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Contrast Media Injector
Contrast media injectors are part of the medical equipment used to deliver fluids in examinations such as CT, MRI, fluoroscopy and angiography. Many of these diagnostic imaging procedures include the administration of intravenous contrast agents to enhance the blood and perfusion in tissues.

Mainly there are two types of injector technology:
Piston-based systems use a plunger/piston to move a piston in the cylinder of a reservoir, which works in two directions to first fill the reservoir and then deliver the fluid from the reservoir to the patient, similar to a hand-held syringe.
Peristaltic-pump-based systems operate as rotary pumps that use rollers to compress sections of flexible tubing, drawing fluid directly from the supply source and delivering it to the patient.

See also Single-Head Contrast Media Injector, Dual-Head CT Power Injector, Syringeless CT Power Injector.

The use of x-ray contrast agents in computed tomography (CT) began with a hand injection by the radiologist in the scan room. During its history, CT scanners have made great improvements in speed and image quality. Actual CT systems with multiple detectors allow scan times of a few seconds per body region. Some CT protocols require multiphase scans, where a body region is imaged with a single bolus of contrast in different blood flow phases. Automatic power (pressure) contrast media injectors are required to provide precise control of flow rate, volume and timing of injection. The use of a saline bolus following contrast administration reduces the volume of contrast required.

Most relevant topics for the use of a power injector in medical imaging procedures such as contrast enhanced computed tomography (CECT):
Avoidance of microbiologic contamination;
workflow efficiency in the use of the contrast media injector;
contrast cost and waste volume;
reimbursement.

Must have basic injector control options:
Flow rate with a usual range from 0.1 to 10 mL/sec in 0.1 mL/sec increments; some injectors can be set to inject in ml/min or ml/hour;
volume range from 1 mL to 200 mL for contrast and saline phases;
pressure limit typically programmable from 50 psi to 300 psi in 1 psi increments (also displayable in kPa and kg/cm²).

Examples of other injector control options:
Warmer/heater; an increase in temperature of the contrast medium results in a decrease in its viscosity; warmed contrast media are less viscous and offer lesser resistance;
pre-filled syringes; the compatibility with many selected syringes makes it easy to change and select the appropriate contrast medium for each patient;
injection reports accessible via RIS/PACS for dose management systems and records of prior injections.

Window Width
The window width is the range of CT numbers or MR numbers displayed on the image monitor of the CT scanner. The difference between the maximum and minimum of the range is displayed as gray levels.
X-Ray Spectrum
The x-ray (or roentgen-ray) spectrum consists of electromagnetic radiation with wavelengths shorter than ultraviolet (UV) and longer than gamma rays. The usual photon energies of x-rays range from 100 electron volt (eV) to 100 keV (wavelengths of around 10 to 0.01 nanometers; or around 100 to 0.1 Angstroms); corresponding to frequencies in the range of 30 PHz to 30 EHz (see Hertz).
The energy distribution (wavelength, frequency) of x-ray photons emerges from the source, the x-ray tube. In a conventional tube, x-rays are generated in two different ways that, together, form a typical spectrum consisting of the bremsstrahlung, which is superimposed by the lines of the characteristic spectrum (in a graph, the curve is shaped like a hump topped by several spikes).

See also Angstrom, Direct Radiation, Secondary Radiation, and Radiation Meter.
3D Reconstruction
A wide range of software techniques and advanced computer systems are developed that enable creation of three-dimensional images. Spiral CT allows the acquisition of CT data that is perfectly suited to 3D reconstruction. Advanced CT scanners image entire anatomic regions like the lungs in one breath hold and acquire a volume of data with the patient anatomy all in one position. This volume data is reconstructed to provide 3 dimensional pictures of for example complex blood vessels like the renal arteries or aorta. 3D reconstructions allow surgeons to visualize complex fractures in three dimensions and can help them plan reconstructive surgery.
Analog
Being continuous, or having a continuous range of values.
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 [last update: 2023-11-06 02:01:00]