NMTCB BOARD EXAM UPDATED ACTUAL Questions and CORRECT Answers
Energy Peak 2.uniformity Resolution Linearity Center of
SPECT QC Rotation COR high - count extrinsic flood field uniformity
correction Jaszczak
NTRADY12 COR reduces spatial resolution & blurring Im-
Center of Rotation COR - age contrast a measure Performed to ensure center field
of view of camera detect or matches computer software
Performed directly by manufacturer used to ensure efl-
ciency photon decfection is constant across an surface
High count extrensic flood - field uniformity correction
of collimated detector . -30-100 mil . counts defeciency
causes ring artifact in SPECT Imaging
Jaszczak determines 3D contrast , resolut von , & uniformity
Jaszczak SPECT Phantom test -
of SPECT camera . - 30mil.counts
Includes all QC + Registration attenuation correction accu-
Combined SPECT CT QC
racy or mis registration consequences
SPECT / CT QC 1. Peak 2. uniformity 3. Resolution 4. Untar-
ity 5. High Count extrinsic floodfield uniformity Correction
SPECT QC NMTCB
B 6 COR Dopamos 7. Jaszczak 8.Source strength 9.Trans-
mission source mechanics
confirm the camera is counting Photon in the Proper en-
Energy Peak
ergy Windows .
confirm operation of the source Shutter & translating me-
-Transmission source mechanics chanics , & reference blank transmission Scan should be
acquired . Weekly ( preferably daily)
- all spect / CT QC including CT QC 1.Calibration 2.field uni-
formity Calibration CT number inserted Phantom L con-
SPECT / CT X - ray based NMTCB QC siderd not calibrated if error is greater than 5 Hounsfield
units Field uniformity ensures uniform response through-
out FOV -
Brain Perfusion raphas Rapha Team Exametazine ECD , Dicisate , Cretec HMPAO
, Brain perfusion dose 10-20mCi
1. cerebrovascular disease - acute stroke transient ische-
mic attacks 2. Dementia - Alzheimer's disease , multi -
infarct dementia 3. Psychiatric disorder - affective disorder
Brain perfusion Indications
( depre && Von Schizophrenia 4. Seizure disorder - ideni-
fication & location of focal epilepsy sites 5. Head Trauma (
cerebral brain death )
Brain perfusion imaging time 15-20min post injection (preferably @ 45min)
Brain cross sections Mans axial Coronal sagital
PET Oncology rapha F18- FDG
FDG-F18 dose 5-20mCi intravenously
Pt History , surgenes , chemo radiation therapy , previous
Imaging results , Pt . cooperation lying still for hrs & arms
FDG-F18 pt questions
up . Laxative may given night before to prevent bowel inter
ferring Blood Glucose Less than 200mcg
Bone pain associated w / metastatic bone disease raphas Sr 89 Sm 153 P32
ST89 Chloride half life 50.5day
-calcium analog cleared from blood stream & localizes in
ST89 Chloride analog
bont
-localizes in areas of active osteogenesis in metastatic Sites
SR89 Chloride localization
longer than in normal bone
-Sr 89 dose 40-60uCi & repeat dose @ 12 weeks
Moving a pt from wheelchair to bed; wheelchair is in what
45°
degree
Filters that get rid of star artifact Ramp filter, high pass filter
Method of administration for breast Intradermal
Major Radioactive spills activities
Energy Peak 2.uniformity Resolution Linearity Center of
SPECT QC Rotation COR high - count extrinsic flood field uniformity
correction Jaszczak
NTRADY12 COR reduces spatial resolution & blurring Im-
Center of Rotation COR - age contrast a measure Performed to ensure center field
of view of camera detect or matches computer software
Performed directly by manufacturer used to ensure efl-
ciency photon decfection is constant across an surface
High count extrensic flood - field uniformity correction
of collimated detector . -30-100 mil . counts defeciency
causes ring artifact in SPECT Imaging
Jaszczak determines 3D contrast , resolut von , & uniformity
Jaszczak SPECT Phantom test -
of SPECT camera . - 30mil.counts
Includes all QC + Registration attenuation correction accu-
Combined SPECT CT QC
racy or mis registration consequences
SPECT / CT QC 1. Peak 2. uniformity 3. Resolution 4. Untar-
ity 5. High Count extrinsic floodfield uniformity Correction
SPECT QC NMTCB
B 6 COR Dopamos 7. Jaszczak 8.Source strength 9.Trans-
mission source mechanics
confirm the camera is counting Photon in the Proper en-
Energy Peak
ergy Windows .
confirm operation of the source Shutter & translating me-
-Transmission source mechanics chanics , & reference blank transmission Scan should be
acquired . Weekly ( preferably daily)
- all spect / CT QC including CT QC 1.Calibration 2.field uni-
formity Calibration CT number inserted Phantom L con-
SPECT / CT X - ray based NMTCB QC siderd not calibrated if error is greater than 5 Hounsfield
units Field uniformity ensures uniform response through-
out FOV -
Brain Perfusion raphas Rapha Team Exametazine ECD , Dicisate , Cretec HMPAO
, Brain perfusion dose 10-20mCi
1. cerebrovascular disease - acute stroke transient ische-
mic attacks 2. Dementia - Alzheimer's disease , multi -
infarct dementia 3. Psychiatric disorder - affective disorder
Brain perfusion Indications
( depre && Von Schizophrenia 4. Seizure disorder - ideni-
fication & location of focal epilepsy sites 5. Head Trauma (
cerebral brain death )
Brain perfusion imaging time 15-20min post injection (preferably @ 45min)
Brain cross sections Mans axial Coronal sagital
PET Oncology rapha F18- FDG
FDG-F18 dose 5-20mCi intravenously
Pt History , surgenes , chemo radiation therapy , previous
Imaging results , Pt . cooperation lying still for hrs & arms
FDG-F18 pt questions
up . Laxative may given night before to prevent bowel inter
ferring Blood Glucose Less than 200mcg
Bone pain associated w / metastatic bone disease raphas Sr 89 Sm 153 P32
ST89 Chloride half life 50.5day
-calcium analog cleared from blood stream & localizes in
ST89 Chloride analog
bont
-localizes in areas of active osteogenesis in metastatic Sites
SR89 Chloride localization
longer than in normal bone
-Sr 89 dose 40-60uCi & repeat dose @ 12 weeks
Moving a pt from wheelchair to bed; wheelchair is in what
45°
degree
Filters that get rid of star artifact Ramp filter, high pass filter
Method of administration for breast Intradermal
Major Radioactive spills activities
