This document provides an overview of the history of medicine and the discovery of radiology. It discusses how prehistoric people practiced primitive medicine using herbs and clay. Ancient Egyptians made advances in medicine and mummification. Hippocrates was influential in establishing medicine as a science. Wilhelm Roentgen accidentally discovered x-rays in 1895 while experimenting with cathode rays. This led to the use of medical imaging including diagnostic radiography. The document defines radiologic technology as using radiation to provide images of the body for diagnosis. It outlines several radiology modalities used in medical diagnosis and therapy including diagnostic radiography, ultrasound, fluoroscopy, MRI, CT, nuclear medicine, radiotherapy and mammography.
2. Introduction to
Radiologic Technology
The Science of
Radiology and
Radiologic Technology
Learning Objectives
At the end of the lesson, the learner is
expected to:
⮚ Explain the use of Radiation in
medicine
⮚ Provide overview of the history of
medicine
⮚ Identify Various Specialty of within
Radiology department
⮚ Discuss the discovery of X-ray
⮚ Discuss the discovery of X-ray
3. Introduction to
Radiologic Technology
The Science of
Radiology and
Radiologic Technology
⮚ Medical Science
⮚ Radiology Historical
Perspective
⮚ Overview of the Application of
the radiation in medical
diagnosis and therapy
Topic 1
7. Prehistoric /
Primitive Medicine
• did not care about hygiene in their
homes and bodies.
• Bad handling of food, the
primitive,
• stiffness caused abrasion
• damage to the teeth and jaws
• diseases of the digestive system.
8. Prehistoric / Primitive
Medicine • Spirits: believed that any
disease is caused by the
occurrence of another soul
in the human body
• Primitive doctor and in
combination and the priest
10. Ancient Egypt • Knowledge and manuscripts
of the ancient Egyptian
physicians served as the basis
for many more modern
medical methods and
doctrines
• gave great importance to
hygiene
• Mummification.
11. Ancient Egypt
• The Egyptians first learned
of the existence of the pulse.
• Perform the circumcision
both male and female.
12. Ancient Egypt
• Believed that disease is
cause by evil spirits.
• Doctors were also a priest
• Believe in system of
channel
13. Classical
Medicine
Aesculapius
- he came to be worshiped as a
god.
- In his temple the sick were
treated by priest with
combination of rest, exercise,
diet and magic
Hippocrates
- The “Father of Medicine” .
- His ideas revolutionized
medicine from the ancient
past and began turning it into
an objective science.
His teachings
were:
• Study the
patient rather
than the disease
• Evaluate
honestly
14. Classical
Medicine
• The most influential physician of roman
era.
• learn much about Trauma Care
• Wrote over 500 books on medicine
• Stressed that the best way to learn
about health and disease was through
dissection of animals and the study
of anatomy.
• learn much about Trauma Care
15. Arabic Medicine
• Greek medical text were
translated into Arabic and
augmented with sophisticated
pharmaceutical information
• Herbs and spices were not valued
as cooking ingredients but as
MEDICINE
• Arabic Medical Term –Drug,
Alkali, Syrup, Alcohol in remain
in western language.
• Improved Greek and Roman
Medicine esp. Ocular technique
• Develop first class civilian
hospital used to care for the blind
, crippled and chronically ill also
train medical personnel.
16. The Renaissance
Paracelsus: the “father of
pharmacology”
Andreas Versallus: the “father of
anatomy”
• Lots of medical discoveries were
made during this time period.
17. The Eighteenth Century
Giovanni Battista Morgagni:
the “father of physiology”
.
Jenner formulated the smallpox
vaccine through experimental
surgery
John Hunter developed a way to
close of aneurysms
18. The Nineteenth
Century
• Autopsies were a major
focus of medicine during
the nineteenth century
• Advances in surgery
• Joseph Lister discovered
that bacteria were often
the origin of disease
19. The Nineteenth Century
• Pasteur discovered that the
decay of food could be
forestalled by heating and
destroying the bacteria
• Gregor Mendel was the
founding father of genetics
in 1886
• November 8, 1895
Wilhelm Roentgen
founded x-rays while
working in his lab
20. 20th Century
Ehrlich: “father of
chemotherapy
1930- invention of electron
microscope
Einthoven: first EKG
Surgical techniques
refined
22. DISCOVERY OF X-RAYS X-rays were not developed; they
were discovered, and quite by
accident.
