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X-ray tube and silver halide film X-rays passed through the body are absorbed in direct proportion to tissue density X-rays penetrating the body strike the silver halide film and turn it dark the more x-rays that penetrate, the darker the area inscribed on the film ones & metal absorb or reflect X-rays r inscribed film is !lighter" or !more white" #oft tissues allow more X-rays to penetrate r inscribed film is !darker" $isuali%ing tissues of similar density can be enhanced using !contrast agents" Contrast agents: dense fluids containing elements of high atomic number (barium, iodine) Contrast agents absorbs more photons than the surrounding tissue r cavity appears lighter These contrast agents can be in ected, s!allo!ed, or given by enema
X- Rays
-he scanner device incorporates a moving table & a revolving X-ray tube
-he table moves the patient back and forth through the revolving X-ray emissions -he X-ray emitter moves (revolves) in a ./0o arc around the patient
1nstead of film2 the 3- scanner collects emitted X-rays via a collector -his collector is called a #314-155+-6R #cintillator transforms X-rays into a proportionally strong electric current -he electric current is then converted into a number of images (!slices")
CT scan
"-ray tube
#agnetic nuclei are abundant in the human body ($,C,%a,&,') and spin randomly
(ince most of the body is $)*, the $ydrogen nucleus is especially prevalent
&atient is placed in a static magnetic field #agneti+ed protons (spinning $ nuclei) in the patient align in this field like compass needles ,adio fre-uency (,.) pulses then bombard the magniti+ed nuclei causing them to flip around The nuclei absorb the ,. energy and enter an excited state /hen the magnet is turned off, excited nuclei return to normal state 0 give off ,. energy The energy given off reflect the number of protons in a 1slice2 of tissue 3ifferent tissues absorb 0 give off different amounts of ,. energy (different resonances) The ,. energy given off is picked up by the receiver coil 0 transformed into images #,4 offers the greatest 1contrast2 in tissue imaging technology (knee, ankle diagnosis) cost: about 56)78 - 56988 time: :8 minutes - ) hours, depending on the type of study being done
*pen #,4
one #can
7easures the rate of bone formation +ny disease that in:ures bone will cause new bone to form -his process is a very sensitive measure of disease processes
6ften used for detecting cancer mets (breast2 prostate)2 fractures2 & infection 3an be used to detect avascular necrosis of bone
Procedure is done by first in:ecting a technetium labeled phosphate Pictures are taken using a gamma camera;
7easures metabolism via the decay of radioactive tracers in tissues with higher than normal metabolic activity (cancer) Patient in:ected with &luordeo>yglucose
into . dimensional images Procedure performed as outpatient -akes about 9 hours Results available to physician within <@ hours
P'- #can showing 4on Aodgkins 5ymphoma before & after / months of chemotherapy
Bsed to test for bone mineral density ( 7=) ie) 6steoperosis -hin X-ray beam is passed through the hip and lower spine regions 3omputer calculates how much X-ray energy is absorbed by the bones
3omputer compares results with average 90 year old (--score) and average age2 race and gender peer (C-score) Results are plotted on a graph and given to the radiologist
=ual 'nergy X-ray +bsoprtometry (=X+ or ='X+) =? ;@%A, &rodigy 3?"ABBBat the $uffines 4nstitute for (ports #edicineB *ur ne! toyC
='X+ #tandards
--score (sds)
(*A6 standard reference)
&racture Risk
7edical +ction
;ifestyle advice ;ifestyle advice, $,T in !omen 78 E 98 , Calcium and Fitamin 3 supplementation All of above plus consider <isphosphonate 3rugs (.*(*#A", ACT4%?;HB) All of above plus consider possible pain control and referral to specialist
Osteoperosis: T G -)B7 ?stablished *steoperosis plus the occurrence of one or more fractures