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BASICS  IN  COMPUTED  TOMOGRAPHY
INTRODUCTION Designed by  Godfrey N. Hounsfield   to overcome the visual representation challenges in radiography and conventional tomography by collimating the X-ray beam and transmitting it only through small cross-sections of the body
G.N.HOUNSFIELD   ALLAN M. CORMACK   In 1979, G.N. Hounsfield shared the Nobel Prize in Physiology & Medicine with Allan MacLeod Cormack, Physics Professor who developed solutions to mathematical problems involved in CT.
Important events  Dr. Ledley introduced the whole body CT scanner (ACTA scanner) 1974 G.N. Hounsfield shared the Nobel Prize with Allan MacLeod Cormack 1979 First paper on CT presented to British Institute of Radiology by Hounsfield and Dr. Ambrose 1972 First clinically useful CT head scanner was installed at Atkinson-Morley Hospital (England) 1971 G.N. Hounsfield developed first clinically useful CT head scanner 1969 EVENTS YEAR
C.T. scan ,[object Object],[object Object]
Cross-sectional slices Think like looking into a loaf of bread by cutting it into thin slices and then viewing the slices individually.
BASIC PRINCIPLE ,[object Object],[object Object]
Comparison of CT with Conventional Radiography ,[object Object],[object Object]
This is the basic idea of computer aided tomography. In a CT scan machine, the X-ray beam moves all around the patient, scanning from hundreds of different angles. Comparison of CT with Conventional Radiography A conventional X-ray image is basically a shadow. Shadows give you an incomplete picture of an object's shape.
Comparison of CT with Conventional Radiography
Comparison of CT with Conventional Radiography Radiographic procedure is qualitative and not quantitative
Comparison of CT with Conventional Tomography ,[object Object],[object Object],[object Object],[object Object]
Comparison of CT with Conventional Radiography and Tomography ,[object Object],0.247 RED BLOOD CELLS 0.230 PLASMA 0.227 CSF 0.222 WATER 0.194 FAT LINEAR ATTENUATION COEFFICIENT (  µ  ) MATTER
GENERATIONS ,[object Object],[object Object]
FIRST GENERATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
I gen. CT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
I Generation CT Scanner ,[object Object],[object Object],[object Object]
SECOND GENERATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THIRD GENERATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
III gen. CT scanners
FOURTH GENERATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
III Vs IV gen. CT scanners
CT Data Acquisition Components
DATA ACQUISITION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT Gantry
CT gantry internal components 1.X-ray tube & collimator 2.Detector assembly 3.Tube controller 4.High freq. generator 5.Onboard computer 6.Stationary computer
CT gantry internal components
CT Patient Couch
CT
X-RAY TUBE ,[object Object],[object Object],[object Object]
FILTERS ,[object Object],[object Object],[object Object],[object Object]
COLLIMATORS ,[object Object],[object Object],[object Object],[object Object]
DETECTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scintillation crystal detector used in I & II gen. CT scanners
Scintillation crystal detector used in III and IV gen. CT scanners
Detector Cross-talk ,[object Object],[object Object],[object Object],[object Object]
Xenon gas ionization chamber
Gas filled detector’s efficiency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why are Xenon gas detectors not used in IV generation CT scanners? ,[object Object],[object Object]
Disadvantage of Xenon gas detector ,[object Object],[object Object],[object Object],[object Object]
OTHER SCAN CONFIGURATIONS ,[object Object],[object Object],[object Object]
DYNAMIC SPATIAL RECONSTRUCTOR ,[object Object],[object Object],[object Object],[object Object],[object Object]
DSR
DSR
Disadvantages of DSR ,[object Object],[object Object]
Electron Beam Computed Tomography ,[object Object],[object Object],[object Object],[object Object]
 
