Midterm | Imaging Modalities Flashcards
Field in Radiologic Technology that utilizes x-ray machine to visualize the anatomical parts of the body, particulary the skeletal system
Radiography
4 classification of radiography
- Film screen radiography/ Conventional radiography
- Computed radiography
- Digital radiography
- Special procedure radiography
Advantages of radiography
- Widely available
- Relatively quick
- Cheap
- Easy to perform
Disadvantages of radiography
- Harmful ionizing radiation that can damage cells
- Limited soft tissue contrast resolution (it can be hard to differentiate adjacent soft tissues of similar density from one another)
Machine, energy used, main POI and purpose of radiography
Machine: X-ray machine
Energy used: X-rays
Main POI: Skeletal system
Purpose: Diagnosis
Machine, energy used, main POI and purpose of Special procedure radiography
Machine: Fluoroscopy/ X-ray machine
Energy used: X-rays
Main POI: Internal organs
Purpose: Diagnosis and treatment
Special equipment/s used in Film screen radiography
Cassette
Film
Darkroom
Processing chemicals
Special equipment/s used in Computed radiography
Imaging plate
CR reader
Special equipment/s used in Digital radiography
Image Receptor
Special equipment/s used in Special procedure radiography
Contrast Media
Field in Radiologic Technology that utilizes x-ray machine and contrast media to show the images of the internal organs of the body part not seen in conventional radiography
Special Procedure Radiology
Substances that temporarily chanfe the way x-rays or other imaging tools interact with the body
Contrast media
Contrast media/materials help physicians diagnose medical conditions by improving the visibility of specific (1), (2), or (3)
- organs
- blood vessels
- tissues
In what ways can contrast materials enter the body?
- Orally
- Rectally
- injected to a blood vessel
- injected into spaces within the body
What ways can contrast materials be injected into the blood vessels?
- Intravenously (through the veins)
- Intraarterially (through the artery)
A fluoroscopy machine is like a video camera where x-rays are produced in a (1) or (2) fashion and generate (3) of the body
- pulsed
- continuous
- real-time images
Images are of much lower quality than conventional radiographs to limit the patient’s overall radiation exposure
Fluoroscopy machine
Images of fluoroscopy machines are of much lower quality to>
To limit the patient’s overall radiation exposure
Advantage of special procedure radiography
Allows you to see what is happening in real-time
Disadvantage of special procedure radiography
- Radiation dose is cumulative throughout the examinations
- Image quality is relatively poor
Field in RT that utilizes x-ray imaging method used to examine the breast for the early detection of cancer and other breast diseases
Mammography
Advantages of mammography
- Early detection of breast cancer
- Improves diagnotic accuracy of patients younger than 50 and in those dense breast
Disadvantages of mammography
Interpreations can be difficult because a normal breast can appear differently for each women
Field in RT that involves special radiographic examination of blood vessels using x-ray machine incorporated with computers to enable deleting of bony structures that superimpose with the blood vessels of interest instantaneously
Digital Subtraction Angiography
Digital Subtraction Angiography is a field in RT that involves (1) of (2) using (3) to enable deleting of (4) that superimpose with the blood vessels of interest instantaneously
- special radiographic examination
- blood vessels
- x-ray machine incorporated with computers
- bony structures
Type of specialization in RT wherein interventional radiologists make use of imaging techniques or modalities of percutaneous diagnostic and therapeutic procedure
Interventional radiography
Term tha tmeans “through the skin”
Percutaneous
Interventional radiography is a type of specialization in RT wherein (1) make use of imaging techniques or modalities of (2) and (3)
- interventional radiologists
- percutaneous diagnostic
- therapeutic procedure
Field in RT that utilizes a donut-shaped machine that emits x-rays to diagnose abnormalities in the human body by producing a cross-sectional image of the body
Computed Tomography
Computed Tomography is a field in RT that utilizes a donut-shaped machine that emits (1) to (2) in the human body by producing a (3) of the body
- x-rays
- diagnose abnormalities
- cross-sectional image
Advantages of computed tomography
- Widely available
- Quick
- Gives a lot of useful information
Disadvantages of computed radiography
- Expensive
- Higher levels of harmful ionizing radiation exposure
Field in RT that utilizes very high frequency sound (not audible to ear) to produce images of the internal organs of the body
Ultrasound
Advantages of ultrasound
- Widely-available
- Relatively inexpensive
- Safe in pregnancy
- Does NOT use farmful radiation
Disadvantage sof ultrasound
- Operator-dependent
- Limited by body habitus/ increased subcutaneosu fat, and bowel gas
- Susceptible to artifacts
- Unable to see through bone or gas
Ultrasound is limited by (1)/(2) and (3), suspectible to (4), and unable to see through (5) or (6)
- body habitus
- increased subcutaneous
- bowel gas
- artifacts
- bone
- gas
Field in RT that utilizes a very high magnetic pwer and radiofrequency to produce images of the body— primarily the nervous system and soft tissue
Magnetic Resonance Imaging
Magnetic Resonance Imaging is a field in RT that utilizes a very high (1) and (2) to produce images of the body— primarily the (3) and (4)
- magnetic power
- radiofrequency
- nervous system
- soft tissue
Advantages of MRI
- Superior soft tissue contrast resolution
- Lacks ionizing radiation
Best imaging option for the spinal cord and the reason
MRI; becuase of its superior soft tissue contrast resolution
MRI is the preferred choice over other imaging modalities for evaluating what?
