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Introduction to Medical
Imaging
A.Bathsheba Parimala
Assistant Professor
St.Johns College,Palayamkottai
Medical Imaging
• Non-invasive visualization of internal
organs, tissue, etc.
– Is endoscopy an imaging modality?
• Image – a 2D signal f(x,y) or 3D f(x,y,z)
– Is a 1D non-imaging sensing techniques an
imaging modality?
Major Modalities
• Projection X-ray (Radiography)
• X-ray Computed Tomography (CT)
• Nuclear Medicine (SPECT, PET)
• Ultrasound
• Magnetic Resonance Imaging
Projection X-ray Imaging
• Image records transmission of x-rays through object
• The integral is a line-integral or a “projection” through obj
• m(x,y,z) – x-ray attenuation coefficient, a tissue property,
a function of electron density, atomic #, …
X-ray
Source
Object X-ray Detector
m(x,y,z)
Id(x,y)

Id (x,y) I0 exp( m(x,y,z)dl )
Projection X-ray Imaging
• X-ray imaging requires interactions of x-ray photons with
object – work in a specific energy band
– Above this band – body is too transparent
– Below this band – body is too opaque
– Well below this band – wavelengths are too long
• One problem with x-ray imaging: no depth (z) info
Transmissivity
ofbody
Visible
EM Spectrum
Energy
Near
IR
MRI
Diagnostic
X-ray Band
X-ray Imaging
Projection vs Tomographic
Projection Image
Cross-sectional Image
Chest
Mass
X-ray Computed Tomography
• Uses x-rays, but exposure is limited to a slice (or “a
couple of” slices) by a collimator
• Source and detector rotate around object – projections
from many angles
• The desired image, I(x,y) = m(x,y,z0), is computed from
the projections
X-ray
Source
Object
X-ray Detectorm(x,y,z0)
Collimator
X-ray Computed Tomography
Anatomical vs Functional Imaging
Nuclear Medicine (Scintigraphy)
• Detector records emission of gamma photons from
radioisotopes introduced into the body
• The integral is a line-integral or a “projection” through obj
• Source s(x,y,z) usually represents a selective uptake of
a radio-labeled pharmaceutical
Gamma
Source
Object
Gamma
Detector
Id(x,y)
)),,(),(  ldzyxsyxId

s(x,y,z)
Pinhole
Camera
Nuclear Medicine (Scintigraphy)
• Issue: Pinhole Size
– Large pinhole – more photons, better SNR
– Large pinhole – more blur, reduced resolution
• Issue: Half-life
– Long half lives are easier to handle, but continue to
irradiate patient after imaging is done
• Issue: Functional Specificity
– Pharmaceuticals must be specific to function of interest
– E.g. Thallium, Technicium
• Issue: No depth info
– Nuclear Medicine Computed Tomography (SPECT, PET)
Nuclear Medicine (Scintigraphy)
Bone Scan
SPECT Scanner (3 heads)
QuickTime™ and a
decompressor
are needed to see this picture.
Nuclear Medicine (SPECT)
Cardiac (Left Ventricle) Perfusion Scan
Short Axis
Long Axis
Long Axis
PET Scanner
QuickTime™ and a
decompressor
are needed to see this picture.
http://upload.wikimedia.org/wikibooks/en/f/fb/PetDiag2.jpg
PET-CT Scanner
QuickTime™ and a
decompressor
are needed to see this picture.
QuickTime™ and a
decom pressor
are needed to see this picture.
PET-CT Scan
QuickTime™ and a
decompressor
are needed to see this picture.
Anatomy Function Both
Ultrasound Imaging
• Image reflectivity of acoustic wave, R(x,y,z).
• Depth – A function of time (ping-echo)
• Lateral – Focusing of wavefronts
• Direct imaging (e.g. vs. computed) modality – echo data
is placed directly into image matrix
Transducer
Object
Image
R(x,y)
Depth
R(x,y,z)
Transducer
position
Ultrasound Imaging
• Issue: Transmit Frequency
– Increase in frequency reduces wavelength:
– Reduced (improved) resolution size (2-3 l)
– Also improved lateral resolution (diffraction):
– Increases attenuation (and thus, range of depth)
• Issue: Flow
– Can use Doppler effect to image flow
• Issue: Speckle
– Most noise in US is speckle (signal dependent)
0/ fcl
Dzx /l
Ultrasound Imaging
High-Resolution Color Doppler
Magnetic Resonance Imaging
• Atomic nuclei and hydrogen nuclei, 1H, in
particular, have a magnetic moment
– Moments tend to become aligned to applied field
– Creates magnetization, m(x,y,z) (a tissue property)
• MRI makes images of m(x,y,z)
M
Magnetic Resonance Imaging
• The magnetization is excited into an observable state
• Magnetization emits energy at a resonant frequency:
RF Excitation
(Energy into tissue)
Magnetic fields
are emitted
(63 MHz at 1.5 T)l
Magnetic Resonance Imaging
x Position
B
Mag. Field
StrengthLow Frequency
High Frequency
x Position
High Frequency
Low Frequency
Object
• Frequency is proportional to magnetic field
– We can create a frequency vs. space variation:
– Use Fourier analysis to determine spatial location
• Interestingly, l is much larger than resolution – not
imaging EM direction, but using its frequency
MR Signal
Fourier
Transform
x Position
High Frequency
Low Frequency
Object
1D Image
time
(x,y,z)l(x,y,z)
cardiac cancer
stroke
neuro function
joint
lung
MRI

