Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Medical Physics 2: Radiology > CT > Flashcards

CT Flashcards

(45 cards)

Start Studying
1
Q

Image reconstruction process FBF

A
  1. Measure a set of projections
  2. Filter the set of projections
  3. Back-project across image plane
  4. Repeat for a large set of filtered projections
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Limitation of basic back projection

A

1/r Blurring - need to filter using convolution or FT multiplication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Benefits and limitations of Iterative reconstruction

A
  • Potential for lower dose scanning
  • Lower noise images
  • Computer intensive
  • Potential for artefact reduction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Iterative reconstruction process

A
  1. Projection data acquired
  2. Initial guess made at the image
  3. Compare back projection of the guess to the initial data
  4. Correct the guess to better match the original data
  5. Process is repeated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hounsfield Units

A

Attenuation of materials expressed relative to the linear attenuation coefficient of water at room temperature (μwater)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

HU of water, air and bone

A 
water  = 0
air = -1000
bone = 1000
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CT types over time

A
  1. Translate-rotate - single det
  2. Translate-rotate - bank of dets
  3. Rotate-Rotate - fan beam

electron beam scanners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Modern CT features

A
  • 3rd Generation, cone-beam, multi-detector
  • Modified volume filtered back projection or iterative image reconstruction
  • Continuous rotation to 0.25 s
  • Volume dataset with image display in all planes
  • High heat capacity x-ray tube for high throughput
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Bow-tie filter

A

Inc attenuation at edge of field of view

Matches noise accross patient cross section

Reduces peripheral dose

Reduce beam-hardening artefacts

Different size for head and body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CT detector requirements

A 
Small  (spatial resolution)
High detection efficiency
Fast response with negligible after-glow
Wide dynamic range
Stable noise-free response
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Types of CT detector

A
  • Xenon ionisation chamber

- Solid state detector (scintillant with embedded Si photo-diode)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Modern scanner features

A 
Multislice scanning
Helical scanning
Automatic dose modulation
Dual energy scanning
‘Dose Reduction’ features
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Multislice X-ray beam width

A

Acquisition slice width -> total nominal beam width

Nominal beam width = Single slice thickness x tot no. slices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Types of pitch

A

P = couch move per rot / slick thickness
P (helic) = couch move per rotation / slice thick (d)
Px = couch per rot / Nom beam width

beam pitch = det pitch / N

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe flying focus

A

Two-position focal spots with rapid switching

Effectively double no. of slices for a given det bank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Define overbeaming

A

Actual width x-ray beam > nominal width

Should be checked at commissioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define z-axis geometric efficiency

A

Measure of overbeaming

= Area under dose profile within active detectors / area under total dose profile

Must be greater than 70%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Define overranging

A

Interpolation from Im recon algorithms causes the actual scan range to exceed the nominal range planned by the system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Overranging considerations

Study These Flashcards
A
  • No. additional rots is manufacturer dep
  • Overranging increases as pitch increases
  • Modern scanners have overranging reduction features
20
Q

Methods of dose reduction

Study These Flashcards
A
  • X-y plane vurrent modulation - based on scanogram atten map
  • Z-axis current mod - aims to obtain similar noise level along the patient
21
Q

Types of mA algorithms

Study These Flashcards
A
  • Use scanogram data from previous rotations
  • Aim for constant noise or size-dep noise
  • Use a reference value set (for noise, ref IQ or mA)
22
Q

Define a scanogram

Study These Flashcards
A 
Often called a scout view
A quick scan purely for positioning 
Now used for kV and mA modulation
Dose dep on slice-width and table speed
Front or lateral projection
23
Q

Types of kV automation

Study These Flashcards
A
  • Selection based on scanogram
  • Or comp to ref values
  • Usually start at 120kV and lower based on patient size
24
Q

Dose reduction techniques

Study These Flashcards
A

Auto kV
Auto mA
Superficial organ shielding (breast/eyes)
Software algor - contrast /edge enhancement

25
Other CT features
Cardiac gating Image processing - noise reduction Dual energy scanning - tissue visualisation
26
Define CTDI
CTDI = 1/S int(D(x)dx) D(x) dose profile across a slice s = nominal slice width relates machine output in air Measured via partially irrad pencil chamber
27
Define CTDI100
``` CTDI measured in a 100mm chamber Corrected for L/nT L=length of chamber n=no. simult slices T= nominal slice width ```
28
Define CTDIw
Weighted CTDI measured in a cylindrical head or body phantom CTDIw = 1/3 CTDI100, centre + 2/3 CTDI100,periphery
29
Define CTDIvol and DLP
CTDIw corrected for pitch CTDIvol = CTDIw x NT/l DLP is CTDIvol x irrad length
30
Limitations of CT Dosimetry
CTDIw assumes a clinical scan length of 100mm which is not clinically representative for a beam width >40mm At that point it neglects a signif amount of scatter
31
Discuss correcting for wide-beam dosimetry
Measure CTDIa at both ref and actual beam width to find a correction factor Measure by stepping the chamber through the beam (measure in each 100mm 'section')
32
Spatial resolution characteristic of CT
- Limited by pixel size - mat/FoV - Can use high res algor but they increase noise - No difference in axial and helical for x-y plane - Z dir res is reduce with increased pitch for helical (less so with multislice)
33
Sources of noise
1) Quantum noise: reduced by increasing mAs, kV or slice width pitch does not affect noise for single slice scanners noise increases with pitch for multislice scanners 2) Electronic noise from measuring system 3)Structural noise from reconstruction algorithm
34
What are CT Motion artefacts?
- patient / cardiac motion - Causes b/w bands - moving struct occupies different voxel - Decrease with inc rot speed, wide beam, gating
35
What are streak artefacts?
- Caused by high atten obj - Recon errors - Software correction available
36
What is photon starvation?
- High atten obj cause streaks behind artefacts
37
What are beam hardening artefacts?
- Lower CT No. in centre due to hardened beams crossing - cause by changes in energy as beam passes through patient - Cupping or streak artefacts - Reduced by bow tie filter
38
What are ring artefacts?
- The result of detector damage - Ring caused by rotational symmetry - can indicate which det is faulty
39
What is the partial volume effect?
- Occurs when an object is smaller than the voxel size - a distortion occurs as the voxel is assigned a value based on the average CT value within the voxel - can occur with contrast filled blood vessels - Depends on transaxial slice thickness
40
Describe CT fluoroscopy
- Used for interventional work - Uses repeated conv. CT - High resolution but high staff/patient skin dose - Low dose protocols available
41
Describe CT gating
Used in Cardiac or respiratory CT Scanning linked to ECG or respiratory monitor = select based rest phase to im Reduces dose at times of little interest Reduces motion artifacts Reduces amount of data collected mA modulation not always possible when gating utilised
42
Describe cardiac CT
- Connect CT to ECG - Record during phase of least motion (diastole, or end diastole) - can be retro gated or ECG triggered - retro gating uses helical overpitching then bins the raw data using the ECG results - ECG triggered reduces dose as 'step and shoot' acqs. - Single heart beat im possible with dual-source CT or wide cone-beam CT
43
Describe CT angiography
Test bolus often used to determine correct delay time Likely to be multi-phased procedure Potential for high patient skin doses
44
Describe CT perfusion
CT Perfusion Repeat scanning in one area until correct perfusion level reached High patient skin doses are possible
45
Describe dual energy imaging
May be 2 tubes (Siemens)or rapid kV switching Enables more information on component tissues Contrast enhancement possible May be dose implications – no mA modulation with kV switching

Medical Physics 2: Radiology (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions