An Introduction to Luminal GI imaging Flashcards

1
Q

Name imaging that has ionising raditiation

A
  • X ray plain film
  • CT
  • Fluoroscopy
  • Nuclear Medicine
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2
Q

Name imaging that is non-ionising radiation

A
  • MRI

- ultrasound

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3
Q

Name the types of anatomical planes

A
  • Coronal plane
  • Sagittal plane
  • transverse plane
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4
Q

What does fluoroscopy do

A
  • uses contrast to highlight the internal structures
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5
Q

Name the type of CT

A
  • portovenous - standard CT and contrast
  • CT KUB - low dose and no contrast - good for looking for calcified stones
  • Angiogram - to look at aorta and arteries
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6
Q

What happens in functional imaging

A
  • the tracer will accumulate in areas of high metabolic activity
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7
Q

what does luminal GI anatomy entail

A
  • oropharynx
  • larynx
  • oesophagus and stomach
  • small bowel - jejunum and ileum
  • large bowel - colon adn appendix
  • accompanying mesenteries
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8
Q

what does large bowel look like in the CT

A
  • contains haustrations
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9
Q

What does the small bowel look like in the CT

A
  • folds are frequent in the jejnum and become less frequent in the ileum
  • attached by mesentery
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10
Q

What structures lie in the retroperitoneum

A
  • D2
  • D3
  • Ascending colon
  • descending colon
  • rectum
  • adrenal glands
  • aorta
  • IVC
  • pancreas except tail, ureters and kidneys
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11
Q

What structures are intraperitoneal

A
  • stomach
  • D1
  • D4
  • Jejunum
  • ileum
  • transvere colon
  • sigmoid colon
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12
Q

what does the imaging modality selection depend upon

A
  • clinical question
  • clinical status of patient
  • body habitus
  • availability
  • expertise
  • pregnancy
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13
Q

what imaging should you use in bowel obstruction/perforation

A
  • AXR

- CT (just in case you cannot see the fluid filled bowel on the AXR)

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14
Q

what imaging should you use in ruptured AAA

A

CT (US for surveillance)

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15
Q

What imaging should you use in inflammatory bowel disease

A
  • US/MRI enterography
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16
Q

What imaging should you use in renal colic

A

CT KUB

17
Q

what is CT KUB only used for

A
  • renal/ureteric calculi
18
Q

what contrast do you use in the upper GI tract

A
  • contrast swallow (omnipaque) or chest CT and oral contrast
19
Q

How would you do a contast study in the lower GI

A
  • CE CT and with oral contrast if tolerated
20
Q

what do you do to look at colorectal cancer

A
  • CT

- MRI

21
Q

What do you use to look for gastric and oesophageal cancer

A
  • CT
  • PET-CT
  • Laparoscopy
22
Q

for any luminal GI cancer what is the gold standard

A
  • Endoscopy - only way to take a biospy and diagnose a cancer