Computed tomography (CT) of the head is used to assess head injuries, headaches, dizziness, and symptoms of conditions like aneurysms, bleeding, strokes, and brain tumors. It can also help evaluate the face, sinuses, and skull. CT of the head uses X-rays to generate cross-sectional images of the head and brain which provide more detailed information than regular X-rays, particularly for soft tissues and blood vessels. Common protocols for head CT include non-contrast exams for conditions like trauma or stroke, as well as contrast-enhanced exams to evaluate tumors, aneurysms, or other conditions. Precautions are taken to minimize radiation exposure, especially for children.
Computed tomography (CT) uses computer-processed X-rays to create cross-sectional images of the body. CT works by rotating an X-ray tube and detectors around the patient, acquiring multiple transmission measurements at different angles to reconstruct a 3D image. Image reconstruction involves algorithms like back projection and filtered back projection that use the transmission data to calculate the attenuation coefficients of different tissues and generate tomographic images representing slices of the body. CT numbers, measured in Hounsfield units, provide standardized values related to tissue density and visibility.
Computed tomography (CT) utilizes X-rays and computer processing to produce cross-sectional images of the body. In CT, X-rays pass through the body and are measured by a detector array, with the data used to reconstruct tomographic slices. The key components of a CT scanner include an X-ray tube, detector array, data acquisition system, computer system, and display system. CT has advantages over plain films by eliminating superimposition of structures and increasing contrast, allowing clinicians to better distinguish between tissues.
CT angiography (CTA) uses computed tomography (CT) and intravenous iodinated contrast to visualize blood vessels. It can be used to assess arteries, veins, and vascular structures throughout the head and neck. Performing a CTA requires optimizing multiple factors including the injection of contrast, timing of the CT scan, and image post-processing techniques. The document provides detailed guidelines on patient preparation, equipment, techniques, and safety considerations for head and neck CTA exams.
The document describes gradient echo pulse sequences. It discusses how gradients are used for spatial encoding by dephasing and rephasing magnetic moments. It explains slice selection, frequency encoding, and phase encoding. It describes how gradient echo sequences differ from spin echo by using variable flip angles and gradients instead of RF pulses to generate echoes. It discusses various gradient echo techniques including coherent, spoiled, and balanced sequences. It provides details on sequence parameters and how they control T1, T2, and PD weightings.
Positioning and radiographic anatomy of the skullmr_koky
This document provides information on positioning and radiographic anatomy of the skull. It discusses the anatomy of the skull and lists the 8 cranial bones. It then describes various positioning considerations for skull radiography including erect vs recumbent positioning, patient comfort, hygiene, exposure factors, SID and radiation protection. Several common skull radiographic projections are outlined including the AP, lateral, PA, submentovertex and oblique projections. For each projection, the demonstrated pathology, positioning, central ray angle and structures shown are described.
Computed tomography (CT) of the head is used to assess head injuries, headaches, dizziness, and symptoms of conditions like aneurysms, bleeding, strokes, and brain tumors. It can also help evaluate the face, sinuses, and skull. CT of the head uses X-rays to generate cross-sectional images of the head and brain which provide more detailed information than regular X-rays, particularly for soft tissues and blood vessels. Common protocols for head CT include non-contrast exams for conditions like trauma or stroke, as well as contrast-enhanced exams to evaluate tumors, aneurysms, or other conditions. Precautions are taken to minimize radiation exposure, especially for children.
Computed tomography (CT) uses computer-processed X-rays to create cross-sectional images of the body. CT works by rotating an X-ray tube and detectors around the patient, acquiring multiple transmission measurements at different angles to reconstruct a 3D image. Image reconstruction involves algorithms like back projection and filtered back projection that use the transmission data to calculate the attenuation coefficients of different tissues and generate tomographic images representing slices of the body. CT numbers, measured in Hounsfield units, provide standardized values related to tissue density and visibility.
Computed tomography (CT) utilizes X-rays and computer processing to produce cross-sectional images of the body. In CT, X-rays pass through the body and are measured by a detector array, with the data used to reconstruct tomographic slices. The key components of a CT scanner include an X-ray tube, detector array, data acquisition system, computer system, and display system. CT has advantages over plain films by eliminating superimposition of structures and increasing contrast, allowing clinicians to better distinguish between tissues.
CT angiography (CTA) uses computed tomography (CT) and intravenous iodinated contrast to visualize blood vessels. It can be used to assess arteries, veins, and vascular structures throughout the head and neck. Performing a CTA requires optimizing multiple factors including the injection of contrast, timing of the CT scan, and image post-processing techniques. The document provides detailed guidelines on patient preparation, equipment, techniques, and safety considerations for head and neck CTA exams.
