CT Scan
Computed tomography (CT) a method of body imaging
in which a thin x-ray beam rotates around the patient.
Small detectors measure the amount of x-rays that
make it through the patient or particular area of
interest. A computer analyzes the data to construct
a cross-sectional image. These images can be stored,
viewed on a monitor,
or
printed on film. In addition, three-dimensional models
of organs can be created by stacking the individual
images, or "slices."
Person will be asked to lie on a narrow table that
slides into the center of the scanner. Depending on
the study being performed, one may need to lie on
your stomach, back, or side. If contrast dye is to
be administered, an IV will be placed in a small vein
of a hand or arm. Much like standard photographic
cameras, any motion causes blurred images in CT. Therefore,
the operator will give instructions through an intercom
on when to hold breath and not move. As the exam takes
place, the table will advance small intervals through
the scanner. Modern "spiral" scanners can
perform the exam in one continuous motion. Generally,
complete scans will only take a few minutes. However,
additional contrast-enhanced or higher-resolution
scans will add to the scan time. The newest multidetector
scanners can image your entire body, head to toe,
in less than 30 seconds.
CT provides rapid, detailed cross-sectional imaging
of the patient which can then be reconstructed into
three-dimensional models, as needed. Intravenous contrast
enhanced scans allow for evaluation of vascular structures
and further evaluation of masses and tumors. CT is
often utilized in the trauma setting to evaluate the
brain, chest, and abdomen. As well, CT can be used
to guide interventional procedures, such as biopsies
and placement of drainage tubes.
Isotope study
Nuclear radiology is a sub-specialty of radiology
in which radioisotopes (compounds containing radioactive
forms of atoms) are introduced into the body for the
purpose of imaging, evaluating organ function, or
localizing disease or tumors. Unlike conventional
or computed radiography (such as plain x-rays and
CT scans) in which x-ray beams are generated within
a machine and projected through
the
patient, in isotope studies the radiation (gamma rays)
originates from within a radiopharmaceutical (material
tagged with a radioisotope) in the body. Special detector
cameras are placed close against the area of interest
for a period of time, and once enough gamma rays are
"seen," a computer creates an image showing
where the isotope localized within the organ or body.
Generally, nuclear medicine scans do not provide the
level of anatomic detail seen on x-ray, ultrasound,
CT, or MR images. However, correlation with other
imaging, clinical information, and laboratory results
helps identify and confirm disease.
A radioactive isotope needs to be introduced into
the body. After a certain period of time has passed
(ranging from a few hours to a day or more for different
exams), a counter is placed over the organ, and the
amount of radioactivity or intensity of radioactivity
is recorded.
MRI
MRI is a non-invasive procedure that uses powerful
magnets and radio waves to construct pictures of the
body. Unlike conventional radiography and computed
tomographic (CT) imaging, which make use of potentially
harmful radiation (x-rays), MRI imaging is based on
the magnetic properties of atoms. A powerful magnet
generates a magnetic field roughly 10,000 times stronger
than the natural background magnetism from the earth.
A very small percentage of hydrogen atoms within a
human body will align with this field. When focused
radio wave pulses are broadcast towards the aligned
hydrogen atoms in tissues of interest, they will return
a signal. The subtle differences in that signal from
various body tissues enables MRI to differentiate
organs, and potentially contrast benign and malignant
tissue. Any imaging plane (or slice) can be projected,
stored in a computer, or printed on film. If contrast
is to be administered, an IV will be placed, usually
in a small vein of the hand or forearm.
Several sets of images are usually required, each
taking from 2 to 15 minutes. A complete scan, depending
on the organs studied, sequences performed, and need
for contrast enhancement may take up to one hour or
more. Newer scanners with more powerful magnets utilizing
updated software and advanced sequences may complete
the process in less time. Because the strong magnetic
fields can displace or disrupt the action of implanted
metallic objects, people with cardiac pacemakers cannot
be scanned and should not enter the MRI area. There
is no pain. The magnetic field and radio waves are
not felt.
An MRI can provide additional imaging information
for the clinician based upon its superior tissue contrast
resolution. Combined with other imaging methods, a
more definitive diagnosis can be given in the work
up of a patient's disease. Sequences performed with
intravenous contrast may provide additional data about
the blood vessels within masses. An MRA, or magnetic
resonance angiogram, is a special type of MR that
creates three-dimensional reconstructions of vessels
containing flowing blood and is often utilized when
conventional angiography cannot be performed due to
renal failure or other contraindications.
Preventive health care
The most important part of preventive health care
is maintaining good health habits. This includes:
Daily exercise; Weight control; Proper nutrition;
Avoidance of smoking and drug abuse; Abstinence from
or moderation of alcohol use; Proper control of any
diseases or disorders (such as high blood pressure,
diabetes, or high levels of cholesterol in the blood).
In addition to these habits, there are some other
professional services that may prove worthwhile in
either
preventing or at least minimizing disease.
1. Periodic screening of adults for specific problems
is recommended by the National Institute of Health,
USA. These include: Pap smear for cervical cancer
screening; Breast self-examination (BSE) for early
detection of breast cancer; Mammography for early
detection of breast cancer; Testicular self-examination
(TSE) during adolescence; Prostate cancer screening;
Cholesterol screening; Colon cancer screening; Blood
pressure measurement; periodic Weight measurement;
periodic Dental examinations and cleaning.
2. Many diseases can be effectively treated when detected
early. See your primary health care provider right
away if: A lump or persistent lesion
appears;
unexplained weight loss; prolonged fever; chronic
cough develops (or coughing up blood); or continued
body aches and pains.
3. Keep immunizations up-to-date. Adults should receive
periodic boosters for diseases such as tetanus. Those
older than 65 or with significant heart or lung problems,
influenza vaccine and pneumonia vaccine should be
considered.
Ultrasound
Ultrasound involves the use of high-frequency sound
waves to create images of organs and systems within
the body. An ultrasound machine creates images that
allow various organs in the body to be examined. The
machine sends out high-frequency sound waves, which
reflect
off body structures. A computer receives these reflected
waves and uses them to create a picture. Unlike with
an x-ray, there is no ionizing radiation exposure
with this test. The test is done in the ultrasound
or radiology department. A clear, water-based conducting
gel is applied to the skin over the area being examined
to help with the transmission of the sound waves.
A handheld probe called a transducer is then moved
over the area being examined. Preparation for the
procedure will depend on the body region being examined.
The reason for the examination will depend on symptoms.
(Information given here has been
abridged from authentic sources like NIH, USA)