COMPUTED TOMOGRAPHY is well accepted imaging modality for evaluation of the entire body.
The images are obtained directly in the axial plane
of varying tissue thickness with the help of a
computer.
Some pathology can be seen in sagittal or coronal
plane by reconstruction of the images by computer.
CT has undergone several evolutions & now the
days multi-detectors CT scanners have been
evolved which have application in the clinical field.
3.
PRINCIPLE OF COMPUTED TOMOGRAPHY The internal structure of an object can be reconstructed from multiple projections of the object. Mathematical principles of CT were first developed in 1917 by Radon Proved that an image of an unknown object could be produced if one had an infinite number of projections through the object
4.
Basically, a narrow beam of X ray scans across a patient in synchrony with a radiation detector on the opposite side of the patient. The sufficient no. of transmission measurements are taken at different orientation of X ray source & detectors, the distribution of attenuation coefficients within the layer may be determined. By assigning different levels to different attenuation coefficients, an image can be reconstructed with aid of com. that represent various structures with diff attenuation properties.
Plain film imaging reduces the 3D patient anatomy to a 2D projection image
Density at a given point on an image represents the x-ray attenuation properties within the patient along a line between the x-ray focal spot and the point on the detector corresponding to the point on the image
Radiation detection system is composed of detection elements, such as scintillating crystals and photodiodes
Data acquisition system measures the radiation data transmitted through the object and digitizes it so the computer system can read it
Computer reconstructs the image from raw scan data then a picture is created by a cathode ray tube
Computer allows the technologist to shade, rotate, correlate and measure the organs in the image
Bone appears white; gases and liquids are black; tissues are gray
Measurements taken in Hounsfield units (Hu), calibrated universally with air at -1000 Hu and water at 0 Hu (other typical values include fat ~-50 Hu, muscle ~40 Hu, and bone ~1000 Hu)
The same study data can show bone structure or soft tissue detail, simply by altering the window and leveling (ie, which Hu range will the 0-255 greyscale values will correspond to)
The tomographic image is a picture of a slab of the patient’s anatomy
The 2D CT image corresponds to a 3D section of the patient
CT slice thickness is very thin (1 to 10 mm) and is approximately uniform
The 2D array of pixels in the CT image corresponds to an equal number of 3D voxels (volume elements) in the patient
Each pixel on the CT image displays the average x-ray attenuation properties of the tissue in the corrsponding voxel
13.
Since CT images are related to x-ray radiation, attenuation is followed by Lambert's law of absorption. In the simplest case, the linear absorption coefficient can be expressed by where I is the intensity of the transmitted x-ray beam after passing through thickness x, I 0 is the intensity of the incident beam, and is the linear absorption coefficient. When x-rays penetrate a nonhomogeneous material, the general expression for absorption should be where, (s) is the linear absorption coefficient at each point on the x-ray path. Rearranging Equation B yields CT THEORY
14.
Each square in the image matrix was called a pixel , And it represent a tiny elongated block of tissue Called a voxel . The size of pixel was determined by the computer Program and not by the dimensions of x-ray beam.
Purpose of CT scanner hardware is to acquire a large number of transmission measurements through the patient at different positions
Single CT image may involve approximately 800 rays taken at 1,000 different projection angles
Before the acquisition of the next slice, the table that the patient lies on is moved slightly in the cranial-caudal direction (the “z-axis” of the scanner)
18.
IMAGE RECONSTRUCTION Since composition and thickness of voxel along with quality Of beam determine the degree of attenuation. So for a single block of homogeneous tissue and monochromatic beam of x–ray N = N 0 e -µx Since e is natural log N 0 is initial photon N is transmitted photon X is the thickness of slab In computed tomography, a cross sectional layer of the body is divided into tiny blocks
19.
Similarly if N no. of block is there then the equation becomes N = N 0 e -(µ1+µ2+µ3…………………µn)x Since to solve this problem we must have transmission reading Taken from at least to different direction . Since the more is projection and lines more is equation formed As for example orignal EMI scanner 28,800 reading Fan beam scanner can took 1 lak to2 lak. Readings .
20.
CORRECTION FACTOR INCORPORATED INTO CT PROGRAMME
Hetrochromatic beam
Weighting factor
Since hetrochromatic radiation passes through an absorber Filtration increases its mean energy . And secondly weighting factor to compensate the difference Between the size and shape of the scanning beam and the picture Matrix.
21.
ALGORITHMS FOR IMAGE RECONSTRUCTION An algorithm is a mathematical method for solving a problem. Thousand of equation must be solved to determine the linear Attenuation coefficient of all pixel in the image matrix. The three mathematical method of image recontstruction Will be described are:- 1.Back projection 2.Iterative methods 3.Analytical methods
22.
BACK PROJECTION 1.Also called summation method 2.Is the oldest means of image reconstruction 3.its principle demonstrates When a ray from two projection is superimosed, or back projected They produce a crude repoduction of orignal object. ITERATIVE METHOD It start with assumption that all point in matrix have same value And it was compared with measured value and make correction until Values come with in acceptable range.
23.
ITERATIVE METHOD It start with assumption that all point in matrix have same valueAnd it was compared with measured value and make correction until Values come with in acceptable range. It contain three correction factor 1. SIMULTANEOUS RECONSTRUCTION 2. RAY BY BY CORRECTION 3. POINT BY POINT CORRECTION
24.
ANALYTICAL METHOD Today commenly used Two popular method used in that method are:- 1. 2-D FOURIER ANALYSIS 2.FILTERED BACK PROJECTION
25.
2-D FOURIER ANALYSIS In it any function of time or space can be represented by the sum of various frequencies and amplitude of sine and cosine waves. For example the actual projected image of orignal object is more rounded Than those shown which would be slowly simplyfy and corrected by Fourier transformation.
26.
FILTERED BACK PROJECTION Same as back projection except that the image is filtered , or Modified to exactly counterbalance the effect of sudden density Changes,which cause blurring(star like pattern) in simple back projection The density of projected ray is adjusted to cmpensate The star effect.
28.
IMAGE MATRIX :- The CT Scan format consists of many cells ,each assigned a no. and displayed as an optical density or brightness level on the video monitor CT NUMBER It is defined as a relative comparision of x-ray attenuation of each voxel of tissue with an equal vol of water. CT no= k( - ) To honour Hounsfield CT no. base on magnification constant of 1000 are also called HU (Hounsfield unit)