GI imaging Flashcards

1
Q

Who invented X-rays?

A

Wilhelm Roentgen

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2
Q

What determines the absorption of X-ray beams?

A

Thickness of tissue

Density of tissue

Atomic number

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3
Q

How much affect does the atomic number of the substance have?

A

The 4th power

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4
Q

Which absorbs more X-rays, fluids or fat?

A

Fluids

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5
Q

How do you improve X-ray sensitivity?

A

Add contrast

Use a more sensitive method (CT)

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6
Q

What is a barium enema?

A

Retrograde introduction of barium into the system

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7
Q

What is an endoscopic retrograde cholangio-pancreatography?

A

Insert an endoscope down the GIT until you reach the major duodenal papilla then squirt contrast fluid up it

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8
Q

What is a percutaneous transhepatic cholangiography?

A

Procedure where a needle is inserted, goes through the liver and into the bile duct where contrast is injected

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9
Q

Which compound do you use for intravenous/intra-arterial contrast?

A

Iodine (53)

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10
Q

How long after intravascular contrast administration will it be seen in the kidneys?

A

30 minutes

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11
Q

What happens when contrast is tagged with a bilirubin like compound?

A

It is metabolised in the liver

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12
Q

What is a houndsfield unit used for?

A

CTs

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13
Q

What is radioisotope imaging?

A

Intravenous administration of tagged molecules that target a certain organs and emit gamma rays, these are recorded using a camera

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14
Q

What is the frequency and wavelength of ultrasounds?

A

High frequency

Short wavelengths

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15
Q

Why is gel required in ultrasounds?

A

Exclude air

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16
Q

How do ultrasounds create an image?

A

Beams of sound are reflected by tissue and sensed

17
Q

What is shadowing in ultrasounds?

A

Where a substance completely reflects the sound

18
Q

What is the doppler effect used for?

A

Measuring blood flow - RBCs reflect sound

19
Q

What is the principle of MRI’s?

A

Sends pulses of strong magnetic field and measures the resulting differences in radiowaves that return. Works due to the spin of H molecules

20
Q

What percentage of blood is supplied to the liver via the portal veins?

A

75% (25% from hepatic arteries)