August 2004Francis Neuffer, Radiologist

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RADIOLOGYAs Clinical Anatomy

E-mail: x-ray@med.sc.edu Radiology Website: http://radiology.med.sc.edu

Radiology Department:

Basement of Library

733-3295

Francis Neuffer M.D.

U.S.C. School of Medicine

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AP FOOT

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OUCH !

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GOALS

RELATE IMAGING TO GROSS ANATOMY

CLINICAL CASES TO BASIC SCIENCE

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RADIOLOGY EXAMS- IDENTIFY STRUCTURE AT ARROW.

LABELED IMAGES FROM LAB FILM SETS

AND DIGITAL FILM SETS

LECTURE

POWERPOINT

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WHAT IS RADIOLOGY?

MEDICAL SPECALITY THAT SUPERVISES AND INTERPRETS IMAGING STUDIES

REPORTS FINDINGS TO REFERRING PHYSICIANS

ANATOMY VS PATHOLOGY

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X-RAY

DISCOVERED AND NAMED BY DR. W. C. RÖNTGEN AT UNIVERSITY OF WÜRZBURG, 1895

AWARDED FIRST NOBEL PRIZE FOR PHYSICS, 1901

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HOW IS IMAGING DONE?

X-RAYS: IONIZING RADIATION

GAMMA RAYS: IONIZING RADIATION

SOUND WAVES

MAGNETIC FIELDS / RADIO FREQUENCY WAVES

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RADIOLOGY TOOLS

X- RAY

ULTRASOUND

NUCLEAR MEDICINE

MAGNETIC RESONANCE

COMPUTED TOMOGRAPHY

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X- RAY HIGH ENERGY PHOTON

IONIZING RADIATION

EXPOSES FILM / DETECTOR

PROJECTION DATA

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XRAYS

PLAIN FILM RADIOGRAPHY

CXR MAMMOGRAPHY ABDOMEN SPINE EXTREMITIES,

BONES & JOINTS SKULL

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BONE

SOFT TISSUE

FAT

AIR

X - RAY -- FOUR BASIC DENSITIES

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CONTRAST RADIOGRAPHY INJECTION, INGESTION, OR OTHER

PLACEMENT OF OPAQUE MATERIAL WITHIN THE BODY

INCREASES INHERENT CONTRAST

CAN DEMONSTRATE FUNCTIONAL ANATOMY AND PATHOLOGY

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UPPER GI – ORAL BARIUM CONTRAST

BARIUM ENEMA - RECTAL BARIUM CONTRAST

WITHOUT CONTRAST

STOMACH

COLON

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INTRAVENOUS PYELOGRAM – IVPINTRAVENOUS IODINE CONTRAST

ARTERIOGRAM INTRAARTERIAL IODINE CONTRAST

WITHOUT CONTRAST

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COMPUTED TOMOGRAPHY HIGH ENERGY PHOTON

IONIZING RADIATION

EXPOSES DETECTOR

TOMOGRAPHIC DATA

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CT- EXAMPLE

CT REFERENCE FILM

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NUCLEAR MEDICINE

INJECTION OF RADIOPHARMACEUTICAL

HIGH ENERGY PHOTON

IONIZING RADIATION

EXPOSES DETECTOR

PROJECTION DATA

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NM - EXAMPLES

HEPATOBILIARY

RENAL

BONE

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ULTRASOUND

SOUND WAVE

NO IONIZING RADIATION

REFLECTED TO DETECTOR

TOMOGRAPHIC DATA

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US - EXAMPLES

GALLBLADDER

KIDNEY

OB

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MAGNETIC RESONANCE

HYDROGEN PROTONS IN A MAGNETIC FIELD

RADIO WAVE SIGNAL TRANSMISSION

NO IONIZING RADIATION

TOMOGRAPHIC DATA

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MAGNETIC RESONANCE EXAMPLES

BRAIN

SPINE

JOINT

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MR HAS ADVANTAGE OF MULTI PLANAR IMAGING

SAGITTALAXIAL CORONAL

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HOSPITAL LINGO

X- RAY PLAIN FILM

COMPUTED TOMOGRAPHY CAT SCAN CT SCAN

NUCLEAR MEDICINE NUC MED

ULTRASOUND ULTRASOUND

MAGNETIC RESONANCE MR MRI MRA

YOU WILL HEAR AND SEE THESE ABBREVIATIONS USED FREQUENTLY IN THE

MEDICAL COMMUNITY

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L-1

T-12

SACRUM

LUMBAR SPINEAP VIEW

TRANSVERSE PROCESS

SPINOUS PROCESS

LAMINA

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BODY

SPINOUS PROCESS

SPINAL CANAL

PEDICLE(ROOT)

LAMINA

PARTS OF THE ARCH

TRANSVERSEPROCESS

INFERIOR ARTICULARPROCESS

SUPERIOR ARTICULARPROCESS

VERTEBRA

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LAMINA

INF. VERTEBRALNOTCH

BODY

PEDICLE

SUP. VERTEBRAL BODY

SUP. ARTICULAR PROCESS

TRANSVERSE PROCESS

SPINOUS PROCESS

INF. ARTICULAR PROCESS

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OH… THE MANY USES

OF

MODERN IMAGING ?

KING TUTNUC MED STUDY OF A HORSE’S