RAD 354 Chapt . 23 Multi-slice CT

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RAD 354 Chapt. 23 Multi-slice CT • In short – CT is a thin band (fan) of radiation directed toward the pt. and the remnant radiation emitted from the pt. is measured by a receptor and the response transmitted to a computer for reconstruction of the image(s)

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RAD 354 Chapt . 23 Multi-slice CT. In short – CT is a thin band (fan) of radiation directed toward the pt. and the remnant radiation emitted from the pt. is measured by a receptor and the response transmitted to a computer for reconstruction of the image(s). “Slip rings”. - PowerPoint PPT Presentation

Transcript of RAD 354 Chapt . 23 Multi-slice CT

Page 1: RAD 354  Chapt . 23 Multi-slice CT

RAD 354 Chapt. 23 Multi-slice CT

• In short – CT is a thin band (fan) of radiation directed toward the pt. and the remnant radiation emitted from the pt. is measured by a receptor and the response transmitted to a computer for reconstruction of the image(s)

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“Slip rings”

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Dates/Activities to Remember

• 1970 – Sir Godfrey Hounsfield,Ph.D.., demonstrated the technique of CT scanning – “EMI” head unit

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Dates/Activities Con’t.

• 1982 Dr. Hounsfield and Dr. Alan Cormack share the Nobel Peace Prize in physics

• CT Generations and important items:– 1st – translate-rotate; “pencil beam” - one full

rotation for 1 image; head only; 5 min. per image!– 2nd – translate-rotate, but with a “fan” beam;

produced INCREASED INTENSITY at the edge of the beam – “bow-tie” filter used to remedy this; 30 sec. image time

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Generations con’t.

– 3rd – used ARRAY of DETECTORS – produced “ring artifacts”

– 4th rotate – stationary, fan beam, detector array; short image time and NO re-con time!

– 5th is NOW here! “Spiral/slip ring” (It is slip ring technology that has enabled this latest generation!)

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Major Components of CT

• Gantry – tube-receptor array, collimators (pre-pt. and pre-detector), generator, pt. couch

• Computer – microprocessor – recon time was a BIG issue until recently

• Operating console – usually two monitors – one for RIS/HIS and the second for the imaging portion (often times a “remote” monitor is set up at the radiologist’s desk – can really be a hassle)

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Radiation Dose Comparisons

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Current – 5th Generation Terms

• Spiral• Helical• 16/32/64 slice• Slip Rings CT

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Interpolation/Extrapolation

• Interpolation – information ALONG the axis WITHIN established values

• Extrapolation – information OUTSIDE axis values established, BUT an ESTIMATED value based upon previously measured parameters IF they continue

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“Spiral” Terms• Pitch – relationship between couch movement and x-ray

beam collimation (pitch ratio)– Increasing pitch ratio enables much MORE of the pt. to be

imaged in ONE BREATH HOLD! Breath holds = misrepresentation of the images.

• Slip ring technology made “spiral CT” possible• Three slip rings in the gantry (usually)

– One for hi voltage power to the tube and hi voltage generator– Low voltage power to the rotating gantry portion– Transfer of digital data from gantry receptors to the computer

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Multi Slice CT

• Multi detector arrays– Two at once with one beam = two slices per 360

degrees– With “spiral” enables two detectors to produce 16

slices• Envision a person on the table/couch in a

screw/nut fashion going through the gantry

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Spiral/slip ring

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Tube (fan beam)/receptors

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Z-axis

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Maximum Intensity Projection (MIP)

• Pre selecting pixel levels to be viewed AFTER obtaining a “rubic’s cube of information”– Then only exhibit those at the PRE-DETERMINED

value – like an MRA or CTA

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Spiral Advantages of Conventional CT

• Motion blur is reduced – fewer artifacts• Lowered imaging time (fewer breath holds

required = less motion and less mis-representation)

• Larger volumes can be imaged with LESS part overlap artifacts