Week 12 - Post Processing Flashcards

1
Q

-referred to as multiplanar reconstruction, image reformatting, image reformation
-computer program that can create coronal, sagittal and paraxial images from stack of continuous transverse axial scans

A

Multiplanar reformation

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2
Q

T/F
Most images are acquired in an axial format, head and extremities can be imaged in coronal
*transverse plane

A

True

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3
Q

T/F
The plane an image is acquired in depends on the patient positioning, not the way the gantry turns

A

True

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4
Q

Plane that passes through the body from anterior to posterior and divides the body into left and right

A

Sagittal

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5
Q

A plane that passes through the body from right to left, dividing the region into anterior and posterior sections

A

Coronal

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6
Q

T/F
An irregular(linear, curved), or oblique view can be reconstructed from a stack of contiguous transverse images

A

True

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7
Q

What are some advantages of reformatted images?

A

-enables visualization of specific structures in relation to surrounding structures
-determines extent of lesions or fracture
-helps localize lesions, bond fragments, foreign bodies

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8
Q

What is a disadvantage of reformatted images?

A

Loss of image detail

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9
Q

What are the 4 major steps of 3D imaging?

A
  1. Data acquisition
  2. Creation of 3D space
  3. Processing for 3D image display
  4. 3D image display
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10
Q

Tools such as windowing are computer programs that provide the observer-diagnostician with additional information to facilitate diagnosis

A

Visualization tools
*range from basic to advanced, have been implemented on graphic processing units (GPU)

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11
Q

What is the most used post processing technique?

A

Windowing

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12
Q

-allow the user to render various 3D images from the axial dataset
-3D rendering includes: SSD, VR, MIP, MinIP, cinematic rendering and global illumination

A

3D visualization tools

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13
Q

-provides detailed photorealistic visualization of high density objects, including contrast enhanced blood vessels, vascularized structures, tissues, organs and bones

A

Cinematic rendering
*movie
*common for stroke patients

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14
Q

-recent 3D/4D rendering technique that uses complex lighting and shading techniques to provide a more photorealistic image of patients anatomy

A

Global illumination

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15
Q

-technique based on volume data acquisition principles
-an application of 3D imaging and has become popular in the examination of circulatory system
Ex. 4D angio, vessel tracking, skull removal, multiple target volume

A

CT angiography (CTA)

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16
Q

-4th dimension of opacity instead of time and is based on VR technology
-changes in the opacity values of various tissues enables the observer to simultaneously visualize bone, soft tissue, vascular structures
-both foreground and background structures are visible

A

4D angio

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17
Q

Why is 4D angio preferred over conventional MIP techniques?

A

Visualization of aortic aneurysms, renal arteries, stents, carotid bifurcation
*MIP only allows the user to render only a selected volume data and does not require segmentation techniques
*4D angio - enhanced MIP

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18
Q

-allows the user to produce a set of MPR images, including curved MPR images for the entire vessel
-skull removing tool facilitates the subtraction of bones of the skull from the CTA image and allows the observer to visualize detailed images of vessels and soft tissue

A

Vessel tracking tool

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19
Q

-display all types of MPR images from the axial dataset in the axial, coronal, sagittal and oblique planes

A

MPR tools

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20
Q

Offer the following in any 3D rendering mode:
Window/level adjustment, volume of interest adjustment, scan info. Display, movie creation and playback, split screen presentation, zoom, measurements

A

Interactive visualization tools

21
Q

-allows the user to view a large set of images very quickly

A

Cine visualization tools

22
Q

-facilitate measurements such as distances, angles, areas, means, standard deviation, min/max voxel values, density value in HU, density histogram for particular ROI, volume of 3D objects

A

Advanced quantitative measurement tools

23
Q

-allows user to combine images from different modalities

A

Multimodality image fusion tools
*advanced software needed

24
Q

-include Voyager and 3D Navigator
-create 3D and 4D images of tubular structures and allow user to “fly though” the images of hollow organs - CT virtual endoscopy

A

Virtual reality visualization tools

25
To successfully reformat a CT image, all images must have:
-identical DFOV -image center (x,y coordinates) -gantry tilt -contiguous (no nonimaged spaces between slices)
26
T/F It is imperative for exact alignment to produce a diagnostic valuable end product
True *no motion
27
T/F Image reformation uses ONLY image data, NOT RAW DATA
True
28
T/F Thinner slices are better for image reformation
True
29
Images created along center line of tubular organs Ex. Vascular structure, ureters
Curved planar reformation CPR
30
T/F MDCT produces volumetric scans and high quality MPRs -no data loos with isotropic voxels (x=y=slice thickness)
True
31
X, Y and slice thickness are all equal
Isotropic voxel
32
33
X, Y and slice thickness are not equal
Non-isotropic voxel *50% overlap required Ex. 3mm slice, reconstruct every 1.5mm
34
Need to input slice thickness, incrementation and number of images for MPR
Manual MPR
35
Operator can move a box to determine best plane imaged
Real time MPR *not important
36
MPRs are pre determined before acquisition and done automatically Advantage: straight sagittal and coronal created automatically; saves time Disadvantage: oblique planes must be done after acquisition
Scanner created MPR
37
-can be done on PACS -MPR done directly on monitor -need thinnest slices to produce quality image
Workstation created MPR
38
T/F Actual images sent to PACS are thicker than acquired raw slices
True
39
-represents the whole scan volume in one image -complex process -thinner slice = better final 3D image
3D reformation/reconstruction
40
-shaded surface display -voxels located on edge of structures are used to show outline -compares intensity of each voxel in data set to a predetermined threshold CT value *software removes any value below or above threshold
Surface rendering/SSD 3D reformat Tubular structures
41
-only the voxels with the highest values are displayed Ex. Bone, contrast filled structures
Maximum Intensity Projection MIP *this is the visualization tool that is most used
42
-only the voxels with the smallest/minimum values are displayed Ex. Bronchial tree, airways
Minimum intensity projection MinIP
43
-3D semi transparent representation of imaged structures -all voxels contribute to image -pixels can be assigned: colour, brightness, opacity
Volume rendering
44
-visualization inside lumens -aka virtual endoscopy -can fly though lumen -can adjust to see inside walls from all angles
Endoluminal imaging
45
-to better demonstrate areas of interest by removing obscuring structures Manual segmentation: user identifies data to be removed
ROI editing
46
ROI editing -software does the segmentation -impractical due to image complexity, types, and clinical indications
Fully automated segmentation
47
ROI editing -combines manual and automatic segmentation -user selects a point on bone, software can reflect the structure and adjacent tissue to be removed
Semiautomatic segmentation
48
-when voxels are not isotropic -when slice exceeds pixel dimensions -appearance of flight of stairs on smooth objects
Stair step artifact