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HRCT Lecture

HRCT Lecture

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Published by shail0143

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Published by: shail0143 on Nov 05, 2009
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Practical Approach HRCT
Jud W Gurney MD FACRCharles A Dobry Professor of RadiologyUniversity of Nebraska
HRCT Technique
Maximize spatial resolutionthin collimationhigh spatial algorithmAdvantages over chest x-rayno summationhigh contrast
There is no magic with HRCT. The basic premise issimple, maximize spatial resolution by using thethinnest collimation and a high spatial frequencyalgorithm. This use to be 1.5 mm. Moderntechnology has cut the slice thickness in half andwith multi-detector CT any scan can be a highresolution scan. Even without high resolution, CThas inherent advantages over chest radiography.
Secondary pulmonary lobule
Terminal bronchiolePulmonary arterySeptaPulmonary veinSecondary pulmonary lobule
1 - 2.5 cm
A quick review of anatomy. One of the buildingblocks of the lung is the secondary pulmonarylobule. Lobules are relatively large: 1 to 2.5 cm, thesize of a good thumbprint. The lobule is fed by aterminal bronchiole and artery, the periphery ispartly septated. In between are the primary lobulesfed by respiratory bronchioles where gas exchangetakes place. Radiographically we can identify thelargest of the arteries and airways and the septa.Veins run in the septa. There are 2 lymphaticsystems, an axial system travels downs the arteriesand airways, terminating at the terminal bronchiolesand a peripheral system that travels along the septaand veins. The yellow and gray rings are thecentriacinar portion of the lobule.

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