Retrograde Urethrography is a specialized X-ray procedure used to visualize the male urethra, which is the tube that carries urine from the bladder to the external body opening. This procedure is typically performed to diagnose and evaluate various conditions and abnormalities within the urethra, such as strictures, obstructions, or injuries.
Contrast media are substances used in medical imaging to enhance the visibility of internal structures. Positive contrast agents, like iodinated and barium-based ones, appear bright on images due to their high atomic number, aiding in highlighting blood vessels, gastrointestinal tract, and soft tissues. Negative contrast agents, often gases or air, appear dark on images, outlining specific cavities or structures. Solid contrast media, like barium sulphate, exist in a solid state and are ingested to visualize the gastrointestinal tract. Oily contrast media, non-water-soluble substances, provide prolonged contrast, commonly used in lymphangiography and myelography. The choice of contrast media depends on the imaging modality and structures to be visualized, optimizing diagnostic accuracy and patient safety.
Ultrasound imaging, also known as sonography, has a rich history of development in the field of medical diagnostics.
Understanding the historical milestones of ultrasound imaging provides valuable insights into its evolution and significance in modern medicine.
This presentation aims to take radiology students on a journey through the key developments and advancements in ultrasound imaging.
Clearly state the objective of the presentation:
To explore the key components of a CT machine in detail.
To gain a deeper understanding of how these components work together to produce high-quality images.
Briefly outline the structure of the upcoming slides:
Each subsequent slide will delve into one specific component of the CT machine.
We will examine the function, significance, and operation of each component.
Percutaneous Transhepatic Cholangiography (PTC) is a radiographic procedure used to visualize and assess the biliary system, including the bile ducts within the liver and those leading to the small intestine.
The document summarizes the clinical applications of computed tomography (CT) scans. It discusses the history of CT, including its invention in the 1970s. It then outlines several main clinical applications of CT scans, such as evaluating head injuries, abdominal pain, blood vessel issues, and bone fractures. It also describes specialized CT scans like CT angiography, CT perfusion, coronary CT angiography, and virtual colonoscopy and bronchoscopy. The document emphasizes how multislice CT scans provide advantages like faster scanning times, thinner slices, clearer images, and lower radiation doses compared to older single slice CT machines.
MCU stands for Micturating Cystourethrogram.
it's a radiographic procedure used to visualize the urinary bladder and lower urinary tract.
MCU involves real-time imaging during urination (micturition).
Definition of ultrasound imaging in radiology: Ultrasound uses sound waves to create real-time images of internal body structures.
Importance of ultrasound technology in medical diagnosis: Non-invasive, safe, and cost-effective imaging method with various applications.
Overview of the presentation structure: An outline of topics covered, including components and working principles of ultrasound machines.
This presentation will provide an in-depth understanding of the essential guidelines for designing and locating X-ray equipment in accordance with radiation protection guidelines.
Contrast media are substances used in medical imaging to enhance the visibility of internal structures. Positive contrast agents, like iodinated and barium-based ones, appear bright on images due to their high atomic number, aiding in highlighting blood vessels, gastrointestinal tract, and soft tissues. Negative contrast agents, often gases or air, appear dark on images, outlining specific cavities or structures. Solid contrast media, like barium sulphate, exist in a solid state and are ingested to visualize the gastrointestinal tract. Oily contrast media, non-water-soluble substances, provide prolonged contrast, commonly used in lymphangiography and myelography. The choice of contrast media depends on the imaging modality and structures to be visualized, optimizing diagnostic accuracy and patient safety.
Ultrasound imaging, also known as sonography, has a rich history of development in the field of medical diagnostics.
Understanding the historical milestones of ultrasound imaging provides valuable insights into its evolution and significance in modern medicine.
This presentation aims to take radiology students on a journey through the key developments and advancements in ultrasound imaging.
Clearly state the objective of the presentation:
To explore the key components of a CT machine in detail.
To gain a deeper understanding of how these components work together to produce high-quality images.
Briefly outline the structure of the upcoming slides:
Each subsequent slide will delve into one specific component of the CT machine.
We will examine the function, significance, and operation of each component.
Percutaneous Transhepatic Cholangiography (PTC) is a radiographic procedure used to visualize and assess the biliary system, including the bile ducts within the liver and those leading to the small intestine.
The document summarizes the clinical applications of computed tomography (CT) scans. It discusses the history of CT, including its invention in the 1970s. It then outlines several main clinical applications of CT scans, such as evaluating head injuries, abdominal pain, blood vessel issues, and bone fractures. It also describes specialized CT scans like CT angiography, CT perfusion, coronary CT angiography, and virtual colonoscopy and bronchoscopy. The document emphasizes how multislice CT scans provide advantages like faster scanning times, thinner slices, clearer images, and lower radiation doses compared to older single slice CT machines.
