Conditions and Treatment Flashcards

(49 cards)

1
Q

Error rate in interpretation

A

As high as 20-40%

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2
Q

Errors of Observation

A

Doesn’t look like it’s there

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3
Q

Errors of Interpretation

A

Missed something

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4
Q

True Positive

A

Test detects something that is really there

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5
Q

False Positive

A

Test detects something that is not really there

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6
Q

True Negative

A

Test detects nothing, and nothing is there

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7
Q

False Negative

A

Test detects nothing, but there is something there

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8
Q

Sensitivity

A

Refers to test’s ability to identify a true positive
“SPOUT”
HIV blood test - very sensitive

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9
Q

Specificity

A

Refers to test’s ability to identify a true negative
“SPIN”
Home pregnancy tests - very specific

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10
Q

Radiograph

A

First-order diagnostic modality

Named for the beam direction relative to patient and patient’s position

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11
Q

Radiograph Advantages

A

Time/cost efficient

Low risk

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12
Q

Radiograph Disadvantages

A

May be normal although pathology exists

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13
Q

Attenuation

A

Reduced strength or density of the x-ray beam as it passes through a medium

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14
Q

Permeability

A

Ability of the x-ray beam to pass through substance to reach the film plate

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15
Q

Radiodensity

A

X-ray absorption capacity, based on substance’s composition, density, and thickness

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16
Q

Radiograph Image Quality

A

At least two views, ideally at 90 degree angle to each other, are necessary to visualize an object in three dimensions

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17
Q

Density

A

Amount of blackening on the radiograph dependent on distance, time, and current

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18
Q

Contrast

A

Differences between adjacent tissue densities

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19
Q

Detail

A

“Sharpness/Resolution”

Maximized by positioning patient so structure of interest is closest to film plate

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20
Q

Distortion

A

Occurs due to distance between beam source, patient, and image receptor, and from alignment and positioning issues

21
Q

Foreshortening

A

Image appears shorter and wider than the actual object or structure

22
Q

Magnification

A

Objects or structures further from the film appear larger than closer points

23
Q

ABCs of Radiology

A

Alignment
Bone Density
Cartilage
Soft Tissue

24
Q

Alignment

A

Gross bone size
Shape and contour of cortical outline
Joint position/alignment

25
Bone Density
Cortical - dense Cancellous - lower density Low contrast - "washed out" (osteoporosis) White showing up - sclerosis
26
Contrast Enhancement
Injection | Ingestion of radio-contrast medium
27
CT
X-ray and film move about a fulcrum | Detailed imaging of bone
28
CT Advantages
Sensitive/Specific for fracture | Useful for brain/neurologic injury
29
CT Disadvantages
Radiation | Limited in precise histologic differences
30
MRI
Uses pulses of radio frequency and a strong external magnet to generate an electromagnetic field
31
Resonance
Water molecules align in body Atomic nuclei align to electromagnetic field Field is removed, image is formed
32
MRI Advantages
Good sensitivity Images soft tissue well No radiation
33
MRI Disadvantages
Relatively low specificity Expensive Contraindicated with metal implant
34
T1 Image
"Longitudinal" How long it takes protons to "relax" Reveal details of anatomy in high resolution
35
T1 High Signal (Bright)
Bone Fat Hemorrhage
36
T1 Low Signal (Dark)
Fluid | Soft Tissue
37
T2 Image
"Transverse" How long resonating protons remain "in phase" Show soft tissue pathology and ideal for acute trauma
38
T2 High Signal (Bright)
Fluid | Fluid-filled structures
39
T2 Low Signal (Dark)
Bone | Fat
40
Contrast MRI
IV or intra-joint injection | Increased signal to T1 weighted images
41
Functional MRI
Based on increased blood flow accompanying neural activity (Oxygen/glucose uptake) (BOLD) Uses deoxyhemoglobin as contrast agent
42
BOLD
Blood Oxygen Level Dependent
43
DEXA
"Dual Energy X-ray Absortiometry" Gold measure for body composition Measuring bone mineral density Difference in absorption between beams determine density
44
Nuclear Medicine
Use radioactive tracers absorbed according to metabolic properties of tissue
45
Nuclear modalities
SPECT PET Radionuclide scintigraphy
46
Radionuclide scintigraphy
Methylene injected, scan every 2-3 hours | Best choice for detection of stress fracture or metastatic bone disease
47
RS Advantages
Highly sensitive for early bone/joint disease Fast Reasonable cost
48
RS Disadvantages
Poor specificity | Influenced by osteoblastic activity or blood flow
49
Ultrasound
Images through sound waves | Useful with musculoskeletal tissue