lesson 6 Flashcards

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1
Q

the foundations of information technology and clinical image management details typical daily operations and discusses rarer complications and issues

A

Practical Medical Imaging Informatics

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2
Q
  • It includes many of the processes radiologists need to reach these goals
  • Is the development, application, and assessment of clinical imaging information technology (IT).
  • It includes the interface of IT and people
  • encompasses all equipment, components, and accessories that products provide one or more of the following functions. Analog or digital electronic display, capable of being used for more than one image acquisition device
A

Medical Imaging Informatics (MII)

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3
Q

aims to promote information and advances relating to all areas of medical imaging relevant to clinical practice and the radiological sciences

A

Clinical Medical Imaging

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4
Q

is the application of informatics and information technology to deliver healthcare services. It is also referred to as applied BLANK and operational informatics. BLANK is concerned with information use in health care by clinicians

A

Clinical Informatics

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5
Q

Examples of clinical informatics or health information technology is

A
  • EHRs
  • bed management systems
  • radio-frequency identification (RFID)
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6
Q

Radiology

A
  • is a branch of medicine that uses imaging technology to diagnose and treat disease
  • radiology may be divided into two different areas, diagnostic radiology and interventional radiology
  • Doctors who specialize in radiology are called radiologists.
  • The same as medical imaging
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7
Q

Modalities in Radiology Department , these include:

A
  • Magnetic Resonance Imaging (MRI)
  • CT scan.
  • Ultrasound.
  • Nuclear Medicine.
  • Anesthesia Imaging.
  • Radiology (X-ray).
  • Fluoroscopy.
  • Interventional Radiology.
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8
Q
  • Small amounts of radioactive markers
  • are used for molecular imaging resonance imaging (MRI) and ultrasound imaging
  • unlike conventional X-ray, CT, and Molecular Imaging MRI and ultrasound operate without ionizing radiation.
A

radiopharmaceuticals

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9
Q

Is a device that detects objects on or inside a person’s body for security screening purposes, without physically removing clothes or marking physical contact. Depending on the technology used, the operator may see an alternative–wavelength image of the person’s naked body, merely a cartoon-like representation of the person with an indicator showing where any suspicious items were detected or a full x-ray image of the person. For privacy and security reasons, the display is generally not visible to other passengers, and in some cases is located in a separate room where the operator cannot see the face of the person being screened. Unlike metal detectors, full-body scanners can detect non-metal objects, which became an increasing concern after various airliner bombing attempts in the 2000s. Transmission X-ray body scanners can also detect swallowed items or hidden in the body cavities of a person

A

Xray scanners

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10
Q

How does an x-ray scanner work

A

When the machine is turned on, x-rays travel through the body and are absorbed in different amounts by different tissues, depending on the radiological density of the tissues they pass through. Because of this property, bones readily absorb X-rays and, thus, produce high contrast on the X-ray detector

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11
Q

is a medical imaging procedures that uses computer-processed combinations of many X-rays measurements taken from different angles to produce cross-sectional images of specific areas of a scanned object, allowing the user to see inside the object without cutting

A

Computed Tomography Scanner. A CT scan , or computed tomography scan

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12
Q

Computed Tomography scan used for

A

combines a series of X-ray images taken from different angles around your body and uses computer processing to create cross-sectional images (slices) of the bones, blood vessels, and soft tissues inside your body. CT scan images provide more detailed information than plain X-rays do

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13
Q

How does a CT scanner work

A

During a CT scan, the patient lies on a bed that slowly moves through the gantry while the X-ray tube rotates around the patient, shooting narrow beams of X-rays through the body. Instead of film, CT scanners use a special digital x-ray detectors, which are located directly opposite the x-ray source

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14
Q

Which is better a CT or MRI

A

Both MRIs and CT scans can view internal body structures. However, a CT scan is faster and can provide pictures of tissue, organs, and skeletal structures. An MRI is highly adept at capturing images that help doctors determine if there are abnormal tissues within the body. MRIs are more detailed in their images

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15
Q

CT scan harmful to the body

A

CT scans use X-rays, which produce ionizing radiation. Research shows that this kind of radiation may damage your DNA and lead to cancer. But the risk is still very small your chances of developing a fatal cancer because of a CT scan are about 1 in 2,000.

