Advanced Imaging Technology. Chamaree Chuapetcharasopon, MD TIMAC-11, 13 March 2013

Size: px
Start display at page:

Download "Advanced Imaging Technology. Chamaree Chuapetcharasopon, MD TIMAC-11, 13 March 2013"

Transcription

1 Advanced Imaging Technology Chamaree Chuapetcharasopon, MD TIMAC-11, 13 March 2013

2 Advanced Imaging Technology Radiology Cardiology Gastroenterology OB

3 NEW 4D Ultrasound OB

4

5

6 Bronchoscopy Endoscopic imaging of the lung Flexible fiberoptic scope Patient is conscious and aware Exam tend to be repeated at follow up Multiple light source, fluorescence

7

8 Otolaryngology Endoscopic imaging of the ear nose and throat Numerous types and styles of endoscopes Patient is conscious and aware Exams tend to be repeated at follow up Video frame rates can reach 200 fps Requires synchronized audio

9

10

11

12

13 Ophthalmology Many types of image devices Non dilated, Non touch examination 30

14

15 Pathology Anatomical Pathology Require high definition details Better than 0.1 micron resolution Rapid (subminute) image gathering True color >20 GB images

16

17

18 Dr Keith Foord East Sussex Hospitals, UK

19 Dr Keith Foord East Sussex Hospitals, UK

20 40 Dr Keith Foord East Sussex Hospitals, UK

21 Image users real time guided therapy and surgery Sinus surgery. The cross lines show The position of the probe on the corresponding CT in x,y and z axes midturbvirtendosc.jpg GE Medical Systems

22 Digital OR Images BrainLAB AG Smith and Nephew website :UPMC Southside Hospital

23 Advanced Imaging Technology Gastroenterology Orthopedics Otolaryngology Pathology Cardiology OB-Gyn Radiology

24 Advanced Imaging Technology Terminology General Radiology ร งส ว ทยาท วไป Diagnostic Radiology ร งส ว น จฉ ย Interventional Radiology ร งส ร วมร กษา Radiation Oncology (Therapy) ร งส ร กษา Nuclear Medicine เวชศาสตร น วเคล ยร

25 Advanced Imaging Technologies IT World ( Information Technology ) Digital Data Data Transfer

26 Advanced Imaging Technology Analog to Digital Analog: Camera + Film Post Processing Picture Digital: Digital Camera + Data storage Data Transfer Computer Display Display Monitor Printer Internets Save file CD ROM Hard Drive Picture Scanner Digital Data

27 Advanced Imaging Technology Analog: Plain film Mammogram Special Procedure Upper GI, Barium Enema, IVP, Angiogram Ultrasound ( US ) NM ( Nuclear Medicine ) PET Scan ( Positron Emission Tomography ) Digital CR, DR FFDM Full field digital mammogram CT Tomosynthesis MRI

28 Advanced Imaging Technology Digital Data: CT ( Computed Tomography ) MRI ( Magnetic resonance imaging ) NM ( Nuclear Medicine ) PET (Positron Emission Tomography) CR, DR (computed radiograph, digital radiograph) Mammogram Ultrasound DSI (digital subtraction imaging) DSA (digital subtraction angiogram)

29 Advanced Imaging Technology CR/DR CT scan MRI PET/CT PET/MRI HIFU

30 Old days

31 Introduction to CR

32 Introduction to CR

33 Introduction to CR and display monitors

34 DR Wired Wireless

35

36 Advanced Imaging Technology CT scan (Computerized tomography) Conventional CT Spiral, helical CT 64 slices 256 slices 640 slices Dual sources

37 CT Scan Third generation Conventional Spiral

38 MSCT New Concepts to Understand

39

40 Many vendors

41 Example of CT work place

42 CAC Scoring

43 CT Contrast study

44 LAD disease

45 Volume Rendering Whole heart images

46 CT Chest Whole chest images

47

48 Other clinical applications

49 Advanced Imaging Technology MRI Low field, mid filed, high field 1.5 Tesla 3 Tesla Open MRI Standing MRI

50 MRI High field MR machine

51 Phase array body coil

52 Different images of the same territory T1 T2 Proton density

53 MRI CT MR and CT of HCC cirrhotic liver

54 Hemangioma

55 MRCP

56 MRCP

57 Neurovascular application

58 Nerve fiber tracking

59 Peripheral vascular coil

60 Peripheral vascular images

61 Contrast Enhanced MRA

62 Advanced Imaging Technology PET/CT PET/MRI

63 PET/CT (Positron Emission Tomography/ Computerized Tomography)

64 Anatomy vs Function Anatomical (CT) Functional (PET) Anato-metabolic Information Anatomy, morphology Function, metabolism Anatomy+Function Detection Size, morphology Altered metabolism Size, Location, Metabolism Image details No or indirect Little, or no anatomy Function+Anatomy function

65 Principle of PET e + Neutron deficient isotope: unstable Positron emission Positron meets electron:annihilation 511 kev -ray e kev -ray Emission is on straight line!

66

67 Uptake of FDG Kapoor, V. et al. Radiographics 2004;24:

68 PET/CT Fused PET/CT FORE AWOSEM CT PET Upper limit Topogram Lower limit CT acquisition attenuation correction scatter correction

69

70 Why PET/CT? - Difference from other Modality Anatomy vs Function X-ray CT MR PET

71 BI PET CT SIEMENS PET-CT (64 SLICES)

72 Evaluation Radionuclides given Having PET/CT Scan

73 Indications for PET imaging with FDG Breast cancer Cervical cancer Colorectal cancer Esophageal cancer Head and neck cancer (non-thyroid, non-cns) Lymphoma Melanoma Non small cell lung cancer Solitary pulmonary nodules Follicular cell thyroid cancer

74 Radionuclides Radionuclides used in PET scanning are typically isotopes with short half-lives carbon-11 (~20 min), nitrogen-13 (~10 min), oxygen-15 (~2 min), fluorine-18 (~110 min) rubidum-82(~1.27 min).

