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Radiology · CT: partial volume effect
Sample itemA 4 mm hypodense nodule in the liver measures 20 HU on a 10 mm slice but its true density is close to that of water. Which step best reduces this error?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Reconstructing thinner slices
In partial volume averaging, a structure smaller than the slice thickness is averaged with adjacent tissue so its measured attenuation is wrong. Thinner slices reduce the volume averaged and give a truer HU value.
Option by option
A. Lowering the kVp
Changing kVp alters attenuation values but does not cure averaging.
B. Using oral contrast
Oral contrast does not address averaging within a slice.
C. Using a wider window width
Window width changes display contrast, not the measured HU.
D. Reconstructing thinner slices (correct)
Correct. Thin slices reduce averaging of the small lesion with surrounding liver.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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