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How does MRI work
Large external magnet aligns hydrogen protons in the same direction
Common MRI strength
1.5 Tesla
MRI inputs radio frequency signal (radio waves) do what
Move protons out of position by turning the other smaller magnet called a gradient coil on
Does an MIR utilize ionizing radiation
No
Images that have white signal on MRI
Hyper intense or high signal intensities
Images that are black on MRI
Hypointense or low signal intensities
Contrast study for MRI
White signal within artery
Non contrast study for MRI
Black signal within artery
What MRI has fat white, and fluid dark
T1`
What MRI has CSF bright white
T2
What MRI is it when we eliminate any high signal within fat that may represent water so anything on the imaging that is white is very high in water content like inflammation or CSF
STIR/SPIR/T2 Fat Sat
What MRI is best for looking at general anatomy overall
PD
What MRI is best for edema or inflammation
T2
STIR/T2 Fat Sat
What MRI is best for assign marrow changes seen with infections and tumors
T1
What is a "3-D X ray"
CT
If it would look radiodense on X ray then what would it look like on Ct
Hyperattenuating
If it would look radiolucent on X-ray then what would it look like on Ct
Hypoattenuating
What are the units for measuring attenuation on CT
Hounsfield Units (HU)
How do you look for fracture on CT
Bone windowing
What is bone windowing on CT
Clear differentiation of osseous anatomy, soft tissues are blurry
Bone scans uses
Technetium 99 MDP
Bone scans are good for
Osteolytic metastasis
Positron Emission Tomography (PET) uses
F18-FDG (fluorodextroglucose)
T score of a DEXA scan
Bone density compared to 30 year old same sex patient
A score DEXA scan
Bone density compared to similar age and sex patient
A score below what is diagnostic for osteoporosis
-2.5
Echoes on ultrasound
Hyperechoic echogenicity (echogenic)
No echo on ultrasound
Hypoechoic echogenicity (hypoechonic/anechoic)
Ultrasound is great for looking at
Soft tissue anatomy
Bone is_______ on CT
White