Ch 5/6 Reading Questions Flashcards

(32 cards)

1
Q

MRI measures energy emitted from hydrogen nuclei after their stimulation by what type of signals:

A

radiofrequency

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2
Q

Return to longitudinal magnetization is called

A

T1 frequency

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3
Q

The faster the return the ___________ the signal from the tissue

A

stronger

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4
Q

T1 is taken at a time during the sequence when the difference between ______ and _____ is most noticeable

A

fat and water

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5
Q

What tissue gives the highest signal in T1 and therefore is the brightest white?

A

fat

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6
Q

___
is slow to give up energy and therefore gives a high signal intensity on T2 sequences

A

free water

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7
Q

T2 images are ___ and display less ___ ___.

A

grainer and spatial resolution

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8
Q

Tissues with high signal intensity under T1

A

yellow marrow, fat, and acute hemorrhage

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9
Q

Tissues with high signal intensity on T2 image sequence

A

soft tissue tumors, synovial fluid, inflammation, and CSF

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10
Q

What does MRI do best (general and specific pathologies)?

A

-disc herniations
-soft tissue detail
-stage neoplasm and identify tissue invasion
-detect changes in bone marrow

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11
Q

MRI Limitations

A

-contrainidcated for pts with pacemaker (or other metal)
-cost
-staying still for a long time
-sedation may be needed
-claustraphobic
-lengthy imaging

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12
Q

Ultrasound is a ___ _____ imaging method based on _____ waves.

A

cross sectional
sound

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13
Q

How many ultrasound imaging types can PTs use in therapy?

A

2

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14
Q

Ultrasound _____ converts the electricity from the pulser into sound energy

A

transducer

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15
Q

Attenuation and processes for it

A

reduction in the amount of ultrasound signal
-reflection, scattering, absorption, and refraction

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16
Q

Factors for refraction

A

-smoothness of tissue
-angle of reflection
-tissue type
-difference in impedance between tissue types

17
Q

Doppler is used to measure the ____ in an artery or vein. Power doppler is used more frequently in Physical Therapy because it measures the ________
of blood flow without estimating its _____
nor is it dependent on the ______ of the flow.

A

blood flow, volume, velocity, direction

18
Q

Typically palpation is done prior to ultrasound imaging yet Sonopalpation is palpation done through the ___ during application.

19
Q

The echogenic properties of tissue is called the “echogenicity” of a tissue. Structures that reflect much energy are said to be _______. When there is no reflection tissue may be referred to as _____.

A

hyperechoic, anechoic

20
Q

The echogenic properties of tissue is called the ______ of a tissue. Therefore the use of hyper means brighter and hypo means ____ brightness.

A

echogenicity, reduced

21
Q

Two terms for planes of ultrasound imaging include _____ which means along the length of a structure and ____ which means a cross section or axial image of the structure.

A

longitudinal, transverse

22
Q

Characteristic of bursa ultrasound imaging

A

a potential space with minimal fluid shows up as a hypoechoic line

23
Q

Characteristic of bone ultrasound imaging

A

Can not penetrate and therefore returns all waves

24
Q

Characteristic of ligaments ultrasound imaging

A

hyperechoic compared to muscle with a compact parallel fiber pattern

25
Characteristic of hyaline cartilage ultrasound imaging
hypoechoic layer next to hyperechoic cortical bone
26
Characteristics of tendon ultrasound imaging
hyperechoic compared to muscle with a parallel fiber pattern
27
Characteristics of nerve ultrasound imaging
hypoechoic compared to tendon and muscle with a speckled appearance in the transverse plane
28
Characteristics of fibrocartilage ultrasound imaging
hyperechoic and hard to differentiate from bone at times
29
One major artifact that occurs when the ultrasound beam is not perpendicular to the tissue is known as ____
ansiotrophy
30
Advantage of ultrasound imaging
-cost -no contraindications -point of care/portability -movement is allowed with ultrasound allowing for palpation, stress testing and application of resistance
31
What ultrasound does best
-image cysts and burse -Allow for stress testing of ligaments - Demonstrate internal architecture of tendons and muscles showing degenerative changes -identify nerve diameter demonstrating entrapment
32
Ultrasound limitations
-metal implants may pose a problem - creating reverb -doesn't image joint spaces well -doesn't image bone density and integrity well -operator dependent which may affect the image