MCU stands for Micturating Cystourethrogram.
it's a radiographic procedure used to visualize the urinary bladder and lower urinary tract.
MCU involves real-time imaging during urination (micturition).
Definition of ultrasound imaging in radiology: Ultrasound uses sound waves to create real-time images of internal body structures.
Importance of ultrasound technology in medical diagnosis: Non-invasive, safe, and cost-effective imaging method with various applications.
Overview of the presentation structure: An outline of topics covered, including components and working principles of ultrasound machines.
This presentation will provide an in-depth understanding of the essential guidelines for designing and locating X-ray equipment in accordance with radiation protection guidelines.
Transmission of X-ray through body tissues linear energy transfer..pptxDr. Dheeraj Kumar
X-rays, being a type of electromagnetic radiation, interact with the atoms and molecules of human tissues as they pass through the body.
Linear Energy Transfer (LET) is a fundamental concept in the study of radiation biology and the effects of ionizing radiation on living tissues.
Ultrasound is a non-invasive medical imaging modality widely used in various clinical applications.
It is based on the principle of using high-frequency sound waves to create real-time images of internal structures within the human body.
In this presentation, we will discuss into the fundamental principles of ultrasound imaging and its applications in radiology.
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Dr. Dheeraj Kumar
Radiation measurements are essential for quantifying radiation exposure, absorbed dose, and activity, providing crucial information for medical physics and radiology.
Atomic structure as applied to generation of X-rays.pptxDr. Dheeraj Kumar
Atoms are the fundamental units of matter.
Composed of subatomic particles: protons, neutrons, and electrons.
Unique identity determined by the number of protons (atomic number).
Tomography as a medical imaging technique that allows for the visualization of cross-sectional images of the human body. Emphasize that tomography provides detailed, three-dimensional views of anatomical structures, which can be invaluable for diagnosis and treatment planning in radiology.
This document discusses various topics related to ultrasound imaging including goals, early pioneers, transducer types, Doppler instrumentation and physics, harmonic imaging, spatial compounding, extended field of view, fusion imaging, 3D and 4D ultrasound, and contrast enhanced ultrasound. It provides details on transducer selection, control settings, tissue harmonic imaging principles, spatial compounding benefits, fusion imaging steps, and contrast agent interactions.
Micturating Cystourethrography (MCU) and Retrograde Urethrography (RGU) are imaging techniques used to evaluate the lower urinary tract. MCU involves filling the bladder with contrast and imaging the bladder and urethra during voiding. RGU involves retrograde injection of contrast through the urethra. Both techniques can detect abnormalities of the bladder, urethra, and identify vesicoureteral reflux. Precise technique and imaging in multiple planes are required to fully evaluate the lower urinary tract. Potential complications include infection, contrast reaction, and trauma.
Computed Tomography (CT) is a medical imaging technique that uses X-ray technology to produce detailed cross-sectional images of the body.
It is a valuable tool for diagnosing and monitoring a wide range of medical conditions
This document provides information about small bowel imaging techniques. It discusses barium follow through examinations, where barium is ingested and x-rays are taken periodically to image the small bowel. It also describes dedicated small bowel follow through exams using single contrast techniques and positioning to visualize different parts of the bowel. Other small bowel imaging methods discussed include enteroclysis, peroral pneumocolon, and reflux examinations. The document provides details on the indications, contraindications, and interpretation of small bowel imaging studies.
Welcome to our presentation on "Emergencies in the Radiology Department." As radiology students, it is crucial for us to be prepared to handle emergencies that may arise while working in a medical imaging setting.
During emergencies, quick and effective responses can be life-saving and can make a significant impact on patient outcomes.
MRI Definition: Magnetic Resonance Imaging is a medical imaging technique that non-invasively visualizes the internal structures of the body.
Basic Concept: MRI uses powerful magnetic fields and radio waves to create detailed images of tissues and organs.
Importance: MRI is valuable in diagnosing a wide range of medical conditions and provides excellent soft tissue contrast.
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptxDr. Dheeraj Kumar
Radionuclide generators are essential devices utilized in nuclear medicine to produce specific radioisotopes through the process of radioactive decay.
These generators serve as a continuous source of radioactive material for various medical applications, including diagnosis and therapy.
Oral cholecystography (OCG) is a diagnostic radiographic examination used to visualize the gallbladder and the biliary system. It involves the use of contrast media to enhance the visualization of these structures.
Detecting and diagnosing gallbladder diseases.
Evaluating gallstone presence and location.
Assessing gallbladder function and motility.
Radiation measurement and dosimetry play crucial roles in medical physics, ensuring the safe and effective use of ionizing radiation in various medical applications.
X-ray beam restrictors, commonly referred to as collimators, are sophisticated devices utilized in medical imaging to control the size, shape, and direction of the X-ray beam emitted from the X-ray tube. These devices are integral components of X-ray machines, working in conjunction with other components to optimize image quality while minimizing patient radiation exposure.
