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DIGITAL IMAGING
EQUIPMENT
COMPUTED
TOMOGRAPHY
(CT)
CT
scanner
Provides high-resolution cross-sectional
anatomical images
Table moves through a circular opening in the CT
scanner called the gantry, while an x-ray tube
emits x-rays as it spins 360 degrees inside the
gantry
A detector array measures the amount of x-rays
that pass through the anatomic part and cross-
sectional images are generated from data.
HOW IT WORKS
Detects and confirms the presence of tumor
Guides a biopsy
Helps plan and monitor radiation and surgical
treatment
Helps diagnose problems with blood vessels and
the heart
Used for diagnosing abnormalities of the:
Brain, nasal passages, musculo-skeletal system,
spine, abdomen, lungs and mediastinum
USES
Average scanning time per anatomic region is
only 10-20 seconds therefore many patients can
be examined under sedation instead of
anesthesia
General anesthesia and is necessary for thorax
imaging to control respiration and for timed
contrast imaging to control movement
Ensures the clearest and most accurate images
OTHER FACTS
CT scans should be
avoided during the first
trimester of pregnancy
Animals must be
sedated or under
anesthesia
RISKS
MAGNETIC
RESONANCE
IMAGING (MRI)
MRI
Machine
Uses magnetic fields and radio waves to
diagnose diseases and injury of soft tissue
The atoms comprising soft tissue align with
the magnetic field in the machine
Radio waves pulsed into the field alter the
atoms causing signals to be released and
transmitted to a computer
Signals then show up as either light or dark
areas in the computer image
HOW IT WORKS
Primarily used to examine internal organs for
abnormalities
Imaging of large patients is limited to the limbs
and head due to size constraints
HOW IT WORKS CONT’D.
Diagnosing abnormalities of the brain, spinal
cord, and musculoskeletal system
Diagnose or monitor treatment for conditions
such as:
Tumors of the chest, abdomen or pelvis
Certain types of heart disease
Blockages, enlargements or anatomical
variants of blood vessels
Diseases of the gastrointestinal tract
Cysts and solid tumors in the kidneys or other
urinary tract organs
USES
Radio-frequency energy to
excite molecules is similar
to those from a radio or TV
station
Caution must be taken in
patients with metal
implants or pacemakers
Requires general
anesthesia to ensure the
clearest and most accurate
image possible
RISKS
DIGITAL
FLUOROSCOPY
Digital images are acquired at a rate of 1-8
frames per second
The unit is used for myelography, contrast GI
tract studies, and small animal general
diagnostic imaging.
HOW IT WORKS
Special procedures such as angiography,
venography, cardiac fluoroscopy, or evaluation
for dynamic tracheal disease
USES
Only persons required for a fluoroscopic
procedure should be in the room during the
procedure
Use the smallest possible beam area, thereby
reducing the scatter radiation to personnel.
Fluoroscopic doses can also be minimized by
reduction in the fluoroscopic time used
Use the shortest possible distance from the
image intensifier to the animal to reduce
scattered radiation levels.
SAFETY WHILE OPERATING
DIGITAL OR
COMPUTED
RADIOGRAPHY
Computed Radiography uses a cassette system
with imaging plate that contains
photostimulable storage phosphors.
The phosphors detect and store energy from the
x-rays that strike the cassette.
The light is captured, recorded, and processed
into an image by a computer. The imaging plate
is then erased by fluorescent light in the
scanner, and is ready to be used again.
HOW IT WORKS
Digital Radiography has
no processing or erasing
step
Provides an instant
digital image similar to a
digital camera
HOW IT WORKS
The digitized image can be manipulated:
changing contrast and brightness, zoom in or
out, and take measurements
Images are stored in a secure file that is
difficult to alter
HOW IT WORKS CONT’D.
Provides information about the internal
architecture of abdominal organs, bones and
areas such as the pelvic canal.
USES
Limit the X-Ray beam to the smallest area
possible
Align the X-ray beam properly with the animal
and the image receptor
Remain behind a protective barrier during the
entire radiographic exposure
Wear protective gloves and aprons having a
lead equivalent of not less than 0.5 millimeter
SAFETY WHILE OPERATING
Some radiographs
require sedation or
general anesthesia
RISKS
ULTRASOUND
Uses sound waves to produce images of organs.
Sound waves sent into the body are reflected off
of an internal tissue interface.
Hundred of these reflected signals provide an
image of the organ, which can be visualized on
the ultrasound machine monitor.
