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CT SPECIAL APPLICATIONS. CT ANGIOGRAPHY. CT IMAGE OF THE BLOOD VESSEL OPACIFIED BY CONTRAST. REQUIREMENTS FOR CTA. PATIENT PREPARATION ACQUSITION PARAMETERS CONTRAST MEDIUM ADMINISTRATION POSTPROCESSING TECHNIQUES. PATIENT PREP. BUN 7-20 mg/dl CREAT.- 0.6 –1.2 mg/dl
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REQUIREMENTS FOR CTA • PATIENT PREPARATION • ACQUSITION PARAMETERS • CONTRAST MEDIUM ADMINISTRATION • POSTPROCESSING TECHNIQUES
PATIENT PREP. • BUN 7-20 mg/dl • CREAT.- 0.6 –1.2 mg/dl • IODINE ALLERGY- STEROID THERAPY • HYPERVENTILATION BEFORE EXAM FOR BETTER BREATHOLD
POWER INJECTOR PARAMETERS VOLUME OF CONTRAST-ml RATE ml/sec TIME OF INJECTION – sec SCAN DELAY TIME - sec
CONTRAST WARMER WHY???
Circle of Willis?! 40 SEC
CTA - MPR PLANE?
CARDIAC CT PROCEDURES • CARDIAC ANGIOGRAM • CALCIUM SCORING
CALCIUM SCORING NO IV CONTRAST USED
CARDIAC ANGIOGRAM PERFORMED WITH CONTRAST INJECTION 4-5 cc/sec 150 cc total volume
VIRTUAL ENDOSCOPY • USE OF VIRTUAL REALITY CONCEPTS TO THE CREATION OF INNER VIEWS OF TUBULAR STRUCTURES
VIRTUAL ENDOSCOPE GRAPHICS-BASED SOFTWARE USED FOR SIMULATING ENDOSCOPIC EXPLORATION INSIDE A 3-D IMAGE
APPLICATION OF VIRTUAL ENDOSCOPY • COLONOSCOPY • BRONCHOSCOPY • CHOLANGIOPANCREATOSCOPY • SINUS ENDOSCOPY • BLADDER • SPINAL CANAL ENDOSCOPY • VESSEL ENDOSCOPY- ANGIOSCOPY • NEURONS • UTERUS & FALLOPIAN TUBES
DISADVANTAGE OF VIRTUAL ENDOSCOPY • HIGH COST • LACK OF QUANTITATIVE DATA • INABILITY OF PERFORMANCE OF REAL INTERVENTIONAL PROCEDURE WITHOUT REAL ENDOSCOPE • NO INFO ON MUCOSAL SURFACE • IMAGE QUALITY LIMITED BY RESOLUTION OF SYSTEM.
CONVENTIONAL CT LIMITATION • LACK OF REAL TIME IMAGE DISPLAY DATA COLLECTION IMAGE RECON LAG!!
FUNDAMENTAL PRINCIPLES OF REAL TIME IMAGING • FAST CONTINUOUS SCANNING • FAST IMAGE RECONSTRUCTION • CONTINUOUS IMAGE DISPLAY
The 65 cm variable field of viewdelivers 15 additional cm of visualcoverage, allowing clinicians tosee a patient’s entire anatomy,facilitating precise radiation therapyplanning
Quantitative CT • MEASUREMENT OF MINERAL CONTENT OF TRABECULAR BONE IN OSTEOPOROSIS BMD
QUANTITATIVE CT - STEPS SCOUT SLICE SELECTION AXIAL IMAGES AUTOMATIC CANTOUR TRACING ROI ROI VALUE CONVERTED TO BMD VALUE MEAN VALUE CALCULATION GRAPHIC OUTPUT, GRAPH BMD vs AGE, COMPARISON PERFORMED
XENON CT • INHALATION OF XENON GAS.