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16
Q

A form of medical imaging that measures the response of the atomic nuclei of body tissues to high-frequency radio waves when placed in a strong magnetic field, and that produces images of the internal organs.

A

Magnetic Resonance Imaging

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17
Q

Magnetic resonance imaging used for

A

Magnetic resonance imaging (MRI) uses a large magnet and radio waves to look at organs and structures inside your body. Healthcare professionals use MRI scans to diagnose a variety of conditions, from torn ligaments to tumors. MRIs are very useful for examining the brain and spinal cord

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18
Q

What can be diagnosed by MRI

A

MRI can be used to detect brain tumors, traumatic brain injury, developmental anomalies, multiple sclerosis, stroke, dementia, infection, and the causes of headache

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19
Q

Is MRI harmful

A

An MRI scan is a painless radiology technique that has the advantage of avoiding X-ray radiation exposure. There are no known side effects of an MRI scan. The benefits of an MRI scan relate to its precise accuracy in detecting structural abnormalities of the body.

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20
Q

Disadvantages of MRI:

A

MRI is expensive ($1000-$1500)
MRI will not be able to find all cancers (i.e. breast cancers indicated by micro calcifications)
MRI cannot always distinguish between malignant tumors or benign disease (such as breast fibro adenomas), which could lead to a false positive results.

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21
Q

MRI safer than CT scan

A

CT scans are quick, painless, and non-invasive. MRI scans are not invasive, but they are noisy, take more time, and may cause claustrophobia (anxiety due to being in the enclosed space of the machine). MRI scans are costlier than scans. MRI scanners may cause a safety issue due to their strong.

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22
Q

What happens if you get an MRI with metal in your body

A

Metal may interfere with the magnetic field used to create an MRI image and can cause a safety hazard. The magnetic field may damage electronic items. Do not have an MRI scan if you have an implantable cardioverter defibrillator or pacemaker.

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23
Q

Will an MRI rip metal out of your body

A

MRI imaging is quite safe for human tissue, but introducing metal near the machines can be deadly. It’s that strong magnetic field that can prove dangerous if there’s any metal in the room when the machine is switched on, as the magnet will yank metal objects toward it.

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24
Q

Who cannot get MRI

A

However, due to the use of the strong magnet, MRI cannot be performed on patients with : Implanted pacemakers. Intracranial aneurysm clips. Cochlear implants.

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25
Q

What is an alternative to an MRI

A

MRI is the gold standard for some studies”, Shaver says, “but if someone has an implant or other condition that would preclude them from having an MRI, the alternative is a CT scan. In the past, the CT scan resulted in lower–quality images and the dose of radiation was higher”.

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26
Q

is a specialized area of radiology that uses very small amounts of radioactive materials , or radiopharmaceuticals , to examine organ function and structure

A

Nuclear medicine

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27
Q

Nuclear medicine used for

A

Nuclear medicine imaging uses small amounts of radioactive material to diagnose, evaluate, or treat a variety of diseases. These include many types of cancers, heart disease, gastrointestinal, endocrine, or neurological disorders, and other abnormalities.

28
Q

What is Nuclear Medicine and how does it work

A

Nuclear medicine is a medical specialty that uses radioactive tracers (radiopharmaceuticals) to assess bodily functions and to diagnose and treat disease. Specially designed cameras allow doctors to tract the path of these radioactive tracers.

29
Q

What are the side effects of nuclear medicine

A

There are known long-term adverse effects from such low-dose exposure. Some potential side effects that might occur include: Bleeding, soreness, or swelling may develop at the injection site and allergic reactions to the radiopharmaceutical may occur, but are extremely rare.

30
Q

Why nuclear medicine is bad

A

While nuclear medicine tests do expose patients to radiation, which can be dangerous, the radiotracers use such small amounts of radioactive materials that the potential benefits typically far outweigh the potential risks.

31
Q

In MRI considered nuclear medicine

A

These are considered nuclear medicine because the patient receives a radioactive injection, called a radio-pharmaceutical as part of the imaging. (an MRI or CT Scan can sometimes require an injection, but it is not radiopharmaceutical, so they are not nuclear medicine).

32
Q

How long does nuclear medicine stay in our body

A

The nuclear imaging agent is out of our system within 60 hours, but it is always decaying so it becomes minimal in a relatively short period.

