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By:
T.Antony godson,
M.sc radiology and imaging technology.
(Integrated)
• CT uses X-rays to generate cross
sectional images of the body.
• Image is acquired by rapid rotation
of the X-ray tube 360 around the
patient body.
• It is known as Computed
Tomography or Computerized
Axial Tomography(CAT).
• CT was invented in 1972 by British Engineer, Sir Godfrey
Newbold Hounsfield in United kingdom.
• First clinical CT scan was installed in 1974.
• The initial system were only for head scanning due to
small gantry.
• And developed CT system with large gantry became
available in 1976 for whole body imaging.
• “The internal structure
of the object can be
reconstructed from
multiple projections of
the object”.
FIRST GENERATION -
• Dectector : One
• Type of Beam : Pencil like X-ray beam
• Tube-detector movements : Translate-Rotate
• Duration of scan : 25-30 minutes (average).
SECOND GENERATION -
• Detectors : Multiple(upto 30)
• Type of Beam : Fan shaped X-ray beam
• Tube-detector movement : Translate-Rotate
• Duration of scan : less than 90 seconds(average).
THIRD GENERATION -
• Detectors : Multiple,originally 288 and newer ones use
over 700 arranged in an arc
• Type of beam : Fan shaped X-ray beam
• Tube-detector movements : Rotate-Rotate
• Duration of scan : Approximately 5 seconds(average).
FOURTH GENERATION -
• Detectors : Multiple (more than 2,000) arranged in an
outer ring which is fixed
• Type of beam : Fan shaped X-ray beam
• Tube-Detector movements : Rotate-Fixed
• Duration of scan : within few seconds(average).
• Other CT technological developments have been adapted
to third and fourth generations including:
Helical(spiral)image acquisition
• Slip ring technology made acquisition possible.
Dual energy CT(Spiral).
• Nowadays multislice CT is used for imaging the internal
organs and pathological conditions.
• Spiral CT uses single row of detectors resulting in a single
slice per gantry rotation.
• Whereas,Multislice CT uses multiple detector arrays
resulting multiple slices per gantry rotation.
• The Fan shaped X-ray beam of spiral CT is replaced by
Cone shaped X-ray beam.
• The major advantages of multislice CT is
Improved spatial resolution,
Reduced image noise,
Faster and longer anatomical coverage,
Increased concentration of intravenous contrast.
SCINTILLATION DETECTORS:
• Early scintillation detectors contains scintillation crystals
and photomultiplier assemblies.
• Crystals like Sodium iodide,Cadmium tungstate were
used.
GAS FILLED DETECTORS:
• It has the same efficiency as scintillation crystals.
• Gases used are Xenon,Krypton gases.
• DRAWBACKS:
• Crystals cannot be packed very tightly together, so that
there may be a chance of image loss.
• Photomultipliers require separate power supply for each
other.(Require more power,area & cost).
• Development:Photomultiplier were replaced by photo
cathode assembly.
The 3 planes of CT are:
• Coronal plane
• Sagittal plane
• Axial (or) Transverse plane
• Voxel-Volume element (3D)
• Pixel-Picture element (2D)
• Field of view-Diameter of the area being scanned.
• A CT slice is subdivided into a matrix of upto 1024X1024
volume elements (VOXELS (3D)).
• Each voxel has been transversed by numerous X-ray
photons at the time of scan.
• And the intensity of the transmitted radiation is measured
by detectors.
• The density or attenuation value of the tissue at each
point in the slice can be calculated.
• Specific attenuation values are assigned to each
individual voxel.
• The viewed image is then reconstructed as a
corresponding matrix of picture elements (PIXELS (2D)).
• Each pixel is assigned a numerical value known as
CT number .
• Numerical value for each pixel.
• It is the average of all the attenuation values contained
within the corresponding voxel.
• This number is compared to the attenuation value of
water and displayed on a scale of systematical units
named Hounsfield units (HU) .
• This is named after Sir Godfrey Hounsfield.
• It represents about the density of the tissue.
• Windowing or grey-level mapping is the process in which
CT image greyscale component of an image is
manipuated via CT numbers.
• Doing this will change the appearance of the picture to
highlight particular structures.
• The Brightness of the image is adjusted by Window
level .
• The Contrast of the image is adjusted by Window width.
• The various windows used in Computed Tomography are,
Brain
Bone
Lung
Liver
Abdomen
Spine etc,.....
• These are the mainly used windows(parameters) in CT.
• Window width as the name suggests is the measure of
the range of CT numbers that an image contains.
• CONTRAST
Types of window width;
1. WIDE WINDOW :Decreased contrast range Eg:Lungs or
cortical tissue will be viewed as air and vessels side by
side.
2. NARROW WINDOW :Increased contrast range.Eg:Soft
tissues.
• The Window level is also known as Window center.
• It is the midpoint of the range of CT numbers displayed in
a slice.
• BRIGHTNESS
• When the Window level is decreased the CT image will be
brighter.
• When the Window level is increased the CT image will
become dark.
• Pitch is the dictance in millimeters that the table moves
during one complete rotation of the X-ray tube,divided by
the slice thickness(mm).
• Increasing the pitch by increasing the table speed
reduces dose and scanning time,but the image resolution
will be decreased.