During the 1870s and 1880s,
many university physics
laboratories were investigating the
conduction of cathode rays, or
electrons, through a large, partially
evacuated glass tube known as a
Crookes tube.
23. DISCOVERY OF
X-RAY
• On November 8, 1895,
Roentgen was working with a
cathode ray tube
• Roentgen shielded the tube
with heavy black paper,
• found that a green colored
fluorescent light had produced a
previously unknown "invisible
light," that was being emitted from
the tube
24. DISCOVERY OF X-RAYS
. The “X” was for unknown!
He feverishly continued
these investigations for
several weeks.
Roentgen's immediate approach to
investigating this “X-light,” as he called it,
was to interpose various materials—
wood, aluminum, his hand!—between the
Crookes tube and the fluorescing plate
25. DISCOVERY OF X-RAYS • recognized the value of his
discovery to medicine.
• produced and published the
first medical x-ray in early
1896.
• image in early 1896. “Wife's
Hand”
ANNA BERTHA LUDWIG
27. • Crookes Tube –a vacuum-sealed
glass container capable of
carrying electricity. Discovered
by William Crooke
• Phospor – material that converts
x-ray energy into light photon
• Barium Platinocyanide –
Phosphor material that lead to
discovery of x-ray
Clarence Dally (1865–1904) is
thought to be the first to die as result
of X-ray exposure. He died of
metastatic carcinoma at only 39 years
old.
Is he a
VICTIM or a
MARTYR?
29. •It is the art and science of using radiation
to provide images of tissues, organs, bones
and vessels that comprise the human body
for diagnosis of injuries or diseases
Radiologic Technology
32. Radiology
Medical specialty in which x-rays, radium,
and radioactive substances are applied in
the diagnosis and treatment of the patient
Radiologist
Physician who applies any form of
radiation in the diagnosis and treatment of
disease.
Radiograph
a photographic record produced by x-rays
through an object.
•The health professional responsible for
performing radiographic examinations
Radiologic Technologist
•A two-year or 4-year
degree are required
33. •Strong academic background in math and
science
•Good communication skills
•Like working with people of all ages (especially
the sick or infirm)
•Like working with equipment and technology
•Able to work under stress
•Responsible/Reliable/Ethical
•Able to tolerate “blood & guts”
What kind of person makes a good
Radiographer?
34. Overview of the application
of radiation
in Medical Diagnosis and
Therapy
35. Application Of Radiation
In Medical Diagnosis And
Therapy
Radiologic Technology
Modalities / Specialty
Diagnostic Radiography
- deals with an examination of
internal organ, bones , cavities
and foreign objects includes
cardiovascular imaging and
interventional radiography.
36. Sonography
uses high frequency
sound waves used in obstetrics,
gynecology, abdominal,
pediatrics, cardiac, vascular and
musculo-skeletal region
imaging
Radiologic Technology
Modalities / Specialty
37. Radiologic Technology
Modalities / Specialty
Fluoroscopy
Live motion radiography
usually used to visualize the digestive
system, monitor administration of
contrast agents to highlight vessel
and organs or to help position devices
within the body (such as pacemaker,
guidewire, stents. etc.)
39. CT (Computed Tomography)
provides cross sectional view
(Slices)of the body, can also
reconstruct additional images
from those taken to provide more
information in either 2D or 3D
images
Radiologic Technology
Modalities / Specialty
Sometimes called
CAT SCAN
41. Nuclear Imaging
uses radioactive tracer which
can be administer to examine how
the body organ's function. Certain
radioisotopes can also be
administered to treat certain cancer
such as thyroid cancer
Radiologic Technology
Modalities / Specialty
42. Radiotherapy
uses radiation to
shrink and sometimes
eradicate, cancerous cell/
growth in and on the body.
Radiologic Technology
Modalities / Specialty
43. Mammography
uses low dose x-ray
system to produce images
of human breast
Radiologic Technology
Modalities / Specialty
44. Introduction to Radiologic Technology
The Science of Radiology and Radiologic Technology
References
⮚ Introduction to Radiologic Technology 8th Edition by William J. Callaway
MA RT(R)
⮚ Introduction to Radiologic Technology with Health Care Roberto D. Yumul
Editor's Notes
We can only speculate about human practice of pre-historic medicine.