The document describes gradient echo pulse sequences. It discusses how gradients are used for spatial encoding by dephasing and rephasing magnetic moments. It explains slice selection, frequency encoding, and phase encoding. It describes how gradient echo sequences differ from spin echo by using variable flip angles and gradients instead of RF pulses to generate echoes. It discusses various gradient echo techniques including coherent, spoiled, and balanced sequences. It provides details on sequence parameters and how they control T1, T2, and PD weightings.
Positioning and radiographic anatomy of the skullmr_koky
This document provides information on positioning and radiographic anatomy of the skull. It discusses the anatomy of the skull and lists the 8 cranial bones. It then describes various positioning considerations for skull radiography including erect vs recumbent positioning, patient comfort, hygiene, exposure factors, SID and radiation protection. Several common skull radiographic projections are outlined including the AP, lateral, PA, submentovertex and oblique projections. For each projection, the demonstrated pathology, positioning, central ray angle and structures shown are described.
The document provides information about performing a PA projection radiograph of the sella turcica. It states that the patient should be positioned prone with their forehead and nose resting against the image receptor. The central ray should be directed at the glabella at a 10 degree angle cephalad. Structures that should be demonstrated include the dorsum sellae, tuberculum sellae, anterior and posterior clinoid processes, and frontal bone. Evaluation criteria include the cranium being seen without rotation and symmetrical petrous bones.
Beam hardening artifact occurs when an X-ray beam passes through multiple materials of varying densities within a scan volume. This causes the beam to become harder as lower energy photons are preferentially absorbed, leading to streaks or shading in the reconstructed CT image. Photon starvation is another cause of streak artifacts, occurring when there is insufficient photon flux passing through areas of higher attenuation, such as across the shoulders. Adaptive filtering and modulating tube current based on attenuation can help reduce these artifacts. Ring artifacts from defective detector elements in older CT scanners appear as rings in the reconstructed images.
This document describes several common x-ray views of the skull:
- Occipitofrontal view shows the front and back of the skull. Petrous ridges should be superimposed in orbits.
- Caldwell's view shows superior orbital fissures and petrous ridges near orbit bottoms.
- Towne's view angles the beam below to show sella turcica in foramen magnum. Reverse Towne's is above.
- Lateral views superimpose floors of anterior and posterior cranial fossas and clinoid processes.
This document discusses SPECT and PET imaging. It explains that radionuclides are produced artificially and decay via processes like beta decay, producing gamma rays. SPECT uses gamma camera systems to produce 3D functional images, and is affected by factors like photon attenuation. PET involves injecting a radiolabeled tracer like FDG and detecting coincident gamma rays to locate the tracer distribution. Common clinical applications of SPECT and PET imaging include evaluating glucose metabolism in neurology, cardiology and oncology.
This document provides information on taking radiographic views of the thoracic spine, including:
- Common clinical indications that would warrant thoracic spine x-rays such as compression fractures or scoliosis.
- Instructions for setting up three standard views - the AP, lateral, and oblique positions. For each view, it describes the clinical indications, patient positioning, part positioning, and technical factors.
- For the AP view, it instructs to position the patient supine or erect with their midline and midsagittal plane aligned and to direct the CR to T7. For the lateral view, it describes positioning the patient laterally with their spine parallel to the table and directing the CR to T
1. The document contains radiographic images and descriptions of normal anatomy across multiple body regions. Images include chest, abdomen, spine, shoulder, elbow, wrist, hand, pelvis, hip, knee, ankle, foot, skull and cervical spine.
2. Key normal structures are labeled on the images, such as bones, joints, organs and vasculature. Descriptions provide anatomical detail and imaging views.
3. The document serves as an anatomical reference for normal radiographic findings across the body.
This document provides information about brain anatomy, including the embryology and major structures of the brain. It describes the main parts of the brain including the forebrain (prosencephalon), midbrain (mesencephalon), and hindbrain (rhombencephalon). Within these sections it outlines structures like the telencephalon, diencephalon, thalamus, hypothalamus, cerebral cortex, basal ganglia, brainstem, and cerebellum. It also provides some key details about fiber types and blood supply to different brain regions.
Advances in CT technology allow for higher resolution imaging with multi-slice CT scanners. This provides benefits for visualizing complex anatomy, diseases, and evaluating vasculature non-invasively with techniques like CT angiography. Additional applications enabled by high resolution volumetric data include virtual bronchoscopy and colonoscopy which provide endoluminal views to evaluate airways and the colon with benefits over conventional scopes. While CT involves ionizing radiation, doses are addressed with new technologies and some procedures may replace more invasive options, proving new CT applications are of increasing clinical value.
