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physicians diagnose and treat medical conditions, but how does it work?
A
computer to produce detailed pictures of organs, soft tissues, bone and virtually all
other internal body structures. MRI does not use ionizing radiation (x-rays). What
do you think the doctors use those for?
and determine the presence of certain diseases. The images can then be examined
on a computer monitor, transmitted electronically, printed or copied to a CD. But
what are the uses of these images?
A
pelvic organs including the bladder and the reproductive organs such as
the uterus and ovaries in females and the prostate gland in males.
lymph nodes.
diseases of the liver, such as cirrhosis, and abnormalities of the bile ducts and
pancreas
: You may be asked to wear a gown during the exam or you may be allowed
allergy, but may require pre-medication. It is far less common for a patient to have
an allergy to a gadolinium-based contrast agent used for MRI than the iodine
containing contrast for CT. However, even if it is known that the patient has an
allergy to the gadolinium contrast, it may still be possible to use the gadolinium
contrast, after appropriate pre-medication. Patient consent will be requested in this
instance. For more information on adverse reactions to gadolinium-based
contrast agents, please consult the ACR Manual on Contrast Media.
Is there anything more to be considered?
B
: Yeah, The radiologist should also know if you have any serious health
problems, or if you have recently had surgery. Some conditions, such as severe
kidney disease may prevent you from being given contrast material for an MRI. If
there is a history of kidney disease or liver transplant, it will be necessary to
perform a blood test to determine whether the kidneys are functioning adequately.
How about preganant women?
A
possibility that they are pregnant. MRI has been used for scanning patients since
the 1980s with no reports of any ill effects on pregnant women or their babies.
However, because the baby will be in a strong magnetic field, pregnant women
should not have this exam in the first trimester of pregnancy unless the potential
benefit from the MRI exam is assumed to outweigh the potential risks. Pregnant
women should not receive injections of contrast material except when absolutely
necessary for medical treatment. See the Safety page for more information about
pregnancy and MRI.
What items should be removed prior to MRI?
B
removed prior to the MRI scan. Because they can interfere with the magnetic field
of the MRI unit, metal and electronic objects are not allowed in the exam room.
These items include:
jewelry, watches, credit cards and hearing aids, all of which can be damaged
pins, hairpins, metal zippers and similar metallic items, which can distort MRI
images
body piercings
: In most cases, an MRI exam is safe for patients with metal implants, except
for a few types. People with the following implants cannot be scanned and should
not enter the MRI scanning area:
: You should tell the technologist if you have medical or electronic devices
in your body, because they may interfere with the exam or potentially pose a risk,
depending on their nature and the strength of the MRI magnet. Many implanted
devices will have a pamphlet explaining the MRI risks for that particular device.
If you have the pamphlet, it is useful to bring that to the attention of the
technologist or scheduler before the exam. Some implanted devices require a short
period of time after placement (usually six weeks) before being safe for MRI
examinations.
Do you know examples of these devices?
A
In general, metal objects used in orthopedic surgery pose no risk during MRI. However, a
recently placed artificial joint may require the use of another imaging procedure. If there is
any question of their presence, an x-ray may be taken to detect and identify any metal
objects.
How about metal objects that reside in certain parts of the patients body?
B
: Patients who might have metal objects in certain parts of their bodies may
also require an x-ray prior to an MRI. You should notify the technologist or
radiologist of any shrapnel, bullets, or other pieces of metal which may be present
in your body due to accidents. Foreign bodies near and especially lodged in the
eyes are particularly important. Dyes used in tattoos may contain iron and could
heat up during MRI, but this is rarely a problem. Tooth fillings and braces usually
are not affected by the magnetic field, but they may distort images of the facial
area or brain, so the radiologist should be aware of them.
How about babies and children?
A
complete an MRI exam without moving. Whether a child requires sedation will
depend on the childs age and the type of exam being performed. Moderate and
conscious sedation can be provided at most facilities. A physician or nurse
specializing in the administration of sedation or anesthesia to children will be
available during the exam to ensure your child's safety. You will be given special
instructions how to prepare your child for the sedation or anesthesia.
What does the equipment look like?
B
circular magnet. You will lie on a moveable examination table that slides into the
center of the magnet. Some MRI units, called short-bore systems, are designed so
that the magnet does not completely surround you.
What does the newer ones look like?
A
: Some newer MRI machines have a larger diameter bore which can be more
comfortable for larger size patients or patients with claustrophobia. Other MRI
machines are open on the sides (open MRI). Open units are especially helpful for
examining larger patients or those with claustrophobia.
How about the image quality difference between these types?
B
: Newer open MRI units provide very high quality images for many types of
exams; however, older open MRI units may not provide this same image quality.
Certain types of exams cannot be performed using open MRI. For more
information, consult your radiologist. The computer workstation that processes
the imaging information is located in a separate room from the scanner.
How does the equipment work?
A
scans, MRI does not depend on ionizing radiation. Instead, while in the magnet,
radio waves redirect alignment of hydrogen atoms that naturally exist within the
body without causing any chemical changes in the tissues. As the hydrogen atoms
return to their usual alignment, they emit energy that varies according to the type
of body tissue in which they lie. The MR scanner listens for this energy and
creates a picture of the tissues scanned.