 
[object Object],[object Object]
DSR ,[object Object],[object Object]
Dynamic Spatial Reconstructor ,[object Object]
Dynamic Spatial Reconstructor ,[object Object],[object Object],[object Object]
Dynamic scanning ,[object Object],[object Object]
Dynamic Spatial Reconstructor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electron Beam Computerized Tomography (EBCT) ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Radiation dose from EBT scans compared to other sources of radiation   ,[object Object],50 to 70 mrem 80 to 120 mrem 100 to 150 mrem 100 to 300 mrem 300 mrem 2 mrem 8 to 10 mrem 48 mrem 300 mrem 500 to 1000 mrem 600 mrem 600 to 1000 mrem 0.5 to 0.70 mSv 0.8 to 1.2 mSv 0.75 to 1.5 mSv 0.75 to 3.0 mSv 3.0 mSv 0.02 mSv 0.08 to 0.1 mSv 0.48 mSv 3.0 mSv 6.0 to 10.0 mSv 6.0 mSv 6.0 to 10.0 mSv Mrem and mSv exposure varies with body size. Recommended safety limits for radiation exposure is less than 5,000 mrem per year.
Electron Beam CT ,[object Object]
Ultrafast / Electron Beam CT Scan ,[object Object],[object Object],[object Object],[object Object]
Electron beam computed tomography (CT) ,[object Object],[object Object],[object Object]
EBCT ,[object Object],[object Object]
EBCT ,[object Object],[object Object],[object Object],[object Object]
Electron Beam CT ,[object Object]
Electron Beam CT ,[object Object],[object Object],[object Object]
Electron Beam CT ,[object Object],[object Object],[object Object]
Electron Beam CT ,[object Object],[object Object],[object Object]
CVCT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Toshiba CVCT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cine ct ,[object Object],[object Object]
Cine CT ,[object Object],[object Object]
Cine CT ,[object Object]
CVCT
CVCT
Applications of CVCT ,[object Object]
Formation of CT images
CT  Sinogram The data acquired for one CT slice can be displayed before reconstruction. This type of display is called a Sinogram.
What are we measuring? The average linear attenuation coefficient ( µ ), between tube and detectors Attenuation coefficient reflects the degree to which the X-ray intensity is reduced by a material
PIXEL & VOXEL ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Linear attenuation coefficient µ
 
Algorithms for image reconstruction ,[object Object],[object Object],[object Object]
IMAGE RECONSTRUCTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
Simple back projection method ,[object Object],[object Object],[object Object]
Simple back projection method
Iterative method ,[object Object],[object Object],[object Object],[object Object]
Iterative method ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Two – dimensional Fourier analysis: ,[object Object]
2D FOURIER ANALYSIS
Filtered back projection ,[object Object],[object Object]
FILTERED BACK PROJECTION
FILTERED BACK PROJECTION
Comparison of Mathematical methods ,[object Object],[object Object]
CT NUMBER & HOUNSFIELD UNIT The computer calculates a relationship between the linear attenuation coefficients of the pixel and water which is given as CT number. To image materials with    higher than dense bone CT number larger than 1000 should be available CT numbers based on a magnification constant of 1000 are Hounsfield units
Relationship between CT numbers & Gray scale
WINDOWING ,[object Object],[object Object],[object Object]
Graphic illustration of the effect of different WW & WL settings on the CT image
Image Quality in CT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quantum mottle (Noise) ,[object Object],[object Object],[object Object],[object Object]
RESOLUTION i)   Spatial resolution ,[object Object]
ii) Contrast resolution ,[object Object]
RADIATION DOSE ,[object Object],[object Object],[object Object]
Comparison of CT with Conventional Radiography
CT ARTIFACTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EFFECTS OF ARTIFACTS ,[object Object],[object Object],[object Object]
MOTION ARTIFACTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Motion artifact
STREAK ARTIFACTS ,[object Object],[object Object],[object Object],[object Object]
Streaking ,[object Object],[object Object],[object Object],[object Object],[object Object]
DENTURES PRODUCING STREAK ARTIFACT   SURGICAL  CLIP IN HEART  PRODUCING STREAK ARTIFACT
 
 
BEAM HARDENING ARTIFACTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARTIAL VOLUME AVERAGING ARTIFACTS ,[object Object],[object Object]
 
OUT OF FIELD ARTIFACT ,[object Object],[object Object],[object Object],[object Object],[object Object]
RING ARTIFACTS ,[object Object],[object Object],[object Object],[object Object]
RING APPEARANCE
 
 

