Computed Tomography Technologist Practice Exam

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What phase follows the bolus phase in contrast enhancement?

Arterial phase

Venous phase

In the context of contrast-enhanced imaging, particularly in computed tomography (CT), understanding the phases of contrast enhancement is crucial for optimizing image quality and diagnostic accuracy. After the bolus phase, which is characterized by the rapid increase of contrast material in the bloodstream, the subsequent phase is known as the venous phase. During the venous phase, the concentration of contrast media in the veins reaches its peak, allowing better visualization of vascular structures and organs. This phase typically occurs a short time after the bolus phase as the contrast agent moves through the vascular system and begins to wash out from arterial structures while enhancing venous structures. The arterial phase occurs immediately after the bolus phase, focusing primarily on the arteries while the contrast is still prominently concentrated within them. The equilibrium phase is later and characterized by a uniform distribution of contrast within the extracellular space, whereas the non-equilibrium phase represents an intermediate state with varying concentrations but is distinct from the venous phase. Thus, recognizing the timing and characteristics of the venous phase is essential in CT imaging when aiming for optimal visualization of certain tissues and structures following the administration of contrast material.

Equilibrium phase

Non-equilibrium phase

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