75 PET/MRI

76 Advanced Imaging Technology CR/DR CT scan MRI PET/CT PET/MRI HIFU

77 What is HIFU? (High Intensity Focused Ultrasound) High energy focused ultrasound beam. Brought to a tight focus in tissue at a distance from the source. Absorption of the energy leads to tissue heating. Causes localized temperature rise at the focal point. Sharply demarcated area of coagulative necrosis. No damage to overlying and surrounding tissue.

78 Lesion of coagulation necrosis at focus (12x3mm) Skin Tumour Target organ (e.g. liver) Transducer Undamaged tissue in front of focus

79 HIFU 3-Dimensional Therapy Plan One pulse of HIFU exposure Multiple-pulse Scanning beam Line Volume Slice

80 Mechanisms of HIFU Ablation Thermal Effect --Heat (56-100⁰ C)

81

82 Clinical Advantages of HIFU HIFU does not suffer from the following problems associated with Radiotherapy & Chemotherapy: Lethargy Sickness Lowered immunity to infection Hair loss Haematological disorders Multiple hospital visits

83 Clinical Advantages of HIFU One time Treatment Real-time US-guided Procedure Low cost Non Toxic Not limited by tumour size Short hospital stay (one day) Minor complications

84 Operator Console 2. γ-motion Device (rotates transducer about x-axis [long axis of bed]) 3. Frequency Generator and amplifier 4. ψ-motion Device (rotates transducer about y-axis [transverse]) 5. Integrated Treatment Transducer (diagnostic US probe and HIFU transducer) in degassed water reservoir 6. 4-dimension Motion Device (translates transducer in x, y and z, rotates plane of diagnostic image) 7. Treatment Bed

85 Model-JC Focused Ultrasound Tumour Therapy System Regulatory Approvals: Europe: CE, MHRA China: SFDA Korea: KFDA

86

87 New Haifu Products for Clinical Trial An MRI-guided Extracorporeal HIFU Device (Haifu-Siemens)

88 Minimal invasive treatment of malignant hepatic tumors 1. Radio-frequency ablation 2. Microwave ablation 3. Laser ablation 4. Cryoablation 5. Ethanol ablation 6. Chemoembolization

89 Minimal invasive treatment of malignant hepatic tumors Rita 15 G, 4-8 Prong, Radiotherapeutics 14 G10 Prong Radionics17 G/3- needle

90 Minimal invasive treatment of malignant hepatic tumors CC/03

91 Minimal invasive treatment of malignant hepatic tumors

92 Minimal invasive treatment of malignant hepatic tumors

93 Minimal invasive treatment of malignant hepatic tumors

94 Minimal invasive treatment of malignant hepatic tumors

95 Minimal invasive treatment of malignant hepatic tumors TACE

96 Minimal invasive treatment of malignant hepatic tumors CC/03

97 Minimal invasive treatment of malignant hepatic tumors CC/03

98

99 Advanced Imaging Technology Take home messages New technologies occur every day. How to use them appropriately? We (who?) need to consider Appropriateness criteria Cost effectiveness Patient benefit

100 Thank you for your attention

Index. Surg Oncol Clin N Am 16 (2007) Note: Page numbers of article titles are in boldface type.

Index. Surg Oncol Clin N Am 16 (2007) Note: Page numbers of article titles are in boldface type. Surg Oncol Clin N Am 16 (2007) 465 469 Index Note: Page numbers of article titles are in boldface type. A Adjuvant therapy, preoperative for gastric cancer, staging and, 339 B Breast cancer, metabolic

More information

Molecular Imaging and Cancer

Molecular Imaging and Cancer Molecular Imaging and Cancer Cancer causes one in every four deaths in the United States, second only to heart disease. According to the U.S. Department of Health and Human Services, more than 512,000

More information

Nuclear Medicine and PET. D. J. McMahon rev cewood

Nuclear Medicine and PET. D. J. McMahon rev cewood Nuclear Medicine and PET D. J. McMahon 150504 rev cewood 2018-02-15 Key Points Nuclear Medicine and PET: Imaging: Understand how Nuc Med & PET differ from Radiography & CT by the source of radiation. Be

More information

Certification Review. Module 28. Medical Coding. Radiology

Certification Review. Module 28. Medical Coding. Radiology Module 28 is the study of x-rays, using radiant energy and other imaging techniques, such as resonance imaging or ultrasound, to diagnose illnesses and diseases. Vocabulary Barium enema (BE): lower gastrointestinal

More information

PET IMAGING (POSITRON EMISSION TOMOGRAPY) FACT SHEET

PET IMAGING (POSITRON EMISSION TOMOGRAPY) FACT SHEET Positron Emission Tomography (PET) When calling Anthem (1-800-533-1120) or using the Point of Care authorization system for a Health Service Review, the following clinical information may be needed to

More information

Head and Neck Cancer. What is head and neck cancer?

