Week 2 Part 2 Flashcards

(59 cards)

1
Q

Nuclear Medicine imaging technology developed for __

A

diagnosis of human disease and study of human physiology

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2
Q

PET is more sensitive in early diagnosis of __

A

neurology, oncology, cardiology

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3
Q

PET imaging is very useful in ___

A
  • measuring blood flow into tissues / tumours
  • imaging and measuring receptors
  • imaging enzyme & cellular functions
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4
Q

isotopes of naturally occurring elements are excellent tracers such as ___

A

carbon, oxygen, fluorine

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5
Q

F-18 half-life

A

110 mins

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6
Q

C-11 half-life

A

20 mins

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7
Q

N-13 half-life

A

10 mins

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8
Q

Oxygen-15

A

2 mins

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9
Q

Rubidium-82 half-life

A

76 secs

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10
Q

PET relies on ___

A

radioisotope decay via positron emissions

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11
Q

protons decays to __

A

neutron, positron, neutrino

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12
Q

as positrons travel through human tissue, they give up KE via ___

A

Coulomb interactions with electrons

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13
Q

positrons annihilate with nearby electrons, resulting in ___

A

2 gamma rays of 511KeV traveling at 180 degrees to each other.

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14
Q

when can positron-electron annihilation can be calculated and determined

A

when both gamma rays are detected

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15
Q

coincidence events can be stored in arrays corresponding to ___

A

projections through the patient and reconstructed using standard tomographic techniques

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16
Q

coincidence events in PET are divided into 3 categories which are ___

A

true, scattered, random

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17
Q

true coincidences occur when ___

A

both photons from annihilation event are detected in coincidence

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18
Q

which 3 invalid events causes statistical noise to data

A

scatter, random, attenuation

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19
Q

block of PET detector crystals are made of __

A

LSO/LySO

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20
Q

Transmission map provides ___ by CT

A

physical scatter boundaries

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21
Q

Emission map provides ____ by PET

A

distribution of activity, including scatter

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22
Q

scatter maps are used to correct __

A

PET scans

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23
Q

problem of attenuation

A

photons stopped in patient’s body before reaching PET detectors

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24
Q

problem of consequences

A

reduces appearances of deep lesions and quantitative accuracy

25
solutions of consequences
perform attenuation correction with patient scans
26
daily detector checks uses __ phantoms
Ge-68
27
how long should the daily QC for PET/CT scanners take
30 - 60 mins
28
spatial resolution is defined as ___
Full Width at Half Maximum (FWHM) of a point source
29
sensitivity is defined as ___
efficiency of system in detecting the annihilation photons
30
what factors improve sensitivity
- bigger axial coverage - detector material must have high stopping power, high light output and short decay time - fast electronics
31
NEMA commissioning tests include
- radioactivity concentration calibration - spatial resolution test - sensitivity test - image quality, attenuation, accuracy
32
WCC
well counter calibration
33
CCC
cross calibrator calibration
34
what is the aim of radioactivity concentration calibration
ensure accurate counts & activity calibration
35
radioactivity concentration calibration establishes ___
absolute activity level of the PET scanner with a global scale factor of activity correction factor
36
ACF
activity correction factor
37
purpose of spatial resolution test is to ___
measures tomographic spatial resolution of the system in air and ensures that spatial resolution is not degraded by acquisition or reconstruction process
38
spatial resolution tests are performed using ___
samples of F-18 point sources with 5mCi/ml activity concentration to limit the % of dead time losses and randoms
39
the 3 points of F-18s are positioned with a spatial extent of ___
< 1mm in transaxial & axial directions
40
the f-18 point sources are suspended in ___ to minimize ___
air; effect of scattered radiation
41
sensitivity is the count rate measured by ___
device to amount of radioactivity within FOV
42
purpose of sensitivity tests are to ___
determine rate of detected true coincidence events per unit of radioactivity concentration
43
image quality tests stimulates a PET CT using ___
large body section
44
what is prepared for image quality testing
- 4 hot & 2 cold spherical lesions with background of 50 MBq and lung material insert cantered - known activity contrasts - additional activity to represent scatter
45
IQRC
image quality & recovery coefficients
46
purpose of IQRC
determines correctness of known quantification & measures activity concentration recovery coefficients as functions of sphere sizes
47
what has improved the count rate capabilities of PET scanners
fast scintillators LSO/YSO
48
increased light output results in ___
better spatial & energy resolution = raised scatter rejection threshold to 435 keV
49
fast decay of scintillation light decreases ___ and ___ coincidence window
system deadtime; shortens
50
principle of TOF is based on
measurement of the time difference in the arrival of the two annihilation photons at the respective detectors
51
benefits of PET/CT
- combined functional & anatomical imaging for higher co-registration & fusion accuracy - short duration / faster scan time - fully quantitative, whole body scans for SUV calculations - PET/CT can operate independently
52
how does PET & CT work synergistically
PET provides higher sensitivity for lesion detection CT provides anatomic backdrop for attenuation correction
53
imaging sequence for PET/CT
- topogram - spiral CT scan & generate ACFs - reconstruct CT images & PET scan over axial scan range - attenuation correction of PET data - reconstruct attenuated corrected PET data - display fused images
54
MRI is the first line imaging for __
brain tumors, head & neck regions, pelvis
55
although PET/MR increases diagnostic accuracy, the fused data often leads to ___
misalignment & motion artifacts
56
advantages of PET/MR
- combined PET/MR reduces patient dose compared to PET/CT while maintaining similar image quality & quantitative data - higher quantitative lesion contrast due to decreased BG SUVs - volumetric axial sequences = better resolution & registration
57
PET/MR scans start ___ after injection compared to ___ for PET/CT
2.5 hours; 1 hour
58
PET/MR require acquisition times per bed position of ___ compared to ___ for PET/CT
4 mins; 2 mins
59
PET is useful to detect what pathologies
- myocardial viability - focal epilepsy - parkinson's - alzheimers'