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COMPUTED TOMOGRAPHY PRELIM

MAMAJER

HISTORICAL PERSPECTIVE 1937


• Watson
• CT is so remarkable that in many cases it
• Developed another tomographic technique in
generates a dramatic increase in diagnostic
which the sections were transverse sections
information compared to what is obtained in
(cross-sections) and referred to as transverse
conventional x-ray techniques.
axial tomography.
• This invention was made possible through the
work of several individuals, most notably
Godfrey Newbold Hounsfield and Allan
Macleod Cormack.

MILESTONES IN THE DEVELOPMENT OF COMPUTED


TOMOGRAPHY

1917
• Johann Karl August Radon
• It is possible to reconstruct or build up an image
of two- or three-dimensional object from a large
number of projections from different directions. 1940
• Gabriel Frank
1920’S • Described the basic idea of today’s
• Methods to images specific body layers or tomography.
sections of the body were under development. • The patent includes drawings of equipment to
• At that time, terms such as “body section form sinograms (representations of
radiography” and “stratigraphy” from stratum measurement data as linear samples versus
which means layer) were used to describe the view samples) and optical back projection
technique. techniques to reconstruct images.

1935
• Grossman
• redefined the technique and labelled it,
“tomography” (Greek tomos, meaning
“section”)
• A conventional tomogram is an image of a
section of the patient that is oriented parallel to
the film.
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

1960 1971
• William Oldendorf • Dr. James Ambrose
• An American neurologist from Los Angeles, • A consultant at Atkinson-Morley’s Hospital.
performed a series of experiments based on • Together with Hounsfield, they have obtained
principles similar to those later used in CT. readings from a specimen of Human Brain.
• The objective of his work was to determine
whether internal structures within dense 1971
structures could be identified by transmission • Dr. Robert Ledley
measurements. • A professor of radiology, physiology, and
biophysics at Georgetown University,
developed the first whole-body CT scanner

1975
• Dynamic Spatial Reconstructor (DSR), with the
goals to carry out dynamic volumes scanning to
accommodate imaging the dynamics of organ
system with high temporal resolution
1963
• David E. Kuhl and Roy Q. Edwards
• Transverse Tomography using Radioisotopes was
further developed and evolved into today’s
emission computed tomography

1963 1979
• Allan Macleod Cormack • Hounsfield shared the Nobel Prize in in medicine
• He derived a mathematical theory for image and physiology with Allan Macleod Cormack
reconstruction.
• Cormack also applied reconstruction 1980
techniques in nuclear medicine. • Boyd’s Electron Beam Computed Tomography
(EBCT)
1967
• Godfrey Newbold Hounsfield
• The development of the first clinical CT scanner
began in 1967 at the Central Research
Laboratories of EMI, Ltd. in England
• “if an x-ray beam were passed through an
object from all directions and measurements
were made of all the x-ray transmission,
information about the internal structures of
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

INDUSTRIAL APPLICATION OF CT
1. Study of internal Log defects in sawmill. Funt
and Bryan (1987)

5. Fat stock breeding

2. Paleoanthropology

6. Animal investigation

3. Baggage inspection at airports

7. Evaluate bowed stringed instruments (Sirr


and Waddle (1999).

4. Oil Exploration
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

CT SYSTEM AND ITS COMPONENTS • Cooling mechanisms are important because


many imaging components can be affected by
temperature fluctuation.

Filtration
• Compensating filters are used to shape the x-
HIGH VOLTAGE GENERATOR ray beam. They reduce the radiation dose to
• Generators produce high voltage and transmit the patient and help to minimize image artifact.
it to the x-ray tube. • In addition, creating a more uniform beam
• High kV is used to increase the intensity of the intensity improves the CT image by reducing
beam, increasing its penetrating ability and artifacts that result from beam hardening.
thereby reducing patient dose. • Filtering the x-ray beam helps to reduce the
• High kV settings also help to reduce the heat radiation dose to the patient and improves
load on the x-ray tube by allowing a lower mA image quality.
setting.