Contrast media, or contrast, is a liquid used in imaging tests to highlight parts of the body. It contains iodine, which interacts with x-rays and allows differentiation of tissues. Contrast is used in various CT protocols, with timing of administration dependent on the area and structures being imaged, such as 18-22 seconds for CT angiograms of the carotid arteries. Risk factors for receiving contrast include allergies, kidney problems, medications like metformin, and certain medical conditions. Proper screening and potentially pre-medication can help reduce risks.
The document provides an overview of skeletal radiographic positioning and normal variants of the skull. It describes the bones that make up the skull and defines important planes used in skull radiography. Several common projections used to image the skull, sinuses, mandible, zygomatic arch and styloid process are outlined, including positioning, central ray direction and structures visualized. These include lateral, AP, occipital frontal, Towne's view, submentovertical and orthopantomography views.
Dual energy CT utilizes two different x-ray spectra to characterize tissues. It can help address challenges with single energy CT like lesion detection and image noise. Dual energy CT works by analyzing how materials attenuate x-rays differently at various energies, allowing differentiation of substances like iodine and calcium. There are several technical approaches to dual energy CT, including sequential acquisition with two scans, rapid voltage switching between two voltages, and dual-source CT with two tube-detector pairs. Post-processing involves material decomposition and differentiation using image-domain or projection-domain algorithms.
1. MRI magnets have advanced to routinely use 3T systems for clinical use and up to 17T for research use. Higher field strengths provide improved image quality but also introduce disadvantages like increased chemical shift effects.
2. Gradients and RF coils have also advanced, allowing for faster imaging sequences through increased amplitude/rise time of gradients and use of parallel imaging from multiple coil elements.
3. Echo planar imaging is a fast MRI technique that acquires a whole image within a fraction of a second, enabling imaging of rapid physiological processes. It is used for diffusion weighted imaging, perfusion imaging, and functional MRI.
This document discusses techniques for visualizing soft tissues in radiography. Soft tissues have less differential attenuation compared to bones, making contrast reduced. Special techniques are needed to improve contrast and demonstrate soft tissues clearly. These include adjusting the kVp and adding filters to change image contrast. Using a normal or low kVp can help visualize certain soft tissues like adenoid and effusions more clearly. High kVp is useful for exams like BA enemas where thicker tissues are involved. Digital technology also helps improve soft tissue visibility compared to conventional radiography. Proper technique selection is important to optimize contrast and sharpness while reducing artifacts.
Ultrasound Transducer Constriction And It’s Physics.pptxDr. Dheeraj Kumar
Definition of Ultrasound Transducer: An ultrasound transducer is a critical device used in medical imaging to both emit and receive ultrasound waves for diagnostic purposes.
Importance of Understanding Transducers: Mastering the principles of transducer physics and construction is essential for radiology students, as it forms the foundation for proficient ultrasound operation and interpretation.
Presentation Structure: This presentation will delve into the physics behind ultrasound transducers, the materials used in their construction, and the functions of their key components.
The document discusses the properties and production of x-rays. Some key points:
- Wilhelm Roentgen discovered x-rays in 1895 and was awarded the first Nobel Prize in Physics for this work.
- X-rays are a type of electromagnetic radiation produced when electrons are accelerated and decelerated. They can behave as waves or particles.
- In an x-ray tube, a high voltage is used to accelerate electrons towards a metal target, where x-rays are produced via braking radiation or characteristic radiation.
- X-rays can be absorbed or scattered in matter. Their interaction depends on tissue electron density and thickness and the x-ray energy. These interactions are useful in medical imaging.
Perfusion MRI (DSC and DCE perfusion techniques) for radiology residentsRiham Dessouky
This document provides an overview of perfusion weighted MR imaging techniques. It discusses three main types: dynamic susceptibility contrast (DSC) MR perfusion, dynamic contrast enhanced (DCE) MR perfusion, and arterial spin labeling (ASL) MR perfusion. DSC relies on signal loss from gadolinium contrast to measure parameters like relative cerebral blood volume (rCBV) and flow (rCBF). DCE uses T1 shortening effects of contrast to calculate permeability and perfusion. Both techniques are used to evaluate brain tumors and strokes by analyzing signal intensity curves. DCE is also used in breast MRI to classify enhancement curves and measure permeability with the Ktrans parameter.
