Animasi Cara Kerja MRI

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X-Ray Machine

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The very first X ray device was discovered accidentally by the Germanscientist Wilhelm Röntgen (1845-1923) in 1895. He found that a cathode-ray tube emitted certain invisible rays that could penetrate paper and wood and, the first person in the world to see through human flesh, even saw a perfectly clear outline of the bones in his own hand. Röntgen studied these new rays--which he called x rays--for several weeks before publishing his findings in December of 1895. For his great discovery, he was given the honorarytitle of Doctor of Medicine and awarded the 1901 Nobel Prize for physics. Adamant his discovery was free for the benefit of humankind, Röntgen refused to patent it.
X rays are waves of electromagnetic energy which behave in much the same way as light rays, but at wavelengths approximately 1000 times shorter than the wavelength of light. X rays can pass uninterrupted through low-densitysubstances such as tissue, whereas higher-density targets reflect or absorb the X rays because there is less space between the atoms for the short waves to pass through. Thus, an x ray image shows dark areas where the rays traveledcompletely through the target (such as with flesh) and light areas where therays were blocked by dense material (such as bone). Following the discoveryof x rays in 1895, this scientific wonder was seized upon by sideshow entertainers who allowed patrons to view their own skeletons and gave them picturesof their own bony hands wearing silhouetted jewelry.
The most important application of the x ray, however, was in medicine, an importance recognized almost immediately after Röntgen's findings were published. Within weeks of its first demonstration, an x ray machine was used inAmerica to diagnose bone fractures. Thomas Alva Edison invented an x-ray fluoroscope in 1896, which was used by American physiologist Walter Cannon (1871-1945) to observe the movement of barium sulfate through the digestive systemof animals and, eventually, humans. In 1913 the first x-ray tube designed specifically for medical purposes was developed by American chemist William Coolidge. X rays have since become the most reliable method for internal diagnosis.
At the same time, a new science was being founded on the principles introduced by German physicist Max von Laue (1879-1960), who theorized that crystals could be to x rays what diffraction gratings were to visible light. He conducted experiments in which the interference pattern of x rays passing through acrystal were examined; these patterns revealed a great deal about the internal structure of the crystal. William Henry Bragg and his son William LawrenceBragg took this field even farther, developing a system of mathematics that could be used to interpret the interference patterns. This method, known as x-ray crystallography, allowed scientists to study the structures of crystals with unsurpassed precision and is an important tool for scientists, particularly those striving to synthesize chemicals. By analyzing the information within a crystal's interference pattern, enough can be learned about that substance to create it artificially in a laboratory, and in large quantities. This technique was used to isolate the molecular structures of penicillin, insulin,and DNA.
Modern medical x-ray machines are grouped into two categories: "hard" or "soft" x rays. Soft x rays, which operate at a relatively low frequency, are usedto image bones and internal organs and, unless repeated excessively, cause little tissue damage. Hard x rays, very high frequencies designed to destroy molecules within specific cells thus destroying tissue, are used in radiotherapy, particularly in the treatment of cancer. The high voltage necessary to generate hard x rays is usually produced using cyclotrons or synchrotrons (variations of particle accelerators, or atom smashers).
In 1996, Amorphous silicon x-ray detectors were introduced which produce real-time, high resolution images by converting x-rays into light, the light into electrical signals which are interpreted by a computer, which produces digital data displayed as digital images, which can be enlarged to target aspecific area. Images are filmless and instantly available, formatted for electronic storage and/or transmission. First applied to mammography, this technology reduces radiation, cost of film and storage, and can be used in industrial applications. Also in 1996, researchers at NASA's Marshall Space FlightCenter developed the high resolution or high brilliance x ray which generates beams 100 times more intense than conventional x rays. These beams can be controlled and focused by reflecting them through tens of thousands of tiny curved capillaries, much as light is directed through fiberoptics.NASA is using this instrument to define the atomic structure of proteins foruse as blueprints in designing drugs. It may also initiate smaller, less expensive, and safer x-ray sources.
A familiar use for x rays is the security scanner for examining baggage at airports, while a new application for the Advanced Photon Source (APS)--the worlds largest x-ray device valued at $800 million--is in archaeology. The University of Chicago plans to utilize the machine--designed to provide biologists, chemists, physicists, and materials scientists with information into molecular structures--to analyze ancient tools. Not only harmless to these ancientartifacts, it is 10,000,000 times more accurate than other methods of determining chemical content. Meanwhile, the timber industry hopes to save millionsof dollars with new technology known as the Glass Log Technique developed at Monash University in Australia. This x-ray tube produces cross-sectionimages of logs and, combined with computerized tomography, constructs threedimensional images of the wood inside log, revealing its quality without having to saw the log open.

