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RAD 254 –Chapt 23 Mulitslice Computed Tomography In short – CT is a thin band (fan) of radiation directed toward the patient and the remnant radiation emitted from the patient is measured by a receptor and the response transmitted to a computer. Dates/activities to remember • 1970 Dr. Godfrey Hounsfield demonstrated the technique – “EMI” unit • 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 rotation for 1 image – Head only – 5 min/image • 2nd – translate-rotate, but with a fan beam – produced increased intensiity at the edge of the beam – “bow-tie” filter used to remedy this. 30 sec image time 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!) Major components of CT • Gantry – tube-receptor array, collimators (prepatient and pre-detector), generator, patient couch • Computer – microprocessor – recon time a big issue until recently • Operating console – usually two monitors – one for RIS/HIS information and the second for the imaging portion (often times a remote monitor is set up for the radiologist – can be a hassle) Spiral CT Sprial Helical 16 slice Slip Ring CT Interpolation Algorithms • Interpolation – information along the axis within established values • Extrapolation – information outside axis values established, but an estimated value if parameters continue as previously meassured Spiral Terms • Pitch – (pitch ratio) relationship between couch movement and x-ray beam collimation – Increasing pitch ratio enables much more of the patient to be imaged in one breath hold Slip Ring Technology (Made spiral possible – like brushes on s starter motor) • 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 – Transfer of digital data from gantry receptors Multi slice CT • Multi detector arrays – Two at once with one beam = two slices per 360 degrees – With “spiral” enable two detectors to produce 16 slices • Envision a person on the table/couch in a screw/nut fashion going through the gantry Maximum Intensity Projection • Pre selecting pixel levels to be viewed AFTER obtaining a “rubic’s cube of information” – Then exhibit only those at the pre-determined value – like MRA/CTA Spiral Advantages over Conventional • Motion blur is reduced/fewer artifacts • Lowered imaging time (fewer breath holds required/less motion/miss-representation) • Larger volumes can be imaged with less part overlap artifacts