Range of Secondary Electrons and Electron Build-Up: Impact on Scatter in Homo...Dr. Dheeraj Kumar
Welcome to the presentation on the Range of Secondary Electrons and Electron Build-Up in Medical Physics and Imaging.
Today, we will delve into the concepts of secondary electrons, electron build-up, and their effects on scatter in both homogeneous and heterogeneous beam passage through patients.
Radiation physics is a branch of physics that studies the properties and behavior of radiation, which includes both ionizing and non-ionizing forms of electromagnetic waves.
The field is crucial in medical imaging, nuclear power, environmental monitoring, and various industrial applications.
Ultrasound contrast agents rely on the different ways sound waves are reflected at interfaces between substances. Commercially available contrast media are gas-filled microbubbles administered intravenously, which have a high echogenicity compared to soft tissues. Contrast-enhanced ultrasound can image blood perfusion in organs and measure blood flow. Microbubbles are around 1-4 μm, similar to red blood cell size, and consist of a gas core surrounded by a lipid shell. Non-targeted contrast agents remain in circulation temporarily, while targeted agents are designed to bind specific molecules expressed in tissues of interest. Contrast imaging techniques include linear and nonlinear methods.
The document discusses catheter-associated urinary tract infections (CAUTIs), including types of urinary catheters, indications for indwelling catheters, complications, proper insertion and maintenance techniques, definitions of CAUTI from the CDC, causative organisms, and guidelines for diagnosis and treatment.
Laparoscopic surgery is the mainstay of surgical management for gynaecological procedures but can be associated with complications in 0.2-10.3% of cases. Common complications include injuries to the gastrointestinal tract and urinary tract. Urinary tract injuries like bladder trauma can occur in 0.02-8.3% of advanced laparoscopy cases from mechanical or electro-thermal trauma. Risk factors include previous pelvic surgery or endometriosis. Ureteric injuries have a reported incidence of 0.06-21% and most commonly occur near the pelvic brim or lateral to the cervix. Gastrointestinal tract injuries have an incidence of 0.13% and most injuries are to the
Transmission of X-ray through body tissues linear energy transfer..pptxDr. Dheeraj Kumar
X-rays, being a type of electromagnetic radiation, interact with the atoms and molecules of human tissues as they pass through the body.
Linear Energy Transfer (LET) is a fundamental concept in the study of radiation biology and the effects of ionizing radiation on living tissues.
Ultrasound is a non-invasive medical imaging modality widely used in various clinical applications.
It is based on the principle of using high-frequency sound waves to create real-time images of internal structures within the human body.
In this presentation, we will discuss into the fundamental principles of ultrasound imaging and its applications in radiology.
Units of Radiation Measurements, Quality Specification, Half-Value Thickness,...Dr. Dheeraj Kumar
Radiation measurements are essential for quantifying radiation exposure, absorbed dose, and activity, providing crucial information for medical physics and radiology.
Atomic structure as applied to generation of X-rays.pptxDr. Dheeraj Kumar
Atoms are the fundamental units of matter.
Composed of subatomic particles: protons, neutrons, and electrons.
Unique identity determined by the number of protons (atomic number).
Tomography as a medical imaging technique that allows for the visualization of cross-sectional images of the human body. Emphasize that tomography provides detailed, three-dimensional views of anatomical structures, which can be invaluable for diagnosis and treatment planning in radiology.
This document discusses various topics related to ultrasound imaging including goals, early pioneers, transducer types, Doppler instrumentation and physics, harmonic imaging, spatial compounding, extended field of view, fusion imaging, 3D and 4D ultrasound, and contrast enhanced ultrasound. It provides details on transducer selection, control settings, tissue harmonic imaging principles, spatial compounding benefits, fusion imaging steps, and contrast agent interactions.
Micturating Cystourethrography (MCU) and Retrograde Urethrography (RGU) are imaging techniques used to evaluate the lower urinary tract. MCU involves filling the bladder with contrast and imaging the bladder and urethra during voiding. RGU involves retrograde injection of contrast through the urethra. Both techniques can detect abnormalities of the bladder, urethra, and identify vesicoureteral reflux. Precise technique and imaging in multiple planes are required to fully evaluate the lower urinary tract. Potential complications include infection, contrast reaction, and trauma.
Computed Tomography (CT) is a medical imaging technique that uses X-ray technology to produce detailed cross-sectional images of the body.
It is a valuable tool for diagnosing and monitoring a wide range of medical conditions
This document provides information about small bowel imaging techniques. It discusses barium follow through examinations, where barium is ingested and x-rays are taken periodically to image the small bowel. It also describes dedicated small bowel follow through exams using single contrast techniques and positioning to visualize different parts of the bowel. Other small bowel imaging methods discussed include enteroclysis, peroral pneumocolon, and reflux examinations. The document provides details on the indications, contraindications, and interpretation of small bowel imaging studies.
