The photoelectric effect is an interaction between a low to intermediate energy X-ray beam and the inner shell electron. Inner shell electron is ejected, the outer electron goes into inner orbit to occupy the space, and the extra energy is ejected as characteristic radiation and is called the photoelectric effect. The photoelectric effect is of fundamental importance in diagnostic radiography since it is the primary method by which contrast is developed in radiographs. It allows for the differentiation of different types of tissues on the X-ray film. Very low-energy X-rays are not capable of producing the photoelectric effect. High energy X-rays are also not capable of photoelectric effect due to random scattering of electrons from the outer shell. This is known as the Compton effect and it can lead to distortion of the image. The goal of X-ray imag...
CT is the initial investigation for aortic dissection as it is more widely available and takes a shorter time when compared to MRI. MRI, though highly accurate for acute aortic disease evaluation, is usually confined to cases of severe renal insufficiency or when the use of iodinated contrast medium is absolutely contraindicated. The image below depicts CT chest showing Type A aortic dissection from the aortic root. (A) Axial view and (B) sagittal view. The arrows indicate the intimal flap. The image below shows the classification systems used for aortic dissection.
Cardiac CT is done in mid diastole assisted by synchronous ECG gating. The least cardiac motion occurs during diastole when the ventricles are passively filling. Prospective ECG triggering uses the ECG signal to control scanning so that X-rays are generated and projection data are acquired only during cardiac diastole. Cardiac CT is done in CAD and for coronary calcium scoring. Coronary calcium scoring denotes the degree of atherosclerosis and determines prognosis in patients with coronary artery disease. It is an example of multi-slice CT or multidetector CT (MDCT). In MDCT multiple sections can be taken in one rotation. Spiral CT takes only one section in one rotation. The structure marked in the above CT image is the left ventricle. Transverse CT images are to be observed from the foot end of the supine patient, as if we are sitting at the patient's feet. So the right-hand side of the observer corresponds t...
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