THANK YOU

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Basics of CT.pptx

  • 1. By: T.Antony godson, M.sc radiology and imaging technology. (Integrated)
  • 2. • CT uses X-rays to generate cross sectional images of the body. • Image is acquired by rapid rotation of the X-ray tube 360 around the patient body. • It is known as Computed Tomography or Computerized Axial Tomography(CAT).
  • 3.
  • 4. • CT was invented in 1972 by British Engineer, Sir Godfrey Newbold Hounsfield in United kingdom. • First clinical CT scan was installed in 1974. • The initial system were only for head scanning due to small gantry. • And developed CT system with large gantry became available in 1976 for whole body imaging.
  • 5. • “The internal structure of the object can be reconstructed from multiple projections of the object”.
  • 6. FIRST GENERATION - • Dectector : One • Type of Beam : Pencil like X-ray beam • Tube-detector movements : Translate-Rotate • Duration of scan : 25-30 minutes (average).
  • 7.
  • 8. SECOND GENERATION - • Detectors : Multiple(upto 30) • Type of Beam : Fan shaped X-ray beam • Tube-detector movement : Translate-Rotate • Duration of scan : less than 90 seconds(average).
  • 9.
  • 10. THIRD GENERATION - • Detectors : Multiple,originally 288 and newer ones use over 700 arranged in an arc • Type of beam : Fan shaped X-ray beam • Tube-detector movements : Rotate-Rotate • Duration of scan : Approximately 5 seconds(average).
  • 11.
  • 12. FOURTH GENERATION - • Detectors : Multiple (more than 2,000) arranged in an outer ring which is fixed • Type of beam : Fan shaped X-ray beam • Tube-Detector movements : Rotate-Fixed • Duration of scan : within few seconds(average).
  • 13.
  • 14. • Other CT technological developments have been adapted to third and fourth generations including: Helical(spiral)image acquisition • Slip ring technology made acquisition possible. Dual energy CT(Spiral).
  • 15. • Nowadays multislice CT is used for imaging the internal organs and pathological conditions. • Spiral CT uses single row of detectors resulting in a single slice per gantry rotation. • Whereas,Multislice CT uses multiple detector arrays resulting multiple slices per gantry rotation. • The Fan shaped X-ray beam of spiral CT is replaced by Cone shaped X-ray beam.
  • 16. • The major advantages of multislice CT is Improved spatial resolution, Reduced image noise, Faster and longer anatomical coverage, Increased concentration of intravenous contrast.
  • 17. SCINTILLATION DETECTORS: • Early scintillation detectors contains scintillation crystals and photomultiplier assemblies. • Crystals like Sodium iodide,Cadmium tungstate were used. GAS FILLED DETECTORS: • It has the same efficiency as scintillation crystals. • Gases used are Xenon,Krypton gases.
  • 18. • DRAWBACKS: • Crystals cannot be packed very tightly together, so that there may be a chance of image loss. • Photomultipliers require separate power supply for each other.(Require more power,area & cost). • Development:Photomultiplier were replaced by photo cathode assembly.
  • 19. The 3 planes of CT are: • Coronal plane • Sagittal plane • Axial (or) Transverse plane
  • 20.
  • 21. • Voxel-Volume element (3D) • Pixel-Picture element (2D) • Field of view-Diameter of the area being scanned.
  • 22. • A CT slice is subdivided into a matrix of upto 1024X1024 volume elements (VOXELS (3D)). • Each voxel has been transversed by numerous X-ray photons at the time of scan. • And the intensity of the transmitted radiation is measured by detectors. • The density or attenuation value of the tissue at each point in the slice can be calculated.
  • 23.
  • 24. • Specific attenuation values are assigned to each individual voxel. • The viewed image is then reconstructed as a corresponding matrix of picture elements (PIXELS (2D)). • Each pixel is assigned a numerical value known as CT number .
  • 25. • Numerical value for each pixel. • It is the average of all the attenuation values contained within the corresponding voxel. • This number is compared to the attenuation value of water and displayed on a scale of systematical units named Hounsfield units (HU) . • This is named after Sir Godfrey Hounsfield. • It represents about the density of the tissue.
  • 26.
  • 27.
  • 28. • Windowing or grey-level mapping is the process in which CT image greyscale component of an image is manipuated via CT numbers. • Doing this will change the appearance of the picture to highlight particular structures. • The Brightness of the image is adjusted by Window level . • The Contrast of the image is adjusted by Window width.
  • 29. • The various windows used in Computed Tomography are, Brain Bone Lung Liver Abdomen Spine etc,..... • These are the mainly used windows(parameters) in CT.
  • 30. • Window width as the name suggests is the measure of the range of CT numbers that an image contains. • CONTRAST Types of window width; 1. WIDE WINDOW :Decreased contrast range Eg:Lungs or cortical tissue will be viewed as air and vessels side by side. 2. NARROW WINDOW :Increased contrast range.Eg:Soft tissues.
  • 31. • The Window level is also known as Window center. • It is the midpoint of the range of CT numbers displayed in a slice. • BRIGHTNESS • When the Window level is decreased the CT image will be brighter. • When the Window level is increased the CT image will become dark.
  • 32.
  • 33.
  • 34. • Pitch is the dictance in millimeters that the table moves during one complete rotation of the X-ray tube,divided by the slice thickness(mm). • Increasing the pitch by increasing the table speed reduces dose and scanning time,but the image resolution will be decreased.
  • 35.