Overview
The introduction of advanced imaging modalities has significantly improved the diagnostic information available to physicians. Computer technology has enabled tomographic and three-dimensional reconstruction of images, illustrating both anatomical features (using x-rays) and physiological functioning (using γ-rays emitted from ingested or injected radioactive tracers), free from overlying structures. Since both x-rays and γ-rays are forms of ionizing radiation, they must be used prudently in order to minimize damage to the body and its genetic material.
Learning objectives
After reading this chapter you will be able to:
• explain the basis of imaging using x-rays and γ-rays;
• outline the physical factors involved in imaging modalities using ionizing radiation;
• identify the factors that affect image quality in imaging systems that use ionizing radiation;
• explain the advantages of computed radiography over film radiography;
• describe the specific challenges in mammography and explain how they are addressed;
• describe the imaging pathway in fluoroscopy;
• explain the advantages and limitations of digital subtraction angiography;
• distinguish planar imaging from topographic imaging;
• reconstruct a simple x-ray tomographic image using backprojection;
• explain how the production of a tomographic image in single-photon emission tomography (SPECT) differs from that in x-ray computed tomography (CT);
• identify the organs and tissues most sensitive to damage by ionizing radiation.
Medical imaging modalities
Medical imaging systems detect different physical signals arising from a patient and produce images. An imaging modality is an imaging system which uses a particular technique. Some of these modalities use ionizing radiation, radiation with sufficient energy to ionize atoms and molecules within the body, and others use non-ionizing radiation. Ionizing radiation in medical imaging comprises x-rays and γ-rays, both of which need to be used prudently to avoid causing serious damage to the body and to its genetic material. Non-ionizing radiation, on the other hand, does not have the potential to damage the body directly and the risks associated with its use are considered to be very low. Examples of such radiation are ultrasound, i.e. high-frequency sound, and radio frequency waves.