CT and dual energy CT - System and acquisition

8 important questions on CT and dual energy CT - System and acquisition

What is a beam, and what kind of beam exist?

From the source it spreads out in a beam of x-ray.
  1. Parallel beam: detector is in a straight line with the source (so only shots a thin slice per session). You have to take multiple 'pictures' (+1000). It also goes around the body, but always in straight lines.
  2. Fan beam: The X-ray tube and detector arrays rotate together in a fixed geometrical orientation. It pictures a wide portion of the patient simultaneously. It also goes around the body.

Why prefer a fan beam about a parallel beam

Fan beam:
  • Reduce motion artifacts
  • Shorter scan time
  • Higher signal intensity
  • Higher spatial resolutions

How tick are the slices and how long does one rotation take?

  • 8-10 mm
  • 4 minutes per rotation
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What is a spiral CT?

  • Focus of x-ray tube has a spiral path relative to the patient
  • Faster than slice-for-slice

What is multi slice CT? What are advantages (3)?

Instead of one slice you can make up to 320 at once. The slices are thinner. 
Advantages:
  • Reduced scan time
  • Reduced motion artifacts
  • 4D volume scanning

In dynamic CT scanning you want to measure changes in one organ. What do you need?

  • Usually a contrast is used to see difference over time
  • You want to cover the organ in 1 rotation
  • You need high spatial resolution
  • Because you scan the organ in 1 rotation you can just use axial/sequential scanning.
  • You use a multi slice scanner with very much and very thin slices. (about 16 cm: 320 x 0.6 mm)

Name three applications of dynamic CT.

  • Myocardial perfusion
  • Brain perfusion
  • 4D kinematics of joints 

How can you minimize the patient dose (3)?

  • Decrease scan range
  • Lower kVP
  • Apply tube filtering

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