Head and Neck Cancer. What is head and neck cancer? Scan for mobile link. Head and Neck Cancer Head and neck cancer is a group of cancers that usually originate in the squamous cells that line the mouth, nose and throat. Typical symptoms include a persistent

More information

created by high-voltage devices Examples include medical and dental x-rays, light, microwaves and nuclear energy

created by high-voltage devices Examples include medical and dental x-rays, light, microwaves and nuclear energy What is radiation? Radiation is energy emitted from a source, that travels through space and can penetrate matter. Listed below are two types that we are exposed to and contribute to our overall radiation

More information

Improving Methods for Breast Cancer Detection and Diagnosis. The National Cancer Institute (NCI) is funding numerous research projects to improve

Improving Methods for Breast Cancer Detection and Diagnosis. The National Cancer Institute (NCI) is funding numerous research projects to improve CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Improving Methods for

More information

Breast Cancer PET/CT Imaging Protocol

Breast Cancer PET/CT Imaging Protocol Breast Cancer PET/CT Imaging Protocol Scanning Protocol: Patients are scanned from the top of the neck through the pelvis. Arms-up position is used to avoid beam-hardening artifact in the chest and abdomen.

More information

RADIOLOGY (MEDICAL IMAGING)

RADIOLOGY (MEDICAL IMAGING) RADIOLOGY (MEDICAL IMAGING) Radiology is the study of the diagnosis of disease by the use of radiant energy (radiation). In the past this meant the use of X-rays to make an image. Today many other forms

More information

High Tech Imaging Quick Reference Guide

High Tech Imaging Quick Reference Guide High Tech Imaging Quick Reference Guide 1 High Tech Imaging Authorizations may now be requested through our secure provider portal, BlueAccess. Getting Started Step 1: Log into BlueAccess from www.bcbst.com

More information

What is head and neck cancer? How is head and neck cancer diagnosed and evaluated? How is head and neck cancer treated?

What is head and neck cancer? How is head and neck cancer diagnosed and evaluated? How is head and neck cancer treated? Scan for mobile link. Head and Neck Cancer Head and neck cancer is a group of cancers that start in the oral cavity, larynx, pharynx, salivary glands, nasal cavity or paranasal sinuses. They usually begin

More information

HSC Physics. Module 9.6. Medical Physics

HSC Physics. Module 9.6. Medical Physics HSC Physics Module 9.6 Medical Physics Contextual Outline 9.6 Medical Physics (28 indicative hours) The use of other advances in technology, developed from our understanding of the electromagnetic spectrum,

More information

Anthem Blue Cross and Blue Shield Virginia Advanced Imaging Procedures Requiring Precertification Revised 02/13/2013

Anthem Blue Cross and Blue Shield Virginia Advanced Imaging Procedures Requiring Precertification Revised 02/13/2013 Anthem Blue Cross and Blue Shield Virginia Advanced Imaging Procedures Requiring Precertification Revised 02/13/2013 Modality and CT Head CTA Head: Cerebrovascular MRI Head MRA Head: Cerebrovascular Functional

More information

COMENIUS-Project: SM&CLIL Radiation & Medicine

COMENIUS-Project: SM&CLIL Radiation & Medicine Medical imaging refers to the techniques and processes used to create images of the human body (or parts thereof) for clinical purposes. Thanks to modern mathematics and computer technology, medical imaging

More information

Appendix A: Introduction to Imaging Modalities for Which Data Were Collected in the 2017 Imaging Inventory

Appendix A: Introduction to Imaging Modalities for Which Data Were Collected in the 2017 Imaging Inventory Appendix A: Introduction to Imaging Modalities for Which Data Were Collected in the 207 Imaging Inventory Computed Tomography Computed tomography (CT) employs X-rays as a source of ionizing radiation,

More information

Medical Diagnostic Imaging

Medical Diagnostic Imaging Medical Diagnostic Imaging Laboratories Medical Diagnostic Imaging Lab Name Location Person in Charge Programs Served Courses Served Patient Care and Management (2) Introduction to MDI Radiographic Technique

More information

Cardiac Imaging Tests

Cardiac Imaging Tests Cardiac Imaging Tests http://www.medpagetoday.com/upload/2010/11/15/23347.jpg Standard imaging tests include echocardiography, chest x-ray, CT, MRI, and various radionuclide techniques. Standard CT and

More information

Chapter 16 Worksheet Code It

Chapter 16 Worksheet Code It Name: Class: Date: ID: A Chapter 16 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. CT scans generate three-dimensional images. 2. An ultrasound produces images of

More information

Austin Radiological Association Ga-68 NETSPOT (Ga-68 dotatate)

Austin Radiological Association Ga-68 NETSPOT (Ga-68 dotatate) Austin Radiological Association Ga-68 NETSPOT (Ga-68 dotatate) Overview Ga-68 dotatate binds to somatostatin receptors, with highest affinity for subtype 2 receptors (sstr2). It binds to cells that express

More information

Therapy - Minimize harm to patients

Therapy - Minimize harm to patients Therapy - Minimize harm to patients CHONGQING HAIFU MEDICAL TECHNOLOGY CO., LTD Tel: 86-23-6788 6799/6788 6195/6788 6199 Fax: 86-23-6788 6168 Email: sales@hifu.cn Website: www.haifumedical.com Address:

More information

HEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST

HEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST HEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST Outpatient Radiology utilization call Carecore at 1-877-773-6964 Modality CPT CODE Description CT SCANS 70450 CT HEAD/BRAIN W/O CONTRAST CT SCANS 70460 CT HEAD/BRAIN

More information

Radiologic Imaging Magnetic Resonance Imaging (MRI)

Radiologic Imaging Magnetic Resonance Imaging (MRI) Radiologic Imaging X-ray has always been the golden rule in diagnosing and treating podiatric patients. Unfortunately, for some patients the diagnosis is not as evident. That is when we need to utilize

More information

Life saver 9. Life saver 9. Life saver 9. Life saver 8. Mobility of device 3. Mobility of device 1. PET scan. Ultra Violet Lamp. MRI scanner.

