Radiology - Technology Information Portal
Thursday, 21 November 2024
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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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View NEWS results for 'Diagnostic Imaging' (13).Open this link in a new window.
• View DATABASE results for 'Diagnostic Imaging' (28).Open this link in a new window.
Diagnostic Reference Level
(DRL) The diagnostic reference level is a patient dose-related quantity per x-ray procedure or image. The diagnostic reference level is essentially a guide and the first step in the management of patient doses. Dose descriptors can also be used to compare local doses to national reference doses and reviews of local practice if consistently exceeded.
Diaphanography
Diaphanography is a noninvasive breast imaging technique used in diagnosis of breast disease. The breast is illuminated with low intensity light and the transmission pattern of red and near-infrared radiation is detected. After amplification and reconstruction, the images are displayed on a monitor.
Results from diaphanography tend to show lower sensitivities and specificities than are found in diagnostic mammography studies. Light scanning (diaphanography and transillumination) is not recommended for screening or diagnostic evaluation of the breast.
• View DATABASE results for 'Diaphanography' (2).Open this link in a new window.
Diastole
The diastole is the period of relaxation in the cardiac cycle which alternates with systole. During diastole, the ventricles fill and the aortic and pulmonary valves are closed.
• View DATABASE results for 'Diastole' (2).Open this link in a new window.
Differential
A differential equation expresses a relationship between functions and their derivatives. In MRI, the Bloch equation for example is based on this mathematical function.
• View DATABASE results for 'Differential' (2).Open this link in a new window.
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