Welcome to our presentation on "Emergencies in the Radiology Department." As radiology students, it is crucial for us to be prepared to handle emergencies that may arise while working in a medical imaging setting.
During emergencies, quick and effective responses can be life-saving and can make a significant impact on patient outcomes.
MRI Definition: Magnetic Resonance Imaging is a medical imaging technique that non-invasively visualizes the internal structures of the body.
Basic Concept: MRI uses powerful magnetic fields and radio waves to create detailed images of tissues and organs.
Importance: MRI is valuable in diagnosing a wide range of medical conditions and provides excellent soft tissue contrast.
Artificial Radionuclide Generators in Medicine Applications in Radiotherapy.pptxDr. Dheeraj Kumar
Radionuclide generators are essential devices utilized in nuclear medicine to produce specific radioisotopes through the process of radioactive decay.
These generators serve as a continuous source of radioactive material for various medical applications, including diagnosis and therapy.
Oral cholecystography (OCG) is a diagnostic radiographic examination used to visualize the gallbladder and the biliary system. It involves the use of contrast media to enhance the visualization of these structures.
Detecting and diagnosing gallbladder diseases.
Evaluating gallstone presence and location.
Assessing gallbladder function and motility.
Radiation measurement and dosimetry play crucial roles in medical physics, ensuring the safe and effective use of ionizing radiation in various medical applications.
X-ray beam restrictors, commonly referred to as collimators, are sophisticated devices utilized in medical imaging to control the size, shape, and direction of the X-ray beam emitted from the X-ray tube. These devices are integral components of X-ray machines, working in conjunction with other components to optimize image quality while minimizing patient radiation exposure.
Range of Secondary Electrons and Electron Build-Up: Impact on Scatter in Homo...Dr. Dheeraj Kumar
Welcome to the presentation on the Range of Secondary Electrons and Electron Build-Up in Medical Physics and Imaging.
Today, we will delve into the concepts of secondary electrons, electron build-up, and their effects on scatter in both homogeneous and heterogeneous beam passage through patients.
Radiation physics is a branch of physics that studies the properties and behavior of radiation, which includes both ionizing and non-ionizing forms of electromagnetic waves.
The field is crucial in medical imaging, nuclear power, environmental monitoring, and various industrial applications.
Ultrasound contrast agents rely on the different ways sound waves are reflected at interfaces between substances. Commercially available contrast media are gas-filled microbubbles administered intravenously, which have a high echogenicity compared to soft tissues. Contrast-enhanced ultrasound can image blood perfusion in organs and measure blood flow. Microbubbles are around 1-4 μm, similar to red blood cell size, and consist of a gas core surrounded by a lipid shell. Non-targeted contrast agents remain in circulation temporarily, while targeted agents are designed to bind specific molecules expressed in tissues of interest. Contrast imaging techniques include linear and nonlinear methods.
The document discusses catheter-associated urinary tract infections (CAUTIs), including types of urinary catheters, indications for indwelling catheters, complications, proper insertion and maintenance techniques, definitions of CAUTI from the CDC, causative organisms, and guidelines for diagnosis and treatment.
Laparoscopic surgery is the mainstay of surgical management for gynaecological procedures but can be associated with complications in 0.2-10.3% of cases. Common complications include injuries to the gastrointestinal tract and urinary tract. Urinary tract injuries like bladder trauma can occur in 0.02-8.3% of advanced laparoscopy cases from mechanical or electro-thermal trauma. Risk factors include previous pelvic surgery or endometriosis. Ureteric injuries have a reported incidence of 0.06-21% and most commonly occur near the pelvic brim or lateral to the cervix. Gastrointestinal tract injuries have an incidence of 0.13% and most injuries are to the
Management of ureteric injuries requires prompt diagnosis and repair to minimize complications. Ureteric injuries are most commonly caused by iatrogenic factors during surgeries near the ureters like hysterectomy. Diagnosis involves imaging like CT scans to detect contrast extravasation or hydronephrosis. Treatment depends on hemodynamic stability, with stable patients undergoing immediate primary repair and unstable patients getting temporary drainage first. Special circumstances like delayed diagnosis, endoscopic injuries, or fistulas may require additional measures like stenting. Surgical repairs aim to bridge defects with tension-free, spatulated anastomoses and stents to promote healing. Follow-up involves imaging and renal function tests to ensure patency.
Catheter Associated Urinary Tract Infections (CAUTI)Ujjwal Shah
This was prepared by Ujjwal Kumar Shah, a medical student at BPKIHS, for a seminar presentation on the topic "Health-care associated Infections" and the subtopic "CAUTI".