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Basics in ct

  • 1. BASICS IN COMPUTED TOMOGRAPHY
  • 2. INTRODUCTION Designed by Godfrey N. Hounsfield to overcome the visual representation challenges in radiography and conventional tomography by collimating the X-ray beam and transmitting it only through small cross-sections of the body
  • 3. G.N.HOUNSFIELD ALLAN M. CORMACK In 1979, G.N. Hounsfield shared the Nobel Prize in Physiology & Medicine with Allan MacLeod Cormack, Physics Professor who developed solutions to mathematical problems involved in CT.
  • 4. Important events Dr. Ledley introduced the whole body CT scanner (ACTA scanner) 1974 G.N. Hounsfield shared the Nobel Prize with Allan MacLeod Cormack 1979 First paper on CT presented to British Institute of Radiology by Hounsfield and Dr. Ambrose 1972 First clinically useful CT head scanner was installed at Atkinson-Morley Hospital (England) 1971 G.N. Hounsfield developed first clinically useful CT head scanner 1969 EVENTS YEAR
  • 5.
  • 6. Cross-sectional slices Think like looking into a loaf of bread by cutting it into thin slices and then viewing the slices individually.
  • 7.
  • 8.
  • 9. This is the basic idea of computer aided tomography. In a CT scan machine, the X-ray beam moves all around the patient, scanning from hundreds of different angles. Comparison of CT with Conventional Radiography A conventional X-ray image is basically a shadow. Shadows give you an incomplete picture of an object's shape.
  • 10. Comparison of CT with Conventional Radiography
  • 11. Comparison of CT with Conventional Radiography Radiographic procedure is qualitative and not quantitative
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. III gen. CT scanners
  • 21.
  • 22. III Vs IV gen. CT scanners
  • 23. CT Data Acquisition Components
  • 24.
  • 26. CT gantry internal components 1.X-ray tube & collimator 2.Detector assembly 3.Tube controller 4.High freq. generator 5.Onboard computer 6.Stationary computer
  • 27. CT gantry internal components
  • 29. CT
  • 30.
  • 31.
  • 32.
  • 33.
  • 34. Scintillation crystal detector used in I & II gen. CT scanners
  • 35. Scintillation crystal detector used in III and IV gen. CT scanners
  • 36.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43. DSR
  • 44. DSR
  • 45.
  • 46.
  • 47.  
  • 48.  
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74. CVCT
  • 75. CVCT
  • 76.
  • 77. Formation of CT images
  • 78. CT Sinogram The data acquired for one CT slice can be displayed before reconstruction. This type of display is called a Sinogram.
  • 79. What are we measuring? The average linear attenuation coefficient ( µ ), between tube and detectors Attenuation coefficient reflects the degree to which the X-ray intensity is reduced by a material
  • 80.
  • 81.
  • 82.  
  • 83.
  • 84.
  • 85.
  • 87.
  • 88.
  • 89.
  • 91.
  • 94.
  • 95. CT NUMBER & HOUNSFIELD UNIT The computer calculates a relationship between the linear attenuation coefficients of the pixel and water which is given as CT number. To image materials with  higher than dense bone CT number larger than 1000 should be available CT numbers based on a magnification constant of 1000 are Hounsfield units
  • 96. Relationship between CT numbers & Gray scale
  • 97.
  • 98. Graphic illustration of the effect of different WW & WL settings on the CT image
  • 99.
  • 100.
  • 101.
  • 102.
  • 103.
  • 104. Comparison of CT with Conventional Radiography
  • 105.
  • 106.
  • 107.
  • 109.
  • 110.
  • 111. DENTURES PRODUCING STREAK ARTIFACT SURGICAL CLIP IN HEART PRODUCING STREAK ARTIFACT
  • 112.  
  • 113.  
  • 114.
  • 115.
  • 116.  
  • 117.
  • 118.
  • 120.  
  • 121.  

Editor's Notes

  1. Imagine you are standing in front of a wall, holding a pineapple against your chest with your right hand and a banana out to your side with your left hand. Your friend is looking only at the wall, not at you. If there's a lamp in front of you, your friend will see the outline of you holding the banana, but not the pineapple -- the shadow of your torso blocks the pineapple. If the lamp is to your left, your friend will see the outline of the pineapple, but not the banana. In order to know that you are holding a pineapple and a banana, your friend would have to see your shadow in both positions and form a complete mental image. This is the basic idea of computer aided tomography
  2. Na I crystals are Hydroscopic Long after glow Fast scan times negate the use of NaI PMT are fairly big Large number of detectors negate the use of PMT
  3. Na I is replaced with Cd WO4 / Cs I / BGO Most commonly CdWO4 is used PMT is replaced with silicon photodiodes
  4. In III generation CT scanners, the X-ray tube and detectors maintain a fixed relationship, so the beam is always aligned with the long axis of each detector. In IV generation CT scanner, angle at which X-rays hit the detector changes constantly. Obliquely entering X-rays would pass through only a short distance of gas before they hit the wall of the detector. In such a case, the X-rays are absorbed in the detector walls and the information they carry in lost for all time.