Ultrasound Imaging Characteristics
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Questions and Answers

What is the characteristic of negative contrast media?

  • Increases the ability to attenuate X-Rays
  • Attenuates X-Rays less than the soft tissues of the body (correct)
  • Attenuates X-Rays more than the soft tissues of the body
  • Has no effect on X-Rays
  • Which of the following is an example of an invasive procedure in radiography?

  • CT scan
  • Mammography
  • Ultrasound
  • Angiography (correct)
  • What is the role of iodine and barium in radiography?

  • They are used to reduce radiation dose
  • They are used as negative contrast media
  • They have higher atomic numbers than soft tissues, increasing X-Ray attenuation (correct)
  • They are used as neutral contrast media
  • What is the modality of imaging used in hysterosalpingography?

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

    What is the characteristic of ultrasonography?

    <p>It is a non-invasive imaging modality using high-frequency sound waves</p> Signup and view all the answers

    Which water is used for in CT scan only?

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

    What is the formula for calculating CT numbers?

    <p>CT # = K / t * w</p> Signup and view all the answers

    What does the CT number of '0' represent?

    <p>Tissue attenuation similar to water</p> Signup and view all the answers

    What is the unit of measurement for contrast on CT images?

    <p>Hounsfield units</p> Signup and view all the answers

    What is the range of density values expressed in CT images?

    <p>-1000 to +1000</p> Signup and view all the answers

    What is the interpretation of iso-density to CSF on CT images?

    <p>Tissue rich in water</p> Signup and view all the answers

    What is the indication of a CT scan?

    <p>Exploration of all structures</p> Signup and view all the answers

    What is the limitation of CT scan?

    <p>Radiation in pregnancy and children</p> Signup and view all the answers

    What is the safety precaution for MRI?

    <p>No mobiles, no credit cards, please!</p> Signup and view all the answers

    What is the technique used in MRI?

    <p>Magnetic field</p> Signup and view all the answers

    What is the reconstruction technique used in CT scan?

    <p>Volumic reconstruction</p> Signup and view all the answers

    What is the principle of the 3D ultrasound probe?

    <p>The same as B-mode probe with a thicker thickness</p> Signup and view all the answers

    What does the blue color in color Doppler ultrasound indicate?

    <p>Flow away from the probe</p> Signup and view all the answers

    What is the main use of Power Doppler ultrasound?

    <p>To check for the presence of a blood flow, but not its orientation</p> Signup and view all the answers

    What is the Duplex method?

    <p>A combination of B-mode and pulse wave Doppler</p> Signup and view all the answers

    What is the Triplex method?

    <p>A combination of B-mode, color Doppler, and pulse wave Doppler</p> Signup and view all the answers

    What is the limitation of ultrasound in imaging?

    <p>Analysis of unexposed structures like the brain and the spinal cord</p> Signup and view all the answers

    What is the principle of CT scan?

    <p>Uses X-rays to produce cross-sectional images</p> Signup and view all the answers

    What is the advantage of using CT scan?

    <p>It is good for analysis of calcified bone and unexposed structures</p> Signup and view all the answers

    What is the main use of ultrasound in interventional procedures?

    <p>All of the above</p> Signup and view all the answers

    What is the characteristic of anechoic structures in ultrasound?

    <p>They do not reflect sound</p> Signup and view all the answers

    Study Notes

    Ultrasound

    • Dynamic ultrasound involves continuous movement of the probe.
    • Structures can be classified as anechoic (do not reflect sound), hypoechoic (reflect less sound), or hyperechoic (reflect much sound).
    • B-mode dynamic ultrasound is a principle of three-dimensional (3D) imaging, with the only difference being an increase in thickness of the 3D probe.

    Ultrasound Modes

    • Doppler mode has three main modalities: color mode, pulse wave mode, and power Doppler.
    • Two different associations of the above modalities are duplex and triplex.
    • Color Doppler ultrasound provides information on the presence of blood flow, its orientation, and even the presence of turbulent flow.
    • Power Doppler ultrasound is used to check for the presence of blood flow, but does not provide information about the orientation of the flow.
    • Pulse wave Doppler mode shows the change of flow velocities in blood vessels during time.

    Ultrasound Methods

    • Duplex method combines B-mode to locate vessels and pulse wave or color Doppler to study the vessels.
    • Triplex method combines B-mode, color Doppler or power Doppler, and pulse wave Doppler to study blood vessels.

    Ultrasound Applications

    • Ultrasound can be used to assist in interventional procedures, such as draining a collection or performing a biopsy.
    • Ultrasound is good for exploring soft tissue and blood vessels, but has limitations in analyzing calcified bone and unexposed structures like the brain and spinal cord.

    Computed Tomography (CT) Scan

    • CT scans use X-rays and cross-sectional imaging, with acquisition done in the axial plane and reconstruction in the axial, coronal, and sagittal planes.
    • Examination can be done with or without injection of contrast.
    • Data acquisition can be done in two types of scans: contiguous scan and spiral or helical scan.

    Radiography

    • Contrast products can be negative (e.g., air, CO2), neutral (e.g., water), or positive (e.g., iodine, barium).
    • Examples of invasive procedures include angiography, arthrography, barium swallow or enema, and cystography.

    CT Scan Images Interpretation

    • CT numbers are calculated by comparing the attenuation coefficients of water and tissue.
    • The contrast on the images is expressed in Hounsfield units, with density ranging from -1000 to +1000.
    • Hypo-density means a density closer to water, and can be classified into two groups: iso-density to CSF (water) and density lower than CSF.
    • Iso-density to CSF means tissue rich in water, while density lower than CSF means fat or cholesterol.
    • Hyper-density means a density closer to bone, and can be classified into two options: less than bone density (fresh blood, iatrogenic, or enhancement after injection) or iso or higher than bone density (ossification, calcification, or metallic structure).

    CT Scan Post-Acquisition Reconstruction

    • Reconstruction can be done in volumic reconstruction, MIP (Maximum Intensity Projection), and other types.

    Indication of CT Scan

    • CT scans are best for exploring all structures, but have limitations in indication based on the structure explored.
    • Radiation is a concern in pregnancy and children, and contrast products may be impossible to use in certain cases.

    Magnetic Resonance Imaging (MRI)

    • MRI uses magnetic fields and has specific requirements before the exam, such as no mobiles or credit cards.

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    Description

    This quiz covers the basics of ultrasound imaging, including the characteristics of different structures and their interaction with sound waves. Learn about anechoic, hypoechoic, and hyper echoic structures and how they appear in ultrasound images.

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