Beginilah Cara Kerja CT Scan

Ys Gunawan | 19:48 | 0 comments | Filed under Labels: , ,
http://www.youtube.com/watch?v=M-4o0DxBgZkendofvid
[starttext]

(Computerized Axial Tomography) atau CT Scan merupakan salah satu instrumentasi medik yang berguna untuk melakukan pentcitraan diagnostik

[endtext]

Magnetic Resonance Imaging (MRI)

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MRI of the Body (Chest, Abdomen, Pelvis)


What is MRI of the Body?

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MRI of the knee - side (lateral) view.

MRI of the knee
Magnetic resonance imaging (MRI) is a noninvasive medical test that helps physicians diagnose and treat medical conditions.
MRI uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal body structures. The images can then be examined on a computer monitor, transmitted electronically, printed or copied to a CD. MRI does not use ionizing radiation (x-rays).
Detailed MR images allow physicians to better evaluate various parts of the body and determine the presence of certain diseases that may not be assessed adequately with other imaging methods such as x-ray, ultrasound or computed tomography (also called CT or CAT scanning).

What are some common uses of the procedure?

MR imaging of the body is performed to evaluate:
  • organs of the chest and abdomen—including the heart, liver, biliary tract, kidneys, spleen, bowel, pancreas and adrenal glands.
  • pelvic organs including the reproductive organs in the male (prostate and testicles) and the female (uterus, cervix and ovaries).
  • blood vessels (MR Angiography).
  • breasts.
Physicians use the MR examination to help diagnose or monitor treatment for conditions such as:
  • tumors of the chest, abdomen or pelvis.
  • certain types of heart problems.
  • blockages or enlargements of blood vessels, including the aorta, renal arteries, and arteries in the legs.
  • diseases of the liver, such as cirrhosis, and that of other abdominal organs, including the bile ducts, gallbladder, and pancreatic ducts.
  • diseases of the small intestine, colon, and rectum
  • cysts and solid tumors in the kidneys and other parts of the urinary tract.
  • tumors and other abnormalities of the reproductive organs (e.g., uterus, ovaries, testicles, prostate).
  • causes of pelvic pain in women, such as fibroids, endometriosis and adenomyosis.
  • suspected uterine congenital abnormalities in women undergoing evaluation for infertility.
  • breast cancer and implants.

How should I prepare for the procedure?

You may be asked to wear a gown during the exam or you may be allowed to wear your own clothing if it is loose-fitting and has no metal fasteners.
Guidelines about eating and drinking before an MRI exam vary with the specific exam and also with the facility. For some types of exams, you will be asked to fast for 8-12 hours. Unless you are told otherwise, you may follow your regular daily routine and take medications as usual.
Some MRI examinations may require the patient to swallow contrast material or receive an injection of contrast into the bloodstream. The radiologist or technologist may ask if you have allergies of any kind, such as allergy to iodine or x-ray contrast material, drugs, food, the environment, or asthma. However, the contrast material most commonly used for an MRI exam, called gadolinium, does not contain iodine and is less likely to cause side effects or an allergic reaction.
The radiologist should also know if you have any serious health problems or if you have recently had surgery. Some conditions, such as severe kidney disease may prevent you from being given contrast material for an MRI. If there is a history of kidney disease, it may be necessary to perform a blood test to determine whether the kidneys are functioning adequately.
Women should always inform their physician or technologist if there is any possibility that they are pregnant. MRI has been used for scanning patients since the 1980s with no reports of any ill effects on pregnant women or their babies. However, because the baby will be in a strong magnetic field, pregnant women should not have this exam unless the potential benefit from the MRI exam is assumed to outweigh the potential risks. See the Safety page for more information about pregnancy and MRI.
If you have claustrophobia (fear of enclosed spaces) or anxiety, you may want to ask your physician for a prescription for a mild sedative prior to the scheduled examination.
Jewelry and other accessories should be left at home if possible, or removed prior to the MRI scan. Because they can interfere with the magnetic field of the MRI unit, metal and electronic objects are not allowed in the exam room. These items include:
  • jewelry, watches, credit cards and hearing aids, all of which can be damaged.
  • pins, hairpins, metal zippers and similar metallic items, which can distort MRI images.
  • removable dental work.
  • pens, pocketknives and eyeglasses.
  • body piercings.
In most cases, an MRI exam is safe for patients with metal implants, except for a few types. People with the following implants cannot be scanned and should not enter the MRI scanning area unless explicitly instructed to do so by a radiologist or technologist who is aware of the presence of any of the following:
  • internal (implanted) defibrillator or pacemaker
  • cochlear (ear) implant
  • some types of clips used on brain aneurysms
You should tell the technologist if you have medical or electronic devices in your body, because they may interfere with the exam or potentially pose a risk, depending on their nature and the strength of the MRI magnet. Examples include but are not limited to:
  • artificial heart valves
  • implanted drug infusion ports
  • implanted electronic device, including a cardiac pacemaker
  • artificial limbs or metallic joint prostheses
  • implanted nerve stimulators
  • metal pins, screws, plates, stents or surgical staples
In general, metal objects used in orthopedic surgery pose no risk during MRI. However, a recently placed artificial joint may require the use of another imaging procedure. If there is any question of their presence, an x-ray may be taken to detect the presence of and identify any metal objects.
Patients who might have metal objects in certain parts of their bodies may also require an x-ray prior to an MRI. You should notify the technologist or radiologist of any shrapnel, bullets, or other pieces of metal which may be present in your body due to accidents. Dyes used in tattoos may contain iron and could heat up during MRI, but this is rarely a problem. Tooth fillings and braces usually are not affected by the magnetic field but they may distort images of the facial area or brain, so the radiologist should be aware of them.
Infants and young children usually require sedation to complete an MRI exam without moving. Moderate and conscious sedation can be provided at most facilities. A physician or nurse specializing in the administration of sedation to children will be available during the exam to ensure your child's safety while under the effects of sedation. You will be given special instructions how to prepare your child for the sedation.

