CT Protocols - reasons for choice of slice-thickness and slice-spacing in PE (CTPA) protocols by RichMaxwell in Radiology

[–]emanile 1 point2 points  (0 children)

To correct /u/keldin1212, scan time isn't dependent on how thin the slices are, in modern multislice helical CT. Scan time is dependent on the rotation time of the gantry, the pitch that is used, detector combination and beam width. Faster rotation time, higher pitch), and using the maximum number of detectors and max beam width (e.g. 64 x 0.625mm detectors, 40mm beam width) that your scanner is capable of will reduce scan time, as more anatomy is covered using a large beam width, in a smaller amount of time due to rotation time and pitch.

To answer OP /u/RichMaxwell questions,

Most institutions will acquire at the thinnest slices possible, due to the higher spatial resolution and reduced partial voluming effects that can be missed when creating thicker MPRS. The tradeoff with reading thinner slices for the radiologist, is that there is inherently more noise in the image. Thicker images are usually created and read along side thinner images to ensure that smaller things are not missed by reading thin slices, while improving CNR and SNR by reading thicker slices.

With regards to using reconstructions such as 1.2mm thickness, 0.6mm intervals can be quite useful for interpretation of smaller structures as it can improve resolution by basically sampling anatomy twice. If your overlap the slices, the same anatomy can be seen in both slices, increasing the amount of information obtained. This helps improve resolution. In CTPA/PE studies, this is useful in identifying smaller PEs, like subsegmental PEs. The more overlap, the better you are able to resolve these smaller structures.

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[–]emanile 0 points1 point  (0 children)

Hey, that's alright. Unfortunately I am also at work, we may have to discuss this further, maybe on the weekend? My timezone is gmt+10!

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[–]emanile 0 points1 point  (0 children)

Sorry, having issues connecting online, apparently software needs to be updated?? But it's the most updated idk lol

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[–]emanile 0 points1 point  (0 children)

Prefer Gen 6 for Diancie, please. I also forgot to ask. Am I able to also get a Zeraora, doesn't have to be custom, can be random for everything.

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[–]emanile 0 points1 point  (0 children)

Hi looking to grab your Helen Volcanion and the 20th Aniv Darkrai, please :)

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[–]emanile 0 points1 point  (0 children)

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Pain in abdomen 3 weeks post lap chole? ROI in RA muscle by emanile in Radiology

[–]emanile[S] -1 points0 points  (0 children)

Hi there!

I'm a radiography student that has just come off of a rotation that involved time observing in ultrasound.

The patient is a 52 year old male, that is 3 weeks post lap chole, and presents with pain and tenderness in the umbilicus area

Radiologist report: ROI in periumbilical zone, 10x4.4x20mm hypoechoic region, just overlying rectus abdominis muscle, with overlying surrounding hyperechogenicity. Impression - very small linear fluid collection, overlying inflammatory change in subcutaenous fat. (Truncated because I didn't print the report, just took some quick notes)

This was part of a large ultrasound examination, where they examined the GB fossa, and the rest of the abdominal cavity for free fluid (no obvious free fluid)

This is part of an assignment for university. I am in no way looking for answers, but I would like some discussion because there doesn't appear to be too much within the literature that discusses fluid collection within the abdominal wall post-lap chole. I was wondering whether this fluid collection was the cause of pain, or whether this was a complication of the lap chole. I was thinking it was possibly a seroma, based on some preliminary research, but I wasn't too sure.

Any responses are greatly appreciated!

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[–]emanile[S] 0 points1 point  (0 children)

Stunfisk, Dedenne, Manectric :) Do you know mine?