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1 Introduction to imagery
Exam 1
19
Anatomy
Graduate
09/24/2011

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Term
The vast majority of clinical diagnosis come from through these two non-imagery tasks?
Definition
History & Physical Exam
Term
X-rays are a form of ___________ radiation.
Definition
Ionizing
Term
Name three imagery methods that use the ionizing radiation.
Definition
radiographic film, CT, nuclear medicine scan
Term
________ and MRI are examples of imagery modalities that use _________ radiation
Definition
Ultra-sound, non-ionizing
Term
Name the four types of imagery densities and give at least two examples of each.
Definition
air/gas: lungs, gas in intestine; fat: adipose tissue, breasts; soft tissues/water density: blood, solid organs, full bladder; bone & metal: ribs, calcified bones, teeth, metal caps, bullet fragments.
Term
Approximately half of all radiographic studies done are _________ .
Definition
chest X-rays
Term
Chest x-rays are taken in which 2 views and why?
Definition
PA & lateral. To better localize any density that may found on the films.
Term
Name at least three methods/substances film radiography uses to enhance the images.
Definition
Contrast iodine solution - angiogram; barium swallow/enema - GI series; Technetium-99M - nuclear bone scan.
Term
Describe angiography.
Definition
An iodine solution is introduced into a vessel (artery or vein) by a catheter. Film Xray and/or CT are taken at timed intervals. The Iodine metal absorbs xrays rendering a radiopacity (white on negative film) at the location of the iodine - hopefully enhancing the vessels of interest.
Term
What is the advantage of CT over classical film imagery?
Definition
3D rendering of large anatomical regions with increased resolution of soft tissues, also especially good for visualizing fine bone structure.
Term
What methods are used to enhance CT imagery?
Definition
oral, intravenous or intra-arterial contrast material.
Term
Describe what is found on a normal nuclear medicine bone scan.
Definition
Bone is a living tissue and is constantly being remodeled so a light background of tracer deposition is normal over all the bones of the skeleton. In areas of high impact and constant movement such as joints a greater amount of deposition of tracer is seen. Tracer is also excreted from the kidney so the kidneys and urinary bladder also shows "normal" enhancement on bone scan.
Term
What processes would you expect to show enhanced uptake of tracer on nuclear bone scan?
Definition
Deposition of tracer at the site of increased metabolic activity and osteoblast activity (rapid turnover and formation of new bone). This is found at sites of metastatic lesions of the bone and at sites of bone healing after injury.
Term
What is the advantages/limitations of US?
Definition
advantages: no exposure to ionizing radiation, relatively fast, inexpensive and reliable for screening purposes. disadvantages: less resolution than CT, limited use on areas not blocked by bone or having to discern objects filled with or surrounded by air.
Term
What are some indications for the use of MRI?
Definition
brain disease such as infarction & tumors, body cavity tumors, soft tissue injuries that produce edema, spinal cord injuries.
Term
What are some contraindications for MRI?
Definition
ferrous containing objects such as metal surgical staples & aneurysm clips, pace makers, implanted medication pumps, some IUDs, nerve stimulator devices.
Term
On T1 weighted MRI what tissue in general is displayed as bright white?
Definition
Fat
Term
CSF and edema are best visualized as enhanced signal (bright white) using ______ weighted MRI.
Definition
T2
Term
The subspecialty of modern imagery that can directly treats disease through minimally invasive percutaneous access to internal structures is ____________ radiology.
Definition
interventional
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