- masses and infection in the brain
- masses in the abdomen & pelvis
Disadvantages of MRI
- Very sensitive to various artifacts
- Inexpensive
- Difficult for patients with claustrophobia
- Contraindicated in some patients
- Somwehat operator-dependent
To whom is MRI contraindicated?
Patients with
- implantable devices
- magnetic foreign body
Field in RT that utilizes radioactive substances taken in by patients to visualize the function of internal organs
Nuclear medicine
Advantages of nuclear medicine
- Excellent in assessing physiologic process
- Instrumental in cancer staging & restaging
- PET agents improves cancer management
Disadvantages of nuclear medicine
- Expensive
- PET agents are somewhat limited supply with growing demand
- Some agents result in fairly high patient exposure/dose
- Not all agents are widely available; some needs to ordered day/s ahead
2 classifications of nuclear medicine
- Single Photon Emission Computerized Tomography (SPECT)
- Positron Emission Tomography (PET)
Nuclear imaging technique using gamma rays. Performed by using a gamma camera to acquire multiple 2D images from multiple angles
SPECT
SPECT uses a gamma camera to acquire multiple (1) or (2) from multiple angles
- 2-D images
- projections
Differentiate SPECT and PET in terms of the tools used in order to acquire images
SPECT: Gamma camera
PET: BGO or LSO detectors
Positron Emission Tomography (PET) is also called — or —
- PET imaging
- PET scan
A diagnostic examinaion that involves the acquisition of physiologic images based on the detection of radiation from the emission of positrons
PET
PET is a diagnostic examinaion that involves the acquisition of (1) images based on the (2) from the (3)
- physiologic
- detection of radiation
- emission of positrons
SPECT: nuclear imagin technique ; PET: —
diagnostic examination
Field in RT that utilizes high doses of radiation to kill cancer cells
Radiation therapy
Advantage of radiation therapy
Death of large proportion of cancer cells within the entire tumor
Disadvantage of radiation therapy
Damage to surrounding tissues (eg. lung and heart), depending on how close the area of interest is located to the tumor
3 types of radiation therapy
- External Beam Radiation Therapy (EBRT)
- Brachytherapy
- Systemic
Field in RT that utilizes a very small dose of ionizng radiation to produce pictures of the inside of the body (usually the lumbar and hips to measure bone loss)
Bone densitometry
What part of the body does bone densitometry usually produces a picture of + purpose?
Lower spine/ lumbar and hips to measure bone loss
Refers to bone loss
Osteoporosis
Special procedure radiography
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: Fluroscopy/ x-ray machine
Energy used: X-rays
Main POI: Internal organs
Purpose: Diagnosis & treatment
Special equipment: Contrast media
Mammography
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: Mammography unit
Energy used: X-rays (low energy)
Main POI: Breast
Purpose: Diagnosis & Screening
Special equipment: Compression paddle
Digital Subtraction Angiography
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: Fluoroscope/ x-ray machine
Energy used: X-ray
Main POI: Blood vessels & heart
Purpose: Diagnosis
Special equipment: Contrast media
Interventional Radiography
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: Fluoroscopy machine
Energy used: X-rays
Main POI: Blood vessels & heart
Purpose: Primarily for treatment
Special equipment:
- Needles
- Guidewires
- Catheters
- Stents
- Embolic agents
CT
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: CT scan
Energy used: X-rays
Main POI: internal organs
Purpose: Diagnosis
Special equipment: Donut-shaped machine/ Gantry
Ultrasound
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: UTS machine
Energy used: Very high frequency sound wave
Main POI: Soft tissues not covered by bones
Purpose: Diagnosis
Special equipment: Transducer, gel
MRI
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: MRI machine
Energy used: radiofrequency
Main POI: nervous & muscular systems
Purpose: Diagnosis
Special equipment: Magnets
Nuclear Medicine
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: PET/SPECT machine
Energy used: Positron/Gamma
Main POI: All (for physiological evaluation)
Purpose: Diagnosis, monitoring, treatment
Special equipment: Radiopharmaceuticals, hot lab
Radiation therapy
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: Linear Accelerator (LINAC)
Energy used:
- X-rays
- Gamma
- Electron beams
- Protons
Main POI: Cancer cells/ organs
Purpose: Treatment
Special equipment: Cerrobend or lead block shieldings
Bone densitometry
Machine:
Energy used:
Main POI:
Purpose:
Special equipment:
Machine: Dual Energy X-ray Absorptiometry (DXA)
Energy used: X-rays
Main POI: Bone (osteoposoris)
Purpose: Diagnosis
Special equipment: Bone densitometer
Differentiate MRI and CT san in terms of the donut-shaped machines they use
MRI: Bore
CT Scan: Gantry
Imaging modalities
- Radiography (Film-Screen, Computed, Digital)
- Special Procedure Radiography
- Mammography
- Digital Subtraction Angiography
- Interventional Radiography
- Computed Tomography
- Ultrasound
- Magnetic Resonance Imaging
- Nuclear Medicine
- Radiation Therapy
- Bone Densitometry
Best imaging modality for a broken bone
X-ray
Best imaging modality for pregnancy
Ultrasound
Best imaging modality for a stroke
MRI
Best imaging modality for spinal cord compression
MRI
Best imaging modality for a gunshot wound
X-ray
Best imaging modality for appendicitis
Ultrasound