Resident
Resident Physics
Physics Lectures
Lectures
Plain Film
Tomography
George David
Associate Professor
Department of Radiology
Medical College of Georgia
Body
Body Section
Section
Tomography
Tomography
• Not CT
• Body Section Imaging
• Goal
keep plane of interest in focus
blur all other plans
» enhances contrast
• Popularity decreasing because
of
CT
MRI
Tomography
Tomography History
History
• Predates CT by decades
• Used to be popular for inner ear
studies
• Still used at MCG for IVP’s
George
David
Tomography
Tomography Blurring
Blurring
• Blurring accomplished
by synchronous
movement of tube &
film
tube & bucky physically
connected by rod
rod pivots around fulcrum
tube moves one direction
film moves in other direction
Conventional
Conventional Tomography
Tomography Blurring
Blurring
• Image produced on
film
• Objects above or
below fulcrum plane
change position on film
& thus blur
George
David
Tomography
Tomography Blurring
Blurring
• the further from the
fulcrum an object is,
the more it blurs!
Tomography
Tomography Blurring
Blurring
• objects shaped &
oriented in direction of
motion
elongate
do not blur
Tomographic
Tomographic Blurring
Blurring
• Blurring improved by use of complex
motions
circular
Hypocycloidal
tri-spiral
elliptical
Complex
Complex Blurring
Blurring
• The more complex the blurring
motion
the sharper the tomographic image
» better blurring
the more expensive the machine
$
George
David
Tomo
Tomo Patient
Patient Doses
Doses
• Tomo can be high dose procedure
several rads not unusual
• one image per cut with film
cuts at many levels routinely employed to find cut of
interest
each cut exposes entire field
• Can do multiple images per cut with
digital receptor
George
David
Thickness
Thickness of
of Cut
Cut
• Same as thickness of region in focus
• Determined by angle tube moves
• Larger angles yield thinner cuts
more motion = more blurring
• Smaller angles yield thicker cuts
0o (stationary) yields conventional film
Thickness
Thickness of
of Cut
Cut
Larger Angle; Smaller Angle;
Thinner Cut Thicker Cut
Cut
Cut Thickness
Thickness
• Approximate cut thickness for
linear tomo
Tomo Angle Thickness of Cut (mm)
(degrees)
-------------------------------------------------------
0 Infinite (non-tomo)
2 31
4 16
6 11
10 6
20 3
35 2
50 1
George
David
Grids
Grids &
& Tomo
Tomo
• Linear grid used
• Grid lines parallel with table for
linear tomo
• Grid must change orientation
(rotate) in complex motion tomo
eliminates grid cutoff
George
David