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COMPUTED TOMOGRAPHY INSTRUMENTATION AND OPERATION OUTLINE CT SYSTEM COMPONENTS – DEFINITION OF A SCANNER SCANNER COORDINATE SYSTEM – XYZ, ISOCENTER IMAGING SYSTEM COMPUTER SYSTEM DISPLAY, RECORDING, AND STORAGE SYSTEMS CT MAIN SYSTEMS IMAGING SYSTEM COMPUTER SYSTEM DISPLAY, RECORDING, STORAGE SYSTEM DATA ACQUISITION SYSTEM CT SYSTEM GANTRY X-RAY TUBE GANTRY CONTROL DETECTORS S/H ADC DAC HIGH VOLTAGE GENERATOR SCAN CONTROLLER ARRAY PROCESSOR HOST COMPUTER STORAGE CONSOLE SCANNER SCANNER GANTRY PATIENT COUCH GANTRY HOUSES: X-RAY TUBE GENERATOR (LOW VOLTAGE DESIGN) COLLIMATORS DETECTORS GANTRY CHARACTERISTICS APERTURE TILTING RANGE MOST OF THE SCANNERS HAVE 70CM APERTURE 70 CM COORDINATE SYSTEM X COORDINATE SYSTEM Y COORDINATE SYSTEM Z ISOCENTER TILTING RANGE OF MOST SCANNERS- +30 TO -30 DEGREES PATIENT COUCH : 450 LBS (204 KG) DISTRIBUTED WEIGHT LIMIT SCANNABLE RANGE: COVERAGE FROM HEAD TO THIGH (162CM) MAX. SCANNABLE RANGE IMAGING SYSTEM PRODUCTION OF X-RAYS SHAPING OF X-RAY BEAM ENERGY FILTERING X-RAY BEAM IMAGING SYSTEM COMPONENTS X-RAY TUBE GENERATOR –HIGH VOLTAGE COLLIMATORS FILTER DETECTORS DETECTOR ELECTRONICS X-RAY TUBE AND X-RAY PRODUCTION CATHODE -------MADE OF TUNGSTEN IN CT – STILL SMALL AND LARGE THERMIONIC EMISSION CATHODE HEATED UP TO AT LEAST 2,200 DEG. CELSIUS TO LIBERATE ELECTRONS FOR TRANSIT TO ANODE FOCAL SPOT- CT UTILIZES DIFFERENT FOCAL SPOTS THE FILAMENT SIZE – LENGTH – FOCAL SPOT SMALLER FOCAL SPOT - Low mA SMALLER FOCAL SPOT – sharper image ANODE +++++ MADE OF TUNGSTEN AND MOLYBDENUM TUNGSTEN TARGET TARGET MADE OF TUNGSTEN AND RHENIUM mA – tube current The number of electrons flowing from cathode to anode kVp Potential difference between cathode and anode (Volts) kilo means 1,000 x. S –time of exposure mAs tube current for certain length of time X-RAY PRODUCTION RESULTS IN A LOT OF HEAT AND VERY LITTLE X-RAYS BEING GENERATED HEAT UNITS CALCULATION HU= kVp X mA x time MOST CT TUBES HEAT CAPACITY 3-5 MILLION HU REDUCTION OF HEAT UNITS – TECHNIQUE COMPENSATION kVp mA Time INCREASED NOISE TOO LOW OF kVp: NOISE !!!! X-RAY EMISSION TUBE CURRENT CHANGE INTENSITY CURRENT ENERGY – NO CHANGE 2 * mA = 2 * number of photons 4 * mA = 4 * number of photons Why changing mA or time Avoiding motion – mA time Pediatric technique modification Reducing noise - mAs NOISE MOTION Tube voltage (kVp) CHANGE INTENSITY kVp ENERGY – 15% INCREASE OF KVP = 2 * mAs kVp IN CT 80-140 TOO LOW – NOISE (NOT ENOUGH PENETRATION OF THE PATIENT ) PHOTON STARVATION - NOISE!!!!! HIGH VOLTAGE GENERATOR – (HVG) GENERATES HIGH VOLTAGE POTENTIAL BETWEEN CATHODE AND ANODE OF AN X-RAY TUBE CT GENERATOR 5-50 kHz 30-60 kW KVP SELECTION: 80, 100, 120, 130,140 mA selection: 30, 50, 65, 100, 125, 150, 175, 200, 400 COLLIMATION IN CT PRE-PATIENT COLLIMATION POST-PATIENT COLLIMATION ADC BASIC DATA AQUSITION SCHEME IN CT FILTRATION ADC FILTRATION CHANGE INTENSITY FILTRATION ENERGY – FILTRATION MATERIAL ALUMINIUM ( SPECIAL FILTER IN CT) BOWTIE TO MAKE THE BEAM HARDER AND MORE MONOENERGETIC Filter DEFINES SLICE THICKNESS Patient REDUCES SCATTER RECHING THE PATIENT Detector CT DETECTORS DETECTOR TYPES: SCINTILLATION S. CRYSTAL S. CRYSTAL PHOTODIODE PM TUBE SCINTILLATION CRYSTALS USED WITH PM TUBES: SODIUM IODIDE –AFTERGLOW + LOW DYNAMIC RANGE ( USED IN THE PAST) CALCIUM FLUORIDE BISMUTH