GANTRY
• A mounted framework that surrounds the
patient in vertical plane
• It contains rotating scan frame onto which x-ray
generator, x-ray tube, slip-rings, high tension
generator, collimators, detectors and DAS.

Slip ring
• Slip rings use a brushlike apparatus to provide
continuous electrical power and electronic
communication across a rotating surface.
• They permit the gantry frame to rotate
continuously, eliminating the need to straighten
twisted system cables.

COOLING SYSTEMS
• They can take different forms, such as blowers,
filters, or devices that perform oil-to-air heat
exchange.
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

X-RAY TUBE
• X-ray tubes produce the x-ray photons that
create the CT image.
• Tungsten, with an atomic number of 74, is often
used for the anode target material because it
produces a higher-intensity x-ray beam.
• A CT tube must be designed to handle such
stress. The way a tube dissipates the heat that is
created during x-ray production is critical

Collimation
• Collimators restrict the x-ray beam to a specific
area, thereby reducing scatter radiation.
• Scatter radiation reduces image quality and
increases the radiation dose to the patient.
• Reducing the scatter improves contrast
resolution and decreases patient dose.
• Collimators control the slice thickness by
narrowing or widening the x-ray beam.
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

DETECTOR Solid State Detector


• Captures the radiation beam from the patient • Solid-state detectors are also called scintillation
and convert it into electrical signals, which are detectors because they use a crystal that
subsequently converted into binary coded fluoresces when struck by an x-ray photon
information.
• There are two types of Radiation detector
according the materials used.
a. Xenon Gas
b. Solid-state

A brief comparison between xenon gas and solid-


state detector

Xenon Gas Detector


• Xenon gas is used because of its ability to
remain stable under pressure ANALOG-TO-DIGITAL CONVERTER
• A xenon detector channel consists of three • The data-acquisition system, or DAS, measures
tungsten plates. When a photon enters the the number of photons that strikes the detector,
channel, it ionizes the xenon gas converts the information to a digital signal, and
sends the signal to the computer

COMPUTER
• A modern computer is a high-speed electronic
computational machine that accepts
information in the form of data and instructions
through some input devices and processes this
arithmetic and logic operations from a program
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

stored in its memory and later on displayed,


stored and recorded.

DIGITAL-TO-ANALOG CONVERTER
• Converts digital/ binary data to analog data.

DISPLAY DEVICE
• These are device which presents the data in a
visual manner wherein images are already
available for viewing.

PROCESS OF OBTAINING IMAGES IN COMPUTED


TOMOGRAPHY
• DATA ACQUISITION
• IMAGE RECONSTRUCTION
• IMAGE DISPLAY, MANIPULATION, STORAGE,
RECORDING, COMMUNICATION

DATA ACQUISITION
RECORDING DEVICE • Refers to the collection of x-ray transmission
• Images are usually recorded in x-ray films measurements from the patient.
because of its wider gray scale. • Once x-rays have passed through the patient,
they fall onto special detectors that measure
STORAGE DEVICE the transmission values, or attenuation values.
• Images can be stored in devices such as
magnetic tapes and magnetic disks.

PATIENT TABLE
• The patient lies on the table (or couch, as it is
referred to by some manufacturers) and is
moved within the gantry for scanning.
• The process of moving the table by a specified
measure is most commonly called
incrementation, but is also referred to as feed,
step, or index.
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

IMAGE RECONSTRUCTION
• After enough transmission measurements have
been collected by detectors, they are sent to
the computer processing.
• Computers use special mathematical
techniques to reconstruct the CT image in a
finite number of steps called reconstruction
algorithms.

IMAGE RECORDING
• Images can be recorded and subsequently
stored in some form of archive.
• Images are usually recorded in x-ray films
because of its wider gray scale.
• Such recording is accomplished by multiformat
video cameras and laser cameras.