Life saver 9. Life saver 9. Life saver 9. Life saver 8. Mobility of device 3. Mobility of device 1. PET scan. Ultra Violet Lamp. MRI scanner. Ultra Violet Lamp MRI scanner Used to stop jaundice in babies helping the tiny liver clean the blood. Also used to treat people with TB, Lupus or even treat acne. Mobility of device 3 Uses magnets to change

More information

ADI Procedure Codes. August 2016 Revised April 2017 Page 1 of 7 ADI Procedure Codes

ADI Procedure Codes. August 2016 Revised April 2017 Page 1 of 7 ADI Procedure Codes Code Description 70450 CT Head without contrast 70460 CT Head with contrast 70470 CT Head with & without contrast 70480 CT Orbit, et al without contrast 70481 CT Orbit, et al with contrast 70482 CT Orbit,

More information

POSITRON EMISSION TOMOGRAPHY (PET)

POSITRON EMISSION TOMOGRAPHY (PET) Status Active Medical and Behavioral Health Policy Section: Radiology Policy Number: V-27 Effective Date: 08/27/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members should

More information

Arteriogram An X-ray of an artery after the injection of dye.

Arteriogram An X-ray of an artery after the injection of dye. A Abscess A localized collection of pus in any part of the body, usually surrounded by inflamed tissue. Anesthetic An agent that causes loss of sensation with or without the loss of consciousness. Angiography,

More information

Typical PET Image. Elevated uptake of FDG (related to metabolism) Lung cancer example: But where exactly is it located?

Typical PET Image. Elevated uptake of FDG (related to metabolism) Lung cancer example: But where exactly is it located? Typical PET Image Elevated uptake of FDG (related to metabolism) Lung cancer example: But where exactly is it located? PET/CT Oncology Imaging Anatometabolic fusion images are useful in the management

More information

Thoracic Diagnostic Assessment Program. Patient information for. Last revised: November

Thoracic Diagnostic Assessment Program. Patient information for. Last revised: November Thoracic Diagnostic Assessment Program Patient information for Last revised: November 2016 1 A list of your tests and appointments Diagnostic tests 2 3 4 Specialist appointments Doctor: Specialty: Notes:

More information

Los Angeles Radiological Society 62 nd Annual Midwinter Radiology Conference January 31, 2010

Los Angeles Radiological Society 62 nd Annual Midwinter Radiology Conference January 31, 2010 Los Angeles Radiological Society 62 nd Annual Midwinter Radiology Conference January 31, 2010 Self Assessment Module on Nuclear Medicine and PET/CT Case Review FDG PET/CT IN LYMPHOMA AND MELANOMA Submitted

More information

Description MRI, TMJ C T Head Without Contrast C T Head With Contrast C T Head Without & With Contrast

Description MRI, TMJ C T Head Without Contrast C T Head With Contrast C T Head Without & With Contrast s Requiring Prior Authorization for the Advanced Imaging 70336 MRI, TMJ 70450 C T Head Without Contrast 70460 C T Head With Contrast 70470 C T Head Without & With Contrast 70480 C T Orbit Without Contrast

More information

A. DeWerd. Michael Kissick. Larry. Editors. The Phantoms of Medical. and Health Physics. Devices for Research and Development.

A. DeWerd. Michael Kissick. Larry. Editors. The Phantoms of Medical. and Health Physics. Devices for Research and Development. Larry Editors A. DeWerd Michael Kissick The Phantoms of Medical and Health Physics Devices for Research and Development ^ Springer Contents 1 Introduction to Phantoms of Medical and Health Physics 1 1.1

More information

Medical Use of Radioisotopes

Medical Use of Radioisotopes Medical Use of Radioisotopes Therapy Radioisotopes prove to be useful in the application of brachytherapy, the procedure for using temporary irradiation close to the area of disease (i.e. cancer) 10% Medical

More information

45 Hr PET Registry Review Course

45 Hr PET Registry Review Course 45 HR PET/CT REGISTRY REVIEW COURSE Course Control Document Timothy K. Marshel, MBA, R.T. (R), (N)(CT)(MR)(NCT)(PET)(CNMT) The PET/CT Training Institute, Inc. SNMMI-TS 028600-028632 45hr CEH s Voice Credits

More information

Last Updated: 2/10/2017 Implementation date: 4/3/2017 Radiology & Cardiology Prior Authorization / Utilization Management Procedure List

Last Updated: 2/10/2017 Implementation date: 4/3/2017 Radiology & Cardiology Prior Authorization / Utilization Management Procedure List Last Updated: 2/10/2017 Implementation date: 4/3/2017 Radiology & Cardiology Prior Authorization / Utilization Management Procedure List Deal Sheet Group Product Category CPT CPT Description 3D Imaging

More information

Cigna - Prior Authorization Procedure List: Radiology & Cardiology

Cigna - Prior Authorization Procedure List: Radiology & Cardiology Cigna - Prior Authorization Procedure List: Radiology & Cardiology Category CPT Code CPT Code Description 93451 Right heart catheterization 93452 Left heart catheterization 93453 Combined right and left

More information

ADVANCES IN RADIATION TECHNOLOGIES IN THE TREATMENT OF CANCER

ADVANCES IN RADIATION TECHNOLOGIES IN THE TREATMENT OF CANCER ADVANCES IN RADIATION TECHNOLOGIES IN THE TREATMENT OF CANCER Bro. Dr. Collie Miller IARC/WHO Based on trends in the incidence of cancer, the International Agency for Research on Cancer (IARC) and WHO

More information

PET/CT Frequently Asked Questions

PET/CT Frequently Asked Questions PET/CT Frequently Asked Questions General Q: Is FDG PET specific for cancer? A: No, it is a marker of metabolism. In general, any disease that causes increased metabolism can result in increased FDG uptake

More information

Breast Imaging Update: Old Dog New Tricks

Breast Imaging Update: Old Dog New Tricks Breast Imaging Update: Old Dog New Tricks Claire McKay, DO M&S Imaging Assoc. San Antonio, TX cmckayhart@juno.com Goals Describe modalities available, old and new Provide understanding of pros and cons

More information

China Medical Technologies, Inc.