GERMANATE S. CRYSTAL USED WITH PHOTODIODE CALCIUM TUNGSTATE RARE EARTH OXIDES - CERAMIC DETECTOR TYPE: GAS IONIZATION XENON GAS 30 ATM EFFICIENCY OF DETECTORSQDE SCINTILLATION – 95% - 100%COMMONLY USED IN III & IV GENERATION SCANNERS GAS – 50% - 60% COMPUTER SYSTEM RECONSTRUCTION AND POSTPROCESSING CONTROL OF ALL SCANNER COMPONENTS CONTROL OF DATA ACQUSITION, PROCESSING, DISPLAY. DATA FLOW DIRECTION COMPUTER SYSTEM IN CT MINICOMPUTERS COMPUTER SYSTEM COMPOSED OF: HARDWARE SOFTWARE COMPUTER PROCESSING IN CT SEQUENTIAL PROCESSING MULTITASKING MULTIPROCESSING SOFTWARE –PROGRAM (S) HELPING CT USER TO COMMUNICATE WITH THE CT SYSTEM CT OPERATING SYSTEMPROGRAMS THAT CONTROL THE HARDWARE COMPONENTS AND THE OVERALL OPERATION OF THE CT COMPUTER CT OPERATING SYSTEM UNIX WINDOWS HOST COMPUTER CONTROL OF ALL COMPONENTS CONTROL OF DATA ACQUSITION, PROCESSING, DISPLAY. DATA FLOW DIRECTION ARRAY PROCESSOR TAKES DETECTOR MEASUREMENTS FORM HUNDREDS OF PROJECTIONS. RESPONSIBLE FOR RETROSPECTIVE RECONSTRUCTION AND POSTPROCESSING OF DATA. THE MORE PROCESSORS IN THE COMPUTER THE SHORTER THE RECONSTRUCTION TIME DATA ACQUISITION SYSTEM (DAS) SET OF ELECTRONICS BETWEEN DETECTORS AND HOST COMPUTER. IT CONTAINS: AMPLIFIER, ADC, DAC, GENERATOR, S/H. AMPLIFIER SIGNAL FROM DETECTORS GOES TO AMPLIFIERS FOR SIGNAL MAGNIFICATION AND THEN IS SENT TO SAMPLE/HOLD UNIT ADC CONVERTS ANALOG SIGNAL OUTPUT FROM THE SCANNING EQUIPMENT TO A DIGITAL SIGNAL SO IT CAN BE PROCESSED BY A COMPUTER. SAMPLE/HOLD UNIT (S/H) LOCATED BETWEEN AMPLIFIER AND ADC PERFORMS SAMPLING AND ASSIGNS SHADES OF GRAY TO THE PIXELS IN THE DIGITAL MATRIX CORRESPONDING TO THE STRUCTURES DAS GANTRY X-RAY TUBE GANTRY CONTROL DETECTORS S/H ADC DAC HIGH VOLTAGE GENERATOR SCAN CONTROLLER ARRAY PROCESSOR HOST COMPUTER STORAGE CONSOLE IMAGE DISPLAY, RECORDING, STORAGE DISPLAYS IMAGE ( OUTPUT FROM COMPUTER) PROVIDES HARD COPY OF THE IMAGE FACILITATES THE STORAGE AND RETRIEVAL OF DIGITAL DATA COMMUNICATES IMAGES IN THE NETWORK IMAGE DISPLAY IMAGE RECORDING SYSTEMS (LASER PRINTERS) SOLID STATE LASER PRINTERS GAS LASER PRINTERS HARD COPY IMAGE STORAGE MEDIA MAGNETIC TAPES MAGNETO-OPTICAL DISK (MOD) CD COMMUNICATION PACS OVERREAD NETWORK While most teleradiology systems purchased over the last decade were intended for on-call purposes, the past two years have seen a rapid increase in the use of teleradiology to link hospitals and affiliated satellite facilities, other primary hospitals, and imaging centers. A number of the enabling technologies needed for effective overread networks, such as more affordable highspeed telecommunications networks and improved data compression techniques, have matured in recent years. NightHawk Radiology Services has developed an innovative approach to the delivery of radiology services by operating centralized, state-of-the-art reading centers in Sydney, Australia and Zurich, Switzerland. Staffing U.S.-trained, board-certified radiologists specializing in emergency radiology, these locations are ideally situated for U.S. care because when it’s the middle of the night in Boston, it’s daytime “Down Under.” When it’s early morning in Los Angeles, it’s daytime in the Alps. From the centralized reading centers, NightHawk radiologists interpret exams and report the results to attending physicians in real-time, usually less than 20 minutes. CT ROOM LAYOUT