What does the equipment look like?

The traditional MRI unit is a large cylinder-shaped tube surrounded by a circular magnet. You will lie on a moveable examination table that slides into the center of the magnet.
Some MRI units, called short-bore systems, are designed so that the magnet does not completely surround you; others are open on the sides (open MRI). These units are especially helpful for examining patients who are fearful of being in a closed space and for those who are very obese. Newer open MRI units provide very high quality images for many types of exams; however, open MRI units with older magnets may not provide this same quality. Certain types of exams cannot be performed using open MRI. For more information, consult your doctor.
The computer workstation that processes the imaging information is located in a separate room than the scanner.

How does the procedure work?

Unlike conventional x-ray examinations and computed tomography (CT) scans, MRI does not depend on ionizing radiation. Instead, while in the magnet, radio waves redirect the axes of spinning protons, which are the nuclei of hydrogen atoms, in a strong magnetic field.
The magnetic field is produced by passing an electric current through wire coils in most MRI units. Other coils, located in the machine and in some cases, placed around the part of the body being imaged, send and receive radio waves, producing signals that are detected by the coils.
A computer then processes the signals and generates a series of images each of which shows a thin slice of the body. The images can then be studied from different angles by the interpreting physician.
Overall, the differentiation of abnormal (diseased) tissue from normal tissues is often better with MRI than with other imaging modalities such as x-ray, CT and ultrasound.

How is the procedure performed?

MRI examinations may be performed on outpatients or inpatients.
You will be positioned on the moveable examination table. Straps and bolsters may be used to help you stay still and maintain the correct position during imaging.
Small devices that contain coils capable of sending and receiving radio waves may be placed around or adjacent to the area of the body being studied.
If a contrast material will be used in the MRI exam, a nurse or technologist will insert an intravenous (IV) line into a vein in your hand or arm. A saline solution may be used. The solution will drip through the IV to prevent blockage of the IV line until the contrast material is injected.
You will be moved into the magnet of the MRI unit and the radiologist and technologist will leave the room while the MRI examination is performed.
If a contrast material is used during the examination, it will be injected into the intravenous line (IV) after an initial series of scans. Additional series of images will be taken during or following the injection.
When the examination is completed, you may be asked to wait until the technologist or radiologist checks the images in case additional images are needed.
Your intravenous line will be removed.
MRI exams generally include multiple runs (sequences), some of which may last several minutes.
Depending on the type of exam and the equipment used, the entire exam is usually completed in 15 to 45 minutes.
MR spectroscopy, which provides additional information on the chemicals present in the body's cells, may also be performed during the MRI exam and may add approximately 15 minutes to the exam time.

What will I experience during and after the procedure?