HOW IT WORKS
Areas frequently viewed with ultrasound:
Thorax, abdomen, eyes, brain, and tendons
View abnormalities of organs and provides
guidance for biopsies
USES
The ultrasound exam is painless, most
patients require no sedation or anesthesia,
and tolerate the procedure well.
RISKS
NUCLEAR
SCINTIGRAPHY
An animal is injected
with a short-lived
radioactive isotope
which travels to specific
organs/tissues
HOW IT WORKS
Identifying lameness in equine patients where
the cause of the lameness is difficult to localize
by conventional methods
Detects Porto systemic shunts, sub-clinical renal
failure, and hyperthyroidism
Evaluation of mucociliary clearance
USES
The animal is administered radioactive
elements called isotopes or tracers that go
through the bloodstream to the target organ
Patient is usually isolated 12-24 hours after
the exam to allow the body to become clear of
the radioactive tracers
RISKS
ENDOSCOPE
a small camera is guided throughout the body
via naturally existing orifices (nose, mouth,etc)
Can reach most parts of the body without the
need for open surgery
HOW IT WORKS
Observe internal
structures without
surgery
Assists with diagnosis
Minimally invasive
surgeries (biopsy)
USES
Gastrointestinal Tract
Esophagogastroduodenoscopy: esophagus, stomach
and duodenum
Enteroscopy: small intestine
Colonoscopy, sigmoidoscopy: large intestine/colon
Proctoscopy: rectum and anus
Respiratory tract
Rhinoscopy: nose
Bronchoscopy: lower respiratory tract
TYPES OF ENDOSCOPY
Ear: otoscope
Urinary tract: cystoscopy
Female reproductive system: gynoscopy
Colposcopy: cervix
Hysteroscopy: uterus
Falloposcopy: fallopian tubes
 Closed Body Cavities
Laparoscopy: abdominal or pelvic cavity
Arthroscopy: interior of a joint
Thoracoscopy and mediastinoscopy: chest organs
TYPES OF ENDOSCOPY
Patient is usually
anesthetized
Complications (such as
perforation of organs)
due to the exam rarely
occur
Tearing of tissue may
require surgical repair
RISKS
ELECTROCARDIOGRAPH
Pet lies on its right side or stands
Conductive gel or alcohol is applied to the skin
to better transmit the electrical activity
Clip or plate electrodes are attached to the pets
limbs and chest wall which are attached to thin
lead cables connected to the machine
Typical recording duration is 30 seconds to 2
minutes
HOW IT WORKS
Reveals abnormalities of heart rate and
electrical rhythm.
“Screening test” for serious heart disease, but
should be used in conjunction with stethoscope
exam, chest x-ray and echocardiogram
USES
Neither sedation or anesthesia is needed
Some animals resist restraint and may need
to be sedated, but it is not recommended due
to the potential influence on the heart
This exam is noninvasive and is not painful
SAFETY AND RISK
RADIOGRAPH
Produced by transmitting x-rays through a
patient
X-rays pass through less dense objects (fluid or air)
and are absorbed by denser objects (bone)
A capture device converts x-rays into visible
light which then forms an image
Denser objects (like bone) appear whiter, while
less dense objects (air or fluid) appear black
HOW DOES IT WORK
Used to examine and
diagnose internal
structures such as:
bones, heart, lungs,
and abdominal organs
USES
Radiography is painless
Sedation may be needed to reduce stress and
properly position animals
Technicians restraining patients must wear
protective apparel and monitor exposure
SAFETY AND RISK
SAFETY WITH
EQUIPMENT
Verifying the identify of
the patient is the most
important first step in
imaging
IDENTIFICATION
Whenever possible, use
sandbags or other
restraints instead of
having persons hold
patients during imaging
RESTRAINT
No unauthorized visitors
during imaging exams
This includes the owners
of the animals being
imaged
ACCESS TO IMAGING ROOMS
Control exposure levels by:
Maximization of distance from radiation source
Minimization of radiation exposure time
Proper shielding of radiation source
Proper shielding for personnel
Personnel staying in the exam room should be
protected by proper shielding.
