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PRINCIPLES OF CT. Dr Mohamed El Safwany, MD. Intended learning outcome. The student should learn at the end of this lecture principles of CT. TOMOGRAPHY TOMOS ---SECTION. RADIOGRAPHY LIMITATIONS. SUPERIMPOSITION
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PRINCIPLES OF CT Dr Mohamed El Safwany, MD
Intended learning outcome The student should learn at the end of this lecture principles of CT.
RADIOGRAPHY LIMITATIONS • SUPERIMPOSITION • DIFFICULTY IN DISTINGUISHING BETWEEN HOMOGENOUS OBJECTS OF NON-UNIFORM THICKNESS.
TOMOGRAPHY (CONVENTIONAL) • ELIMINATES TISSUE SUPERIMPOSITION • INCREASES CONTRAST OF LOW SUBJECT CONTRAST TISSUES
LIMITATIONS OF CT • UNABLE TO DIFFERENTIATE BETWEEN TISSUES WITH SLIGHT CONTRAST DIFFERENCES < 1%.
GOALS OF CT • MINIMAL SUPERIMPOSITION • IMAGE CONTRAST IMPROVEMENT • SMALL TISSUE DIFFERENCE RECORDING
TRANSMISSION RELATIVE TRANSMISSION=Io/I
CT MAIN SYSTEMS • IMAGING SYSTEM • COMPUTER SYSTEM • DISPLAY, RECORDING, STORAGE SYSTEM • DATA ACQUISITION SYSTEM
IMAGING SYSTEM • PRODUCTION OF X-RAYS • SHAPING OF X-RAY BEAM ENERGY • FILTERING X-RAY BEAM
SCANNER GANTRY TABLE/COUCH
COMPUTER SYSTEM • RECONSTRUCTION AND POSTPROCESSING • CONTROL OF ALL SCANNER COMPONENTS • CONTROL OF DATA ACQUSITION, PROCESSING, DISPLAY. • DATA FLOW DIRECTION
COMPUTER SYSTEM IN CT • MINICOMPUTERS
IMAGE DISPLAY, RECORDING, STORAGE • DISPLAYS IMAGE ( OUTPUT FROM COMPUTER) • PROVIDES HARD COPY OF THE IMAGE • FACILITATES THE STORAGE AND RETRIEVAL OF DIGITAL DATA • COMMUNICATES IMAGES IN THE NETWORK
DATA ACQUISITION SYSTEM (DAS) • SET OF ELECTRONICS BETWEEN DETECTORS AND HOST COMPUTER.
COORDINATE SYSTEM IN CT ISO-CENTER
SCAN FOV SFOV DETECTORS
DFOV – DISPLAYED FIELD OF VIEW • SIZE DISPLAYED ON THE MONITOR
PIXEL SIZE PIXEL SIZE= DFOV (mm)/ MATRIX SIZE
PIXEL vs VOXEL PIXEL VOXEL
PIXEL SIZE DEPENDS ON: • MATRIX SIZE • FOV
VOXEL SIZE DEPENDS • FOV • MATRIX SIZE • SLICE THICKNESS
IN CT DIGITAL RECONSTRUCTED IMAGE IS CONVERTED IMAGE IS CONVERTED INTO A GRAY SCALE IMAGE.
CT # vs BRIGHTNESS LEVEL + 1000 -1000
CT # 1000
CT # - 500
TECHNIQUE • kVp • mA • TIME • SLICE THICKNESS • SLICE INCREMENTATION
PATIENT ORIENTATION • HEAD FIRST • FEET FIRST