IMAGE COMMUNICATION
• In CT, it refers to electronic transmission of text
IMAGES DISPLAY
data and images from CT scanner to other
• It is usually on a cathode ray tube.
devices
• Display monitors are mounted onto control
consoles that allow the technologist and
radiologist to manipulate, store and record
images.

IMAGE MANIPULATION
• A distinct characteristic of CT aided by, now-a-
days, may computer software.
• Image can be modified through image
manipulation to make them more useful to the
observer.
• Images can be subjected into other image
processing operation such as image smoothing,
edge enhancement, gray-scale manipulation,
and three-dimensional processing.

IMAGE STORAGE
• Images can be stored on magnetic tapes and
magnetic disks.
• In optical storage, the stored data are read by
optical means such as laser beam. In this case,
storage is referred to as laser storage. It may
include: disks, tapes and cards.
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

HOW CT SCANNER WORKS


• The technologist first turns on the scanner’s
power and performs a quick test to ensure the
scanner is in good working order
• The patient is in place in the scanner opening,
with appropriate positioning for the particular
examination
• The technologist sets up the technical factors at
the control console. The scanning can now
begin.
• When x-rays pass through the patient, they are
attenuated and subsequent measured by the
detectors.
• The x-ray tube and detectors, inside the gantry,
rotates around the patient.
• The detectors converts the x-ray photons into
electrical/ analog signals which will be
converted to digital data.
• The computer then performs the image
reconstruction process.
• The reconstructed image is in numeric form and
must be converted into electrical signals and
which enables us to view the images in a
monitor.
• Images can now be stored and recorded.

Historical Perspective of Computer


COMPUTED TOMOGRAPHY PRELIM
MAMAJER

COMPUTERS HISTORICAL PERSPECTIVE 1890


HERMAN HOLLERITH
1642 • He introduced the first electronic tabulator
BLAISE PASCAL based on punch card operation.
• He developed the arithmetic machine
(Pascaline Calculator)

1937
HOWARD AIKEN
• HARVARD MARK 1, a large electromechanical
1694 calculator
GOTTFRIED WILHELM LEIBNIZ
• He developed a calculating machine to solve
multiplication and division problems (Step
Reckoner)

1944
PRESPER ECKERT
• He designed the Electronic Numerical Integrator
and Calculator (ENIAC)

1822
CHARLES BABBAGE
• He invented the difference engine to calculate
mathematical tables.

1944
JOHN MAUCHLY
• Together with Presper Eckert they invented the
Electronic Discrete Variable Automatic
Computer (EDVAC).
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

1951
• The UNIVERSAL AUTOMATIC COMPUTER Second-generation computers (1959-1963)
(UNIVAC) became the first commercially • Used solid-state devices such as transistors and
available computer magnetic cores for internal memory.
• Smaller and more reliable
• Requires less power for operation

GENERATIONS OF COMPUTER

First-generation computers (1951-1958)


• Uses vacuum tubes for memory.
• Punch cards and magnetic tape are used as
input-output media
• These machines were large and slow and
required air-conditioned environment

Third-generation computers (1963-1970)


• Introduction of the integrated circuit etched
onto silicon chips.
• Magnetic disks were used for storage.
• Smaller and performs with greater speed
• Can perform multiprocessing
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

Fourth-generation computers (1971-1987)


• Based on a large-scale integration in which CLASSIFICATIONS OF COMPUTERS
thousands of integrated circuits were set on a Computers are classified according to their:
chip. 1. Processing capabilities
• Microprocessors were introduced. 2. Storage capacity
3. Size
4. Cost.