All of the ancient cultures had various beliefs about healing and medicine. The embalming of the ancient Egyptians have provided us with much of our knowledge of ancient medicine
The ancient cultures shared a common bond in medicine- religion was always linked to the medicinal practices
THE
YES , LOTS OF EXERCISE , FRESH FOOD . LIVING IN SMALL GROUPS , LIMITED SPREAD OF INFECTION
Primitive people did not care about hygiene in their homes and bodies. This way of life is the best environment for the growth and development of different infections and diseases and ancient medicine was unable to deal with them. Bad handling of food, the primitive, and stiffness caused abrasion and damage to the teeth and jaws, diseases of the digestive system.
During battles and hunting primitive people received dangerous injuries, no treatment which often led to death.
there is evidence that many people suffered from osteoarthritis, probably caused by the lifting of heavy objects which would have been a daily and necessary task in their societies
Medicine men (also witch-doctors, shamans) maintained the health of their tribe by gathering and distributing herbs, performing minor surgical procedures,[26] providing medical advice, and supernatural treatments such as charms, spells, and amulets to ward off evil spirits
Primitive doctor and in combination and the priest was engaged in the exile by means of spells and various rituals.
clay is used both internally and externally, such as for treating wounds, and after surgery. Geophagy, and the external use of clay are both still quite widespread among aboriginal peoples around the world, as well as among pre-industrial populations.
Geophagy is the practice of eating earth or soil-like substances such as clay, chalk, or termite mounds
Trepanation - holes were drilled into a person who was behaving in what was considered an abnormal way to let out what people believed were evil spirits . To kept the bad spirits away.
is the practice of eating earth or soil-like substances such as clay, chalk, or termite mounds
clay is used both internally and externally, such as for treating wounds, and after surgery. Geophagy, and the external use of clay are both still quite widespread among aboriginal peoples around the world, as well as among pre-industrial populations.
Geophagy is the practice of eating earth or soil-like substances such as clay, chalk, or termite mounds. That’s why they are proe to GI disease
Trepanation - holes were drilled into a person who was behaving in what was considered an abnormal way to let out what people believed were evil spirits . To kept the bad spirits away.
Were first people to settle
Develop written langunge and counting system
Egyptians had some knowledge of human anatomy.
For example, in the classic mummification process, mummifiers knew how to insert a long hooked implement through a nostril, breaking the thin bone of the braincase and removing the brain.
They also had a general idea that inner organs are in the body cavity. They removed the organs through a small incision in the left groin. Whether this knowledge was passed down to the practitioners is unknown; yet it did not seem to have had any impact on their medical theories.
They had no precise knowledge of the vessels,various nerves, tendons and how they differ.The priests showed themselves as surgeons,they could carry out an amputation of a limb,surgically remove skin growths, perform thecircumcision – both male and female.
Egyptian physicians were aware of the existence of the pulse and its connection to the heart.
They developed their theory of "channels" that carried air, water, and blood to the body by analogies with the River Nile; if it became blocked, crops became unhealthy. They applied this principle to the body: If a person was unwell, they would use laxatives to unblock the "channels“
Rivir of nile is the longest river in the work uganda africa
If that channel is clooged bloodletting or leeches were use to open them
They had no precise knowledge of the vessels,various nerves, tendons and how they differ.The priests showed themselves as surgeons,they could carry out an amputation of a limb,surgically remove skin growths, perform thecircumcision – both male and female.
Egyptian physicians were aware of the existence of the pulse and its connection to the heart.
They developed their theory of "channels" that carried air, water, and blood to the body by analogies with the River Nile; if it became blocked, crops became unhealthy. They applied this principle to the body: If a person was unwell, they would use laxatives to unblock the "channels“
Rivir of nile is the longest river in the work uganda africa
Aesculapius - is a hero and god of medicine in ancient Greek religion and mythology.
hose physicians and attendants who served this god were known as the Therapeutae of Asclepius.