thyroid shields, leaded glasses, gloves, and aprons
RADIATION SAFETY
REFERENCES
• http://www.ehrs.upenn.edu/media_files/docs/pdf/vetusersguide2012.pdf
• http://www.peteducation.com/article.cfm?c=0+1302+1473&aid=1007
• http://www.vetmed.vt.edu/vth/radiology.asp#tomo
• http://largeanimal.vethospitals.ufl.edu/services/diagnostic-imaging/digital-
computed-radiography-dr-cr/
• http://www.vetmed.wsu.edu/depts-vth/radiology/
• http://gvi.vetmed.ufl.edu/faq.html#Q10

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Digital-Imaging-Equipment-NXPowerLite (2).pptx

  • 4. Provides high-resolution cross-sectional anatomical images Table moves through a circular opening in the CT scanner called the gantry, while an x-ray tube emits x-rays as it spins 360 degrees inside the gantry A detector array measures the amount of x-rays that pass through the anatomic part and cross- sectional images are generated from data. HOW IT WORKS
  • 5. Detects and confirms the presence of tumor Guides a biopsy Helps plan and monitor radiation and surgical treatment Helps diagnose problems with blood vessels and the heart Used for diagnosing abnormalities of the: Brain, nasal passages, musculo-skeletal system, spine, abdomen, lungs and mediastinum USES
  • 6. Average scanning time per anatomic region is only 10-20 seconds therefore many patients can be examined under sedation instead of anesthesia General anesthesia and is necessary for thorax imaging to control respiration and for timed contrast imaging to control movement Ensures the clearest and most accurate images OTHER FACTS
  • 7. CT scans should be avoided during the first trimester of pregnancy Animals must be sedated or under anesthesia RISKS
  • 10. Uses magnetic fields and radio waves to diagnose diseases and injury of soft tissue The atoms comprising soft tissue align with the magnetic field in the machine Radio waves pulsed into the field alter the atoms causing signals to be released and transmitted to a computer Signals then show up as either light or dark areas in the computer image HOW IT WORKS
  • 11. Primarily used to examine internal organs for abnormalities Imaging of large patients is limited to the limbs and head due to size constraints HOW IT WORKS CONT’D.
  • 12. Diagnosing abnormalities of the brain, spinal cord, and musculoskeletal system Diagnose or monitor treatment for conditions such as: Tumors of the chest, abdomen or pelvis Certain types of heart disease Blockages, enlargements or anatomical variants of blood vessels Diseases of the gastrointestinal tract Cysts and solid tumors in the kidneys or other urinary tract organs USES
  • 13. Radio-frequency energy to excite molecules is similar to those from a radio or TV station Caution must be taken in patients with metal implants or pacemakers Requires general anesthesia to ensure the clearest and most accurate image possible RISKS
  • 15.
  • 16. Digital images are acquired at a rate of 1-8 frames per second The unit is used for myelography, contrast GI tract studies, and small animal general diagnostic imaging. HOW IT WORKS
  • 17. Special procedures such as angiography, venography, cardiac fluoroscopy, or evaluation for dynamic tracheal disease USES
  • 18. Only persons required for a fluoroscopic procedure should be in the room during the procedure Use the smallest possible beam area, thereby reducing the scatter radiation to personnel. Fluoroscopic doses can also be minimized by reduction in the fluoroscopic time used Use the shortest possible distance from the image intensifier to the animal to reduce scattered radiation levels. SAFETY WHILE OPERATING
  • 20.
  • 21. Computed Radiography uses a cassette system with imaging plate that contains photostimulable storage phosphors. The phosphors detect and store energy from the x-rays that strike the cassette. The light is captured, recorded, and processed into an image by a computer. The imaging plate is then erased by fluorescent light in the scanner, and is ready to be used again. HOW IT WORKS
  • 22. Digital Radiography has no processing or erasing step Provides an instant digital image similar to a digital camera HOW IT WORKS
  • 23. The digitized image can be manipulated: changing contrast and brightness, zoom in or out, and take measurements Images are stored in a secure file that is difficult to alter HOW IT WORKS CONT’D.
  • 24. Provides information about the internal architecture of abdominal organs, bones and areas such as the pelvic canal. USES
  • 25. Limit the X-Ray beam to the smallest area possible Align the X-ray beam properly with the animal and the image receptor Remain behind a protective barrier during the entire radiographic exposure Wear protective gloves and aprons having a lead equivalent of not less than 0.5 millimeter SAFETY WHILE OPERATING
  • 26. Some radiographs require sedation or general anesthesia RISKS
  • 28.
  • 29. Uses sound waves to produce images of organs. Sound waves sent into the body are reflected off of an internal tissue interface. Hundred of these reflected signals provide an image of the organ, which can be visualized on the ultrasound machine monitor. HOW IT WORKS
  • 30. Areas frequently viewed with ultrasound: Thorax, abdomen, eyes, brain, and tendons View abnormalities of organs and provides guidance for biopsies USES
  • 31. The ultrasound exam is painless, most patients require no sedation or anesthesia, and tolerate the procedure well. RISKS
  • 33.
