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Nielsen-Brown--Neuroimaging
Neuroimaging
12
Medical
Professional
03/16/2011

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Cards

Term
General radiographic analysis tips
Definition
each slice must be evaluate separately, systematically.
--Check symmetry,
--quality of brain tissue (distinct margins b/w grey/white)
--CSF spaces: ventricles, sulci, etc
--Blood presence shown by increased density
--skull fx?
--Windows
Term
CT basic priciples
Definition
--residual radiation striking detector, assigned "gray value"
--faster than MRI (8 minutes)
--Set windows for bone, blood, brain tissue
Term
CT tissue "color"
Definition
skull is radiopaque
fat is radiolucent
ventricles (water) is dark
calcified choroid plexus radiolucent
vascular supply needs contrast added
Term
subdural hematoma
Definition
classical crescent shape
doesn't cross midline
usually not associated with skull Fx
brain edema causes mass effect
Term
epidural hematoma
Definition
classical biconvex (lens) shape
may cross midline
rapid accumulation of blood, significant mass effect (is an emergency!)
associated often with skull fx
Term
ischemic stroke
Definition
CT normal for first day, edema becomes visible after 6 hours (way past therapeutic window)
--once visible, wedge shape of low density (edema)
Term
types of radioimaging for strokes
Definition
CT: ischemic stroke won't be visible on CT for first 6 hours, past therapeutic window. but is useful in ruling out hemorrhagic stroke!
MRI will show ischemic stroke well
Term
hemorrhagic stroke
Definition
big hyperdense blood, with hypodense edema surrounding
Term
subarachnoid hemorrhage
Definition
CT good for first 12 hours of bleeding
see blood mixed with CSF
Term
MRI weighting
Definition
T1: dark water, bright fat
T2: dark fat, bright water
Term
Tumor contrasts
Definition
T1 shows solid phase of brain tumor
T2 shows associated vasogenic edema, liquid phase

*T2 good to look at nucleus pulposa
Term
PET, SPECT
Definition
radioactive material used, shows functional brain activity
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