Supercomputers
• They are used in oil-exploration studies, weather
forecasts, research, and scientific modeling

Mainframe Computers
• They have large primary memories and can
Fifth-generation computers (1987- present)
support many pieces of peripheral equipment.
• Gallium-arsenide based circuitry.
Organizations such as banks, universities and
• They are based on parallel processing
colleges, large businesses and governments
• Greater speed on processing that fourth-
uses this type of computer.
generation computers.
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

Minicomputers COMPUTERS
• They are most commonly used in computed Principles of Computer Systems Applied in
tomography and magnetic resonance imaging. Computed Tomography

DEFINITION OF COMPUTER
• An electronic machine that can store and work
with large amount of information.
• A programmable usually electronic device that
can store, retrieve, and process data. (Oxford
languages dictionary)
• A computer is a device that accepts
information (in the form of digitalized data) and
manipulates it for some result based on a
Microcomputers
program, software, or sequence of instructions
• Can be built with all circuitry on a single chip or
on how the data is to be processed.
on multiple circuit boards. Its central feature is a
(TechTarget Contributor)
microprocessor.
• Computers are an integral part of many
activities within a Radiology Department. It is
used fundamentally by different radiology
modalities to acquire, process and post process
imaging data. (I.K. Indrajit)

PROCESS OF OBTAINING IMAGES IN CT


• Data acquisition
• Image reconstruction
• Image display, manipulation, storage, recording
and communication
DIGITAL FUNDAMENTALS
The two types of computers are DIGITAL AND DATA ACQUISITION
ANALOG. • Refers to the collection of x-ray transmission
measurements from the patient.
• Once x-rays have passed through the patient, ,
they fall onto special detectors that measure
the transmission values, or attenuation values.

IMAGE RECONSTRUCTION
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

• After enough transmission measurements have


been collected by detectors, they are sent to
the computer processing.
• Computers use special mathematical
techniques to reconstruct the CT image in a
finite number of steps called reconstruction
algorithms.

IMAGE STORAGE
IMAGE DISPLAY • Images can be stored on magnetic tapes and
• It is usually on a cathode ray tube. magnetic disks.
• Display monitors are mounted onto control • In optical storage, the stored data are read by
consoles that allow the technologist and optical means such as laser beam. In this case,
radiologist to manipulate, store and record storage is referred to as laser storage. It may
images. include: disks, tapes and cards.

IMAGE MANIPULATION
• A distinct characteristic of CT aided by, now-a-
days, may computer software. IMAGE RECORDING
• image can be modified through image • Images can be recorded and subsequently
manipulation to make them more useful to the stored in some form of archive.
observer. • Images are usually recorded in x-ray films
• Images can be subjected into other image because of its wider gray scale.
processing operation such as image smoothing, • Such recording is accomplished by multiformat
edge enhancement, gray-scale manipulation, video cameras and laser cameras.
and three-dimensional processing.
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

IMAGE COMMUNICATION
• In CT, it refers to electronic transmission of text
data and images from CT scanner to other CENTRAL PROCESSING UNIT
devices • It is the brain of the computer.
• Performs basic operations of the system, that
exchanges data with the system’s memory and
that manages the system’s other component.

THREE ELEMENTS IN COMPUTER SYSTEM


1. SOFTWARE- refers to instruction that makes INTERNAL MEMORY
the hardware work to solve problems 2 Types:
2. HARDWARE- refers to the physical 1. Read-only memory (ROM)
components of the machine 2. Random-access memory (RAM)
3. COMPUTER USER- people, who are essential
to computers and has the capability to Functions:
design, develop, and operate hardware 1. Stores the information entered into the
and software computer for processing
2. Stores the program that provides the
instructions for processing the input
COMPONENTS OF HARDWARE information
3. Stores the result of processing
INPUT DEVICE
• Input information to a computer *it is available in chips
• Allows us to give command to computer system *this type of memory is volatile
Two Categories:
a. Keyboard devices
b. Non-keyboard devices
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

HARDWARE ORGANIZATION
OUTPUT DEVICE • A computer processes the data or information it
• An output device is a piece of a computer receives from people or other computers and
hardware that receives data from computer outputs the results in a form suitable to the need
and then translates that data into another form. of the user.
That form a may be audio, visual, textual, or
hard copy such as a printed document.
(Turbofuture)

EXTERNAL MEMORY
• Includes magnetic tapes and disks and optical
disks
• It is nonvolatile
• Storage capacity is determined by the number
of bytes the device can hold.
• External memory, also called "secondary
memory" refers to storage device that can
retain or store data persistently,m
• They could be embedded removable storage
devices. Examples include hard disk or solid
state drives, USB flash drives, and compact
discs. (ATP)

SOFTWARE CONCEPTS
• The hardware receives its instructions from the
software. The instructions are written in steps
that specify the way to solve problem.
• These sets of instructions are called programs.
• Software is a set of programs, which is designed
to perform a well-defined function. A program is
a sequence of instructions written to solve a
particular problem.

