Computed tomography basics

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Computed tomography basics

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By: biezar (11 month(s) ago)

thanks for uploading......really helpful and knowledge giving

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Slide 1: 

Basic Principles of CT Scanning

The basics of CT : 

The basics of CT CT imaging chain System components Acquisition methods Image quality Applications

X-ray: The beginning : 

X-ray: The beginning X-Rays founded in 1895 by Wilhelm Conrad Roentgen

CT: The beginning : 

CT: The beginning CT founded in 1970 by Sir Godfrey Hounsfield Engineer with EMI, LTD. first applications were in neuroradiology

CT Scanner : 

CT Scanner X-Ray modality used to the body in cross section Used to determine extent of trauma location and type of tumors status of blood vessels pre surgical planning

CT System : 

CT System

CT System : 

CT System

Basic CT scanner components : 

Basic CT scanner components Gantry X-Ray Tube Detector Control Console

Gantry : 

Gantry CT X-ray tube High voltage generator Detector array Data acquistion system Slip ring

The CT X-ray Tube : 

The CT X-ray Tube Anode heat capacity 3.5 MHU up to 6.5 MHU Determines maximum mAs Determines volume length Dictates generator size

Detector Elements : 

Detector Elements Capture energy that has not been attenuated by the patient

Control console : 

Control console Set scan parameters kVp, mA, scan time, reconstruction filter, etc. Set scan mode Digital radiograph, axial or volume Houses reconstructor Review and archive images Post-processing

CT : 

CT CT - Computed Tomography CAT Scan - Computerized Axial Tomography

Scanning methods : 

Scanning methods Digital projection AP, PA, Lat or Oblique projection Surview, Scanogram Conventional CT Axial Start/stop Volumetric CT Helical or spiral CT Continuous acquisition

Digital Projection : 

Digital Projection X-ray tube and detector remain stationary Patient table moves continuously With X-rays “on” Produces an image covering a range of anatomy Similar to a conventional X-ray image, e.g. flat plate of the abdomen Image used to determine scan location

Axial CT : 

Axial CT X-ray tube and detector rotate 360° Patient table is stationary With X-ray’s “on” Produces one cross-sectional image Once this is complete patient is moved to next position Process starts again at the beginning

Volume CT : 

Volume CT X-ray tube and detector rotate 360° Patient table moves continuously With X-ray’s “on” Produces a helix of image information This is reconstructed into 30 to 1000 images

Volume Scanning: Pitch : 

Volume Scanning: Pitch

Advantages of Volume CT : 

Advantages of Volume CT More coverage in a breath-hold Chest, Vascular studies, trauma Reduced misregistration of slices Improved MPR, 3D and MIP images Potentially less IV contrast required Gapless coverage Arbitrary slice positioning

Fundamentals of Multislice CT : 

Fundamentals of Multislice CT

Multislice Fundamentals : 

Multislice Fundamentals Everything is better (R)esolution Z-axis, spatial, low contrast (S)peed Temporal - bolus capture, stopped motion (V)olume Thin slice - organ-specific coverage (P)ower Enough photons - uncompromising image quality

Multislice Effectiveness : 

Single Slice = One 10mm slice per rotation Dual Slice = Two 5mm slices per rotation Quad Slice = Four 2.5mm slices per rotation Multislice Effectiveness Everything is better Resolution 2x 4x-8x Speed same same Volume same same Power same same Dual Quad

Dual Slice Detector Optimized for 2 Slice Acquisition : 

. . single detector arc dual detector arc pre-patient collimation post-patient collimation x-ray tube focal spot _ _ _ Mx8000Dual Slice Dual Slice Detector Optimized for 2 Slice Acquisition

Quad Detector Technology : 

Approximately 10% more efficient than matrix detectors Variable Wide Area Detector Asymmetrix™ Variable detector length Fixed detector length Quad Detector Technology Philips patented variable wide area detector Variable slice thickness 4 x 1mm 4 x 5mm 4 x 2.5mm 2 x 0.5mm 2 x 8mm 2 x 10mm

Quad Technology : 

8 Element 2-D array 4 Slices Quad Technology How it works

Asymmetrix™ Technology : 

Asymmetrix™ Technology Variable slice thickness

CT : 

CT CT attenuation information CT image quality

Attenuation : 

Attenuation X-ray beam passes through patient Each structure attenuates X-ray beam differently According to individual densities Radiation received by detector varies according to these densities

Density information : 

Density information Transferred from detector to CT computer(A to D converter) Reconstructed by computer into a cross-sectional image Displayed on screen Each pixel displayed on monitor has varying brightness The greater the attenuation, the brighter the pixel The less attenuation, the darker the pixel

Density information : 

Density information Density values correspond to a range of numbers Hounsfield scale

Window settings : 

Window settings Window width Determines range of CT numbers displayed on an image Values above this range = white Values below this range = black Window level Sets the center CT number displayed on the monitor Determines the location on the Hounsfield scale about which the window width will be centered

CT image quality : 

CT image quality Spatial resolution Ability to resolve small objects in an image Measured in lp/cm

Isotropic Imaging : 

Isotropic Imaging True 0.5mm Isotropic imaging

CT image quality : 

CT image quality Contrast resolution Ability to differentiate small density differences in an image

Post Processing Options : 

Post Processing Options Visualization ofvasculature in relation to pathology Show course of vessels Show stent placement Define vascular stricture

Thin-Slice Spiral Neck : 

Cervical Spine Spiral Acquisition Rotation – 0.75 sec Coverage – 160 mm Pitch – 0.875 Acq. Time – 36 sec FOV – 250 mm ST – 1.0 mm Rec. Incr. – 0.6 mm Std Res. – 8 lp/cm 120 kV, 200 mAs CTDI100w – 39 mGy CTDIFDAw – 17 mGy Thin-Slice Spiral Neck

Neuro-Angiography : 

Neuro-Angiography Circle of Willis

Thin-Slice Spiral Lungs : 

Thin-Slice Spiral Lungs

Renal Arteries : 

Renal Arteries

Extended Spiral Acquisition : 

Ext. Spiral Acq. Spiral Acquisition UltraFast – 0.5 sec Coverage – 1400mm Pitch – 1.75 Acq. Time – 41.5 sec FOV – 420 mm ST –2.5 mm Rec. Incr. – 1.6 mm Std Res. – 8 lp/cm 120 kV, 96 mAs CTDI100w – 7.3 mGy CTDIFDAw – 4.9 mGy Extended Spiral Acquisition

CT Scanners : 

CT Scanners Provide a window into the body Customer considerations How many patients Referring physicians Budget Upgrade expectations Philips has ALL the answers