  • 34. An animal is injected with a short-lived radioactive isotope which travels to specific organs/tissues HOW IT WORKS
  • 35. Identifying lameness in equine patients where the cause of the lameness is difficult to localize by conventional methods Detects Porto systemic shunts, sub-clinical renal failure, and hyperthyroidism Evaluation of mucociliary clearance USES
  • 36. The animal is administered radioactive elements called isotopes or tracers that go through the bloodstream to the target organ Patient is usually isolated 12-24 hours after the exam to allow the body to become clear of the radioactive tracers RISKS
  • 38.
  • 39. a small camera is guided throughout the body via naturally existing orifices (nose, mouth,etc) Can reach most parts of the body without the need for open surgery HOW IT WORKS
  • 40. Observe internal structures without surgery Assists with diagnosis Minimally invasive surgeries (biopsy) USES
  • 41. Gastrointestinal Tract Esophagogastroduodenoscopy: esophagus, stomach and duodenum Enteroscopy: small intestine Colonoscopy, sigmoidoscopy: large intestine/colon Proctoscopy: rectum and anus Respiratory tract Rhinoscopy: nose Bronchoscopy: lower respiratory tract TYPES OF ENDOSCOPY
  • 42. Ear: otoscope Urinary tract: cystoscopy Female reproductive system: gynoscopy Colposcopy: cervix Hysteroscopy: uterus Falloposcopy: fallopian tubes  Closed Body Cavities Laparoscopy: abdominal or pelvic cavity Arthroscopy: interior of a joint Thoracoscopy and mediastinoscopy: chest organs TYPES OF ENDOSCOPY
  • 43. Patient is usually anesthetized Complications (such as perforation of organs) due to the exam rarely occur Tearing of tissue may require surgical repair RISKS
  • 45.
  • 46. Pet lies on its right side or stands Conductive gel or alcohol is applied to the skin to better transmit the electrical activity Clip or plate electrodes are attached to the pets limbs and chest wall which are attached to thin lead cables connected to the machine Typical recording duration is 30 seconds to 2 minutes HOW IT WORKS
  • 47. Reveals abnormalities of heart rate and electrical rhythm. “Screening test” for serious heart disease, but should be used in conjunction with stethoscope exam, chest x-ray and echocardiogram USES
  • 48. Neither sedation or anesthesia is needed Some animals resist restraint and may need to be sedated, but it is not recommended due to the potential influence on the heart This exam is noninvasive and is not painful SAFETY AND RISK
  • 50.
  • 51. Produced by transmitting x-rays through a patient X-rays pass through less dense objects (fluid or air) and are absorbed by denser objects (bone) A capture device converts x-rays into visible light which then forms an image Denser objects (like bone) appear whiter, while less dense objects (air or fluid) appear black HOW DOES IT WORK
  • 52. Used to examine and diagnose internal structures such as: bones, heart, lungs, and abdominal organs USES
  • 53. Radiography is painless Sedation may be needed to reduce stress and properly position animals Technicians restraining patients must wear protective apparel and monitor exposure SAFETY AND RISK
  • 55. Verifying the identify of the patient is the most important first step in imaging IDENTIFICATION
  • 56. Whenever possible, use sandbags or other restraints instead of having persons hold patients during imaging RESTRAINT
  • 57. No unauthorized visitors during imaging exams This includes the owners of the animals being imaged ACCESS TO IMAGING ROOMS
  • 58. Control exposure levels by: Maximization of distance from radiation source Minimization of radiation exposure time Proper shielding of radiation source Proper shielding for personnel Personnel staying in the exam room should be protected by proper shielding. thyroid shields, leaded glasses, gloves, and aprons RADIATION SAFETY
  • 59. REFERENCES • http://www.ehrs.upenn.edu/media_files/docs/pdf/vetusersguide2012.pdf • http://www.peteducation.com/article.cfm?c=0+1302+1473&aid=1007 • http://www.vetmed.vt.edu/vth/radiology.asp#tomo • http://largeanimal.vethospitals.ufl.edu/services/diagnostic-imaging/digital- computed-radiography-dr-cr/ • http://www.vetmed.wsu.edu/depts-vth/radiology/ • http://gvi.vetmed.ufl.edu/faq.html#Q10

Editor's Notes

  1. Providing students with a photo negative may help them understand this process better. Many have never seen photo negatives and may not be familiar with this phenomenon