The document discusses computed tomography (CT) of the chest and protocols for performing chest CT scans. It provides details on how chest CT is used to examine abnormalities found on other imaging tests and help diagnose conditions causing chest symptoms. It describes the CT scanning process and equipment. Common uses of chest CT are outlined, along with lung disorders it can demonstrate and benefits compared to other imaging modalities. Specific protocols for routine chest CT, high-resolution CT, low-dose CT, airway CT, and aortic angiography CT are enumerated.
This document provides guidance on chest X-ray positioning and interpretation. It outlines different chest X-ray views including PA, lateral, AP, decubitus, and inspiratory-expiratory views. For a PA view, the patient faces the cassette with the tube 6 feet away. Proper inspiration is important, with the diaphragm at the 8th-10th posterior or 5th-6th anterior rib. Key areas to examine include the trachea, heart, diaphragm, lungs, pleural spaces, and bones. Paired inspiratory-expiratory views can demonstrate air trapping and diagnose foreign bodies.
This document discusses digital subtraction angiography (DSA), including its history, equipment, and applications. DSA involves acquiring digital fluoroscopic images before and after injecting contrast material, and using computer subtraction to remove bone structures and leave an image of blood vessels. It originated in the 1970s and allows for real-time angiography with improved vessel contrast compared to conventional techniques. Key components of DSA systems include an x-ray unit, image intensifier, computer, and software for image processing functions like subtraction, enhancement, and roadmapping.
This document discusses various radiographic imaging modalities used for evaluating maxillofacial injuries and conditions. It describes common imaging techniques including plain radiographs, computed tomography, cone beam CT, MRI, and ultrasound. Specific plain film projections are outlined such as intraoral periapical, occlusal, and panoramic views. Extraoral views explained include lateral cephalometric, waters, submentovertex, and various views for evaluating the temporomandibular joint. The advantages, indications, and limitations of different radiographic techniques are provided to allow for accurate diagnosis while minimizing radiation exposure.
SANTOSH jaiswal Radiology of Nose n PNS.pptxbackup.pptxSantosh Jaiswal
The document discusses imaging techniques used for the nose and paranasal sinuses, including x-rays, CT scans, MRI, and PET scans. It provides details on standard views and protocols for each modality. Key anatomical structures are identified on sample images. Common variations, diseases, and tumors are described, along with characteristic imaging findings for each. Examples include mucocoeles appearing as well-defined masses, fungal infections showing calcifications or bone changes, and meningiomas causing osseous sclerosis. Imaging plays an important role in evaluating conditions of the nose and sinuses.
The document provides information about performing a PA projection radiograph of the sella turcica. It states that the patient should be positioned prone with their forehead and nose resting against the image receptor. The central ray should be directed at the glabella at a 10 degree angle cephalad. Structures that should be demonstrated include the dorsum sellae, tuberculum sellae, anterior and posterior clinoid processes, and frontal bone. Evaluation criteria include the cranium being seen without rotation and symmetrical petrous bones.
Beam hardening artifact occurs when an X-ray beam passes through multiple materials of varying densities within a scan volume. This causes the beam to become harder as lower energy photons are preferentially absorbed, leading to streaks or shading in the reconstructed CT image. Photon starvation is another cause of streak artifacts, occurring when there is insufficient photon flux passing through areas of higher attenuation, such as across the shoulders. Adaptive filtering and modulating tube current based on attenuation can help reduce these artifacts. Ring artifacts from defective detector elements in older CT scanners appear as rings in the reconstructed images.
This document describes several common x-ray views of the skull:
- Occipitofrontal view shows the front and back of the skull. Petrous ridges should be superimposed in orbits.
- Caldwell's view shows superior orbital fissures and petrous ridges near orbit bottoms.
- Towne's view angles the beam below to show sella turcica in foramen magnum. Reverse Towne's is above.
- Lateral views superimpose floors of anterior and posterior cranial fossas and clinoid processes.
This document discusses SPECT and PET imaging. It explains that radionuclides are produced artificially and decay via processes like beta decay, producing gamma rays. SPECT uses gamma camera systems to produce 3D functional images, and is affected by factors like photon attenuation. PET involves injecting a radiolabeled tracer like FDG and detecting coincident gamma rays to locate the tracer distribution. Common clinical applications of SPECT and PET imaging include evaluating glucose metabolism in neurology, cardiology and oncology.
This document provides information on taking radiographic views of the thoracic spine, including:
- Common clinical indications that would warrant thoracic spine x-rays such as compression fractures or scoliosis.
- Instructions for setting up three standard views - the AP, lateral, and oblique positions. For each view, it describes the clinical indications, patient positioning, part positioning, and technical factors.