China Medical Technologies, Inc. China Medical Technologies, Inc. China Medical Technologies, Inc. (CMT) is a high-tech enterprise, trading on Nasdaq with the ticker CMED. We currently conduct our operations principally through our wholly-owned

More information

Esophageal Cancer. What is esophageal cancer?

Esophageal Cancer. What is esophageal cancer? Scan for mobile link. Esophageal Cancer Esophageal cancer occurs when cancer cells develop in the esophagus. The two main types are squamous cell carcinoma and adenocarcinoma. Esophageal cancer may not

More information

ANNOUNCING THE NEW STONY BROOK UNIVERSITY OUTPATIENT IMAGING CENTER

ANNOUNCING THE NEW STONY BROOK UNIVERSITY OUTPATIENT IMAGING CENTER ANNOUNCING THE NEW STONY BROOK UNIVERSITY OUTPATIENT IMAGING CENTER PROVIDING THE MOST ADVANCED DIAGNOSTICS FOR THE HIGHEST QUALITY OF CARE Call Our Dedicated Line: (631) 638-2121 When you need the benefit

More information

Brain Tumors. What is a brain tumor?

Brain Tumors. What is a brain tumor? Scan for mobile link. Brain Tumors A brain tumor is a collection of abnormal cells that grows in or around the brain. It poses a risk to the healthy brain by either invading or destroying normal brain

More information

Introduction Pediatric malignancies Changing trends & Radiation burden Radiation exposure from PET/CT Image gently PET & CT modification - PET/CT

Introduction Pediatric malignancies Changing trends & Radiation burden Radiation exposure from PET/CT Image gently PET & CT modification - PET/CT Introduction Pediatric malignancies Changing trends & Radiation burden Radiation exposure from PET/CT Image gently PET & CT modification - PET/CT protocols Tips Leukaemia / lymphoma: ~ 35% acute lymphoblastic

More information

Medical Imaging. Alex Elliott Western Infirmary Glasgow

Medical Imaging. Alex Elliott Western Infirmary Glasgow Medical Imaging Alex Elliott Western Infirmary Glasgow History of medical imaging X-rays - Roentgen, 1895 Nuclear medicine - Cassen, 1951 Ultrasound Donald, 1962 SPECT - Kuhl, Edwards, 1963 PET Ter-Pogossian,

More information

Esophageal cancer. What is esophageal cancer? Esophageal cancer is a disease in which malignant (cancer) cells form in the tissues of the esophagus.

Esophageal cancer. What is esophageal cancer? Esophageal cancer is a disease in which malignant (cancer) cells form in the tissues of the esophagus. Esophageal Cancer Esophageal cancer What is esophageal cancer? What are risk factors? Signs and symptoms Tests for esophageal cancer Stages of esophageal cancer Treatment options What is esophageal cancer?

More information

Medical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes

Medical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes Medical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes Semmelweis University, 2nd Dept. of Medicine Medical imaging: definition technical process of creating visual representations about

More information

CT Imaging at the Point-of-Care

CT Imaging at the Point-of-Care ENGLISH True Dedication The new Planmed Verity Extremity CT Scanner revolutionizes extremity CT imaging. The compact unit brings 3D imaging at emergency departments, orthopedic clinics or trauma centers

More information

MR IMAGING OF THE LUMBAR SPINE A TEACHING ATLAS 1ST EDITION

MR IMAGING OF THE LUMBAR SPINE A TEACHING ATLAS 1ST EDITION page 1 / 5 page 2 / 5 mr imaging of the pdf MR Imaging of Parotid Tumors: Typical Lesion Characteristics in MR Imaging Improve Discrimination between Benign and Malignant Disease MR Imaging of Parotid

More information

Radiology Codes Requiring Authorization*

Radiology Codes Requiring Authorization* 70336 Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 70450 Computed tomography, head or brain; without contrast material 70460 Computed tomography, head or brain; with contrast material(s)

More information

General Nuclear Medicine

General Nuclear Medicine General Nuclear Medicine What is General Nuclear Medicine? What are some common uses of the procedure? How should I prepare? What does the equipment look like? How does the procedure work? How is the procedure

More information

Expanding therapy options for

Expanding therapy options for MR systems Sonalleve MR-HIFU Expanding therapy options for women s health and oncology 2 Discover the freedom of patient-friendly and non-invasive therapy options Sonalleve MR-HIFU is an innovative therapy

More information

Contrast-Enhanced Digital Mammography

Contrast-Enhanced Digital Mammography 2015 ARRS Breast Symposium Contrast-Enhanced Digital Mammography John Lewin, M.D. Diversified Radiology of Colorado CEDM - Outline History Technique Literature Review / Cases Clinical Status Inexpensive,

More information

CLINICAL RADIATION SCIENCES (CLRS)