This document discusses the management of ureteral strictures. It provides details on various endourologic and surgical options for treating ureteral strictures, including balloon dilation, ureteroscopic endoureterotomy, ureteral stenting, ureteroureterostomy, and ureteroneocystostomy. The success rates and approaches for different procedures are described. Postoperative care is also outlined.
A presentation about Imaging the urinary tract using contrast.
contains 45 slides, and covers the following methods :
1 - Antegrade urography
2 - Retrograde urography
3 - Retrograde cystography
4 - Voiding cystography
5 - Retrograde Urethrography
Intravenous urography is covered in a separate presentation, that you can read and download from here :
http://www.slideshare.net/abdallamutwakil/intravenous-urography-ivu-35107052
This presentation was prepared and presented by me in the tutorials of the Radiology Department of Sebha Medical Center.
This document provides an overview of the history and techniques for orthotopic neobladder urinary diversion. Some key points:
- Orthotopic diversion was pioneered in the 1950s as an alternative to ureterosigmoidostomy and ileal conduit diversion due to complications of those procedures.
- Patient selection considers oncologic factors like risk of urethral recurrence and tumor stage, as well as patient factors like age, renal function, manual dexterity, and prior treatments.
- Surgical techniques aim to optimize continence by preserving the rhabdosphincter and its innervation during cystectomy. For males the urethra is detached in a retrograde
This document provides an overview of vesico-vaginal fistula (VVF), including its prevalence globally and in Nigeria, historical perspectives, causes, classifications, management approaches, prevention strategies, and VVF centers in Nigeria. It discusses that VVF is most common in Asia and Sub-Saharan Africa, with an estimated 50,000-100,000 new cases annually. Nigeria accounts for 40% of global VVF cases. The document outlines classifications of VVF based on anatomy, severity, and size. Surgical repair is the primary management approach and can be performed vaginally or abdominally depending on the fistula. Post-operative care and prevention strategies aimed at reducing poverty, illiteracy and harmful practices are also
Ureteral obstructions are blockages that occur in your urinary tract. The article gives a detailed overview of the condition along with the associated medical codes.
Bladder catheters are used for urinary drainage, or as a means to collect urine for measurement.
Alternatives to indwelling urethral catheterization should be considered and include external sheath (ie, condom) catheters, suprapubic catheters, intermittent catheterization, and, in some cases, supportive management with protective garments.
This document discusses various urological investigations including radiological investigations like renal ultrasound, transrectal ultrasound, scrotal ultrasound, intravenous urogram, retrograde ureteropyelography, and non-radiological investigations like urine analysis, urine cytology, and urodynamic studies. Flexible ureterorenoscopy allows visualization of the ureters and renal pelvis while rigid cystoscopy is better for detecting lesions that may require resection. Together these investigations help evaluate issues like hematuria, urinary tract infections, and voiding symptoms.
Successful Urology surgery in India by team of expert and international surgeons with advance micro surgical instruments for complex surgery in your budget.
This document discusses urethral injuries, their causes and signs, diagnostic evaluations, and various management approaches. It focuses on primary endoscopic realignment as a management option for posterior urethral injuries in men. Primary endoscopic realignment aims to correct severe distraction injuries using cystoscopy and fluoroscopy to realign the urethra, and may result in lower stricture rates compared to traditional initial suprapubic cystostomy with delayed reconstruction. The technique involves placing a guidewire and catheter through the urethra to realign it, with the catheter staying in place for 4-8 weeks.
This document describes a voiding cystourethrogram (VCUG) conducted by the Department of Urology at GRH and KMC in Chennai, India. It lists the professors and assistant professors moderating the VCUG. The document provides details on the indications, techniques, and pediatric applications of VCUGs, focusing on evaluating conditions like vesicoureteral reflux, posterior urethral valves, bladder diverticula, and ectopic ureters. It compares VCUG to nuclear cystography and voiding sonography as diagnostic tools.
Prostatectomy Surgery abroad in India info on cost Prostatectomy Surgery India,Prostatectomy male Surgery hospitals India,Prostatectomy surgeons India.
This document provides information about various urological procedures and conditions:
- Catheterization is the insertion of a tube through the urethra to drain the bladder and can be used for various diagnostic and therapeutic purposes.
- Cystoscopy involves using a cystoscope to visually examine the inside of the bladder.
- Urinary tract infections are common infections that can affect different parts of the urinary system and cause symptoms like burning during urination.
- Urine cultures analyze urine samples to detect bacterial infections.
- Retrograde pyelograms use dye and x-rays to outline the kidneys, ureters and bladder to diagnose issues like blockages.