- For the AP view, it instructs to position the patient supine or erect with their midline and midsagittal plane aligned and to direct the CR to T7. For the lateral view, it describes positioning the patient laterally with their spine parallel to the table and directing the CR to T
1. The document contains radiographic images and descriptions of normal anatomy across multiple body regions. Images include chest, abdomen, spine, shoulder, elbow, wrist, hand, pelvis, hip, knee, ankle, foot, skull and cervical spine.
2. Key normal structures are labeled on the images, such as bones, joints, organs and vasculature. Descriptions provide anatomical detail and imaging views.
3. The document serves as an anatomical reference for normal radiographic findings across the body.
This document provides information about brain anatomy, including the embryology and major structures of the brain. It describes the main parts of the brain including the forebrain (prosencephalon), midbrain (mesencephalon), and hindbrain (rhombencephalon). Within these sections it outlines structures like the telencephalon, diencephalon, thalamus, hypothalamus, cerebral cortex, basal ganglia, brainstem, and cerebellum. It also provides some key details about fiber types and blood supply to different brain regions.
Advances in CT technology allow for higher resolution imaging with multi-slice CT scanners. This provides benefits for visualizing complex anatomy, diseases, and evaluating vasculature non-invasively with techniques like CT angiography. Additional applications enabled by high resolution volumetric data include virtual bronchoscopy and colonoscopy which provide endoluminal views to evaluate airways and the colon with benefits over conventional scopes. While CT involves ionizing radiation, doses are addressed with new technologies and some procedures may replace more invasive options, proving new CT applications are of increasing clinical value.
Contrast media, or contrast, is a liquid used in imaging tests to highlight parts of the body. It contains iodine, which interacts with x-rays and allows differentiation of tissues. Contrast is used in various CT protocols, with timing of administration dependent on the area and structures being imaged, such as 18-22 seconds for CT angiograms of the carotid arteries. Risk factors for receiving contrast include allergies, kidney problems, medications like metformin, and certain medical conditions. Proper screening and potentially pre-medication can help reduce risks.
The document provides an overview of skeletal radiographic positioning and normal variants of the skull. It describes the bones that make up the skull and defines important planes used in skull radiography. Several common projections used to image the skull, sinuses, mandible, zygomatic arch and styloid process are outlined, including positioning, central ray direction and structures visualized. These include lateral, AP, occipital frontal, Towne's view, submentovertical and orthopantomography views.
Dual energy CT utilizes two different x-ray spectra to characterize tissues. It can help address challenges with single energy CT like lesion detection and image noise. Dual energy CT works by analyzing how materials attenuate x-rays differently at various energies, allowing differentiation of substances like iodine and calcium. There are several technical approaches to dual energy CT, including sequential acquisition with two scans, rapid voltage switching between two voltages, and dual-source CT with two tube-detector pairs. Post-processing involves material decomposition and differentiation using image-domain or projection-domain algorithms.
1. MRI magnets have advanced to routinely use 3T systems for clinical use and up to 17T for research use. Higher field strengths provide improved image quality but also introduce disadvantages like increased chemical shift effects.
2. Gradients and RF coils have also advanced, allowing for faster imaging sequences through increased amplitude/rise time of gradients and use of parallel imaging from multiple coil elements.
3. Echo planar imaging is a fast MRI technique that acquires a whole image within a fraction of a second, enabling imaging of rapid physiological processes. It is used for diffusion weighted imaging, perfusion imaging, and functional MRI.
This document discusses techniques for visualizing soft tissues in radiography. Soft tissues have less differential attenuation compared to bones, making contrast reduced. Special techniques are needed to improve contrast and demonstrate soft tissues clearly. These include adjusting the kVp and adding filters to change image contrast. Using a normal or low kVp can help visualize certain soft tissues like adenoid and effusions more clearly. High kVp is useful for exams like BA enemas where thicker tissues are involved. Digital technology also helps improve soft tissue visibility compared to conventional radiography. Proper technique selection is important to optimize contrast and sharpness while reducing artifacts.
Ultrasound Transducer Constriction And It’s Physics.pptxDr. Dheeraj Kumar
Definition of Ultrasound Transducer: An ultrasound transducer is a critical device used in medical imaging to both emit and receive ultrasound waves for diagnostic purposes.
Importance of Understanding Transducers: Mastering the principles of transducer physics and construction is essential for radiology students, as it forms the foundation for proficient ultrasound operation and interpretation.
Presentation Structure: This presentation will delve into the physics behind ultrasound transducers, the materials used in their construction, and the functions of their key components.
