Cardiac and Dual Energy CT Flashcards

1
Q

what is the most important factor for CT scanning

A

need least amount of motion for the heart fast rotation gantry and short scan time, which decreases data interpretation

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2
Q

what is EKG gaiting

A

wiat until heart returns to same shape, so can put the images together shows wehre the heart is

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3
Q

what is prospective gaiting

A

it is heart is at diastolic and take data and next is systolic then next is diastolic so do it. X-ray beam is on and off by EKG

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4
Q

what is retrospective gaiting

A

retroscpective gaiting is do all data plus record EKG then sort it out. Pro and cons overall and increase dose

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5
Q

how to image a beating heart

A

it is faster gantry rotation, half scan reconstruction, and mutli source scanner, and slow down the motion by EKG gating

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6
Q

what is systolic phase better for and diastolic phase better for

A

ESV is best for the vasluclar and valvular function of the heart. EDV is best for heart volumes and coronary arteries

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7
Q

is dual source or single source better

A

dual source is better because it has better temporal resolution by a factor of two adn 90 degree rotation

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8
Q

when is the beam on for prospective gaiting

A

it is triggered during predetermined phases of the cardiac cycle

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9
Q

when is the beam on for retrospective gaiting

A

it is on all of the time

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10
Q

what is axial mode for cardiac CT

A

it is prospectivie gaiting for one heart beat and one rotation, need detector large enough to cover the whole heart

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11
Q

what is sequential mode for cardiac CT

A

it is prospective gaiting with multiple heart beats and mutliple rotations, adn some overlap betwen scans

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12
Q

what is spiral mode used for cardiac CT

A

it is gated and retrospective

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13
Q

what is spiral flash mode used for

A

it is used for dual source nly, and it decreased dose and less flexibility overall, but there is less flexibility for the HR overall

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14
Q

what types of artifacts can be see non cardiac CT

A

motion artifact, non-uniform contrast along scanning direction, and EKG related artifact

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15
Q

what are gated thoracic CTA artifacts

A

it is from the patient table traveling too fast

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16
Q

what is dose for non-gated helical scan

A

it is dose is around the effective mas which is ma times toration time/pitc

17
Q

is pitch low or high in cardiac CT

A

it is low because they do not want gap, but it does lead to a higher dose but the gaiting helps

18
Q

what is bolus tracking

A

a test scan with low dose contrast to determine timing of contrastenhancesment

19
Q

what is a care bolus

A

it is injecting contrast then monitoring contrast enhancement by continuous scan at a fixed location, start the scan once enhancement reaches a certain level