Where does the magnetic field come from?
B
coils in most MRI units. Other coils, located in the machine and in some cases,
placed around the part of the body being imaged, send and receive radio waves,
producing signals that are detected by the coils.
What will I experience during and after the procedure?
A
: It is normal for the area of your body being imaged to feel slightly warm,
but if it bothers you, notify the radiologist or technologist. It is important that you
remain perfectly still while the images are being obtained, which is typically only
a few seconds to a few minutes at a time. You will know when images are being
recorded because you will hear and feel loud tapping or thumping sounds when
the coils that generate the radiofrequency pulses are activated. Some centers
provide earplugs, while others use headphones to reduce the intensity of the
sounds made by the MRI machine. You will be able to relax between imaging
sequences, but will be asked to maintain your position without movement as much
as possible.
What are the benefits of MRI?
A
: MRI is a noninvasive imaging technique that does not involve exposure
to ionizing radiation.
MR-Unsafe Objects that are significantly ferromagnetic and pose a clear and
direct threat to persons and equipment within the magnet room.
Are there any projectile risk with MRI?
: The very high strength of the magnetic field can cause projectile effect (or
"missile-effect") accidents, where ferromagnetic objects are attracted to the center
of the magnet. Pennsylvania reported 27 cases of objects becoming projectiles in
the MRI environment between 2004 and 2008.[61] There have been incidents of
injury and death.[62][63] In one tragic case, a 6-year-old boy died after an MRI exam,
after a metal oxygen tank was pulled across the room and crushed the child's head.
[64]
To reduce the risk of projectile accidents, ferromagnetic objects and devices are
typically prohibited in the proximity of the MRI scanner and patients undergoing
MRI examinations are required to remove all metallic objects, often by changing
into a gown or scrubs, and ferromagnetic detection devices are used at some sites.
How about the cryogens used for the EM coils?
A
Diffusion MRI
Functional MRI
Real-time MRI
Interventional MRI
Multinuclear imaging
T1rho MRI
Neuromelanin imaging
A
B
: What is a CT Scan?
: Since its introduction in the 1970s, CT has become an important tool in medical
imaging to supplement X-rays and medical ultrasonography. It has more recently
been used for preventive medicine or screening for disease, for example CT
colonography for people with a high risk of colon cancer, or full-motion heart
scans for people with high risk of heart disease. A number of institutions offer
full-body scans for the general population although this practice goes against the
advice and official position of many professional organizations in the field
Can you explain the CT scanning of the head in more detail?
: CT scan can be used for detecting both acute and chronic changes in the lung
parenchyma, that is, the internals of the lungs. It is particularly relevant here
: There are, Pulmonary angiogram for pulmonary embolism (PE), Cardiac for
coronary arteries, Abdominal and pelvic for abdominal diseases, and Extremities for
Fractures, ligamentous injuries and dislocations.
What are advantages of CT Scan?
: There are several advantages that CT has over traditional 2D medical radiography.
First, CT completely eliminates the superimposition of images of structures outside
the area of interest. Second, because of the inherent high-contrast resolution of CT,
differences between tissues that differ in physical density by less than 1% can be
distinguished. Finally, data from a single CT imaging procedure consisting of either
multiple contiguous or one helical scan can be viewed as images in the axial,
coronal, or sagittal planes, depending on the diagnostic task. This is referred to as
multiplanar reformatted imaging.
What do you say about the adverse effects of CT scan?
: The radiation used in CT scans can damage body cells, including DNA molecules,
which can lead to cancer. In the United States half of CT scans involve
intravenously injected radiocontrast agents.[30] The most common reactions from
these agents are mild, including nausea, vomiting and an itching rash; however,
more severe reactions may occur.
: In response to increased concern by the public and the ongoing progress of best
practices, The Alliance for Radiation Safety in Pediatric Imaging was formed within
the Society for Pediatric Radiology. In concert with The American Society of
Radiologic Technologists, The American College of Radiology and The American
Association of Physicists in Medicine, the Society for Pediatric Radiology
developed and launched the Image Gently Campaign which is designed to maintain
high quality imaging studies while using the lowest doses and best radiation safety
practices available on pediatric patients.[45] This initiative has been endorsed and
applied by a growing list of various professional medical organizations around the
world and has received support and assistance from companies that manufacture
equipment used in Radiology.
How does the equipment examine the body?
: X-ray slice data is generated using an X-ray source that rotates around the object;
X-ray sensors are positioned on the opposite side of the circle from the X-ray
source. The earliest sensors were scintillation detectors, with photomultiplier tubes
excited by (typically) cesium iodide crystals. Cesium iodide was replaced during the
1980s by ion chambers containing high-pressure Xenon gas. These systems were in
turn replaced by scintillation systems based on photodiodes instead of
photomultipliers and modern scintillation materials (for example rare earth garnet or
rare earth oxide ceramics) with more desirable characteristics.
Are there any industrial uses for this CT scan?
: Industrial CT scanning has been utilized in many areas of industry for internal
inspection of components. Some of the key uses for CT scanning have been flaw
detection, failure analysis, metrology, assembly analysis, and reverse engineering