The document discusses the properties and production of x-rays. Some key points:
- Wilhelm Roentgen discovered x-rays in 1895 and was awarded the first Nobel Prize in Physics for this work.
- X-rays are a type of electromagnetic radiation produced when electrons are accelerated and decelerated. They can behave as waves or particles.
- In an x-ray tube, a high voltage is used to accelerate electrons towards a metal target, where x-rays are produced via braking radiation or characteristic radiation.
- X-rays can be absorbed or scattered in matter. Their interaction depends on tissue electron density and thickness and the x-ray energy. These interactions are useful in medical imaging.
Perfusion MRI (DSC and DCE perfusion techniques) for radiology residentsRiham Dessouky
This document provides an overview of perfusion weighted MR imaging techniques. It discusses three main types: dynamic susceptibility contrast (DSC) MR perfusion, dynamic contrast enhanced (DCE) MR perfusion, and arterial spin labeling (ASL) MR perfusion. DSC relies on signal loss from gadolinium contrast to measure parameters like relative cerebral blood volume (rCBV) and flow (rCBF). DCE uses T1 shortening effects of contrast to calculate permeability and perfusion. Both techniques are used to evaluate brain tumors and strokes by analyzing signal intensity curves. DCE is also used in breast MRI to classify enhancement curves and measure permeability with the Ktrans parameter.
The document discusses computed tomography (CT) of the chest and protocols for performing chest CT scans. It provides details on how chest CT is used to examine abnormalities found on other imaging tests and help diagnose conditions causing chest symptoms. It describes the CT scanning process and equipment. Common uses of chest CT are outlined, along with lung disorders it can demonstrate and benefits compared to other imaging modalities. Specific protocols for routine chest CT, high-resolution CT, low-dose CT, airway CT, and aortic angiography CT are enumerated.
This document provides guidance on chest X-ray positioning and interpretation. It outlines different chest X-ray views including PA, lateral, AP, decubitus, and inspiratory-expiratory views. For a PA view, the patient faces the cassette with the tube 6 feet away. Proper inspiration is important, with the diaphragm at the 8th-10th posterior or 5th-6th anterior rib. Key areas to examine include the trachea, heart, diaphragm, lungs, pleural spaces, and bones. Paired inspiratory-expiratory views can demonstrate air trapping and diagnose foreign bodies.
This document discusses digital subtraction angiography (DSA), including its history, equipment, and applications. DSA involves acquiring digital fluoroscopic images before and after injecting contrast material, and using computer subtraction to remove bone structures and leave an image of blood vessels. It originated in the 1970s and allows for real-time angiography with improved vessel contrast compared to conventional techniques. Key components of DSA systems include an x-ray unit, image intensifier, computer, and software for image processing functions like subtraction, enhancement, and roadmapping.
This document discusses various radiographic imaging modalities used for evaluating maxillofacial injuries and conditions. It describes common imaging techniques including plain radiographs, computed tomography, cone beam CT, MRI, and ultrasound. Specific plain film projections are outlined such as intraoral periapical, occlusal, and panoramic views. Extraoral views explained include lateral cephalometric, waters, submentovertex, and various views for evaluating the temporomandibular joint. The advantages, indications, and limitations of different radiographic techniques are provided to allow for accurate diagnosis while minimizing radiation exposure.
SANTOSH jaiswal Radiology of Nose n PNS.pptxbackup.pptxSantosh Jaiswal
The document discusses imaging techniques used for the nose and paranasal sinuses, including x-rays, CT scans, MRI, and PET scans. It provides details on standard views and protocols for each modality. Key anatomical structures are identified on sample images. Common variations, diseases, and tumors are described, along with characteristic imaging findings for each. Examples include mucocoeles appearing as well-defined masses, fungal infections showing calcifications or bone changes, and meningiomas causing osseous sclerosis. Imaging plays an important role in evaluating conditions of the nose and sinuses.
This document provides an overview of temporal bone anatomy and imaging as well as common temporal bone pathologies. It begins with a detailed description of the embryology, anatomy, and imaging appearance of the various structures of the temporal bone. This is followed by sections on common temporal bone traumas including fractures, ossicular injuries, and complications such as fistulas and facial nerve dysfunction. Imaging techniques for evaluation of the temporal bone including multi-planar CT are also discussed.
This document provides an overview of temporal bone anatomy and imaging techniques for evaluating the temporal bone. It describes the major components of the temporal bone including the external auditory canal, middle ear, inner ear, internal auditory canal, and surrounding bones. Imaging tools like CT and MRI are discussed along with techniques for each. Examples of normal anatomy, anatomical variations, and various pathological conditions are shown through CT and MRI images with explanations. The importance of understanding temporal bone imaging for otologists and radiologists is emphasized to accurately diagnose and treat temporal bone diseases.