Percutaneous Drainage of Abscess and Post Operative CollectionsDr.Suhas Basavaiah
Ultrasound guided percutaneous drainage is an image guided minimally invasive procedure to treat accessible fluid collections. It has advantages over CT like real-time visualization and lack of radiation. The document outlines the patient preparation, equipment, techniques, post-procedure care and complications of this procedure. Percutaneous drainage is effective for treating many types of collections when performed carefully under imaging guidance using the correct technique and equipment.
Objectives of the Presentation
To educate on the identification and causes of various ultrasound artifacts.
To provide practical remedies and techniques for minimizing or eliminating these artifacts.
To enhance the overall quality and reliability of ultrasound imaging in clinical practice.
MRI Image Artifacts are distortions or errors in the MRI images that do not represent the true anatomy or pathology of the subject being imaged.
These artifacts can be caused by a variety of factors including patient movement, hardware limitations, specific properties of the tissues being imaged, and the parameters set during the scanning process.
Definition of Bragg-peak , percentage depth dose, peak scatter factor, tissue air-ratio, tissue maximum ratio, scatter air ratio, isodose curves and radiation penumbra of different beams.
In this PPT we'll discuss into how social changes influence health outcomes and the role of cultural factors in shaping health behaviors and disorders.
X-ray Production A Journey Through History and the X-ray Tube.pptxDr. Dheeraj Kumar
Welcome to our presentation on X-ray Production and its significance in Medical Imaging.
Today, we'll explore the fascinating history of X-rays, their production mechanisms, and the role of X-ray tubes in medical applications.
The current population of India is 1,437,054,302 as of Thursday, February 22, 2024, based on Worldometer elaboration of the latest United Nations data 1.
India 2023 population is estimated at 1,428,627,663 people at mid year.
India population is equivalent to 17.76% of the total world population.
India ranks number 1 in the list of countries (and dependencies) by population.
Effects of variation of tube voltage current, filtration..pptxDr. Dheeraj Kumar
In the field of medical radiography, optimizing critical parameters including tube voltage, current, and filtration is a crucial undertaking.
This introduction seeks to underscore the paramount importance of achieving a delicate equilibrium between these factors, emphasizing their collective impact on diagnostic accuracy and radiation safety.
Radioactivity spectrum of diagnostic imaging and therapy X ray..pptxDr. Dheeraj Kumar
Radioactivity is the spontaneous emission of particles or energy from the nucleus of an unstable atom.
This process occurs as the nucleus attempts to reach a more stable state.
The emitted particles and energy are collectively referred to as radiation.
Introduction: MRI, or Magnetic Resonance Imaging, is a versatile medical imaging technique with a wide range of clinical applications.
Soft Tissue Imaging: The unique ability of MRI to produce detailed images of soft tissues, such as the brain, muscles, and organs.
Non-Invasive Nature: MRI is a non-invasive and safe imaging modality, making it invaluable for clinical diagnosis.
Radiographic film processing is a critical step in the field of medical imaging. It serves as the bridge between capturing X-ray images and the final diagnostic output.
Welcome to the presentation on the Physical Principles of Ultrasound. Today, we will discuss the fundamental principles underlying medical ultrasound imaging, a crucial tool in radiology. Sound waves with frequencies higher than the upper audible limit of human hearing are called ultrasound.
Welcome to the world of Angiography.
Angiography is a crucial diagnostic tool within Radiology.
It allows us to visualize blood vessels, aiding in the diagnosis and treatment of various medical conditions.
1. A catheter is a hollow flexible tube that can be inserted into a body cavity, duct or vessel.
Catheters thereby allow drainage or injection of fluids , distend a passageway or provide access by surgical instruments.
The process of inserting a catheter is catheterization.
2. They are the stainless steel metallic structures that guides the catheter through the blood vessels for placement. Guide wires are used for both cardiology and radiology angiographic procedures.
Radiographic Exposure in Radiography and Imaging Technology.
Understanding the fundamentals of radiographic exposure is crucial for producing high-quality diagnostic images.
In this presentation, we will delve into the key concepts, factors, and techniques related to radiographic exposure.
"A latent image is an invisible image that is created during the imaging process in medical radiology."
Importance: "Understanding latent images is crucial in medical radiology as it forms the foundation for diagnostic imaging techniques."
State the objectives of this presentation: "Today, we will explore the formation of latent images, their role in various imaging modalities, and their significance in the field of radiology."
