1. Introduction to Digital Radiography and PACS Flashcards
uses film and intensifying screen in the image formation process.
Conventional Radiography
automatic and manual processing in the dark room
Conventional Radiography
allows text, photos, drawings, animations and video to appear on the internet.
Digital Imaging
any imaging acquisition process that produces an electronic image that can be viewed and manipulated on a computer
Digital Imaging
dedicated head scanner (head only)
First-generation EMI CT unit
was first used with the introduction of the computed tomography (CT) scanner
Digital Imaging
invented the CT Scan and year
Godfrey Hounsfield in 1970s.
second only to the discovery of the x-ray
CT Scan
The earliest CT unit built by Hounsfield took ______ to acquire a single slice of information. The machine then took a _______ to reconstruct the raw data into a recognizable image
several hours, few days
was introduced commercially for health care
use in the early 1980s
Magnetic resonance imaging (MRI)
invented the MRI and year, one of the co-developers of MRI, won Nobel Prize for Medicine of Physiology
Paul C. Lauterbur, September 2, 1971
year Paul C. Lauterbur published his theory
March 1973
the first MRI scanner to be built in _______ and what type of MRI
MRI Scanner Mark One in Aberdeen Royal Infirmary, Scotland, Hamburger type
old type of MRI
Hamburger type
new type of MRI
Donut type
advances in 1970’s
Fluoroscopy
real-time imaging
Fluoroscopy
study of moving body structures
Fluoroscopy
a continuous x-ray beam is passed through the body part being examined.
Fluoroscopy
RIS
Radiology Information System
EMR
Electronic Medical Record
HIS
Hospital Information System
PACS
Picture Archiving and Communication System
DICOM
Digital Imaging and Communications in Medicine
introduced the concept of digital radiography, place and year
Dr. Albert Jutras in Canada, 1950s
moving images via telephone lines to and from remote locations
teleradiology
CR
Computed Radiography
introduced the concept of moving images digitally in his experimentation with Teleradiology
Dr. Albert Jutras
cassette-based DR
Computed Radiography
DR
Digital Radiography
PSP
Photostimulable Phosphor
digital acquisition modality that
uses storage phosphor plates to produce projection images.
Computed Radiography
Computed Radiography was first introduced commercially in the __place__ in ___year___ by ___organization___
United States in 1983 by Fuji Medical
Systems of Japan
the use of CR requires
- CR cassettes and phosphor plates
- CR readers and technologist quality control workstation
- means to view the images, either a printer or a viewing station.
the first system consisted of
- a phosphor storage plate
- a reader
- a laser printer to print the image onto film
examples of two CR readers
- A high volume reader capable of processing between 110 and 140 imaging plates per hour.
- A much smaller system designed for medical offices, surgery, or intensive care units, capable of processing 50 to 60 imaging plates per hour
uses storage phosphor plates
Computed Radiography
uses existing equipment
Computed Radiography
requires special cassettes and special cassettes reader
Computed Radiography
uses a computer workstation and viewing station and a printer
Computed Radiography
cassette-less
Digital Radiography
use an x-ray absorber material coupled to a flat panel detector or a (CCD) to form the image
Digital Radiography
CCD
Charged Coupled Device
two categories of Digital Radiography
Indirect capture and Direct capture
TFT
Thin-Film Transistor
absorb x-rays and convert them into light. The light is then detected by an area-CCD or thin-film transistor (TFT) array and then converted into an electrical signal that is sent to the computer for processing and viewing
Indirect capture digital radiography
convert the incident x-ray energy directly into an electrical signal, typically using a photoconductor as the x-ray absorber, and send the electrical signal to the computer for processing and viewing
Direct capture digital radiography
DSA
Digital Subtraction Angiography
IR
Image Receptor
uses contrast media, barium enema, iodinated contrast media
Special Radiographic Procedures
For conventional x-ray and CR, a traditional x-ray room with ________ is required.
a table and wall Bucky
For DR, a _____ replaces the Bucky apparatus in both the table and wall stand.
detector
Most storage phosphor plates today are made of a
barium fluorohalide (where the halide is bromine and/or iodine) with europium as an activator
kVp
kilovoltage peak
LUT
look-up table
With CR and DR, radiographic contrast is primarily controlled by an
image processing look-up table
is a table that maps the image gray-scale values into some visible output intensity on a monitor or printed film.
LUT
mAs
milliamperage seconds
a range that frequently contains x-ray scatter.
k-edge at 37 keV
FPD
Flat Panel Detector
an existing or traditional x-ray room needs to be retrofitted with these devices if a new DR room is not installed
Digital Radiography
convert the incident x-ray energy directly into an electrical signal
Direct capture devices
absorbs x-rays and convert them into light then converted into an electrical signal by a CCD or TFT
Indirect capture devices
a film is placed inside a cassette that contains an intensifying screen
Conventional radiography
is a networked group of computers,
servers, and archives that can be used to manage digital images
PACS (Picture Archiving and Communication System)
can accept any image that is in digital imaging and communications in medicine (DICOM) format, for which it is set up to receive, whether it is from cardiology, radiology, or pathology
PACS
serves as the file room, reading room, duplicator, and courier
PACS
it can provide image access to multiple users at the same time, on-demand images, electronic annotation of images, and specialty image processing.
PACS
a standard that allows imaging modalities and PACSs to communicate in the same “language”
DICOM (Digital Imaging and Communications in Medicine)
the first full-scale PACS in the United States was installed at
VA Medical Center in Baltimore
PACS covered all modalities
except
mammography
networked group of computers, servers, and archives that can be used to manage digital images
PACS
made up of many different parts, such as the reading stations, physician review stations, web-access, technologist quality control stations, administrative stations, archive systems, and many interfaces to various hospital and radiology systems
PACS
interfaced with RIS, HIS, and EMR
PACS
the year first full-scale PACS in the United States was installed
1993