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Medical imaging

  • 1. Introduction to Medical Imaging A.Bathsheba Parimala Assistant Professor St.Johns College,Palayamkottai
  • 2. Medical Imaging • Non-invasive visualization of internal organs, tissue, etc. – Is endoscopy an imaging modality? • Image – a 2D signal f(x,y) or 3D f(x,y,z) – Is a 1D non-imaging sensing techniques an imaging modality?
  • 3. Major Modalities • Projection X-ray (Radiography) • X-ray Computed Tomography (CT) • Nuclear Medicine (SPECT, PET) • Ultrasound • Magnetic Resonance Imaging
  • 4. Projection X-ray Imaging • Image records transmission of x-rays through object • The integral is a line-integral or a “projection” through obj • m(x,y,z) – x-ray attenuation coefficient, a tissue property, a function of electron density, atomic #, … X-ray Source Object X-ray Detector m(x,y,z) Id(x,y)  Id (x,y) I0 exp( m(x,y,z)dl )
  • 5. Projection X-ray Imaging • X-ray imaging requires interactions of x-ray photons with object – work in a specific energy band – Above this band – body is too transparent – Below this band – body is too opaque – Well below this band – wavelengths are too long • One problem with x-ray imaging: no depth (z) info Transmissivity ofbody Visible EM Spectrum Energy Near IR MRI Diagnostic X-ray Band
  • 6. X-ray Imaging Projection vs Tomographic Projection Image Cross-sectional Image Chest Mass
  • 7. X-ray Computed Tomography • Uses x-rays, but exposure is limited to a slice (or “a couple of” slices) by a collimator • Source and detector rotate around object – projections from many angles • The desired image, I(x,y) = m(x,y,z0), is computed from the projections X-ray Source Object X-ray Detectorm(x,y,z0) Collimator
  • 10. Nuclear Medicine (Scintigraphy) • Detector records emission of gamma photons from radioisotopes introduced into the body • The integral is a line-integral or a “projection” through obj • Source s(x,y,z) usually represents a selective uptake of a radio-labeled pharmaceutical Gamma Source Object Gamma Detector Id(x,y) )),,(),(  ldzyxsyxId  s(x,y,z) Pinhole Camera
  • 11. Nuclear Medicine (Scintigraphy) • Issue: Pinhole Size – Large pinhole – more photons, better SNR – Large pinhole – more blur, reduced resolution • Issue: Half-life – Long half lives are easier to handle, but continue to irradiate patient after imaging is done • Issue: Functional Specificity – Pharmaceuticals must be specific to function of interest – E.g. Thallium, Technicium • Issue: No depth info – Nuclear Medicine Computed Tomography (SPECT, PET)
  • 13. SPECT Scanner (3 heads) QuickTime™ and a decompressor are needed to see this picture.
  • 14. Nuclear Medicine (SPECT) Cardiac (Left Ventricle) Perfusion Scan Short Axis Long Axis Long Axis
  • 15. PET Scanner QuickTime™ and a decompressor are needed to see this picture. http://upload.wikimedia.org/wikibooks/en/f/fb/PetDiag2.jpg
  • 16. PET-CT Scanner QuickTime™ and a decompressor are needed to see this picture. QuickTime™ and a decom pressor are needed to see this picture.
  • 17. PET-CT Scan QuickTime™ and a decompressor are needed to see this picture. Anatomy Function Both
  • 18. Ultrasound Imaging • Image reflectivity of acoustic wave, R(x,y,z). • Depth – A function of time (ping-echo) • Lateral – Focusing of wavefronts • Direct imaging (e.g. vs. computed) modality – echo data is placed directly into image matrix Transducer Object Image R(x,y) Depth R(x,y,z) Transducer position
  • 19. Ultrasound Imaging • Issue: Transmit Frequency – Increase in frequency reduces wavelength: – Reduced (improved) resolution size (2-3 l) – Also improved lateral resolution (diffraction): – Increases attenuation (and thus, range of depth) • Issue: Flow – Can use Doppler effect to image flow • Issue: Speckle – Most noise in US is speckle (signal dependent) 0/ fcl Dzx /l
  • 21. Magnetic Resonance Imaging • Atomic nuclei and hydrogen nuclei, 1H, in particular, have a magnetic moment – Moments tend to become aligned to applied field – Creates magnetization, m(x,y,z) (a tissue property) • MRI makes images of m(x,y,z) M
  • 22. Magnetic Resonance Imaging • The magnetization is excited into an observable state • Magnetization emits energy at a resonant frequency: RF Excitation (Energy into tissue) Magnetic fields are emitted (63 MHz at 1.5 T)l
  • 23. Magnetic Resonance Imaging x Position B Mag. Field StrengthLow Frequency High Frequency x Position High Frequency Low Frequency Object • Frequency is proportional to magnetic field – We can create a frequency vs. space variation: – Use Fourier analysis to determine spatial location • Interestingly, l is much larger than resolution – not imaging EM direction, but using its frequency MR Signal Fourier Transform x Position High Frequency Low Frequency Object 1D Image time (x,y,z)l(x,y,z)