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...
Non-contrast CT is the investigation of choice to identify acute intracranial bleed and hence is the preliminary investigation in acute head injury . NCCT is also the investigation of choice for brain hemorrhage and calcification. For all the other neurological lesions, the investigation of choice is MRI. Investigation of choice in Neurology Generally, MRI is considered the best imaging for the spinal cord and nerves. Conditions in which MRI is used include: Optic neuritis Vestibular schwannoma Multiple sclerosis Pituitary adenoma Spinal cord tumor Neurofibroma Viral encephalitis Hippocampal volumetry CT scan is preferred when the timing is critical. So, the investigation of choice for stroke is an NCCT This helps to rule out hemorrhagic stroke. The investigation of choice for i schemic stroke is a diffusion-weighted MRI.
lohexol is a nonionic, water-soluble radiographic contrast medium. It is used to visualize the following structres: Arteries Veins Ventricles of the brain The urinary system Joints It can be used during computer tomography (CT scan) as well. It can be given orally, intravenously, or can be injected into the body cavity. lodixanol has an osmolarity of 300 mosm which is i so-osmolar to plasma. It is a non-ionic dimer with iodine particle ratio of 6:1. Contrast containing iodine is used in CT, IVP, and angiography. Since all these imaging modalities are based on X-rays, iodine is used as it is radio-opaque . In contrast medium, iodine provides radio-opacity and the other elements act as carriers of iodine. These carriers increase the solubility and decrease the toxicity of iodine.
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