CLINICAL RADIATION SCIENCES (CLRS) Clinical Radiation Sciences (CLRS) 1 CLINICAL RADIATION SCIENCES (CLRS) CLRS 101. Introduction to Clinical Radiologic Sciences. 1 Hour. Semester course; 1 lecture hour. 1 credit. Presentation and discussion

More information

New Visions in PET: Surgical Decision Making and PET/CT

New Visions in PET: Surgical Decision Making and PET/CT New Visions in PET: Surgical Decision Making and PET/CT Stanley J. Goldsmith, MD Director, Nuclear Medicine Professor, Radiology & Medicine New York Presbyterian Hospital- Weill Cornell Medical Center

More information

HEALTHCARE AI DEVELOPMENT CYCLE

HEALTHCARE AI DEVELOPMENT CYCLE Dr. Keith Dreyer Chief Science Officer, ACR Data Science Institute ACR Board of Chancellors, Chairman Informatics Commission Chief Data Science Officer, MGH, BWH, Partners Healthcare Associate Professor

More information

Vaginal cancer: Know what to expect

Vaginal cancer: Know what to expect Vaginal cancer: Know what to expect For women with vaginal cancer What is the vagina? The vagina is a hollow canal that connects the cervix and the uterus to the outside. of the body. When a woman gives

More information

X-Ray & CT Physics / Clinical CT

X-Ray & CT Physics / Clinical CT Computed Tomography-Basic Principles and Good Practice X-Ray & CT Physics / Clinical CT INSTRUCTORS: Dane Franklin, MBA, RT (R) (CT) Office hours will be Tuesdays from 5pm to 6pm CLASSROOM: TIME: REQUIRED

More information

Molecular Imaging and Breast Cancer

Molecular Imaging and Breast Cancer Molecular Imaging and Breast Cancer Breast cancer forms in tissues of the breast usually in the ducts, tubes that carry milk to the nipple, and lobules, the glands that make milk. It occurs in both men

More information

Radionuclides in Medical Imaging. Danielle Wilson

Radionuclides in Medical Imaging. Danielle Wilson Radionuclides in Medical Imaging Danielle Wilson Outline Definitions History and development Radionuclide applications & techniques in imaging Conclusion Definition #1 : Radionuclide An unstable nucleus

More information

DOWNLOAD OR READ : MRI CLINICAL MAGNETIC RESONANCE IMAGING PDF EBOOK EPUB MOBI

DOWNLOAD OR READ : MRI CLINICAL MAGNETIC RESONANCE IMAGING PDF EBOOK EPUB MOBI DOWNLOAD OR READ : MRI CLINICAL MAGNETIC RESONANCE IMAGING PDF EBOOK EPUB MOBI Page 1 Page 2 mri clinical magnetic resonance imaging mri clinical magnetic resonance pdf mri clinical magnetic resonance

More information

HEPATIC METASTASES. We can state 3 types of metastases depending on their treatment options:

HEPATIC METASTASES. We can state 3 types of metastases depending on their treatment options: HEPATIC METASTASES 1. Definition Metastasis means the spread of cancer. Cancerous cells can separate from the primary tumor and enter the bloodstream or the lymphatic system (the one that produces, stores,

More information

Introduction. Cardiac Imaging Modalities MRI. Overview. MRI (Continued) MRI (Continued) Arnaud Bistoquet 12/19/03

Introduction. Cardiac Imaging Modalities MRI. Overview. MRI (Continued) MRI (Continued) Arnaud Bistoquet 12/19/03 Introduction Cardiac Imaging Modalities Arnaud Bistoquet 12/19/03 Coronary heart disease: the vessels that supply oxygen-carrying blood to the heart, become narrowed and unable to carry a normal amount

More information

Introduction to the Course and the Techniques. Jeffry R. Alger, PhD Ahmanson-Lovelace Brain Mapping Center Department of Neurology

Introduction to the Course and the Techniques. Jeffry R. Alger, PhD Ahmanson-Lovelace Brain Mapping Center Department of Neurology Introduction to the Course and the Techniques Jeffry R. Alger, PhD Ahmanson-Lovelace Brain Mapping Center Department of Neurology (jralger@ucla.edu) CTSI Neuroimaging April 2014 Rationale for the Course

More information

Cigna - Prior Authorization Procedure List: Radiology & Cardiology

Cigna - Prior Authorization Procedure List: Radiology & Cardiology Cigna - Prior Authorization Procedure List: Radiology & Cardiology Product Category CPT Code CPT Code Description Radiology MR 70336 MRI Temporomandibular Joint(s), (TMJ) Radiology CT 70450 CT Head or

More information

Austin Radiological Association BRAIN AMYLOID STUDY (F-18-Florbetapir)

Austin Radiological Association BRAIN AMYLOID STUDY (F-18-Florbetapir) Austin Radiological Association BRAIN AMYLOID STUDY (F-18-Florbetapir) Overview The Brain Amyloid Study with F-18-florbetapir depicts the extracellular deposition of B- amyloid (Aβ) peptides (or plaques

More information

BlueAdvantage SM. & BlueChoice SM Radiology Prior Authorization Program Code List CPT /HCPS

BlueAdvantage SM. & BlueChoice SM Radiology Prior Authorization Program Code List CPT /HCPS BlueAdvantage SM & BlueChoice SM Radiology Prior Authorization Program Code List CPT /HCPS 70336 MRI TMJ 70450 CT Head Without Contrast 70460 CT Head With Contrast 70470 CT Head Without & With Contrast

