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Computed Tomography

Computed Tomography. Computed Tomography. Introduced in 70’s Principle: Internal structures of an object can be reconstructed from multiple projections of the object. Philips CTVision Secura. Mechanism of CT. X-ray tube is rotated around the patient

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Computed Tomography

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  1. Computed Tomography

  2. Computed Tomography • Introduced in 70’s • Principle: Internal structures of an object can be reconstructed from multiple projections of the object

  3. Philips CTVision Secura

  4. Mechanism of CT • X-ray tube is rotated around the patient • Radiation transmitted through the patient is absorbed by a ring of detectors • Absorbed radiation is converted to an image Detectors

  5. Detectors • Scintillation crystals • Xenon-gas ionization chamber

  6. Scintillation Crystals • Materials that produce light (scintillate) when x-rays interact • Similar to intensifying screen • Number of light photons produced a energy ofincident x-ray beam • Light photons need to be converted to electrical signal

  7. Ionization Chamber • X-ray ionizes xenon gas • Electrons move towards anode • Generates small current • Converted to electrical signal

  8. Attenuation • Reduction in the intensity of an x-ray beam as it traverses matter, by either the absorption or deflection of photons from the beam

  9. Pixel - Voxel • Pixel - picture element • Voxel - volume element

  10. CT Number

  11. Image Display: Windowing • Usual CRT can display ~256 gray levels • 2000 CT numbers • Select the CT number of the tissue of interest, then range of ±128 shades

  12. Cone Beam CT • Uses cone shaped x-ray beam. • Beam scans the head in 360 degrees. • Raw data are reformatted to make images

  13. Benefits of Cone Beam Imaging • Less radiation than multi-detector CT due to focused X-rays (less scatter) • Fast and comfortable for the patient (9 to 60s) • Procedure specific to head and neck applications • One scan yields multiple 2D and 3D images

  14. Anatomic Landmarks on CT

  15. Axial CT Sections

  16. Coronal Sections • Zygomatic Arch • Lat. Pterygoid plate • Optic canal • Sphenoid sinus • Soft tissues of nasopharynx

  17. Frontal bone (orbital plate) • Ethmoid air cells • Middle concha • Maxillary sinus • Inferior concha

  18. Vomer • Ramus • Follicle of molar • Gr. wing of Sphenoid • Tongue • Mylohyoid m

  19. Magnetic Resonance Imaging

  20. Magnetic Resonance Imaging • Three steps of MRI • MRR • Magnetic Field • Radio-frequency Pulse • Relaxation

  21. Magnetic Moment Direction

  22. Application of RF Pulse Relaxation

  23. Spin or Angular Moment • 1H, 14N, 31P, 13C, and 23Na has nuclear spin • They spin around their axes similar to earth spinning around its axis • Elements with nuclear spin has odd number of protons, neutrons

  24. Magnetic Moment • When a nucleus spins, it has angular momentum • When the spinning nucleus has a charge, it has magnetic dipole moment • Moving charges produce magnetic fields

  25. Hydrogen Nucleus • Most abundant • Yields strongest MR signal

  26. Radiofrequency Pulse • RF pulse is an electromagnetic wave • Caused by a brief application of an alternating electric current

  27. Receiver Coils • Send or “broadcast” the RF pulse • Receive or “pick up” the MR signals • Types: Body coils, head coils, and a variety of surface coils

  28. Philips Gyroscan Intera

  29. Relaxation • This is the process that occurs after terminating the RF pulse • The physical changes caused by the RF pulse revert back to original state

  30. T1- Spin Lattice Relaxation • At the end of RF pulse, transversely aligned nuclei tend to return back to equilibrium • This return to equilibrium results in the transfer of energy

  31. T2- Spin-spin Relaxation • While the nuclei are in transverse phase, their magnetization interfere with each other. • This interference leads to the loss of transverse magnetization.

  32. Magnetic Field Strengths • Measured in Tesla or Gauss • Usual MRI field strength ranges from 0.5 to 2.0 Tesla • Earth’s magnetic field is about 0.00005 Tesla (0.5 Gauss)

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