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Diagnostic Imaging
Imaging refers to the visual representation of an object. Today, diagnostic imaging uses radiology and other techniques, mostly noninvasive, to create pictures of the human body. Diagnostic radiography studies the anatomy and physiology to diagnose an array of medical conditions. The history of medical diagnostic imaging is in many ways the history of radiology. Many imaging techniques also have scientific and industrial applications. Diagnostic imaging in its widest sense is part of biological science and may include medical photography, microscopy and techniques which are not primarily designed to produce images (e.g., electroencephalography and magnetoencephalography).
Brief overview about important developments:
Imaging used for medical purposes, began after the discovery of x-rays by Konrad Roentgen 1896. The first fifty years of radiological imaging, pictures have been created by focusing x-rays on the examined body part and direct depiction onto a single piece of film inside a special cassette.
In the 1950s, first nuclear medicine studies showed the up-take of very low-level radioactive chemicals in organs, using special gamma cameras. This diagnostic imaging technology allows information of biologic processes in vivo. Today, single photon emission computed tomography (SPECT) and positron emission tomography (PET) play an important role in both clinical research and diagnosis of biochemical and physiologic processes.
In the 1960s, the principals of sonar were applied to diagnostic imaging. Ultrasound has been imported into practically every area of medicine as an important diagnostic tool, and there are great opportunities for its further development. Looking into the future, the grand challenges include targeted contrast imaging, real-time 3D or 4D ultrasound, and molecular imaging. The earliest use of ultrasound contrast agents (USCA) was in 1968.
The introduction of computed tomography (CT/CAT) in the 1970s revolutionized medical imaging with cross sectional images of the human body and high contrast between different types of soft tissues. These developments were made possible by analog to digital converters and computers. First, spiral CT (also called helical), then multislice CT (or multi-detector row CT) technology expanded the clinical applications dramatically.
The first magnetic resonance imaging (MRI) devices were tested on clinical patients in 1980. With technological improvements including higher field strength, more open MRI magnets, faster gradient systems, and novel data-acquisition techniques, MRI is a real-time interactive imaging modality that provides both detailed structural and functional information of the body.

Today, imaging in medicine has been developed to a stage that was inconceivable a century ago, with growing modalities:
x-ray projection imaging, including conventional radiography and digital radiography;
scintigraphy;
single photon emission computed tomography;
positron emission tomography.

All these types of scans are an integral part of modern healthcare. Usually, a radiologist interprets the images. Most clinical studies are acquired by a radiographer or radiologic technologist. In filmless, digital radiology departments all images are acquired and stored on computers. Because of the rapid development of digital imaging modalities, the increasing need for an efficient management leads to the widening of radiology information systems (RIS) and archival of images in digital form in a picture archiving and communication system (PACS). In telemedicine, medical images of MRI scans, x-ray examinations, CT scans and ultrasound pictures are transmitted in real time.

See also Interventional Radiology, Image Quality and CT Scanner.
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Gantry Tilt
The gantry tilt is the angle between the vertical plane, and the plane containing the x-ray beam and the detector array. The gantry angulation allows aligning the selected anatomic region with the scanning plane.
A CT gantry can typically be angled up to 30° forward or backward. However, the gantry angulation is determined by the manufacturer and varies among CT systems. In a series of CT scans made with a tilted gantry the anatomy shifts in location from scan to scan.
Gated Blood Pool Scintigraphy
(GBPS) The gated blood pool scintigraphy is an examination to evaluate the ventricular performance. This scintigraphic blood pool imaging uses an electrocardiographic synchronizer or gating device to acquire data during repeated heart cycles at specific times in the heart cycle. Radionuclides, for example 99mTc-humanserumalbumin (HSA), are used as intravascular tracers.
GBPS allows to determinate the left ventricular function with heart minute volume, ejection fraction (EF) at rest and under exercise. Single photon emission computed tomography (SPECT) versus planar scintigraphic imaging improves cardiac evaluation due to the three dimensional nature. The GBPS method is not suitable to analyze the right ventricular function; that is best evaluated by first-pass ventriculography.
Echocardiography vs. GBPS has important disadvantages due to problems in quantitative evaluation, in patients with anatomic variations and dyskinetic left ventricles.

See also Myocardial Perfusion Imaging.
Heart Scintigraphy
Nuclear cardiology has a wide range of techniques that permit the accurate assessment of perfusion, metabolism, sympathetic innervation, and mechanical function of the heart.

Scintigraphic techniques of the heart include:
first pass scintigraphy.

See also Echocardiography and Cardiovascular Imaging.
Intravenous Pyelogram
(IVP) An intravenous pyelogram is a radiographic study of the kidney, ureters, and bladder. After the injection or infusion of iodinated contrast materials into the vein, the contrast medium is excreted by the kidneys. Due to the higher density of the dye, contrast filled areas appear white on x-ray images.
IVPs are used to detect tumors, abnormalities, kidney stones, or any obstructions, and to assess renal blood flow. A pyelogram may also be performed with contrast media injection directly through a ureteral or nephrostomy catheter or percutaneously.

See also X-Ray Projection Imaging, Abdomen CT and Urologic Ultrasound.
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