scans differ from traditional x-ray imaging?
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Who were the key figures behind the development of CT scanning? What was their contribution to medical imaging?
Who were the key figures behind the development of CT scanning? What was their contribution to medical imaging?
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Explain the process of CT scanning in terms of x-ray detection sources and patient imaging. How are CT slices of the body created?
Explain the process of CT scanning in terms of x-ray detection sources and patient imaging. How are CT slices of the body created?
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Explain the significance of Bremsstrahlung radiation in the context of medical imaging.
Explain the significance of Bremsstrahlung radiation in the context of medical imaging.
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How does Beer's Law contribute to the understanding of tissue contrast in medical imaging?
How does Beer's Law contribute to the understanding of tissue contrast in medical imaging?
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Describe the role of the Photoelectric effect in producing quality images in CT scans.
Describe the role of the Photoelectric effect in producing quality images in CT scans.
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Explain how Compton scatter affects image quality in nuclear imaging techniques like SPECT and PET scans.
Explain how Compton scatter affects image quality in nuclear imaging techniques like SPECT and PET scans.
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How does tissue contrast play a vital role in distinguishing between different structures in medical images?
How does tissue contrast play a vital role in distinguishing between different structures in medical images?
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Discuss the impact of Bremsstrahlung radiation on image quality and diagnostic accuracy in CT scans.
Discuss the impact of Bremsstrahlung radiation on image quality and diagnostic accuracy in CT scans.
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Explain the relationship between radiative loss and collisional energy loss in the context of ionizing radiation for imaging.
Explain the relationship between radiative loss and collisional energy loss in the context of ionizing radiation for imaging.
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What is the purpose of emitting a higher dose of radiation when creating an image?
What is the purpose of emitting a higher dose of radiation when creating an image?
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How does the position of the anode and cathode in x-ray tubes impact the level of detail seen in an x-ray?
How does the position of the anode and cathode in x-ray tubes impact the level of detail seen in an x-ray?
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What is the general solution for the transmission of photons in a parallel beam through a thin medium for Gamma Ray Attenuation?
What is the general solution for the transmission of photons in a parallel beam through a thin medium for Gamma Ray Attenuation?
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Describe the process of image development through the Radiographic contrast equation.
Describe the process of image development through the Radiographic contrast equation.
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Why is it important to use high enough energy to penetrate the patient but low enough energy to avoid harming the patient in x-ray imaging?
Why is it important to use high enough energy to penetrate the patient but low enough energy to avoid harming the patient in x-ray imaging?
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Explain the process of image reconstruction in x-ray imaging.
Explain the process of image reconstruction in x-ray imaging.
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What is the purpose of using an antiscatter grid in x-ray imaging?
What is the purpose of using an antiscatter grid in x-ray imaging?
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How do flat panel detectors differ from radiographic film in x-ray imaging?
How do flat panel detectors differ from radiographic film in x-ray imaging?
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Explain how the heel effect is utilized in mammography.
Explain how the heel effect is utilized in mammography.
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What is the significance of using digital imaging over traditional imaging methods in x-ray technology?
What is the significance of using digital imaging over traditional imaging methods in x-ray technology?
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Describe the role of phosphor plates in capturing x-ray images.
Describe the role of phosphor plates in capturing x-ray images.
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Study Notes
Medical Imaging Modalities
- Medical imaging modalities include MRI, Radio frequency waves, Computed Tomography, X-rays, Advanced X-ray machines, Simple X-ray, Positron Emission Tomography (PET) Scan, Radioactive drug, Imaging Gamma rays emitted from the body, Ultrasound, and SPECT scan.
X-rays
- X-rays produce a shadow image with gradation.
- X-rays can be either absorbed or scattered by tissue.
- X-ray system has four groups: X-ray tube, Cathode, and anode, which generate electrons, and Film Screen Detection.
- Radiographic film is used to complete the image.
- Phosphor plates absorb X-rays, and electrons sit in an energy trap within the phosphorous.
- Once a laser is shone over the plate, light is emitted, and an image is received.
- CCD camera and readout of pixels are used to detect X-rays.
- Flat panel Detectors are used for direct detection of X-rays.
Image Reconstruction
- Image reconstruction is necessary when the detector is far away from the subject or scanner.
- The detector receives the X-ray at points and stretches them out into stripes.
- Electrons bounce off the cathode and slam into the anode at high speed, producing X-rays.
Detector/Sensor Tissue Interaction
- The amount of X-rays absorbed or scattered by tissue depends on the density and chemical composition of the tissue.
- The intensity of the X-ray beam through the tissue can be calculated using Beer's Law: I = Io*e^(-μ)*x.
- The X-ray knocks off electrons on the atoms of the tissue, emitting light (Photoelectric effect) and Compton scatter.
- Higher energy results in more scatter in a single direction, whereas lower energy results in more averaged scatter.
- The highest resolution photos are obtained through the Photoelectric effect.
Mammography
- Mammography is a high-resolution imaging procedure involving X-rays.
- It requires less X-rays and power to get a clear reading.
- Spreading the tissue out by compressing it reduces scatter and enables easy visualization of irregularities.
- Microcalcifications occur when the tissue's micro environment changes, and fibrous tissue begins to deposit calcium.
- A palpable mass in a breast cannot be easily viewed in a mammogram and requires ultrasound or another imaging technique.
CT Scans
- CT scans use X-rays in parallel and project from a single X-ray source with multiple X-ray detectors.
- The detectors rotate around the patient, collecting many small projections to create slices of the inside of the body.
- CT scans usually use much more radiation than normal X-rays (Dental X-rays are usually the lowest dose).
Nuclear Emission Imaging
- Nuclear Emission Imaging involves injecting a radioactive tracer into the patient, which emits energy that the PET scan can detect.
- The idea is to scan the patient after injecting the tracer into the body and accumulate in regions of interest, such as a tumor.
- Many scanners are built into each other, making it convenient to combine CT and PET scans.
PET Scans
- PET scans use a radioactive tracer that is injected into the patient.
- The tracer emits energy that the PET scan can detect.
- The idea is to scan the patient after injecting the tracer into the body and accumulate in regions of interest, such as a tumor.
- Tracer production utilizes Cyclotrons, a particle accelerator, and the cost is upwards of $6,000 per PET scan or tracer injection.
- The half-life of the tracer is incredibly fast, and they must be used the same day they are made in order to be useful.
SPECT Scan
- SPECT scan is similar to PET scan but is often used instead as it is much less expensive.
MRI
- MRI is founded on the principles of Nuclear Magnetic Resonance (NMR).
- It localizes NMR signals to provide actual images.
- The MRI works by aligning all the protons in the body along a very powerful magnetic field.
- These protons in the body align into essentially tiny radio antennas that allow the generation of RF waves.
- Faraday's law tells us that if we change a magnetic field or emit a magnetic field through a wire, it will begin producing current.
- The nuclei are similar to the coil, and nuclei can be thought of as little bar magnets.
History
- In 1895, Roentgen discovered the use of X-rays to his own detriment (died from radiation exposure).
- In 1896, a doctor first used an X-ray to treat a young Eddie Maccarthy after a skating accident.
- Within a year, 1,000 new papers were published on X-rays.
- In 1955, Alan Cormack devised the mathematics behind the CT scan method.
- In 1960, a engineer from a record company created a CT scanner in secret.
- Later, Hounsfield and Cormack received the Nobel Prize.
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Description
Test your knowledge on radionuclides, radionuclide generators, imaging techniques like PET and SPECT scans, and the use of radioactive atoms in medical imaging. Learn about how Flourodeoxyglucose is used in imaging highly metabolic cells such as tumors.