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WEEK 22:

Introduction to radiology of neck and thorax:

QuestionAnswer
radiography pros and cons Quick, cheap, easy but 2D, artefact, radiation
Computed tomography pros and cons Quick, good spatial detail but Poor tissue contrast, high dose
Magnetic Resonance pros and cons Versatile, good tissue detail, structure and function but Limited availability, slow, artefacts, patient tolerance
Fluoroscopy pros and cons Versatile, some functional info but high dose
Ultrasound pros and cons Quick, cheap, safe but User dependant, artefact
Nuclear medicine pros and cons Functional, systemic but Poor resolution, needs targeting
neck imaging of bones Plain film and CT neck
neck imaging of spinal cord and nerves MRI neck
neck imaging of soft tissues (glands, lymph nodes, muscles)/ vessels Ultrasound, CT and MRI neck
soft tissue - infrahyoid neck parts (5) visceral, carotid, retropharyngeal, posterior cervical and perivertebral space
thorax imaging of lungs/ bones plain film and CT thorax
thorax imaging of heart and spinal cord and nerves MRI thorax
structures you should see in xray of chest trachea, superior VC, right cardiophrenic angle, right hemidiaphragm, left hilum, LV, and left costcophrenic angle
thorax imaging of of vessels CT thorax
structures present in mediastinum superior VC, aortic arch, pulmonary trunk, V, RA, IVC
CT used when only thing applied to
interpretation approach 5 airway, breathing, circulation, disability, everything else
review areas with special attention as pathology can be overlooked (4) apical zones, hilar zones, retro cardial zone, zone below dome of diaphragm
anterior 5-7 ribs should be visible where above diaphragm
why are posterior ribs not used in xrays are fixed
questions to ask in xray lungs pleural abnormalities? thickening? pneumothorax? effusion?
Created by: kablooey
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