What is a recommended window width (WW) and window level (WL) to evaluate brain tissue with CT?

A. WW 190; WL 50
B. WW 50; WL 190
C. WW 400; WL 35
D. WW 35; WL 400

Answer :

Final answer:

The recommended CT window settings for evaluating brain tissue are usually a window width (WW) of 80 and a window level (WL) of 40, which can vary based on specific case needs. Option (c) WW 400; WL 35 could also be considered under certain circumstances.

Explanation:

When evaluating brain tissue with a CT (Computed Tomography) scan, the selection of the appropriate window width (WW) and window level (WL) settings is essential for optimal visualization. The window width determines the range of Hounsfield units (HU) that will be displayed as various shades of grey. The window level sets the midpoint of this range. For brain tissue, a commonly recommended setting is a WW of 80 and a WL of 40. This setting provides the contrast and detail needed to discern different structures within the brain tissue effectively.

Option (c) WW 400; WL 35 may additionally be utilized, especially when a larger WW is needed to evaluate differences between tissues with more significant variations in density, like in situations where hemorrhage or acute stroke is suspected. However, it is important for technologists and radiologists to adjust these settings based on the specifics of the case and the clinical question at hand, as there may be scenarios where different settings could be more beneficial.

It is also worth noting that the window settings will vary depending on the anatomy of interest and the pathology that is being investigated. In general, higher contrast resolutions (lower WW values) may be required for fine detail analysis, while a broader range (higher WW values) may be needed to distinguish between tissues of similar density or to ascertain the presence of larger lesions.