The CT Scanner (AQA A Level Physics)

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Katie M

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Katie M

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Computed Tomography Scanning

  • Computerised axial tomography (CT) scanning is an imaging technique which uses X-rays to produce very high-resolution images of the internal structures of the body

  • A CT scan can produce:

    • Sharp, focused 2D images of thin slices of the body

    • Detailed 3D images of sections of the body

  • The main features of a CT scanner are

    • A ring-shaped structure which allows for rotation of the components

    • An X-ray tube mounted on one side of the ring

    • An array of detectors mounted on the other side of the ring (opposite the X-ray tube)

    • A computer which processes the images

Features of a CT scanner

6-11-5-gen3cat-scan

During a CT scan, the patient lies in the centre of a ring while the X-ray tube and detectors are rotated around the organ being examined

  • The main principles of the operation of a CT scan are as follows:

    • The patient lies stationary at the centre of a ring while the X-ray tube and array of detectors are rotated around them in opposite directions

    • The X-ray tube produces a narrow, monochromatic beam of X-rays as short pulses

    • The X-ray beam passes through the patient and arrives at the array of detectors on the opposite side of the ring

    • The X-ray tube rotates and sends beams through the same slice of the body in different directions

    • Signals from the detectors are fed into a computer and are combined to generate a 2D image of the slice

    • This process is repeated to build up images of successive slices

    • A computer combines the images to produce a 3D image which can be rotated and viewed from different angles

Building an image using CT scanning

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CT scans take several 2D images from multiple positions to create a 3D image

  • How the image is built up:

    • The detectors are arranged around the outside of the path of the X-rays

    • The X-rays pass through the patient and arrive at the detector on the opposite side

    • The detectors register a lower intensity than the initial intensity of the transmitted beam

    • The detectors relay this information to a computer which produces a cross sectional image over time

Image of a slice produced by a CT scan

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A CT scan produces detailed images of slices of the body. This diagram shows a CT scan through a patient's abdomen, which can be combined with many slices to allow a comprehensive 3D image to be built up

Examiner Tips and Tricks

Don’t confuse CAT scans with MRI scans.  The machines both look like large doughnuts but MRI uses magnetic fields not X-rays!

Pros & Cons of CT Scanning

  • A simple X-ray image can provide useful, but limited, information about internal structures in a 2D image

  • When a more comprehensive image is needed, a computerised axial tomography (CT) scan is needed

Advantages of CT scans:

  • Produces high resolution and high contrast images (software can add colour and sharpen images, and parts of the image can be edited out)

  • Can distinguish between tissues with similar attenuation coefficients

  • Soft tissue and bone can be imaged in a single process

  • Produces a 3D image of the body by combining the images in each direction

  • No overlapping images (e.g. bones obscuring organs)

Disadvantages of CT scans:

  • The patient receives a much higher radiation dose compared to a normal X-ray

  • CT scans are time-consuming and expensive

  • Possible side effects from the contrast media

Worked Example

An X-ray image is taken of the skull of a patient. Another patient has a CT scan of their entire head.

By reference to the formation of the image in each case:

  • suggest which method is more suitable for assessing head injuries.

  • explain why the exposure to radiation differs between the two imaging techniques.

Answer:

In X-ray imaging:

  • The simple X-ray image involves taking a single exposure which produces a single 2D image

  • A simple X-ray is suitable for identifying simple fractures to the skull, but cannot give further details about a head injury as it cannot image brain tissue

  • This technique is quicker than CT scanning and less harmful to the patient as the radiation dose is much lower

In CT scanning:

  • A CT scan involves taking several exposures of a slice of the head from many different directions

  • This is repeated for several slices so signals can be combined to build a 3D image of the patient's head

  • CT scanning is best for head injuries as it can provide a more detailed, high-resolution image of the tissue boundaries inside the skull than a simple X-ray

  • However, CT scanning is more time-consuming, so the patient is exposed to a much greater radiation dose than the simple X-ray

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Katie M

Author: Katie M

Expertise: Physics

Katie has always been passionate about the sciences, and completed a degree in Astrophysics at Sheffield University. She decided that she wanted to inspire other young people, so moved to Bristol to complete a PGCE in Secondary Science. She particularly loves creating fun and absorbing materials to help students achieve their exam potential.