More information

MEASUREMENT OF EFFECT SOLID TUMOR EXAMPLES

MEASUREMENT OF EFFECT SOLID TUMOR EXAMPLES MEASUREMENT OF EFFECT SOLID TUMOR EXAMPLES Although response is not the primary endpoint of this trial, subjects with measurable disease will be assessed by standard criteria. For the purposes of this

More information

Diagnostic Imaging Providers Privileging Guidelines

Diagnostic Imaging Providers Privileging Guidelines Diagnostic Imaging Providers Privileging Guidelines The following guidelines are intended to promote reasonable and consistent quality and safety standards for the provision of imaging services. These

More information

Radiology. General radiology department. X-ray

Radiology. General radiology department. X-ray The radiology directorate provides a diagnostic, interventional and therapeutic service for its local population, and a tertiary service for the region. It also provides support to some national work such

More information

Molecular Imaging and the Brain

Molecular Imaging and the Brain Molecular imaging technologies are playing an important role in neuroimaging, a branch of medical imaging, by providing a window into the living brain. Where CT and conventional MR imaging provide important

More information

Breast Cancer. What is breast cancer?

Breast Cancer. What is breast cancer? Scan for mobile link. Breast Cancer Breast cancer is a malignant tumor in or around breast tissue. It usually begins as a lump or calcium deposit that develops from abnormal cell growth. Most breast lumps

More information

WN MEDICAL IMAGING. RADIOTHERAPY. MEDICAL PHYSICS. NUCLEAR MEDICINE. RADIOACTIVITY

WN MEDICAL IMAGING. RADIOTHERAPY. MEDICAL PHYSICS. NUCLEAR MEDICINE. RADIOACTIVITY WN MEDICAL IMAGING. RADIOTHERAPY. MEDICAL PHYSICS. NUCLEAR MEDICINE. RADIOACTIVITY Definitions : (from various online encyclopaedias/dictionaries) Medical Imaging/Radiology/ Diagnostic imaging: the use

More information

Outline. Biological Psychology: Research Methods. Dr. Katherine Mickley Steinmetz

Outline. Biological Psychology: Research Methods. Dr. Katherine Mickley Steinmetz Biological Psychology: Research Methods Dr. Katherine Mickley Steinmetz Outline Neuroscience Methods Histology Electrophysiological Recordings Lesion Neuroimaging Neuroanatomy Histology: Brain structure

More information

Relative Survival Rate

Relative Survival Rate 5X Su r vi val Th r ou gh Ear l y Det ect i on Cancer Stage I II III IV Relative Survival Rate 55,2% 28% 8% 2% 90% TIME AND COST IS W AITING IN LINE OBJ ECTIVES Reduce Screening Time By Reduce Screening

More information

Appendix 1: Regional Lymph Node Stations for Staging Esophageal Cancer

Appendix 1: Regional Lymph Node Stations for Staging Esophageal Cancer Appendix 1: Regional Lymph Node Stations for Staging Esophageal Cancer Locoregional (N stage) disease was redefined in the seventh edition of the AJCC Cancer Staging Manual as any periesophageal lymph

More information

Computed tomography. Department of Radiology, University Medical School, Szeged

Computed tomography. Department of Radiology, University Medical School, Szeged Computed tomography Department of Radiology, University Medical School, Szeged voxel +1-4 +2 +5 +3 +1 0-2 pixel -2 0 +1-4 -6 +5 +2 +1 Department of Radiology, University Medical School, Szeged

More information

Monitoring Patients Undergoing Cancer Therapy. By Timothy K. Egan

Monitoring Patients Undergoing Cancer Therapy. By Timothy K. Egan F E A T U R E By Timothy K. Egan Before placement in a computed tomography scanner, a patient is fitted with an immobilization device. Immobilization ensures that the same area of the patient is scanned

More information

Principles of nuclear metabolic imaging. Prof. Dr. Alex Maes AZ Groeninge Kortrijk and KULeuven Belgium

Principles of nuclear metabolic imaging. Prof. Dr. Alex Maes AZ Groeninge Kortrijk and KULeuven Belgium Principles of nuclear metabolic imaging Prof. Dr. Alex Maes AZ Groeninge Kortrijk and KULeuven Belgium I. Molecular imaging probes A. Introduction - Chemical disturbances will precede anatomical abnormalities

More information

Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C.

Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C. Role of Whole-body Diffusion MR in Detection of Metastatic lesions Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C. Cancer is a potentially life-threatening disease,

More information

Breast Cancer. What is breast cancer?

Breast Cancer. What is breast cancer? Scan for mobile link. Breast Cancer Breast cancer is a malignant tumor in or around breast tissue. It usually begins as a lump or calcium deposit that develops from abnormal cell growth. Most breast lumps

More information

Physical Bases : Which Isotopes?

Physical Bases : Which Isotopes? Physical Bases : Which Isotopes? S. Gnesin Institute of Radiation Physics, Lausanne University Hospital, Lausanne, Switzerland 1/53 Theranostic Bruxelles, 2 Octobrer 2017 Theranostic : use of diagnostic

More information

PET-CT for radiotherapy planning in lung cancer: current recommendations and future directions

PET-CT for radiotherapy planning in lung cancer: current recommendations and future directions PET-CT for radiotherapy planning in lung cancer: current recommendations and future directions Gerry Hanna Centre for Cancer Research and Cell Biology Queen s University of Belfast @gerryhanna Talk Outline

More information

Here are examples of bilateral analog mammograms from the same patient including CC and MLO projections.

