Chapter 20: Radio Flashcards
Radiology:
X-rays:
Nuclear medicine:
- Radiology: medical specialty concerned with the study of x-rays and other technologies (such as ultrasound and magnetic resonance) to produce and interpret images of the human body for diagnosis of disease
- X-rays: invisible waves of energy
- Nuclear medicine: use of radioactive substances in the diagnosis of disease
- Personnel in This Medical Field
- Radiologist:
- Nuclear physician:
- Radiologic technologists
- Radiologist: MD-Reads x-rays and determines radiation therapy dosing
- Nuclear physician: MD-Reads and orders Scans
- Radiologic technologists
+ Radiographers, nuclear medicine technologists, sonographers
Characteristics of X-rays :
Expose photographic plates
Penetrate substances :
Invisible
Travel in straight lines
Scatter : su phan tan, su rai ra
Ionization
Diagnostic Techniques
X-Ray studies
- Digital radiography
- Computed tomography (CT)
- Contrast studies
+ Barium sulfate: upper GI, lower GI
+ Iodine compounds: angiography, arthrography, cholangiography, digital subtraction angiography (DSA), hysterosalpingography, myelography, pyelography
Diagnostic Techniques (cont’d)
- Fluoroscopy
- Digital imaging techniques
- Interventional radiology
- Ultrasound
- Magnetic imaging or magnetic resonance imaging (MRI or MR)
- X-ray Positioning
Posteroanterior (PA) view
posterior source to anterior detector
- X-ray Positioning
Anteroposterior (AP) view:
anterior source to posterior detector
X-ray Positioning (cont’d)
Lateral view:
in left lateral view, source at right of patient, to detector at left of patient
X-ray Positioning (cont’d)
Oblique view:
source slanting direction at angle from perpendicular plane
- X-ray Positioning (cont’d)
To describe the position of patient:
Abduction Adduction Eversion Extension Flexion
Abduction—movement away from the midline
Adduction—movement toward the midline
Eversion—turning outward
Extension—lengthening or straightening a flexed limb
Flexion—bending a part of the body
- X-ray Positioning (cont’d)
To describe the position of patient:
Lateral decubitus
Prone
Recumbent
Supine
Lateral decubitus—lying down on the side
Prone—lying on the belly (face down)
Recumbent—lying down (prone or supine)
Supine—lying on the back (face up)
- Obstructing the passage of x-rays:
radiopaque
radiolucent
radioisotope
radiopharmaceutical
a. radiopaque
- Nuclear Medicine
- Radionuclides/radioisotopes
+ Alpha particles, beta particles, gamma rays - Nuclear medicine tests
+ In vitro: test tube
+ In vivo: in the body
- In Vitro Procedures
Analysis of blood and urine
Radioimmunoassay (RIA) uses radioactive chemicals and antibodies to detect hormones and drugs in the patient’s blood (for example, digitalis detection, hypothyroidism in newborns).
- In Vivo Procedures
Radioactive substance given directly to patient to evaluate organ function or image
- Radiopharmaceutical (labeled compound) concentrates in organ
- Scintiscanner (gamma camera) detection instrument produces picture (scintiscan)
- Procedures Using Radionuclides
- Bone scan
- Lymphoscintigraphy
- Positron emission tomography (PET) scan
- PET/CT scan
- Single-photon emission 3D computed tomography (SPECT)
- Technetium Tc-99m sestamibi (Cardiolite) scan
- Thallium 201 (Tl) scan
- Thyroid scan
- Focus on PET Scan
- Radioisotopes (emission of positrons) instead of contrast x-rays
- Intravenous injection.
- Concentrates radioisotopes in tissues where the radionuclide is or is not being metabolized
- Useful in treating stroke, epilepsy, Alzheimer disease, brain tumors, abdominal and pulmonary malignancies
Focus on SPECT
- Intravenous injection of radioactive tracer
- Computer reconstruction of 3-D image based on many views
- Detects liver tumors, cardiac ischemia, diseases of bone and spine