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Diagnositic imaging

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Question
Answer
Radiography: Purpose?   Identify and screen for lung & lung disease, fractures, dislocations, bone growth, foreign objects.  
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Radiography: Description?   2D image of a 3D object; at least 2 views are required to not neglect an abnormality  
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Radiography: ABCs?   Use ABCs to interpret a musculoskeletal radiograph Alignment: size, contour, alignment with adjacent bone, Bone density: density & texture Cartilage spaces: joint space width, presence of sub-chondral bone, epiphyseal plates  
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Radiography: Advantages?   Quick, easy. portable, relatively inexpensive  
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Radiography: Disadvantages?   Ionizing radiation, poor at visualizing soft tissues and small fractures  
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MRI: Purpose?   Provides sectional imaging of anatomy that is especially helpful for visualizing soft tissue. Also, can be configured into 3D models  
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MRI: Description?   T1: fat is brighter & helpful in defining anatomy T2: fluid is brighter, fat is suppressed; helpful for various joint pathologies.  
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Functional MRI?   Used to detect metabolic changes in the brain  
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MRI: Advantages?   High quality imaging of almost any structure in the body; contrast can be used to increase detail  
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MRI: Disadvantages?   Expensive, time consuming, pt must lie perfectly still to avoid artifacts, may not be able to distinguish between edema & tumors, may cause metal implants to malfunction  
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CT Scan: Purpose?   Sectional imaging of bone and most soft tissues; especially good for chest and abdomen; also able to measure bone density  
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CT Scan: Description?   Special radiography with computer analysis that configures images from x-rays at various angles to show high quality cross sectional and 3D imaging of body tissues and organs.  
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CT Scan: Advantages?   fast and provides high quality imaging of bone, soft tissue, blood vessels all at the same time. Contrast can be use to increase detail  
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CT Scan: Disadvantages?   Large amounts of ionizing radiation. Not as good as MRI at viewing soft tissue. Bariatric limits.  
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Bone scan: Purpose?   Helps to diagnose fractures not detected by x-ray and areas of damage to bone caused by cancer, trauma, infection, etc.  
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Bone scan: Description?   uses gamma ray emission to detect newly forming bone. Radionucleotide used--> increased area of uptake mean metabolic activity.  
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Bone scan: Advantages?   Small amounts of radiation, improved detection of abnormal bone metabolism  
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Bone scan: Disadvantages?   slow, ionizing radiation, potential adverse affects from radionucleotide  
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Angiography: Purpose?   Views blood vessels  
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Angiography: Description?   catheter and contrast material used in conjunction with x-rays, CT or MRI to examine blood vessels  
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Bone density exam: Purpose?   Measure bone mineral density. Used to delineate osteopenia from osteoporosis  
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Bone density exam: Description?   Enhanced x-ray technique. Gold standard for measuring bone density  
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Ultrasound: Purpose?   Helps diagnose partial tendon tears, soft tissue masses, pockets of fluid, muscle development of activation  
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Ultrasound: Description?   sound capture real time images of various body structures and blood flowing through the vessel  
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Positron emission tomography: purpose?   Use to detect non perfusing areas of the heart to evaluate brain in cases of undetermined dementia, stroke, seizures, memory disorders or suspected tumors  
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PET: Description?   POsitrons emitting from radioactive substances are captured  
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