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Tests for analysis of different pharmaceutical.pptx
RGU.pptx
1. Retrograde Urethrography
Presenter: Dr. Dheeraj Kumar
MRIT, Ph.D. (Radiology and Imaging)
Assistant Professor
Medical Radiology and Imaging Technology
School of Health Sciences, CSJM University, Kanpur
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 1
2. Retrograde Urethrography
Retrograde Urethrography is a specialized
X-ray procedure used to visualize the male
urethra, which is the tube that carries urine
from the bladder to the external body
opening. This procedure is typically
performed to diagnose and evaluate various
conditions and abnormalities within the
urethra, such as strictures, obstructions, or
injuries.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 2
3. Purpose
The primary purpose of
Retrograde Urethrography is to
assess the structure and function
of the urethra. It helps in
diagnosing conditions that may
cause pain, difficulty urinating, or
other urinary problems in males.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 3
4. Indications
Retrograde Urethrography is
commonly used to diagnose
conditions such as urethral strictures
(narrowing of the urethra), trauma or
injury to the urethra, congenital
abnormalities, and recurrent urinary
tract infections.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 4
5. Urethral Strictures
Urethrography helps identify the
location, length, and severity of
strictures, guiding treatment
decisions such as dilation or
surgery.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 5
6. Trauma or Injury
• Explanation: In cases of trauma or
injury to the pelvic region, such as
accidents or falls, the urethra can
be damaged. This procedure helps
assess the extent of the injury and
guides surgical repair if necessary.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 6
7. Congenital Abnormalities
• Explanation: Some individuals are born
with congenital (present from birth)
urethral abnormalities. Retrograde
Urethrography is used to diagnose these
conditions, such as urethral diverticula or
congenital strictures.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 7
8. Recurrent Urinary Tract Infections (UTIs)
• Explanation: Frequent UTIs
may be caused by an
underlying urethral issue. This
test can identify any structural
problems or obstructions that
could contribute to recurring
infections Representative retrograde urethrography of a recurrent case. (A)
Preoperative retrograde urethrography in a patient with a tight 1-cm
bulbar urethral stricture following prolonged indwelling urethral catheter.
(B) Normal retrograde urography 2 weeks after excision and end-to-end
anastomosis. (C) Retrograde urography 4 months after primary
anastomosis showed a recurrent stricture at the previous anastomotic
site. Single direct-vision internal urethrotomy was unsuccessful. (D)
Retrograde urethrography 3 weeks after substitution urethroplasty with
ventral buccal mucosa onlay graft.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 8
9. Voiding Difficulties
• Explanation: Men experiencing
difficulties with urination, such as a
weak stream or incomplete
emptying of the bladder, may
undergo Retrograde Urethrography
to determine if there are any
anatomical issues affecting
urination.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 9
10. Hematuria (Blood in Urine)
• Explanation: Blood in the urine
can have various causes,
including urethral problems.
This test can help identify the
source of bleeding, such as
urethral injury or abnormal
blood vessels.
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11. Evaluation Before Urological Procedures
• Explanation: Before certain
urological procedures like
urethral surgery or the placement
of urinary catheters or stents,
Retrograde Urethrography is
performed to assess the urethra's
condition and plan the
intervention.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 11
12. Imaging Equipment and Contrast Agents
• Equipment: Describe the radiographic
equipment used in retrograde urethrography,
including the X-ray machine, fluoroscopy,
and image intensifiers.
• Contrast Agents: Explain the types of
contrast agents used, their properties, and
how they enhance imaging. Mention any
considerations for contrast allergies or
sensitivities.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 12
13. Foley catheter
• A Foley catheter is a thin,
sterile tube inserted into
the bladder to drain urine.
• Because it can be left in
place in the bladder for a
period of time, it is also
called an indwelling
catheter.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 13
14. Patient Preparation
• Ensure the patient is informed about the procedure and its purpose.
• Obtain informed consent from the patient.
• Explain the procedure to the patient and address any concerns.
• Instruct the patient to fast for several hours before the procedure to
minimize the risk of aspiration during the use of contrast agents.
• Emphasize the importance of emptying the bladder before the examination
to optimize imaging quality.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 14
15. Procedure Steps
• Provide a step-by-step guide to the
retrograde urethrography
procedure. This can include:
• Patient positioning
• Catheter insertion
• Contrast agent administration
• Imaging and fluoroscopy techniques
• Post-procedure care
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 15
16. Radiographic Equipment Setup
• Position the X-ray machine and fluoroscopy equipment in a manner
that allows clear visualization of the urethra.
• Ensure the equipment is calibrated and functioning correctly.
• Check the availability of contrast agents and ensure they are properly
stored and prepared.
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17. Patient Positioning
• Place the patient in a supine or
lithotomy position, depending on the
clinical scenario and the specific area
of the urethra to be examined.
• Immobilize the patient and ensure
they are comfortable during the
procedure.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 17
18. Catheter Insertion
• Sterilize the genital area and the urethral meatus
to minimize the risk of infection.
• Insert a sterile catheter gently into the urethra.
• Secure the catheter in place to prevent
accidental removal during the procedure.
• Depending on the specific case, a Foley
catheter or a specialized catheter with a balloon
may be used.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 18
19. Contrast Agent Administration
• Connect a syringe with a radiopaque
contrast agent to the catheter.
• Slowly inject the contrast agent into the
urethra while monitoring the flow under
fluoroscopy.
