A patient asks: "Why not just do a lower-resolution CT of my skeleton instead of a…

PHYSICS · Multi-part · Fermi University Physics · Biophysics & Medical Physics · Radiation physics and diagnostic imaging · Nuclear medicine, dosimetry and radiotherapy

Life at Thermal Energy, Ch Images from attenuation and from decay

Problem

A patient asks: "Why not just do a lower-resolution CT of my skeleton instead of a bone scan? Surely a CT could show the same thing, just blurrier?" A bone scan uses a technetium-99m-labelled bisphosphonate, with a typical effective dose of about 4 mSv4\,\mathrm{mSv}, and resolves detail down to several millimetres, set by the gamma camera's collimator; a CT scanner reconstructs μ\mu on a 512×512512\times512 grid over a 40 cm40\,\mathrm{cm} field of view, giving a pixel of 40 cm/512≈0.78 mm40\,\mathrm{cm}/512 \approx 0.78\,\mathrm{mm}. ((a)) State what physical quantity each image is a map of. ((b)) Explain why a bone scan is not simply a blurrier CT of the same information, even though its spatial resolution (several millimetres) is coarser than the CT's (≈0.8 mm\approx 0.8\,\mathrm{mm}).

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