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Computed Tomography
(CT or CAT scan) Computed tomography is a diagnostic imaging technique, previously also known as computerized axial tomography (CAT), computer-assisted tomography (CAT), computerized tomographic imaging, and reconstructive tomography (RT).
A CT scan is based on the measurement of the amount of energy that a tissue absorbs as a beam of radiation passes through it from a source to a detector. As the patient table moves through the CT scanner, the CT tube rotates within the circular opening and the set of x-ray detectors rotate in synchrony. The narrow, fan-shaped x-ray beam has widths ranging from 1 to 20 mm. The large number of accurate measurements with precisely controlled geometry is transformed by mathematical procedures to image data. Corresponding to CT slices of a certain thickness, a series of two-dimensional cross-sectional images is created.
A CT is acquired in the axial plane, while coronal and sagittal images can be rendered by computer reconstruction. Although a conventional radiography provides higher resolution for bone x-rays, CT can generate much more detailed images of the soft tissues. Contrast agents are often used for enhanced delineation of anatomy and allow additional 3D reconstructions of arteries and veins.
CT scans use a relatively high amount of ionizing radiation compared to conventional x-ray imaging procedures. Due to widespread use of CT imaging in medicine, the exposure to radiation from CT scans is an important issue. To put this into perspective, the FDA considers the risk of absorbed x-rays from CT scans to be very small. Even so, the FDA recommends avoiding unnecessary exposure to radiation during diagnostic imaging procedures, especially for children.
CT is also used in other than medical fields, such as nondestructive testing of materials including rock, bone, ceramic, metal and soft tissue.

See also Contrast Enhanced Computed Tomography.
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Milliampere
(mA): 10-3 ampere. In radiography, the current flow from the cathode to the anode in the x-ray tube is measured in milliampere. This current regulates the radiation intensity emitted by the x-ray tube.

See X-Ray Tube.
Cinefluorography
A cinefluorography produces a movie (cine) film from an image intensifier during x-rays examinations (often called videofluorography, cineradiography or cine). Cinefluorography is always monitored on the TV screen normally used for fluoroscopy. The image from the output screen of the image intensifier is split with a semi-transparent mirror into two output ports; one leading to the movie camera and the other to the fluoroscopy camera. Most of the light is directed to the cine camera. The image on the monitor does not suffer in quality due to the fact that the tube current for cinefluorography is about 100 times higher than for common fluoroscopy.
The x-ray generator pulses are synchronized with the movements of the cine camera, so that no x-rays are emitted when the film is moved forward to the next frame. The needed very accurate synchronization of the x-ray generator can be achieved by use of high voltage switching in the secondary circuit of the constant potential x-ray generator, by starting and stopping the inverter in a medium frequency generator or by using a grid controlled x-ray tube.
Imaging Plate
An imaging plate is used in computed radiography (CR) instead of a conventional film cassette.
The imaging plate is coated with photostimulable phosphors. The phosphor layer is doped with special substances to alter the crystalline structure and physical properties. After radiation, the enhanced phosphor material absorbs and stores x-ray energy in gaps of the crystal structure, building a latent image.
Usually, the storage phosphors are stimulated with a low-energy laser to release visible light at each point of x-ray absorption. To read-out the image, the plate is inserted into a computed radiography scanner. The scanning laser beam causes the electrons to relax to lower energy levels, emitting light that is captured by a photo-multiplier tube and converted into an electrical signal. The electronic signal is then converted to digital data and can be displayed on laser-printed films, workstations, transmitted to remote systems, and stored digitally.
The CR units automatically erase the image plate after the complete scan. Phosphor imaging plates, like film, are stored in cassette format and can be re-used very often if they are handled carefully. Existing conventional x-ray equipment, from generators to x-ray tubes and examination systems, can be used with imaging plates.
X-Ray Film
An x-ray film is a photographic film used to generate a visual x-ray image. X-ray films are rarely used as the only radiation detector. Commonly they are used in conjunction with intensifying screens placed in the film cassette, because high resolution films have a poor sensitivity to x-rays. At direct film exposure, only a small amount of x-ray photons will be absorbed and react with the film emulsion. An intensifying screen contains scintillating materials to convert x-ray radiation into light or lows electromagnetic energies.
X-ray films provide very good spatial resolution and contrast, but need long exposures times and chemical processing.

See also Conventional Radiography and Digital Radiography.
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