33
Q

What is a nuclear medicine whole-body scan

A

A whole Body Scan (WBS) is a scan performed in nuclear medicine . This scan is done to check for the return or spread of thyroid cancer cells.

34
Q

Does Nuclear Medicine make you feel tired

A

Nuclear medicine is very safe. You should not experience side effects such as fatigue, dizziness, nausea, or headache. You can leave the doctor’s office and resume your normal activities immediately. Radiation from the isotope typically leaves the body through normal excretion within one day.

35
Q

Nuclear scan patient preparation

A

If your doctor gave you an order, please bring it with you. Do not eat or drink anything four hours before the exam.

36
Q

Nuclear medicine beneficial to human

A

Nuclear medicine uses radioactive materials to help diagnose and treat a wide variety of diseases and disorders. It provides unique information about the human body and its health. Nuclear medicine helps physicians diagnose diseases earlier to make treatment more effective.

37
Q

Ultrasound

A
  • A sound or other vibrations having an ultrasonic frequency, particularly as used in medical imaging.
  • Medical ultrasound is a diagnostic imaging technique or therapeutic application of ultrasound.
  • It is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs.
  • Its aim is often to find a source of a disease or to exclude pathology.
38
Q

What an ultrasound can detect

A

Is used to create images of soft images of soft tissue structures, such as the gallbladder, liver, kidneys, pancreas, bladder, and other organs and parts of the body. Ultrasound can also measure the flow of blood in the arteries to detect blockages.

39
Q

Ultrasound testing is safe and easy to perform

A
  • Ultrasound imaging uses sound waves to produce pictures of the inside of the body.
  • It is used to help diagnose the causes of pain, swelling, and infection in the body’s internal organs and to examine a baby in pregnant women and the brain and hips of infants.
  • It’s also used to help guide biopsies, diagnose heart conditions, and assess damage after a heart attack.
  • Ultrasound is safe, noninvasive, and does not use ionizing radiation.
40
Q

Ultrasound used for

A

. An ultrasound scan uses high-frequency sound waves to make an image of a person’s internal body structures. Doctors commonly use ultrasound to study a developing fetus (unborn baby), a person’s abdominal and pelvic organs, muscles and tendons, or other heart and blood vessels

41
Q

Conventional ultrasound displays

A

It displays the images in thin, flat sections of the body. Advancements in ultrasound technology include three-dimensional (3-D) ultrasound that formats the sound wave data into 3-D images.

42
Q

is a special ultrasound technique that evaluates movement of materials in the body. It allows the doctor to see and evaluate blood flow through arteries and veins in the body

A

Doppler ultrasound

43
Q

Three types of Doppler Ultrasound:

A

1.Color Doppler
2.Power Doppler
3.Spectral Doppler

44
Q

Ultrasound is used to help physicians evaluate symptom such as:

A
  • Pain
  • Swelling
  • Infection
45
Q

Ultrasound is a useful way of examining many of the body’s internal organs, including but not limited to the:

A
  • Heart and blood vessels, including the abdominal aorta and its major branches
  • Liver
  • Gallbladder
  • Spleen
  • Pancreas
  • Kidneys
  • Bladder
46
Q

Continuation of Ultrasound is a useful way of examining many of the body’s internal organs, including but not limited to the:

A
  • Uterus, ovaries, and unborn child (fetus) in - pregnant patients
  • Eyes
  • Thyroid and parathyroid glands
  • Scrotum (testicles)
  • Brain in infants
  • Hips in infants
  • Spine in infants
47
Q

Ultrasound is also used to:

A
  • Guide procedures such as needle biopsies, in which needles are used to sample cells from an abnormal area for laboratory testing.
  • Image the breasts and guide biopsy of breast cancer.
  • Diagnose a variety of heart conditions, including valve problems and congestive heart failure, and to assess damage after a heart attack. Ultrasound of the heart is commonly called an “echocardiogram” or “echo” for short.
48
Q

of is a type radiology software solution for storing and managing medical imaging data. Just like a hospital system (HIS) , it automates data management but is adapted specifically for radiology departments. PACS also provides features and tools for advanced image manipulation.