Two types of software


• System Software
• Application Software
• Software Development Tool
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

SYSTEM SOFTWARE (TUTORIALSPOINT) GENERAL APPLICATIONS OF SOFTWARE


• The system software is a collection of programs • Word processing
designed to operate, control, and extend the • Spreadsheets
processing capabilities of the computer itself. • Graphics
• System software is generally prepared by the • Database management
computer manufacturers. • Communications
• These software products comprise of programs *if all this programs are available in one package, it
written in low-level languages, which interact is referred to as INTEGRATED SOFTWARE
with the hardware at a very basic level.
• System software serves as the interface
between the hardware and the end users. SOFTWARE INTERFACING
• Some examples of system software are • An interface is the point at which connection is
Operating System, Compilers, Interpreter, made between two elements so they can work
Assemblers, etc. together.

SYSTEM SOFTWARE Three types of software interface:


• Programs and data that comprise and relate to 1. There are Command-driven - requires the
the OPERATING SYSTEM (0S). users to type commands to initiate the
• An 0S is a program that controls the allocation operation of the system.
and usage of computer hardware resources. 2. Menu-driven -allows the users to select
commands from displayed menu lists.
3. Graphic - allows the users to select
There are 4 types of system software: commands by choosing pictorial
1. bootstrap loader representations.
2. Diagnostic routines
3. Input-output system programs
4. 0S COMPUTER USERS
• People are essential to computer systems
because they design , develop and operate
APPLICATION SOFTWARE (TUTORIALS POINT) hardware and software
• Application software products are designed to
satisfy a particular need of a particular
environment. DATA TRANSMISSION MEDIA
• All software applications prepared in the • Involves the transmission of data from one
computer lab can come under the category of location to another through the use of
Application software. pathways which is referred to as transmission
• Application software may consist of a single media or channels.
program, such as Microsoft's notepad for writing • Examples are telephone lines, coaxial cable,
and editing a simple text. microwaves, satellites, and radio waves and
• It may also consist of a collection of programs, optical fibers.
often called a software package, which work
together to accomplish a task, such as a
spreadsheet package. NETWORK TOPOLOGIES
There are four network configurations:
1. Bus
APPLICATION SOFTWARE 2. Star
• Refers to the programs developed to perform 3. Ring
specific types of work such as: 4. Hierarchical
1. Creations of text and images
2. Manipulation of words and numbers
3. communication of information
COMPUTED TOMOGRAPHY PRELIM
MAMAJER

NON-IMAGING APPLICATIONS
• Refers to Radiology Information System (RIS)
• Hospital Information System (HIS)
• Picture Archiving and Communications Systems

*which can connect to a Hospital Information


System

INTERNET
• It is the largest computer network system in COMMUNICATION PROTOCOL STANDARDS
existence because it connects users all over the • Protocol deals with specifics of how a certain
world. task will be done
• Standard is an approved reference model and
protocol determined by standard setting groups
or building products and services.
• 0. is the| standard application protocol for use
in His and RIS.
• DICOM is the imaging communication protocol
for PACS, and was developed by the American
College of Radiology and National Electrical
Manufacturers Association.

COMPUTERS IN RADIOLOGY

IN 1955
• Used to calculate radiation dose distributions in
cancer patients.

NOWADAYS
• lt is applied for imaging and non-imaging
purposes.

IMAGING APPLICATIONS
• Modalities in which the information acquired
from the patient is subject to computer
processing.

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