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Imaging Plate
An imaging plate is used in computed radiography (CR) instead of a conventional film cassette.
The imaging plate is coated with photostimulable phosphors. The phosphor layer is doped with special substances to alter the crystalline structure and physical properties. After radiation, the enhanced phosphor material absorbs and stores x-ray energy in gaps of the crystal structure, building a latent image.
Usually, the storage phosphors are stimulated with a low-energy laser to release visible light at each point of x-ray absorption. To read-out the image, the plate is inserted into a computed radiography scanner. The scanning laser beam causes the electrons to relax to lower energy levels, emitting light that is captured by a photo-multiplier tube and converted into an electrical signal. The electronic signal is then converted to digital data and can be displayed on laser-printed films, workstations, transmitted to remote systems, and stored digitally.
The CR units automatically erase the image plate after the complete scan. Phosphor imaging plates, like film, are stored in cassette format and can be re-used very often if they are handled carefully. Existing conventional x-ray equipment, from generators to x-ray tubes and examination systems, can be used with imaging plates.
Post-Processing
Digital images can be manipulated for evaluation in various ways. Post-processing includes: Subtraction, addition, rotation, inversion, multiplanar reconstruction (MPR), maximum intensity projection (MIP), etc.
Subtraction is particularly useful in contrast enhanced examinations. The pre contrast images are subtracted from the images after an injection of contrast agents (sometimes also called dye) for better tumor detection. See also Contrast Enhanced Computed Tomography, Digital Subtraction Angiography and Active Zone.
3D Reconstruction
A wide range of software techniques and advanced computer systems are developed that enable creation of three-dimensional images. Spiral CT allows the acquisition of CT data that is perfectly suited to 3D reconstruction. Advanced CT scanners image entire anatomic regions like the lungs in one breath hold and acquire a volume of data with the patient anatomy all in one position. This volume data is reconstructed to provide 3 dimensional pictures of for example complex blood vessels like the renal arteries or aorta. 3D reconstructions allow surgeons to visualize complex fractures in three dimensions and can help them plan reconstructive surgery.
Abdomen CT
A computed tomography (CT) of the abdomen images the region from the thoracic diaphragm to the pelvic groin. The computed tomography technique uses x-rays to differentiate tissues by their different radiation absorption rates.
Oral contrast material can be given to opacify the bowel before scanning. An i.v. injection of a contrast agent (x-ray dye) improves the visualization of organs like liver, spleen, pancreas and kidneys and provides additional information about the blood supply.
Spiral- or helical CT, including improvements in detector technology support faster image acquisition with higher quality. Advanced CT systems can usually obtain a CT scan of the whole abdomen during a single breath hold. This speed increases the detection of small lesions (caused by differences in breathing on consecutive scans) and is beneficial especially in pediatric, elderly or critically-ill patients.
Changes in patient weight require variations in x-ray tube potential to maintain constant detector energy fluence. An increased x-ray tube potential improves the contrast to noise resolution (CNR).

An abdominal CT is typically used to help diagnose the cause of abdominal pain and diseases such as:
appendicitis, diverticulitis;
kidney and gallbladder calcifications;
abscesses and inflammations;
cancer, metastases and other tumors;
pancreatitis;
vascular disorders.

Other indications for CT scanning of the abdomen/pelvis include planning radiation treatments, guide biopsies and other minimally invasive procedures. Advanced techniques include for example 3D CT angiography, multiphasic contrast-enhanced imaging, virtual cystoscopy, virtual colonoscopy, CT urography and CT densitometry.

See also Contrast Enhanced Computed Tomography.
Arrhythmia Rejection
Arrhythmia rejection is a method to reject irregular RR intervals (time duration between two consecutive R waves of the electrocardiogram) in cardiac gating during cardiovascular imaging and to improve the image quality, whereby the cardiac frequency is used as the basis of the normal heart rate. The RR interval window determines the percentage variation of the heart rate. Variations of the acquired data outside the window are rejected and not used in the image reconstruction. Also one interval after the arrhythmic beat will be rejected. Arrhythmia rejection may be inappropriate for patients with certain pathologies, because if the RR interval is constant long, short, long, - all intervals would be rejected.
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 [last update: 2023-11-06 02:01:00]