The document discusses the anatomy and etiology of acquired nasolacrimal duct obstruction. It describes the normal anatomy of the lacrimal drainage system and locations of the nasolacrimal duct. It also discusses common causes of acquired nasolacrimal duct obstruction including congenital factors and discusses evaluations including lacrimal pump function and Shirmer testing to differentiate types of epiphora. Sex and age can affect the size of the bony nasolacrimal canal.
Radiology in Head and Neck by Kanato T Assumi.Kanato Assumi
This document provides an overview of various radiological investigations used in head and neck imaging. It discusses several modalities including x-rays, CT, MRI, ultrasound and others. For x-rays specifically, it describes common views of the sinuses, skull, neck and larynx. It also discusses procedures like barium swallows, sialography and orthopantomography. The document aims to familiarize readers with the structures visualized and clinical applications of different radiological techniques for ENT examinations.
The orbit develops around the eyeball from cranial neural crest cells. The bones that make up the orbital walls differentiate during the third month in utero and undergo ossification through both endochondral and membranous processes. The shape and size of the orbit changes with age. In adults, the orbit is quadrangular in shape and bounded superiorly, medially, inferiorly and laterally by bones. It contains the eyeball and extraocular muscles, nerves, vessels and fat. The walls are thin and prone to fractures or invasion by adjacent structures like sinuses.
1. Paranasal sinuses tumors can occur in the ethmoid sinuses, frontal sinuses, sphenoid sinus, and maxillary antrum.
2. The most common histology is squamous cell carcinoma, followed by minor salivary gland tumors and lymphomas.
3. Tumors commonly spread to nearby structures like the orbits, nasal cavity, maxillary antrum, and cranial fossa. Distant spread is usually to the lungs.
4. Treatment involves surgery if possible followed by radiation therapy. Advanced cases are treated with chemoradiation. Endoscopic approaches are increasingly used for ethmoid sinus tumors.
This document provides an overview of imaging the temporal bone, including its anatomy, pathology, and imaging techniques. It begins with a brief introduction and then covers the gross anatomy of the temporal bone, including its five parts. Next, it discusses the radiological anatomy as seen on plain films, CT, and MRI. It also reviews the anatomy of the external, middle and inner ear in detail. The document then covers various congenital anomalies, inflammatory conditions, trauma, and tumors/tumor-like conditions that can affect the temporal bone. It concludes with references for further reading.
Skull,orbit temporal bones,facial bones,paranasal sinuses,mandible and opgLalit Chandrawanshi
This document discusses the anatomy of the skull, facial bones, and paranasal sinuses. It describes the 22 bones that make up the skull, divided into the cranial vault (8 bones) and facial skeleton (14 bones including the mandible). Key landmarks, lines, and planes used for skull radiography are defined. Common projections for skull radiography are outlined, including their positioning, technique factors, and indications. Anatomy of the temporal bone and its associated radiographic projections are also reviewed.
The document summarizes the anatomy of the orbit, including its development, walls, contents, surgical spaces, and age-related changes. Key points:
- The orbit develops around the eyeball from cranial neural crest cells that form the frontal, maxillary, and lateral nasal processes. Bones differentiate and ossify during fetal development.
- The orbit has medial, lateral, floor, and roof walls formed by several bones including the frontal, ethmoid, maxillary, zygomatic, sphenoid, and palatine. It contains the eye, extraocular muscles, nerves, vessels, lacrimal gland, and fat.
- There are subperiosteal, subtendon's
This document discusses the radiological anatomy of the paranasal sinuses and provides guidance on using CT scans to evaluate the anatomy. It outlines key anatomical structures visible on coronal and axial CT scans such as the frontal sinus, uncinate process, ethmoid bulla, sphenoid sinus, and their common variations. It also discusses technology advances in CT scanning and basic concepts for evaluating and positioning patients for sinus CT scans.
Temporal bone anatomy and surgical significancepptxdruttamnepal
This document discusses the surgical anatomy of the temporal bone, lateral skull base, venous sinuses, and differences between the temporal bone in adults and children. It covers the external anatomy of the temporal bone including landmarks like the mastoid process and tip. It describes the vascular anatomy including arteries like the internal carotid and veins like the sigmoid sinus. It discusses the divisions of the lateral skull base into areas like the pharyngeal and tubal areas. Finally, it briefly mentions the venous sinuses and differences in temporal bone between adults and children.