Those physicians and attendants who served this god were known as the Therapeutae of Asclepius.
who is considered one of the most outstanding figures in the history of medicine. He is often referred to as the "Father of Medicine“
Swear px info is confidential
Never to poison px
Galen influenced the development of various scientific disciplines, including anatomy,[5] physiology, pathology,[6] pharmacology,[7] and neurology, as well as philosophy[8] and logic.
Galen's understanding of anatomy and medicine was principally influenced by the then-current theory of humorism (also known as the theory of the four humors: black bile, yellow bile, blood, and phlegm)
The reason for using animals to discover the human body was due to the fact that dissections and vivisections on humans were strictly prohibited at the time.
Galen would encourage his students to go look at dead gladiators or bodies that washed up in order to get better acquainted with the human body. Galen’s most famous experiment that he recreated in public was the squealing pig. The squealing pig experiment was when Galen would cut open a pig, and while it was squealing he would cut the nerve, or vocal cords, showing they controlled the making of sound
Devoplment of Pharmacy
Paracelsus, the man who brought chemistry to medicine. is the man who pioneered the use of minerals and other chemicals in medicine. Mercury, lead, arsenic and antimony—poisons to most—were cures in his view. "In all things there is a poison, and there is nothing without a poison
Andreas Vesalius, (Latin), Flemish Andries van Wesel, Renaissance physician who revolutionized the study of biology and the practice of medicine by his careful description of the anatomy of the human body. Basing his observations on dissections he made himself, he wrote and illustrated the first comprehensive textbook of anatomy.
Crookes tube was the frist xray tube
Sir William Crookes was an Englishman from a rather humble background who was a self-taught genius. The tube that bears his name was the forerunner of modern fluorescent lamps and x-ray tubes. There were many different types of Crookes tubes; most of them were capable of producing x-rays. Wilhelm Roentgen was experimenting with a type of Crookes tube when he discovered x-rays
He was working with tubes similar to our fluorescent light bulbs.
On November 8, 1895, Roentgen was working in his physics laboratory at Würzburg University in Germany. In late 1895, a Roentgen was working with a cathode ray tube in his laboratory. He was working with tubes similar to our fluorescent light bulbs.
found out that the new ray would pass through most substances casting shadows of solid objects on pieces of film
He named the new ray X-ray, because in mathematics "X“.
X" is used to indicated the unknown quantity
WIFE OF ROENTGEN NO CHILDREN
JOSEPHINE BERTHA ADOPTED DAUGHTER
Scientists were quick to realize the benefits of X-rays, but slower to comprehend the harmful effects of radiation. Initially, it was believed X-rays passed through flesh as harmlessly as light. However, within several years, researchers began to report cases of burns and skin damage after exposure to X-rays, and in 1904, Thomas Edison’s assistant, Clarence Dally, who had worked extensively with X-rays, died of skin cancer. Dally’s death caused some scientists to begin taking the risks of radiation more seriously, but they still weren’t fully understood.
It referred to his "hand of death that was covered in lesions, looked burned and was falling apart after countless hours of intense x-ray radiation." However, the story is interesting enough without the need to dramatize.
Clarence was a victim since his sufferings were unexpected, and yet he was a martyr too because even when aware of the danger, he continued in his work.
Scientists were quick to realize the benefits of X-rays, but slower to comprehend the harmful effects of radiation. Initially, it was believed X-rays passed through flesh as harmlessly as light. However, within several years, researchers began to report cases of burns and skin damage after exposure to X-rays, and in 1904, Thomas Edison’s assistant, Clarence Dally, who had worked extensively with X-rays, died of skin cancer. Dally’s death caused some scientists to begin taking the risks of radiation more seriously, but they still weren’t fully understood.
It referred to his "hand of death that was covered in lesions, looked burned and was falling apart after countless hours of intense x-ray radiation." However, the story is interesting enough without the need to dramatize.
Clarence was a victim since his sufferings were unexpected, and yet he was a martyr too because even when aware of the danger, he continued in his work.
X-ray images, that are recorded on x-ray film or displayed on a video monitor, are then used as a tool to diagnose disease, injury or congenital deformity
Radiologic Technologists are essential members of the health-care team, who work closely with physicians, nurses and other members of allied health.
An essential member of the healthcare team who uses ionizing radiation to produce quality images which help in the diagnosis of injury and disease.
A two-year or 4-year degree are required
Radiologic Technologists are essential members of the health-care team, who work closely with physicians, nurses and other members of allied health.
