Survey
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
PRINCIPLES OF CT TOMOGRAPHY TOMOS---SECTION RADIOGRAPHY LIMITATIONS • SUPERIMPOSITION • DIFFICULTY IN DISTINGUISHING BETWEEN HOMOGENOUS OBJECTS OF NON-UNIFORM THICKNESS. SUPERIMPOSITION RADIOGRAPHY LIMITATIONTISUE DIFFERENCE SENSITIVITY >10% TOMOGRAPHY (CONVENTIONAL) • ELIMINATES TISSUE SUPERIMPOSITION • INCREASES CONTRAST OF LOW SUBJECT CONTRAST TISSUES TOMOGRAPHY TOMOGRAPHY TOMOGRAPHY LIMITATIONS MOTION BLURR CT ADVANTAGES LIMITATIONS OF CT • UNABLE TO DIFFERENTIATE BETWEEN TISSUES WITH SLIGHT CONTRAST DIFFERENCES < 1%. GOALS OF CT • MINIMAL SUPERIMPOSITION • IMAGE CONTRAST IMPROVEMENT • SMALL TISSUE DIFFERENCE RECORDING CT DATA AQUISITION TRANSMISSION RELATIVE TRANSMISSION=Io/I HISTORY OF CT Sir Godfrey Newbold Hounsfield CBE (28 August 1919 – 12 August 2004) was an English electrical engineer who shared the 1979 Nobel Prize for Physiology or Medicine with Allan McLeod Cormack for his part in developing the diagnostic technique of Xray computed tomography (CT). HOUNSFIELD’S SKETCH CONSTRUCTION OF FIRST CT • RADIATION SOURCE – AMERICUM GAMMA SOURCE • SCAN—9 DAYS • COMPUTER PROCESSING—2.5 HOURS • PICTURE PRODUCTION 1 DAY HOUNSFIELD’S LATHE BED SCANNER 1972 FIRST CLINICAL PROTOTYPE CT BRAIN SCANNER 1. FIRST SCANS—20 MIN. 2. LATER REDUCED TO 4.5 MIN. CLINICALLY USEFUL CT SCANNER 1974 DR. ROBERT LEDLEY DEVELOPED THE FIRST WHOLE BODY CT SCANNER . SCANNER GENERATIONS • • • • I II III IV 180 DEG ROTATION 180 DEG ROTATION 360 DEG ROTATION 360 DEG ROTATION MODERN SCANNER CT MAIN SYSTEMS • IMAGING SYSTEM • COMPUTER SYSTEM • DISPLAY, RECORDING, STORAGE SYSTEM • DATA ACQUISITION SYSTEM IMAGING SYSTEM • PRODUCTION OF X-RAYS • SHAPING OF X-RAY BEAM ENERGY • FILTERING X-RAY BEAM SCANNER GANTRY TABLE/COUCH GANTRY INSIDE COMPUTER SYSTEM • RECONSTRUCTION AND POSTPROCESSING • CONTROL OF ALL SCANNER COMPONENTS • CONTROL OF DATA ACQUSITION, PROCESSING, DISPLAY. • DATA FLOW DIRECTION COMPUTER SYSTEM IN CT • MINICOMPUTERS 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 DATA ACQUISITION SYSTEM (DAS) • SET OF ELECTRONICS BETWEEN DETECTORS AND HOST COMPUTER. CT COMPONENTS GANTRY COMPUTER TABLE/COUCH CONSOLE ORIGINAL CLINICAL CT SCANS COMPOSED OF 80 X 80 MATRIX PIXELS 6400 EARLY DAYS vs TODAY 80 x 80 512 x 512 COORDINATE SYSTEM IN CT X COORDINATE SYSTEM IN CT Y COORDINATE SYSTEM IN CT Z COORDINATE SYSTEM IN CT ISO-CENTER SCAN FOV SFOV DETECTORS DFOV – DISPLAYED FIELD OF VIEW • SIZE DISPLAYED ON THE MONITOR PIXEL SIZE PIXEL SIZE= DFOV (mm)/ MATRIX SIZE RECONSTRUCTION RECONSTRUCTION Ц CT # PIXEL vs VOXEL PIXEL VOXEL PIXEL SIZE DEPENDS ON: • MATRIX SIZE • FOV VOXEL SIZE DEPENDS • FOV • MATRIX SIZE • SLICE THICKNESS IMAGE DISPLAY IN CT DIGITAL RECONSTRUCTED IMAGE IS CONVERTED IMAGE IS CONVERTED INTO A GRAY SCALE IMAGE. CT # vs BRIGHTNESS LEVEL + 1000 -1000 CT # 1000 CT # - 500 CT # OF CYST 5 CT # OF LIPOMA ( FATTY TUMOR) -100 SCANNING TECHNIQUE • • • • • kVp mA TIME SLICE THICKNESS SLICE INCREMENTATION PATIENT ORIENTATION • HEAD FIRST • FEET FIRST SCANNING • TOPOGRAM • REGULAR SCAN TOPOGRAM (SCOUT) • TUBE DOES NOT REVOLVE AROUND THE PATIENT AP SCOUT TUBE • TUBE SUSPENDED ABOVE PATIENT DURING SCOUT GENERATION LAT SCOUT • TUBE AT THE 90º ANGLE TO PATIENT AXIAL SCAN • TABLE STOPS AT THE SCANNING POSITION AND THE TUBE ROTATES AROUND A PATIENT. SPIRAL • PATIENT CONTINUOUSLY MOVES IN THE Z-AXIS DIRECTION WHILE THE TUBE ROTATES AROUND. CONVENTIONAL AND SPIRAL/HELICAL CT ADVANTAGE OF SPIRAL IMAGING OVER CONVENTIONAL • SPEED CT SPECIAL APPLICATIONS CARDIAC ANGIOGRAPHY VIRTUAL ENDOSCOPY RADIATION TREATMENT 3D IMAGING