August 2004 Francis Neuffer, Radiologist

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  • August 2004 Francis Neuffer, Radiologist

    1. 1. August 2004 Francis Neuffer, Radiologist 1 RADIOLOGY As Clinical Anatomy E-mail: x-ray@med.sc.edu Radiology Website: http://radiology.med.sc.edu Radiology Department: Basement of Library 733-3295 Francis Neuffer M.D. U.S.C. School of Medicine
    2. 2. 2 AP FOOT
    3. 3. 3 OUCH !
    4. 4. 4 GOALS  RELATE IMAGING TO GROSS ANATOMY  CLINICAL CASES TO BASIC SCIENCE
    5. 5. 5  RADIOLOGY EXAMS- IDENTIFY STRUCTURE AT ARROW.  LABELED IMAGES FROM LAB FILM SETS AND DIGITAL FILM SETS  LECTURE POWERPOINT
    6. 6. 6 WHAT IS RADIOLOGY?  MEDICAL SPECALITY THAT SUPERVISES AND INTERPRETS IMAGING STUDIES  REPORTS FINDINGS TO REFERRING PHYSICIANS  ANATOMY VS PATHOLOGY
    7. 7. 7 X-RAY  DISCOVERED AND NAMED BY DR. W. C. RÖNTGEN AT UNIVERSITY OF WÜRZBURG, 1895  AWARDED FIRST NOBEL PRIZE FOR PHYSICS, 1901
    8. 8. 8 HOW IS IMAGING DONE?  X-RAYS: IONIZING RADIATION  GAMMA RAYS: IONIZING RADIATION  SOUND WAVES  MAGNETIC FIELDS / RADIO FREQUENCY WAVES
    9. 9. 9 RADIOLOGY TOOLS X- RAY ULTRASOUND NUCLEAR MEDICINE MAGNETIC RESONANCE COMPUTED TOMOGRAPHY
    10. 10. 10 X- RAY  HIGH ENERGY PHOTON  IONIZING RADIATION  EXPOSES FILM / DETECTOR  PROJECTION DATA
    11. 11. 11 XRAYS PLAIN FILM RADIOGRAPHY  CXR  MAMMOGRAPHY  ABDOMEN  SPINE  EXTREMITIES, BONES & JOINTS  SKULL
    12. 12. 12  BONE  SOFT TISSUE  FAT  AIR X - RAY -- FOUR BASIC DENSITIES
    13. 13. 13 CONTRAST RADIOGRAPHY  INJECTION, INGESTION, OR OTHER PLACEMENT OF OPAQUE MATERIAL WITHIN THE BODY  INCREASES INHERENT CONTRAST  CAN DEMONSTRATE FUNCTIONAL ANATOMY AND PATHOLOGY
    14. 14. 14 UPPER GI – ORAL BARIUM CONTRAST BARIUM ENEMA - RECTAL BARIUM CONTRAST WITHOUT CONTRAST STOMACH COLON
    15. 15. 15 INTRAVENOUS PYELOGRAM – IVP INTRAVENOUS IODINE CONTRAST ARTERIOGRAM INTRAARTERIAL IODINE CONTRAST WITHOUT CONTRAST
    16. 16. 16 COMPUTED TOMOGRAPHY  HIGH ENERGY PHOTON  IONIZING RADIATION  EXPOSES DETECTOR  TOMOGRAPHIC DATA
    17. 17. 17 CT- EXAMPLE CT REFERENCE FILM
    18. 18. 18 NUCLEAR MEDICINE  INJECTION OF RADIOPHARMACEUTICAL  HIGH ENERGY PHOTON  IONIZING RADIATION  EXPOSES DETECTOR  PROJECTION DATA
    19. 19. 19 NM - EXAMPLES  HEPATOBILIARY RENAL BONE
    20. 20. 20 ULTRASOUND  SOUND WAVE  NO IONIZING RADIATION  REFLECTED TO DETECTOR  TOMOGRAPHIC DATA
    21. 21. 21 US - EXAMPLES GALLBLADDER KIDNEY OB
    22. 22. 22 MAGNETIC RESONANCE  HYDROGEN PROTONS IN A MAGNETIC FIELD  RADIO WAVE SIGNAL TRANSMISSION  NO IONIZING RADIATION  TOMOGRAPHIC DATA
    23. 23. 23 MAGNETIC RESONANCE EXAMPLES  BRAIN  SPINE  JOINT
    24. 24. 24 MR HAS ADVANTAGE OF MULTI PLANAR IMAGING SAGITTALAXIAL CORONAL
    25. 25. 25 HOSPITAL LINGO X- RAY PLAIN FILM COMPUTED TOMOGRAPHY CAT SCAN CT SCAN NUCLEAR MEDICINE NUC MED ULTRASOUND ULTRASOUND MAGNETIC RESONANCE MR MRI MRA YOU WILL HEAR AND SEE THESE ABBREVIATIONS USED FREQUENTLY IN THE MEDICAL COMMUNITY
    26. 26. 26
    27. 27. 27 L-1 T-12 SACRUM LUMBAR SPINE AP VIEW TRANSVERSE PROCESS SPINOUS PROCESS LAMINA
    28. 28. 28 BODY SPINOUS PROCESS SPINAL CANAL PEDICLE (ROOT) LAMINA PARTS OF THE ARCH TRANSVERSE PROCESS INFERIOR ARTICULAR PROCESS SUPERIOR ARTICULAR PROCESS VERTEBRA
    29. 29. 29 LAMINA INF. VERTEBRAL NOTCH BODY PEDICLE SUP. VERTEBRAL BODY SUP. ARTICULAR PROCESS TRANSVERSE PROCESS SPINOUS PROCESS INF. ARTICULAR PROCESS
    30. 30. 30 OH… THE MANY USES OF MODERN IMAGING ? KING TUT NUC MED STUDY OF A HORSE’S

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