Most MRI exams are painless, however, some patients find it uncomfortable to remain still during MR imaging. Others experience a sense of being closed-in (claustrophobia). Therefore, sedation can be arranged for those patients who anticipate anxiety, but fewer than one in 20 require it.
It is normal for the area of your body being imaged to feel slightly warm, but if it bothers you, notify the radiologist or technologist. It is important that you remain perfectly still while the images are being recorded, which is typically only a few seconds to a few minutes at a time. For some types of exams, you may be asked to hold your breath. You will know when images are being recorded because you will hear tapping or thumping sounds when the coils that generate the radiofrequency pulses are activated. You will be able to relax between imaging sequences, but will be asked to maintain your position as much as possible.
You will usually be alone in the exam room during the MRI procedure. However, the technologist will be able to see, hear and speak with you at all times using a two-way intercom. Many MRI centers allow a friend or parent to stay in the room as long as they are also screened for safety in the magnetic environment.
You may be offered or you may request earplugs to reduce the noise of the MRI scanner, which produces loud thumping and humming noises during imaging. Children will be given appropriately sized earplugs or headphones during the exam. MRI scanners are air-conditioned and well-lit. Some scanners have music to help you pass the time.
When the contrast material is injected, it is normal to feel coolness and a flushing sensation for a minute or two. The intravenous needle may cause you some discomfort when it is inserted and once it is removed, you may experience some bruising. There is also a very small chance of irritation of your skin at the site of the IV tube insertion.
If you have not been sedated, no recovery period is necessary. You may resume your usual activities and normal diet immediately after the exam. A few patients experience side effects from the contrast material, including nausea and local pain. Very rarely, patients are allergic to the contrast material and experience hives, itchy eyes or other reactions. If you experience allergic symptoms, a radiologist or other physician will be available for immediate assistance.
Manufacturers of intravenous contrast indicate mothers should not breastfeed their babies for 24-48 hours after contrast medium is given. However, both the American College of Radiology (ACR) and the European Society of Urogenital Radiology note that the available data suggest that it is safe to continue breastfeeding after receiving intravenous contrast. The Manual on Contrast Media from the ACR states:
"Review of the literature shows no evidence to suggest that oral ingestion by an infant of the tiny amount of gadolinium contrast medium excreted into breast milk would cause toxic effects. We believe, therefore, that the available data suggest that it is safe for the mother and infant to continue breastfeeding after receiving such an agent.
If the mother remains concerned about any potential ill effects, she should be given the opportunity to make an informed decision as to whether to continue or temporarily abstain from breastfeeding after receiving a gadolinium contrast medium. If the mother so desires, she may abstain from breastfeeding for 24 hours with active expression and discarding of breast milk from both breasts during that period. In anticipation of this, she may wish to use a breast pump to obtain milk before the contrast study to feed the infant during the 24-hour period following the examination."
For further information please consult the ACR Manual on Contrast Media and its references.

Who interprets the results and how do I get them?

A radiologist, a physician specifically trained to supervise and interpret radiology examinations, will analyze the images and send a signed report to your primary care or referring physician, who will share the results with you.

What are the benefits vs. risks?

Benefits

  • MRI is a noninvasive imaging technique that does not involve exposure to ionizing radiation.
  • MR images of the soft-tissue structures of the body—such as the heart, liver and many other organs— is more likely in some instances to identify and accurately characterize diseases than other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many focal lesions and tumors.
  • MRI has proven valuable in diagnosing a broad range of conditions, including cancer, heart and vascular disease, and muscular and bone abnormalities.
  • MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
  • MRI allows physicians to assess the biliary system noninvasively and without contrast injection.
  • The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
  • MRI provides a noninvasive alternative to x-ray, angiography and CT for diagnosing problems of the heart and blood vessels.

Risks

  • The MRI examination poses almost no risk to the average patient when appropriate safety guidelines are followed.
  • If sedation is used there are risks of excessive sedation. The technologist or nurse monitors your vital signs to minimize this risk.
  • Although the strong magnetic field is not harmful in itself, implanted medical devices that contain metal may malfunction or cause problems during an MRI exam.
  • There is a very slight risk of an allergic reaction if contrast material is injected. Such reactions usually are mild and easily controlled by medication. If you experience allergic symptoms, a radiologist or other physician will be available for immediate assistance.
  • Nephrogenic systemic fibrosis is currently a recognized, but rare, complication of MRI believed to be caused by the injection of high doses of gadolinium contrast material in patients with very poor kidney function.

What are the limitations of MRI of the Body?

High-quality images are assured only if you are able to remain perfectly still or hold your breath, if requested to do so, while the images are being recorded. If you are anxious, confused or in severe pain, you may find it difficult to lie still during imaging.
A person who is very large may not fit into the opening of a conventional MRI machine.
The presence of an implant or other metallic object sometimes makes it difficult to obtain clear images and patient movement can have the same effect.
Breathing may cause artifacts, or image distortions, during MRIs of the chest, abdomen and pelvis. Bowel motion is another source of motion artifacts in abdomen and pelvic MRI studies. This is less of a problem with state-of-the art scanners and techniques.
Although there is no reason to believe that magnetic resonance imaging harms the fetus, pregnant women usually are advised not to have an MRI exam unless medically necessary.
MRI may not always distinguish between cancer tissue and edema fluid.
MRI typically costs more and may take more time to perform than other imaging modalities.

sumber: http://www.radiologyinfo.org/en/info.cfm?pg=bodymr

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