• Continue injecting until the urethra is
adequately filled with contrast, ensuring
that it flows into the bladder.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 19
20. Post-procedure Care
• After completing the imaging, carefully remove the catheter.
• Monitor the patient for any immediate adverse reactions.
• Provide post-procedure instructions to the patient, such as drinking
fluids to flush out any residual contrast material.
• Address any discomfort or concerns the patient may have.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 20
21. Imaging and Fluoroscopy
• Initiate fluoroscopy to visualize the contrast
within the urethra.
• Record images at various angles to capture
different views of the urethra.
• Assess the flow of contrast to identify any
obstructions, strictures, or abnormalities.
• Continuously monitor the procedure on the
fluoroscopy screen.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 21
22. Normal Anatomy and Variants
• Anatomy of the Male Urethra: Present
detailed illustrations and radiographic
images depicting the normal anatomy of
the male urethra.
• Common Anatomical Variants:
Highlight variations that radiologists may
encounter, emphasizing the need for
familiarity with both typical and atypical
anatomy.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 22
23. Common Pathologies Detected
The various pathologies that can be detected through retrograde urethrography, such as:
• Urethral strictures
• Urethral diverticula
• Urethral trauma
• Neoplastic lesions
• Infections
• Fistulas
• Other relevant conditions
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 23
24. Common Complications
• Allergic Reactions:
• Some patients may be allergic to the contrast agent used. This can result in mild to severe allergic reactions,
including itching, rash, or even anaphylaxis.
• Safety Measure: Prior to the procedure, assess the patient's history for allergies and administer premedication if
necessary. Be prepared to manage allergic reactions promptly.
• Infection:
• The introduction of catheters into the urethra increases the risk of infection, including urinary tract infections.
• Safety Measure: Strict aseptic techniques, including sterilization of catheters and the genital area, should be
maintained throughout the procedure to minimize the risk of infection.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 24
25. • Hematuria:
• Hematuria, or blood in the urine, can occur due to urethral trauma or other complications
during the procedure.
• Safety Measure: Use gentle catheter insertion techniques, and carefully monitor the patient for
any signs of bleeding during the procedure. Address any bleeding promptly.
• Urethral Injury:
• The insertion of a catheter carries the risk of urethral injury, particularly in patients with
strictures or anatomical abnormalities.
• Safety Measure: Careful catheter insertion and monitoring of the catheter's path are essential.
Use appropriate catheter sizes and lubricants to minimize trauma.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 25
26. Safety Measures
• Patient Assessment:
• Thoroughly assess the patient's medical history, including allergies and previous
adverse reactions to contrast agents.
• Ensure patients are adequately informed about the procedure and potential risks.
• Aseptic Technique:
• Maintain strict aseptic techniques during catheter insertion to prevent infection.
• Use sterile equipment, gloves, and drapes.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 26
27. • Contrast Agent Selection:
• Choose contrast agents with the lowest risk of allergic reactions for sensitized
patients.
• Be prepared with emergency medications and equipment to manage allergic
reactions.
• Catheter Insertion:
• Select an appropriate catheter size and ensure it is inserted gently and carefully.
• Monitor the catheter's progress during insertion to minimize trauma.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 27
28. • Post-procedure Monitoring:
• Keep patients under observation for a period after the procedure to detect any immediate
complications.
• Educate patients on post-procedure care, including increased fluid intake.
• Emergency Preparedness:
• Have emergency equipment and medications readily available to manage complications
such as allergic reactions or hematuria.
• Documentation:
• Maintain detailed records of the procedure, including any complications and how they
were managed.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 28
29. References
• Smith's Textbook of Endourology, Arthur D. Smith, Glenn M. Preminger, Gopal H. Badlani, Louis R. Kavoussi, 2019 Publisher:
Wiley,ISBN-13: 978-1119245273
• Hinman's Atlas of UroSurgical Anatomy, Greg T. MacLennan, MD, 2011. Publisher: Saunders, ISBN-13: 978-1416029713
• Smith, A. D., & Badlani, G. H. (2004). Imaging of the male urethra. Urologic Clinics of North America, 31(2), 207-217. doi:
10.1016/j.ucl.2004.02.002
This article provides an overview of imaging techniques for the male urethra, including RGU, and discusses its diagnostic utility in
various conditions.
• Wein, A. J., Kavoussi, L. R., Partin, A. W., & Peters, C. A. (Eds.). (2015). Campbell-Walsh Urology (11th ed.). Elsevier.
The "Campbell-Walsh Urology" textbook is a comprehensive resource for urological procedures, including RGU. It covers the
procedure, indications, and clinical applications in detail.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 29
31. Q&A Session
Continue the question-and-answer session with the students audience,
addressing any additional queries or comments.
18/08/2023 Retrograde Urethrography By- Dr. Dheeraj Kumar 31