Here are examples of bilateral analog mammograms from the same patient including CC and MLO projections. Good afternoon. It s my pleasure to be discussing Diagnostic Breast Imaging over the next half hour. I m Wei Yang, Professor of Diagnostic Radiology and Chief, the Section of Breast Imaging as well as

More information

performed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management.

performed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management. Hello, I am Maura Polansky at the University of Texas MD Anderson Cancer Center. I am a Physician Assistant in the Department of Gastrointestinal Medical Oncology and the Program Director for Physician

More information

RADIOLOGIC TECHNOLOGY (526)

RADIOLOGIC TECHNOLOGY (526) RADIOLOGIC TECHNOLOGY (526) 526-133 DMS General Procedures 2 Radiologic Technology (526) 1 526-130 Introduction to Diagnostic Medical Sonography This course introduces the student to the history of ultrasound

More information

Diagnostic Imaging & Interventional Radiology. Unsurpassed Quality, Safety, Comfort and Convenience

Diagnostic Imaging & Interventional Radiology. Unsurpassed Quality, Safety, Comfort and Convenience Diagnostic Imaging & Interventional Radiology Unsurpassed Quality, Safety, Comfort and Convenience A crucial first step in addressing any medical concern is accurate diagnosis. Imaging allows doctors to

More information

TIN1.1 3/10/06 10:31 AM Page 1. Section 1 The Basics

TIN1.1 3/10/06 10:31 AM Page 1. Section 1 The Basics TIN1.1 3/10/06 10:31 AM Page 1 Section 1 The Basics TIN1.1 3/10/06 10:31 AM Page 2 TIN1.1 3/10/06 10:31 AM Page 3 1.1 What is Medical Imaging? Like any other specialty, medical imaging and imaging nursing

More information

Optical Imaging: Technology and Applications for Radiology

Optical Imaging: Technology and Applications for Radiology September 2004 Optical Imaging: Technology and Applications for Radiology Rima Arnaout Harvard Medical School Year III Our Patient: 61 yo female, yearly mammogram Suspicious right breast mass: spiculated,,

More information

Radiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer

Radiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer Radiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer Poster No.: C-0654 Congress: ECR 2011 Type: Scientific Paper Authors:

More information

Index. C Cancer, Carcinoid syndrome, 413. D DCIS. See Ductal carcinoma in situ (DCIS) DEB-TACE. See Drug eluting beads-tace (DEB-TACE)

Index. C Cancer, Carcinoid syndrome, 413. D DCIS. See Ductal carcinoma in situ (DCIS) DEB-TACE. See Drug eluting beads-tace (DEB-TACE) Index A Ablation, 179 199, 843 853 devices, 179, 199 liver tumors, 527 techniques, 516 Ablative radiation therapy, 456 Accelerated partial breast, 894, 896 898 Adaptive radiation therapy, 586, 598, 602

More information

Australian and New Zealand College of Veterinary Scientists. Fellowship Examination. Veterinary Radiology Paper 1

Australian and New Zealand College of Veterinary Scientists. Fellowship Examination. Veterinary Radiology Paper 1 Australian and New Zealand College of Veterinary Scientists Fellowship Examination June 2014 Veterinary Radiology Paper 1 Perusal time: Twenty (20) minutes Time allowed: Three (3) hours after perusal Section

More information

Page 1 of 5 Patient Safety: Radiation Dose in X-Ray and CT Exams What are x-rays and what do they do? X-rays are forms of radiant energy, like light or radio waves. Unlike light, x-rays can penetrate the

More information

Radiology Update 2017

Radiology Update 2017 Radiology Update 2017 John K. Phillips, MD Affiliated Assistant Professor of Radiology University of Tennessee Health Sciences Center Chief, Radiology and Nuclear Medicine VA Memphis Disclosures Financial:

More information

COMPUTED TOMOGRAPHY COURSE

COMPUTED TOMOGRAPHY COURSE CT Radiography RAD 421 4 th year semester 2 Course Lecture Tutorial Practical Credit hours CT Radiography 2-1 2 Course Description The course explores the basic physical and technical principles of CT

More information

A Patient s Guide to SRS

A Patient s Guide to SRS A Patient s Guide to SRS Stereotactic Radiosurgery 230 Nebraska St. Sioux City, IA 51101 NOTES 230 Nebraska St. Sioux City, IA 51101 Contents page Introduction 1 SRS and how it works 2 The technology involved

More information

Damian Dupuy, MD. Image Guided Intervention (IGI) Studies 10:25 11:05 AM

Damian Dupuy, MD. Image Guided Intervention (IGI) Studies 10:25 11:05 AM Damian Dupuy, MD Image Guided Intervention (IGI) Studies 10:25 11:05 AM Image Guided Intervention (IGI) Studies Damian E. Dupuy, M.D., FACR Professor of Diagnostic Imaging The Warren Alpert Medical School

More information

HST.582J / 6.555J / J Biomedical Signal and Image Processing Spring 2007

HST.582J / 6.555J / J Biomedical Signal and Image Processing Spring 2007 MIT OpenCourseWare http://ocw.mit.edu HST.582J / 6.555J / 16.456J Biomedical Signal and Image Processing Spring 2007 For information about citing these materials or our Terms of Use, visit: http://ocw.mit.edu/terms.

More information

CNS Imaging. Dr Amir Monir, MD. Lecturer of radiodiagnosis.

CNS Imaging. Dr Amir Monir, MD. Lecturer of radiodiagnosis. CNS Imaging Dr Amir Monir, MD Lecturer of radiodiagnosis www.dramir.net Types of radiological examinations you know Plain X ray X ray with contrast GIT : barium (swallow, meal, follow through, enema) ERCP

More information