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Wednesday, 1 May 2024
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Perfusion Scintigraphy
A perfusion scintigraphy records the organ blood circulation usually directly or during the first two minutes after the injection of a radioactive tracer.
Different types of radiopharmaceuticals are used, depending on the target organ.

Typical perfusion scans include:
See also First Pass Scintigraphy, Myocardial Scintigraphy, Heart Scintigraphy, Whole Body Scintigraphy, and Flare Phenomenon.
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Osteo CT
An Osteo CT or quantitative computed tomography (QCT) is used to measure bone mineral density (BMD). The high contrast discrimination of computed tomography can be used to examine the central skeleton for osteoporosis. Common CT scanners require a standard of reference to properly perform quantitative tissue analysis.
Osteo CT is the most accurate bone densitometry study, but is not widely available and delivers more radiation to the patient than dual energy x-ray absorptiometry.
Bone Densitometry
Bone densitometry measures the strength and density of bones. Changes in trabecular bone mineral density (BMD) is an early indicator of change in metabolic function. Bone densitometry measures the amount of calcium in regions of the bones. A bone densitometer is used to determine the risk of developing osteoporosis and can also be used to estimate a patient's risk of fracture.
Bone densitometry methods involve:
Dual energy x-ray absorptiometry (DEXA - used to measure the spine, hip or total body);
single energy x-ray absorptiometry (SXA - measures the wrist or heel);
peripheral dual energy x-ray absorptiometry (PDXA - used to measure the wrist, heel or finger bones);
osteo CT or quantitative computed tomography (QCT - used to measure the spine or hip);
dual photon absorptiometry (DPA - measures the spine, hip or total body);
single photon absorptiometry (SPA - measures the wrist);
ultrasound densitometry (measures the heel).

Dual energy x-rays (DEXA) or CT scans (Osteo CT or QCT) compare the numerical density of the bone (calculated from the image), with empirical data bases of bone density. DEXA is widely available and has an accuracy between those of QCT and ultrasound.
Filtration
X-rays contain a range of energies (polychromatic photons), the higher energies pass through the patient, the lower energies are absorbed or scattered by the body. Ideally, the x-ray beam should be monochromatic or composed of photons having the same energy. Strong filtration of the beam results in more uniformity. The more uniform the beam, the more accurate the attenuation values or CT numbers are for the scanned anatomical region.
There are two types of filtration utilized in CT:
Inherent tube filtration and filters made of aluminum or Teflon are utilized to shape the beam intensity by filtering out the undesirable x-rays with low energy. Filtration of the x-ray beam is usually done by the manufacturer prior to installation. The half value layer provides information about the energy characteristics of the x-ray beam. Too much filtration produces a loss of contrast in the x-ray image.
A mathematical filter such as a bone or soft tissue algorithm is included into the CT reconstruction process to enhance resolution of a particular anatomical region of interest.
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 [last update: 2023-11-06 02:01:00]