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Slice
A slice is a tomographic section of an object. A slice is defined by position and thickness; each slice is divided into a matrix of voxels. In computed tomography, a motorized table slips the patient through the gantry and slices are made when the x-ray tube rotates in a circle around the patient.
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Orientation
If available, some graphic aids can be helpful to show image orientations.
1) A graphic icon of the labeled primary axes (A, L, H) with relative lengths given by direction sines and system of coordinates as if viewed from the normal to the image plane can help orient the viewer, both to identify image plane orientation and to indicate possible in plane rotation.
2) In graphic prescription of obliques from other images, a sample original image with an overlaid line or set of lines indicating the intersection of the original and oblique image planes can help orient the viewer.
The 3 basic orthogonal slice orientations are:
transverse (T), sagittal (S) and coronal (C).
The basic anatomical directions are:
right(R) to left (L), posterior (P) to anterior (A), and feet (F) to head (H).
A standard display orientation for images in the basic slice orientation is:
1) transverse: A to top of image and L to right,
2) coronal: H to top of image and L to right and
3) sagittal: H to top of image and A to left.
The location in the R/L and P/A directions can be specified relative to the axis of the scanner.
The F/H location can be specified relative to a convenient patient structure.
The orientation of single oblique slices can be specified by rotating a slice in one of the basic orientations toward one of the other two basic orthogonal planes about an axis defined by the intersection of the 2 planes.
Double oblique slices can be specified as the result of tipping a single oblique plane toward the remaining basic orientation plane, about an axis defined by the intersection of the oblique plane and the remaining basic plane. In double oblique angulations, the first rotation is chosen about the vertical image axis and the second about the (new) horizontal axis. Angles are chosen to have magnitudes less than 90° (for single oblique slices less than 45°); the sign of the angle is taken to be positive when the rotation brings positive axes closer together.
Pitch
(p) The pitch (in computed tomography) is the ratio of the patient table increment to the total nominal beam width for the CT scan. The pitch factor relates the volume coverage speed to the thinnest sections that can be reconstructed. In spiral CT, dose is always inversely proportional to pitch.
Among the different manufacturers, there are various definitions of pitch depending on whether a single-detector (single-slice) or multi-detector (multi-slice) CT scanner is used.
For a single-slice helical scanner the pitch is:
Pitch = table movement per rotation/slice collimation.
The international standard formula (by the IEC) is:
Pitch = TF (table feed in mm per 360° rotation)/(N (number of detector rows) x SC (slice collimation in mm))
CT Scanner
A computed tomography (CT) scanner is used to create cross-sectional slices of different objects. The medical version of CT system scans the human body for tumors or other abnormalities, other versions are used for non-destructive testing in the industry.
The CT imaging system includes the moveable gantry and patient table or couch. The gantry is a frame that contains the x-ray source, collimators, filters, detectors, a data acquisition system (DAS), rotational components including slip ring systems and all associated electronics. The x-ray tube and detector system are mounted opposite each other, allowing a rapid and synchronous rotation around the patient table.
In older CT scanners a small generator supplied power to the x-ray tube and the rotational components via cables for operation. Up to the 4th generation the CT tube and detectors rotate together around the patient for each slice. CT systems with slip ring technology (the x-ray tube rotates around a stationary ring of detectors) operate without cables and provides continuous rotation of the gantry components without interference of cables. Spiral CT scanners work with a continuous table movement while the x-ray tube is rotating around the patient.

Overview about CT scanner generations:
1st generation has a pencil beam and one detector;
2nd generation has a narrow fan beam and multiple detectors;
3rd generation has a wide fan beam;;
4th generation is equipped with a detector ring;
5th generation is the electron beam tomography CT
6th generation is the helical (or spiral) CT scanner;
7th generation is the multi-detector row CT.

See also Contrast Media Injector, Dual-Head CT Power Injector, Syringeless CT Power Injector.
Coronary CT Angiography
(CCTA) Coronary computed tomography angiography is a diagnostic imaging procedure to visualize the coronary arteries. CCTA is a non-invasive angiogram that allows the assessment of narrowed and clogged arteries that can cause heart attack and stroke.
Coronary CTA is a non-invasive alternative to traditional angiography that offers detailed images of heart function, resulting in faster, more accurate diagnosis. It helps stratify cardiac risk in patients with low to intermediate likelihood of coronary artery disease. For some patients with chest pain, coronary CTA can rule out the need for cardiac catheterization.
Coronary imaging requires a very fast CT scan, because the coronary arteries and other cardiac structures move rapidly during the cardiac cycle. The current 'state of the art' 64 slice multi-detector row CT systems rotate around the patient in less than 500 ms. The data must be acquired monitored by an electrocardiogram, which allows the computer to reconstruct retrospectively slices at different small segments of the cardiac cycle. This cardiac synchronization reduces motion artifacts in the coronary arteries and provides movies of the beating heart and valve motion.
See also Coronary Angiogram, Calcium Score, Cardiac Phase, Cine Mode and Defibrillator.
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