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Option B: Medical Physics

Computed tomography scanning

  • 3 things to know
  • Component 3

Overview

Principle of back projection in computed tomography, voxel in the context of a computed tomography scan and why a patient is asked to hold still.

What you need to know

Answer each one before you reveal it.

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Key term

Describe the arrangement of the X-ray tube and detectors in a computed tomography scanner.

Key term

Explain the principle of back projection in computed tomography.

Evaluation

State the main disadvantage of a computed tomography scan compared with a plain radiograph.

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Describe the arrangement of the X-ray tube and detectors in a computed tomography scanner.

    Model answer

    The X-ray tube rotates around the patient in a ring, sending a fan-shaped beam through the body. An array of detectors on the opposite side, or all round the ring, records the transmitted intensity at every angle.

  2. 2

    Why must a computed tomography scanner take readings from many different directions?

    Model answer

    A single projection only gives the total attenuation along each line through the body and cannot say where along that line the absorption happened. Combining projections from many angles lets a computer work out the attenuation of every small volume separately.

  3. 3

    What does the computer produce from the set of projections in a computed tomography scan?

    Model answer

    It reconstructs a two-dimensional map of the attenuation coefficient across one slice of the body. Successive slices can then be stacked to build a three-dimensional data set.

  4. 4

    Explain the principle of back projection in computed tomography.

    Model answer

    The measured attenuation along each ray is spread back uniformly over all the pixels that ray crossed. Where many rays overlap on a genuinely dense region, the contributions add and the region stands out, while spurious contributions elsewhere average away.

  5. 5

    State two advantages of a computed tomography scan over a plain radiograph.

    Model answer

    A computed tomography scan shows a slice with no overlapping structures superimposed on it, and it can distinguish soft tissues that differ only slightly in attenuation. It also allows images to be reconstructed in any plane and viewed as a three-dimensional object.

  6. 6

    State the main disadvantage of a computed tomography scan compared with a plain radiograph.

    Model answer

    The patient receives a far larger radiation dose, typically hundreds of times that of a single chest radiograph. The examination is also slower and the equipment is much more expensive.

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