BIOE 220/RAD 220 REVIEW SESSIONJanuary 30, 2011

Comments on HW 1• Problem 46-48 (the first set) were actually supposed to refer

to a different picture, so don’t think that it’s a representative problem• Can tell it’s T1 since CSF is dark• You can tell it’s spin echo since edges are well define and there aren’t

susceptibility artifacts near the tissue-air boundaries

• Remember to label left/right whenever it can be identified in the image

• Other problems should have the correct solution written on your hw if you made a mistake. We can review any problems you’re interested in now

• The homeworks and exams in this class will generally test whether you properly understand the concepts of the physics, rather than just solving equations

How to Identify Modality - ReviewAre the bones

bright?

Are we seeing a projection, or

a slice?

CT Radiograph

MRIAre CSF and Gray Matter the Same

Brightness?

Is gray matter brighter than white matter?

Proton Density

ProjectionSlice

yes

no

yes

yes

Is CSF very bright?

T2 Spin Echo

yes

no

T1 Weighting

CSF is dark

FLAIR (T2 contrast,

dark CSF)

no

X-Ray Overview: Radiography, CT• X-ray medical imaging measures x-rays that pass through

the body to generate images• X-rays are electromagnetic energy in a band of energies

much higher than visible light• X-rays that pass through the body can do one of several

things• Pass through – These get detected properly• Get absorbed – These aren’t detected• Scattered – These can get detected improperly

• Photoelectric effect – occurs more in high Z (atomic number) materials• Compton scattering – dominant effect in soft tissue

Radiograph schematic

Probability of interactions

Linear attenuation coefficient

Film convention

X-ray source properties

X-ray absorption

Image properties• Contrast is determined by the energy of the photons (keV)

and the tissue properties• SNR is determined by the number of photons that

transmit (SNR = sqrt(N) ), which is a function of the transmission properties and the number of photons transmitted (mAs)

• Scatter degrades SNR by adding detected events where there shouldn’t be any

Magnification in radiography• Objects closer to source get magnified relative to farther

objects

CT takes a series of radiographs to reconstruct 3 dimensional object

CT units are normalized to water attenuation (Hounsfield units)

Contrast is the difference in Hounsfield units: C = A - B

CT colormaps are windowed• The dynamic range in CT is too large to capture

everything with a single colormap• The center (“level”) and extent (“window”) are varied to be

able to see the type of tissue being imaged• Bone window has a high level and wide window• Soft tissue or brain window is close to 0 (water) and much smaller

in extent

White Matter Tracts• Crossing Structures

• Corpus Callosum• Anterior commissure• Posterior commissure

• Connections within brain• Optical radiation

• Connections between brain and the rest of the body• Corticospinal tracts