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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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Full Width at Half Maximum
(FWHM) The full width at half maximum is a parameter to characterize the width of a peak on a graph. In nuclear medicine, the FWHM is used to determinate the energy resolution of gamma camera systems.
Gas Ventilation Scintigraphy
A gas ventilation scintigraphy is a diagnostic imaging test of lung ventilation with radioactive noble gases during breathing maneuvers, e.g. with krypton (81mKr) or xenon (133Xe).
The radioactive gas is administered by a mask and requires a special delivery and trapping system (gas trap). The radioactivity in the lungs is measured with a gamma camera and is subsequently evaluated.
The use of krypton or xenon gases involves problems like the relatively short half-lives (about 15-30 seconds) and relatively high costs of xenon and krypton. The short half-life requires that the scan is performed directly after administration of the gas. In addition, the gaseous radiopharmaceutical is expelled from the body almost quantitatively within a few minutes of completing the study.
A ventilation scintigraphy combined with a pulmonary perfusion scintigraphy is highly sensitive for the detection of pulmonary embolism.
Radioactive noble gases are widely used as a ventilation agent to diagnose pulmonary embolism. However, 81mKr and 133Xe are rare and expensive, which limits their continuous availability. Tc99m-Technegas can be an alternative ventilation agent with the advantage of being less expensive and available daily.

See also Inhalation Scintigraphy.
Linearity
Linearity is a property of a system, characterized by output that is directly proportional to the input.
In computed tomography (CT), linearity describes the amount to which the CT number of a material is exactly proportional to the density of this material (in Hounsfield units). This accuracy between the linear attenuation coefficient and the CT number is also utilized to describe the performance of a CT scanner.
The linearity of a gamma camera is a measure of the geometrical correctness of the images.
Lung Scintigraphy
Scintigraphic imaging of the lungs is a sensitive diagnostic imaging tool to detect certain kinds of pulmonary abnormalities in correlation with clinical data and chest radiographs. Pulmonary scintigraphy is particularly useful in diagnosing medical conditions such as pulmonary embolism, bronchial carcinoma and chronic obstructive pulmonary disease.
Lung scintigraphy can be performed with radioaerosols, gaseous radiopharmaceuticals and technetium-99m-labeled perfusion agents that are localized by temporary capillary blockade.

Different types of lung scintigraphy include:
The choice of the radioactive tracer varies and depends on the pulmonary function to be imaged. The radioactive tracer distribution within the lungs can be displayed on a computer screen via a gamma camera, a scanner or some other similarly suitable detector that records the radioactive disintegrations emitted by the patient. The images obtained present chromatic variations proportional to the regional radioactivity.
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