A

Radiology Information System (RIS)

49
Q
  • is a set of integrated devices that input, output, process, and store data and information.
  • are currently built at least one digital processing device.
    There are five main hardware components in a BLANK Input, Processing, Storage, Output and Communications devices.
A

Computer systems

50
Q

The data, on which medical visualization methods and applications are based, are acquired with scanning devices, such as computed tomography (CT) and magnetic resonance imaging (MRI)

A

Medical image data

51
Q

refers to the transmission of this digital data between two or more computers and a computer network or data network is a telecommunications network that allows computers to exchange data.

A

Data communications

52
Q

Is software that controls the creation, maintenance, and use of a database. It allows organizations to conveniently develop databases for various applications by database administrators (DBAs) and other specialists. It can also be referred to as a program that enables the storage, modification, manipulation, and extraction of information from a database. It allows different user application programs to easily access the database

A

Database Management System (DBMS

53
Q

Is a broad term that covers a multitude of technologies, devices, and processes. In its simplest terms, it is a set of rules and configurations designed to protect the integrity, confidentiality, and accessibility of computer networks and data using both software and hardware technologies

A

Network security

54
Q

The biggest challenge in applying best practices in BLANLK is seeing the big picture. The entire imaging cycle includes identifying the patient data, conducting the imaging exam according to the proper protocols, and then streamlining and processing the data on time

A

radiology workflow

55
Q

captures images acquired in the context of an encounter between a patient and a healthcare provider, links them with critical metadata, and notifies the EMR

A

Encounter-Based Imaging Workflow (EBIW)

56
Q

Patient Visit Workflow

A

Step1: Patient submits online check-in form
Step 2: Receptionist verifies patient information
Step 3: Medical assistant completes preliminary check-up
Step 4: Physician completes patient exam
Step 5: The receptionist discharges the patient

57
Q

picture archiving and Workflow Management Services with model-based enactment of workflow

A

Radiology Information System (RIS)

58
Q

Schematic overview of the proposed image data workflow from acquisition through curation and management. Various robots (autonomous underwater vehicles (AUVs), landers, remotely operated vehicles (ROVs), towed platforms) create stacks of the imager (a) and metadata tables (b) Erroneous metadata values (here marked in red) and corrupt imagery (e.g. black images where the flash did not fire) might occur Metadata is attached to the image data, image processing is applied and corrupt and erroneous data are flagged and filtered out (c). The resulting curated data set is the quality-controlled data product that is suitable.

A

Image data workflow

59
Q

Refers to a workflow automation system designed to connect with applications and databases of record (ERP, CRM, Accounting, HRIS, etc.). Integrated workflow software can replace the limited workflow functionality in those systems while connecting processes across all of them

A

Workflow Integration

60
Q

is a comprehensive , integrated information system designed to manage all the aspects of a hospital’s operation, such as medical, administrative, financial, and legal issues and the corresponding processing of services.

A

Hospital Information System (HIS).

61
Q

Is a medical imaging technology that provides economical storage and convenient access to images from multiple modalities. BLANK denotes a network group of computers, servers, and archives to manage digital images that are configured in a manner that facilitates storing, retrieving, and distributing medical images. Although images need not be originally acquired in a digital format, they must be converted to digital format to be accessed by a BLANK.

A

Picture Archiving and Communications System (PACS)

62
Q

The top 4 Benefits of a PACS

A
  • Improved data management
  • Easy access to patient reports and images
  • Chronological data management
  • User-friendly software
63
Q

five main hardware components

A
  • Input
  • Processing
  • Storage
  • Output
  • Communication devices
64
Q
  • is the standard for the communication and management of medical imaging information and related
  • is used worldwide to store, exchange, and transmit medical images.
  • has been central to the development of modern radiological imaging: incorporates standards for imaging modalities such as radiography, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and radiation therapy
A

Digital Imaging and Communications on Medicine (DICOM)

65
Q

consists of digital acquisition. ,display workstations, and storage , devices interconnected through an intricate network. The PACS is an electronic version of the radiologist reading room and the file room. The first PACS were used in the early 1980s and generally served a single modality. Larger research institutions housed early systems because most were developed by the scientists who worked at those institutions. As vendors became more involved, they developed proprietary systems that were very specific to their modalities . Finally , as physicians and hospitals became interested , it was determined that there must be standardization

A

PACS architecture