Sei sulla pagina 1di 7

Medical Imaging Introduction

• Role of medical imaging : assist


medical procedures
Achmad Rizal
Electronic System Laboratory
Electrical Engineering Department
IT Telkom Bandung
Acquisition is the process of building the image, usually by applying some
energy to the subject and sensing a response (e.g., a reflection, or
transmission)

Image processing is a series of operations we apply to the image to


enhance, alter, or select regions of interest

measurement or display step, where we summarize the properties of a


ARL -EL4703- Instrumentasi Biomedis 1 region of interest. 2
ARL -EL4703- Instrumentasi Biomedis

Medical Procedures * Image Acquisition Modalities


(1/24)
1.Data/information 1. Projection X-Ray (Radiography)
Collection Start
- Transmitting X-ray photons through the body onto
2. Data processing & an X-ray sensitive detector to form images
1 Data Collection
analysis • Some of the photons interact with tissue in the
3. Diagnosis 2 Process & body and are scattered or absorbed; other photons
Analysis make it to the detector and are recorded
4. Therapy
5. Test (More • Different absorption characteristics allow us to
3 Diagnosis distinguish different materials (and provide
symptom ?) contrast) in the image
- Further actions/ t Yes 4 Therapy
Follow up (symp 1, 5 Test
tom) No
ARL -EL4703- Instrumentasi Biomedis Stop
* Soegijardjo Soegijoko, BME ITB 3 4
ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities Image Acquisition Modalities


(2/24) (3/24)
• X-ray machine illustration* • X-Ray equipment

X-ray for
Mammography

*howstuffworks.com 5 6
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

1
Image Acquisition Modalities Image Acquisition Modalities
(4/24) (5/24)
Typical X-ray based chest image.
2. Computed Tomography (CT scan)
• generate cross-sectional images (CT
slices) from a set of projection images
obtained at different angles
Typical X-ray based hand fracture • CT image pixels are reported in units
image.
called Hounsfield units (HU).
Breast cancer
Mammography image

7 8
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities Image Acquisition Modalities


(6/24) (7/24)
• Typical CAT scan equipment

CT scan illustration
9 10
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities Image Acquisition Modalities


(8/24) (9/24)
• Typical mid-sternal X-ray based CT 3. Magnetic Resonance Imaging
image. • images proton density by using a permanent
magnet with a pulsed radio frequency (RF)
field
• The RF field changes the spin orientation of
protons (tilting them and causing them to
process as they spin) within the body
• image is formed by listening to a signal
emitted as the protons relax back to their
original orientation
11 12
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

2
Image Acquisition Modalities Image Acquisition Modalities
(10/24) (11/24)
• Typical MRI equipment

Mobile
MRI

High Field
MRI
Open
MRI

13 14
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities Image Acquisition Modalities


(12/24) F-MRI (13/24)
• Typical MRI image 4. Ultrasound
• Ultrasound imaging employs high-
frequency sound energy to image the
interface between differing tissue types
• The reflected energy is detected by a
receiver and is used to form the image
• Ultrasound is used in cardiology,
obstetrics, urology, ophthalmology, and
many other areas

15 16
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities Image Acquisition Modalities


(14/24) (15/24)
• USG image
• Typical USG equipment

17 18
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

3
Image Acquisition Modalities Image Acquisition Modalities
(16/24) (17/24)
5. Nuclear Medicine • Nuclear medicine equipment
- Radio-isotopes are introduced into the body
to “tag" specific physiologic functions
• As the tracer accumulates in a particular
anatomic location, it periodically emits a
particle that can be observed and used to form
an image
• Nuclear medicine differs from the other
• modalities in that it can be used to form
functional rather than structural images
• Positron-emission tomography (PET), single-
photon emission tomography (SPECT)
19 20
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities


(18/24) Image Acquisition Modalities (19/24)
• Nuclear Medicine Image 6. Electrical Impedance Tomography

21 22
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities Image Acquisition Modalities


(20/24) (21/24)
7. Endoscopy imaging (bronchoscopy, 8. Photo image (optical)
colonoscopy, laparoscopy, etc.) - General photo image
Fiberoptic Scabies image
Endoscope
- Special purpose photo image
Image of malignant skin lesion Fundus camera

Appendectomy
23 24
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

4
Image Acquisition Modalities
Echocardiograms
(22/24)
9. Echocardiography • An Echocardiogram
is a test that uses
USG for heart
sound waves to
create a moving
picture of the heart

Image courtesy of A.D.A.M


http://www.nlm.nih.gov/medlineplus/ency/article/003868.htm

25 26
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities


Echocardiograms
(23/24)
• Benefits 10. Thermal Imaging
– Accurate assessment tool that provides IR thermal imaging, non-invasive, non-radiation, typically used in
useful information breast cancer therapy.

– Helps doctors determine the degree of the


murmur, and assess overall health of heart
• Drawbacks
– Time and Cost, ECG’s require a
substantial amount of time and resources
to perform

27 28
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Image Acquisition Modalities


Modalities Comparison (1/2)
(24/24)
• Thermal imaging • Ionizing vs. Non-ionizing Radiation

Modalities can be categorized based on amount of applied energy:

ionizing radiation: applied energy is sufficient to ionize atoms (eject


an electron from orbit, creating a positively charged ion). (e.g., X-
ray, CT, PET, SPECT)

non-ionizing radiation: insufficient energy to ionize atoms (e.g., MRI,


Ultrasound, Optical).

Typical block diagram


29 30
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

5
Modalities Comparison (2/2) Closing Remarks
• Imaging Structure and Function • Various modalities in medical imaging
Structure imaging ÆX-ray, CTscan, USG, • Structural & functional imaging
MRI, Fundus camera
• Needs for medical image processing
Functional imagingÆ f-MRI, Nuclear
medicine (PET scan, spect scan) • Challenge: Combining structural and
functional information together in a
synergistic presentation. Example: display
Structure ÆTissue density; region size, shape,
blood flow distribution on top of a CT slice
and orientation.
of lung.
Function: Activity (metabolic rate), perfusion,
ventilation • Ultimate goal : To improve the quality of life
through improving Community Health Care
31 32
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

References Behind The X-Ray


• Various e-book, journal, lecture notes • On Friday evening, 8 November 1895,
downloaded from internet Wilhelm Conrad Röntgen (also
sometimes spelled Roentgen)
• Presentation materials from BME DAY
discovered a “new kind of ray” that
2007 penetrated matter.
• www.howstuffworks.com • Röntgen’s discovery was submitted for
publication on 28 December 1895 and
was published on 5 January 1896. A
portable X-ray unit was available from
the Sears catalog in late 1896. The cost
33
was $15. 34
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

X-Ray Dosage
• In 1901 Röntgen received the Nobel Prize for
Physics, which was the first Nobel Prize in
physics ever awarded. Unfortunately,
Röntgen, his wife, and his laboratory workers
all died prematurely of cancer.
• The first medical use of the X-ray was on 13
January 1896 by Drs. Ratcliffe and Hall-
Edwards, in which they showed the location
of a small needle in a woman’s hand. As a
consequence, Dr. J.H. Clayton performed the
first X-ray guided surgery nine days after the
publication of the existence of X-rays.

35 36
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

6
37 38
ARL -EL4703- Instrumentasi Biomedis ARL -EL4703- Instrumentasi Biomedis

Potrebbero piacerti anche