This document provides an overview of maxillofacial injuries, including:
- Causes such as road traffic accidents and violence
- Principles of management including airway control, hemorrhage control, and imaging
- Types of facial bone fractures like frontal sinus fractures, nasal-orbital fractures, zygomatic fractures, LeFort fractures, and mandible fractures
- Guidelines for treatment including closed versus open reduction, fixation methods, and fracture-specific considerations.
This document discusses various imaging techniques used in the maxillofacial region. It begins by providing an overview of maxillofacial imaging anatomy seen on CT and MRI scans. It then describes different types of jaw cysts that can be identified on imaging, including periapical, residual, paradental, lateral periodontal, and incisive canal cysts. Finally, it discusses some interventional radiology procedures performed in the maxillofacial region, such as temporomandibular joint arthrography and sialography.
The document discusses the anatomy and development of the orbit and its contents. It provides details on:
1) The bones that form the walls of the orbit - the frontal, ethmoid, maxillary, lacrimal, zygomatic, sphenoid and palatine bones.
2) The contents of the orbit which include the eyeball, extraocular muscles, nerves, vessels, lacrimal gland and orbital fat.
3) The development of the orbit which begins as a ring around the eyeball derived from cranial neural crest cells and expands during the third month to form the orbital walls.
Overview of role of imaging in different intraconal and extraconal pathologies including infective,inflammatory and neoplastic pathologies.Also included is insight into anatomy,trauma,post operative imaging and certain miscellaneous disorders
1. The document describes various radiographic techniques for imaging different parts of the skull. It discusses positioning, centering rays, and image criteria for lateral, occipitofrontal, Towne's view, and other projections of the cranium and facial bones.
2. Key bones described include the frontal, parietal, occipital, sphenoid, ethmoid, temporal, maxilla, zygomatic, and mandible. Anatomical landmarks and radiographic lines are also outlined.
3. Indications, techniques, and quality guidelines are provided for common projections used to evaluate trauma, sinusitis, tumors, and other skull abnormalities. Alternative techniques are mentioned where applicable.
This document discusses various diagnostic imaging techniques used in oral and maxillofacial surgery, including non-invasive and invasive options. Non-invasive imaging includes plain radiography, CT, MRI, ultrasonography, and nuclear imaging. CT provides detailed multiplanar images and is useful for evaluating lesions, fractures, and paranasal sinuses. While effective, CT exposes patients to radiation. Contrast agents can highlight blood vessels and other structures on CT scans. Proper diagnostic imaging selection depends on the clinical situation and benefits of each technique.
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End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled.
Non-invasive methods for ETCO2 measurement include capnometry and capnography. Capnometry provides a numerical value for ETCO2. In contrast, capnography delivers a more comprehensive measurement that is displayed in both graphical (waveform) and numerical form.
Sidestream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients.
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The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
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CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdfSachin Sharma
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
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NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
33. Sinus
The sinuses are small air pockets.
The sinuses produce mucus, which is a thin and flowing liquid that
protects the body by trapping and moving germs away.
Sinuses becomes filled with fluid due to pathologies like blood in case of
trauma or chronic infection , resulting in increased radio-opacity and
decrease in radiography.
4 sinuses in skull
40. Patient Preparation
Inform the patient about the examination and ask the patient to restrict
all the movements.
Remove all the metallic objects from the skull region .
Ask female patients to remove hair clips , bands and other stuff from skull
before examination.
Take details of dental filling so that it is not misunderstood as artifact or
any pathology.
Use foam pads in case of children or trauma cases.
46. The zygomatic arch fracture is easily
seen on the OM30 (Occipito-Mental
30°) image
47. •1 - Orbital floor fracture
•2 - Fracture of the lateral wall of the maxillary antrum
•3 - Zygomatic arch fracture
•4 - Widening of the zygomatico-frontal suture
Tripod Facture
48. Blowout Facture
Blowout fractures are caused by increased pressure in
the orbit - the orbit gives way at its weakest point,
which is the orbital floor
The air/fluid level in the maxillary antrum is due to the
presence of blood
50. Skull Radiography Parameters
Position :- Erect , Supine , Lateral .
Factors:- Kvp – 70-80 ,mAs- 20-30.
Use of Grids , to enhance the images quality.
Use of foam pads to support the patient.
Collimation as per the requirement .
SID = 40inch
63. Reference
Ken hub .com for anatomy.
Bontrager’s Textbook of Radiographic Positioning and Related Anatomy
by Joh.
Clark s Positioning in Radiography, 13e (2016).
Pinterest for images .