Tome is Greek for slice. The standard slice orientation in most brain
imaging is transaxial or "axial". Left is shown at right. Note that,
like the "lower organs", we look up to the brain. Other standard
planes of view are coronal and sagittal. Non-tomographic images represent
"projections" from a single point of view and include bolus contrast
x-ray angiograms and MR angiograms.
Tomographic images are made up of little squares called "pixels"
(picture elements), each of which takes a grey-scale value from 1 (black) to 256
(white). Each pixel represents brain tissue which is about 1 mm. on each of two
sides. The thickness of the slice is often 3 or 5 mm, thus creating a
three-dimensional volume element, or "voxel", which is shaped like a
shoe box. Pixel intensity represents an average from tissue within the voxel.
|CT (roentgen-ray computed tomography) A beam of x-rays is
shot straight through the brain. As it comes out the other side, the beam is
blunted slightly because it has hit dense living tissues on the way through.
Blunting or "attenuation" of the x-ray comes from the density of
the tissue encountered along the way. Very dense tissue like bone blocks
lots of x-rays; grey matter blocks some and fluid even less. X-ray detectors
positioned around the circumference of the scanner collect attenuation
readings from multiple angles. A computerized algorithm reconstructs an
image of each slice.
|MRI (magnetic resonance imaging) When protons (here brain
protons) are placed in a magnetic field, they become capable of receiving
and then transmitting electromagnetic energy. The strength of the
transmitted energy is proportional to the number of protons in the tissue.
Signal strength is modified by properties of each proton's microenvironment,
such as its mobility and the local homogeneity of the magnetic field. MR
signal can be "weighted" to accentuate some properties and not
When an additional magnetic field is superimposed, one which is carefully
varied in strength at different points in space, each point in space has a
unique radio frequency at which the signal is received and transmitted. This
makes constructing an image possible. It represents the spatial encoding of
frequency, just like a piano.
|SPECT/PET (single photon/positron emission computed
When radiolabeled compounds are injected in tracer amounts, their photon
emissions can be detected much like x-rays in CT. The images made represent
the accumulation of the labeled compound. The compound may reflect, for
example, blood flow, oxygen or glucose metabolism, or dopamine transporter
concentration. Often these images are shown with a color scale.|