CT Principle 2 Flashcards

(61 cards)

1
Q

factors involved in data acquisition

A
  • pitch
  • kVp
  • mAs
  • time
  • beam width
  • scan type
  • SFOV
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2
Q

factors involved in image reconstruction

A
  • slice thickness
  • FOV
  • matrix
  • filter
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3
Q

factors involved in display control

A
  • window width
  • window length
  • zoom
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4
Q

SFOV

A

scan field of view

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5
Q

SFOV is the area where ___

A

raw data is collected within gantry

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6
Q

DFOV is the area which ___

A

determines how much of SFOV is reconstructed into an image

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7
Q

How does manipulating the pitch in CT scanning affect the quality of the images and the radiation
dose to the patient?

A

Lower pitch results in better image quality and higher radiation dose; Higher pitch results in lower image quality and lower radiation dose

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8
Q

Which of the following scenarios would benefit from using a pitch value of less than 1? Select all that apply

a) Rapid whole-body scans.
b) Low-dose lung cancer screening.
c) High-detail imaging requirements.
d) Imaging small structures like the internal auditory canal

A

c & d

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9
Q

What are the possible reasons for adjusting the display field of view (DFOV) post-acquisition? Select all that apply.

a) To exclude unnecessary areas from the image.
b) To focus on a specific anatomical region.
c) To reduce the radiation dose.
d) To include more anatomical information in the image.

A

a & b

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10
Q

In which clinical situations would a high pitch value be preferred? Select all that apply

a) Imaging of small detailed structures.
b) Low-dose lung cancer screening.
c) CT angiography.
d) Imaging of the internal auditory canal

A

b & c

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11
Q

What is the significance of scan field of view (SFOV) in CT imaging? Select all that apply

a) It determines the total area from which data is acquired..
b) It limits the maximum possible display field of view (DFOV).
c) It can be adjusted after the scan to display a different area.
d) It affects the initial data acquisition during scanning.

A

a, b & d

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12
Q

kVp used in CT

A

constant at 120 / 130 kVp

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13
Q

what does a lower kVp result in

A
  • more contrast by exploiting k-edge
  • more noise (countered by higher mAs)
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14
Q

CT dose is proportional ____ of kVp

A

to square

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15
Q

kVp

A

The peak voltage applied to the X-ray tube, influencing the maximum energy of the X-ray photons produced.

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16
Q

keV

A

The energy of individual X-ray photons

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17
Q

average keV

A

The mean energy of the X-ray photons in the beam, impacting overall image contrast and quality

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18
Q

max keV

A

The highest energy level of X-ray photons, determined by the kVp setting, indicating the most penetrating photons

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19
Q

iodine attenuation ___ at ___ kVp due to decreased compton scatter & greater photoelectric effect as photon energy approaches k-edge of iodine

A

increases; decreased

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20
Q

What is the primary role of kVp in a CT scan?

A

To measure the beam intensity or ability to penetrate anatomy

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21
Q

what is the r/s between slice thickness and noise & contrast & spatial resolution

A

thicker slices = less noise & better contrast & spatial res for soft tissues

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22
Q

what happens during image reconstruction

A

3D raw / helical data converted to 2D image data

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23
Q

what happens before reconstruction

A

interpolation; raw data is interpolated into series of 2D images before FBP

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24
Q

how is interpolation achieved

A

weighted average of helical data from either side of reconstruction plane

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25
what is simple back projection
emulates acquisition process in reverse where each view represents an individual measurement of attenuation factor
26
assumptions of SBP
- infinitely small FSS - monochromatic spectrum - small DELs
27
what are sinograms
data acquired for 1 CT slice displayed before reconstruction; not for clinical use
28
horizontal & vertical axis of SBP
horizontal = diff rays in each projection vertical = projection angle
29
what happens when a vertical line on sinogram is seen
bad detector
30
main issue of SBP
lots of artifacts / blurring since assumptions are not met
31
how are the main issues of SBP countered
Filtered back projection (FBP)
32
what do the diff filters offer
tradeoffs between spatial resolution & noise
33
what can FBP be affected by
- high image noise - artifacts - poor low contrast
34
IR
iterative reconstructions
35
how does IR work
1. uses image assumption based on vendor 2. compares it to real time measured values while making constant adjustments 3. adjust till both assumption & measured value are in agreement
36
advantages of IR
1. reduced noise 2. improved CNR & spatial resolution
37
disadvantages of IR
1. time consuming due to slow processing 2. less predictive behavior
38
Dose modulation in CT scans adjusts tube current to ___
maintain image quality while minimizing patient radiation dose.
39
which CT dose index measures absorbed dose
volume CT dose index (CTDIvol) Dose-Length Product (DLP)
40
DLP formula
CTDIvol x CT length of scan range
41
Effective Dose formula
DLP x conversion factor
42
absorbed dose unit
mGy
43
effective dose unit
Sv
44
CTDI weighted formula
1/3 CTDI center + 2/3 CTDI peripheral
45
CTDIvol formula
CTDI weighted / pitch
46
effective dose is used for
risk estimations
47
what does DLP represent
total radiation energy deposited in the patient's body
48
CT dose reduction strategies
DIMAR 1. automatic tube current modulation 2. reduce kVp 3. DRLs 4. minimize scan range 5. iterative reconstruction
49
what are DRLs
dose estimates to monitor practice to promote improvements in patient protection
50
DRLs highlight dose variations between ___
healthcare facilities for same exam and similar patient group
51
DRLs are ____
median values observed for representative samples of patients of a particular group
52
what does a good CT image possess
1. high spatial res 2. high low contrast detail res 3. acceptable temporal res 4. minimal noise 5. no artifacts
53
DFOV formula
pixel size x matrix size
54
what does detector array thickness affect
axial res when reconstructed into sagittal/coronal views; impt for 3D/MPR reconstruction
55
how is spatial resolution measured
1. axial resolution (matrix size, DFOV, pixel size) 2. resolution bar patterns 3. lp/mm or lp/cm
56
how does thinner slice thickness affected spatial resolution
(+) better spatial res and less partial volume effect (-) lower contrast res and more noise
57
what happens when the slice thickness becomes too thick
partial volume effect; object does not fill entire depth of scan plane leading to underestimated CT numbers
58
how to improve contrast in CT images
1. increase dose, mAs, slice thickness 2. reduce tube voltage 3. reconstruction algorithms
59
how does mAs & slice thickness improve contrast
by reducing noise
60
CT noise sources
1. reconstruction kernels esp if used to preserve high frequency contents 2. electronic noise 3. quantum noise
61
what affects quantum noise
scanning technique, detector efficiency, patient habitus