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Searchterm 'X-Ray' found in 8 terms [
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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.
Contrast Agents
(CA) Contrast agents are used to change the imaging characteristics, resulting in additional information about anatomy, morphology or physiology of the human body. Radiocontrast agents (also called photon-based imaging agents) are used to improve the visibility of internal body structures in x-ray and CT procedures. Contrast agents are also used to increase the contrast between different tissues in MRI (magnetic resonance imaging) and ultrasound imaging. The ideal imaging agent provides enhanced contrast with little biological interaction.
First investigations with radiopaque materials are done shortly after the discovery of x-rays. These positive contrast agents attenuate x-rays more than body soft tissues due to their high atomic weight. Iodine and barium have been identified as suitable materials with high radiodensity and are used until today in x-ray and CT contrast agents. Iodine-based contrast agents are water-soluble and the solutions are used nearly anywhere in the body. Iodinated contrast materials are most administered intravenous, but can also be introduced intraarterial, intrathecal, oral, rectal, intravesical, or installed in body cavities. Barium sulfate is only used for opacification of the gastrointestinal tract. Negative contrast agents attenuate x-rays less than body soft tissues, for example gas.

Iodinated contrast media are differentiated in;

Intravascular iodinated contrast agents are required for a large number of x-ray and CT studies to enhance vessels and organs dependent on the blood supply. Injectable contrast agents are diluted in the bloodstream and rapidly distributed throughout the extracellular fluid. The main route of excretion is through the kidneys, related to the poor binding of the agent to serum albumin. The liver (gall bladder) and small intestine provide alternate routes of elimination particularly in patients with severe renal impairment. The use of special biliary contrast agents is suitable for gallbladder CT and cholecystograms because they are concentrated by the liver to be detectable in the hepatic bile.
The introduction of fast multi-detector row CT technology, has led to the development of optimized contrast injection techniques. The amount of contrast enhancement depends on the contrast agent characteristics, such as iodine concentration, osmolality, viscosity, and the injection protocol, such as iodine flux and iodine dose. Adverse reactions are rare and have decreased with the introduction of nonionic contrast agents.
See also Contrast Enhanced Computed Tomography, Abdomen CT, Contrast Media Injector, Single-Head CT Power Injector, Multi-Head Contrast Media Injector, Syringeless CT Power Injector, CT Power Injector.
Filtration
X-rays contain a range of energies (polychromatic photons), the higher energies pass through the patient, the lower energies are absorbed or scattered by the body. Ideally, the x-ray beam should be monochromatic or composed of photons having the same energy. Strong filtration of the beam results in more uniformity. The more uniform the beam, the more accurate the attenuation values or CT numbers are for the scanned anatomical region.
There are two types of filtration utilized in CT:
Inherent tube filtration and filters made of aluminum or Teflon are utilized to shape the beam intensity by filtering out the undesirable x-rays with low energy. Filtration of the x-ray beam is usually done by the manufacturer prior to installation. The half value layer provides information about the energy characteristics of the x-ray beam. Too much filtration produces a loss of contrast in the x-ray image.
A mathematical filter such as a bone or soft tissue algorithm is included into the CT reconstruction process to enhance resolution of a particular anatomical region of interest.
Fluoroscopy
Fluoroscopy is used to study moving body structures in real time. A fluoroscope is used to produce a continuous (advanced fluoroscopy machines provide pulsed techniques to lower the amount of radiation) x-ray beam, passing through the body part being examined and transmitted to a monitor so that dynamic images of deep tissue structures can be visualized. Fluoroscopy is primarily used for gastrointestinal exams, genitourinary studies, cardiovascular imaging and for invasive procedures performed by interventional radiologists and angiographers under fluoroscopic guidance. Fluoroscopy can also produce a static record of an image formed on the output phosphor of an image intensifier. The image intensifier is an x-ray image receptor that increases the brightness of a fluoroscopic image by electronic amplification and image minification. Modern fluoroscopy systems combine less radiation with better image quality due to digital image processing and flat-panel technology.
Roentgen's discovery of x-rays related directly to fluoroscopy, because fluorescence on the material in the room draws his attention to the x-ray's properties. In 1896, Thomas A. Edison created the first fluoroscope, consisting of a zinc-cadmium sulfide screen that was placed above the patient's body in the x-ray beam and provides a faint fluorescent image. In first-generation units, the exam room required complete darkness. The users wear red goggles for up to 30 minutes prior to the examination, to adapt the eyes to darkness. After this, the radiologist stared directly at a yellow-green fluorescent image through a sheet of lead to prevent the x-ray beam from striking the eyes.
CT Scanner
A computed tomography (CT) scanner is used to create cross-sectional slices of different objects. The medical version of CT system scans the human body for tumors or other abnormalities, other versions are used for non-destructive testing in the industry.
The CT imaging system includes the moveable gantry and patient table or couch. The gantry is a frame that contains the x-ray source, collimators, filters, detectors, a data acquisition system (DAS), rotational components including slip ring systems and all associated electronics. The x-ray tube and detector system are mounted opposite each other, allowing a rapid and synchronous rotation around the patient table.
In older CT scanners a small generator supplied power to the x-ray tube and the rotational components via cables for operation. Up to the 4th generation the CT tube and detectors rotate together around the patient for each slice. CT systems with slip ring technology (the x-ray tube rotates around a stationary ring of detectors) operate without cables and provides continuous rotation of the gantry components without interference of cables. Spiral CT scanners work with a continuous table movement while the x-ray tube is rotating around the patient.

Overview about CT scanner generations:
1st generation has a pencil beam and one detector;
2nd generation has a narrow fan beam and multiple detectors;
3rd generation has a wide fan beam;;
4th generation is equipped with a detector ring;
5th generation is the electron beam tomography CT
6th generation is the helical (or spiral) CT scanner;
7th generation is the multi-detector row CT.

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