An essential member of the healthcare team who uses ionizing radiation to produce quality images which help in the diagnosis of injury and disease.
A two-year or 4-year degree are required
Radiologic Technologist use their expertise and knowledge patient of handling Physics, Anatomy, Physiology, Pathology, and
Radiology to assess patients, develop optimal radiologic Technology techniques or plans and evaluate resulting radiographic images
Non ionizing radiation -
MRI scan uses strong magnetic.. fields and radio waves
MRI scans produce more detailed images.
A CT scan is a form of X-raying that involves a large X-ray machine. CT scans are sometimes called CAT scans.
CT scans and MRIs are both used to capture images within your body.
The biggest difference is that MRIs (magnetic resonance imaging) use radio waves and CT (computed tomography) scans use X-rays.
While both are relatively low risk, there are differences that may make each one a better option depending on the circumstances.
MRI hey’re frequently used to diagnose issues with your:
If you need a more detailed image of your soft tissue, ligaments, or organs, your doctor will commonly suggest an MRI.
Joints brain wrists ankles breasts heart blood vessels
herniated disks torn ligaments soft tissue issues
A constant magnetic field and radio frequencies bounce off of the fat and water molecules in your body. Radio waves are transmitted to a receiver in the machine which is translated into an image of the body that can be used to diagnose issues.
An MRI is a loud machine. Typically, you’ll be offered earplugs or headphones to make the noise more bearable.
You’ll also be asked to lie still while the MRI is taking place.
A CT scan is typically used for:
bone fractures tumors cancer monitoring finding internal bleeding
If you need a general image of an area like your internal organs, or due to a fracture or head trauma, a CT scan will commonly be recommended.
During a CT scan, you’ll be asked to lie down on a table. The table then moves through the CT scan to take cross-sectional pictures inside your body.
Risks
Both CT scans and MRIs pose some risks when used. The risks are based on the type of imaging as well as how the imaging is performed.
CT scan risks include:
harm to unborn babies a very small dose of radiation a potential reaction to the use of dyes
MRI risks include:
possible reactions to metals due to magnets Loud noises from the machine causing hearing issues
increase in body temperature during long MRIs claustrophobia
You should consult a doctor prior to an MRI if you have implants including:
artificial joints eye implants an IUD a pacemaker
Nuclear medicine is a specialized area of radiology that uses very small amounts of radioactive materials, or radiopharmaceuticals, to examine organ function and structure. Nuclear medicine imaging is a combination of many different disciplines.
adioactive materials called radiotracers that are typically injected into the bloodstream, inhaled or swallowed. The radiotracer travels through the area being examined and gives off energy in the form of gamma rays which are detected by a special camera and a computer to create images of the inside of your body.
Nuclear medicine imaging provides unique information that often cannot be obtained using other imaging procedures and offers the potential to identify disease in its earliest stages.
Nuclear medicine uses a special gamma camera and single-photon emission-computed tomography (SPECT) imaging techniques.
Nuclear medicine uses a special gamma camera and single-photon emission-computed tomography (SPECT) imaging techniques.
adiation therapy (also called radiotherapy) is a cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumors. At low doses, radiation is used in x-rays to see inside your body, as with x-rays of your teeth or broken bones.
At high doses, radiation therapy kills cancer cells or slows their growth by damaging their DNA. Cancer cells whose DNA is damaged beyond repair stop dividing or die. When the damaged cells die, they are broken down and removed by the body.
Radiation therapy does not kill cancer cells right away. It takes days or weeks of treatment before DNA is damaged enough for cancer cells to die. Then, cancer cells keep dying for weeks or months after radiation therapy ends.
Fractionation – killing cancer cell but not totally killing healthy cell. Kasi in rad thera kapag tinrget natin ung area of interest cancer cell may tenedency na maddamay ung nearby healthy cell .. Para d totally mamayat ung healthy cell… tintarget natin ung area of interest by fractionation or patchi patchi … for ex 100% na radiation dose dmo xa bibigay ng isang bagakan hahatiin nio ex. iton g week 25%another week 25… by that ung cancer cell is unti unit liliit. In this way kasi binibigyan natin ng chance na bualik sa dati or makarecover c noral healthy cell.