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This book addresses radiation protection of patients having digital radiography and computed tomography (CT) examinations. The literature on radiation doses to patients from these two modalities have reported that the doses to patients are high. As a result, the radiology community has focused on methods and procedures to keep these doses as low as reasonably achievable (ALARA) without compromising the diagnostic image quality. This book outlines the motivation for dose optimization in radiology, identifies and describes the ICRP principle of optimization, outlines the factors affecting the dose in digital radiography and in CT, and identifies and describes strategies used in digital radiography and in CT for dose optimization. This book is intended for all those working in digital radiography and CT environments including radiological technologists, and radiographers, radiologists, biomedical engineering technologists, and student medical physicists. It is best used as a supplement to radiologic science textbooks, and in particular, radiation protection textbooks. Furthermore, this book lays the foundations for students and practitioners engaged in research on dose reduction and dose optimization in radiology. · Provides practical and useful methods for optimization of doses from digital radiography and CT · Describes the International Commission on Radiological Protection (ICRP) principle of optimization · Outlines the factors affecting the dose in digital radiography and in computed tomography
This is the second edition of a well-received book that enriches the understanding of radiographers and radiologic technologists across the globe, and is designed to meet the needs of courses (units) on radiographic imaging equipment, procedures, production, and exposure. The book also serves as a supplement for courses that address digital imaging techniques, such as radiologic physics, radiographic equipment and quality control. In a broader sense, the purpose of the book is to meet readers’ needs in connection with the change from film-based imaging to film-less or digital imaging; today, all radiographic imaging worldwide is based on digital imaging technologies. The book covers a wide range of topics to address the needs of members of various professional radiologic technology associations, such as the American Society of Radiologic Technologists, the Canadian Association of Medical Radiation Technologists, the College of Radiographers in the UK, and the Australian and New Zealand Societies for Radiographers.
Advances in digital technology led to the development of digital x-ray detectors that are currently in wide use for projection radiography, including Computed Radiography (CR) and Digital Radiography (DR). Digital Imaging Systems for Plain Radiography addresses the current technological methods available to medical imaging professionals to ensure the optimization of the radiological process concerning image quality and reduction of patient exposure. Based on extensive research by the authors and reference to the current literature, the book addresses how exposure parameters influence the diagnostic quality in digital systems, what the current acceptable radiation doses are for useful diagnostic images, and at what level the dose could be reduced to maintain an accurate diagnosis. The book is a valuable resource for both students learning the field and for imaging professionals to apply to their own practice while performing radiological examinations with digital systems.
"An excellent primer on medical imaging for all members of the medical profession . . . including non-radiological specialists. It is technically solid and filled with diagrams and clinical images illustrating important points, but it is also easily readable . . . So many outstanding chapters . . . The book uses little mathematics beyond simple algebra [and] presents complex ideas in very understandable terms." —Melvin E. Clouse, MD, Vice Chairman Emeritus, Department of Radiology, Beth Israel Deaconess Medical Center and Deaconess Professor of Radiology, Harvard Medical School A well-known medical physicist and author, an interventional radiologist, and an emergency room physician with no special training in radiology have collaborated to write, in the language familiar to physicians, an introduction to the technology and clinical applications of medical imaging. It is intentionally brief and not overly detailed, intended to help clinicians with very little free time rapidly gain enough command of the critically important imaging tools of their trade to be able to discuss them confidently with medical and technical colleagues; to explain the general ideas accurately to students, nurses, and technologists; and to describe them effectively to concerned patients and loved ones. Chapter coverage includes: Introduction: Dr. Doe's Headaches Sketches of the Standard Imaging Modalities Image Quality and Dose Creating Subject Contrast in the Primary X-Ray Image Twentieth-Century (Analog) Radiography and Fluoroscopy Radiation Dose and Radiogenic Cancer Risk Twenty-First-Century (Digital) Imaging Digital Planar Imaging Computed Tomography Nuclear Medicine (Including SPECT and PET) Diagnostic Ultrasound (Including Doppler) MRI in One Dimension and with No Relaxation Mapping T1 and T2 Proton Spin Relaxation in 3D Evolving and Experimental Modalities
Computed radiography is one of the most promising digital radiography techniques, and is expected to replace the conventional screen film radiography in the near future. This book is the first textbook on computed radiography written by Japanese authors and describes basic technologies and clinical results obtained at various hospitals. There are more than 60 CR systems working in clinical environments in Japan. However, as yet there are not so many systems working outside Japan. This book is, therefore, a good introduction to the new technology and practice of the CR system all over the world.
Written by the chief physicist at Johns Hopkins University Hospital, this easy-to-read short textbook explains the physics behind multi-detector CT technology, particularly newer, more complex technology. The focus is on principles of physics, effects of scan parameters on image quality, and optimum radiation dosage. The book includes numerous key points summaries and questions to assist in exam preparation.
This completely updated second edition of Radiation Exposure and Image Quality in X-ray Diagnostic Radiology provides the reader with detailed guidance on the optimization of radiological imaging. The basic physical principles of diagnostic radiology are first presented in detail, and their application to clinical problems is then carefully explored. The final section is a supplement containing tables of data and graphical depictions of X-ray spectra, interaction coefficients, characteristics of X-ray beams, and other aspects relevant to patient dose calculations. In addition, a complementary CD-ROM contains a user-friendly Excel file database covering these aspects that can be used in the reader’s own programs. This book will be an invaluable aid to medical physicists when performing calculations relating to patient dose and image quality, and will also prove useful for diagnostic radiologists and engineers.
Optimization of dose in radiographic examinations is essential since the utilization of x-radiation is related to increased cancer risk. The study’s objective was to guide radiographers in ensuring best practices for common radiographic examinations of acceptable image quality in digital radiography while minimizing radiation doses that could result in harmful effects. The study comprised of three phases. The first phase involved 90 respondents between 20 to 60 years of age and weighing between 60-80 kilograms for the following examinations: anterior-posterior (AP) abdomen, AP or lateral lumbar sacral spine and posterior-anterior (PA) chest examinations. During this phase, the radiographic examination’s technical parameters for 30 radiographs for each examination were at the radiographers’ discretion. Kerma X_plus, DAP (dose area product) meter was utilized to evaluate the entrance surface dose (ESD), while CALDose_X 5.0 Monte Carlo was used to estimate the effective dose. The experimental study utilized an anthropomorphic phantom (PBU-50) and Leeds test object to compare the image quality. The best parameters were adapted to the patient’s AP thickness for the optimization study from the different technical parameters used in the experimental phase.
Written by practitioners experienced in the field, 'Practical Radiation Protection in Healthcare' provides a practical guide for medical physicists and others involved with radiation protection in the healthcare environment.