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INTRODUCTION TO RADIOLOGY J. MARK FULMER, MD MEDICAL DIRECTOR DARLENE G. CASS WOMEN’S IMAGING CENTER PAST PRESIDENT MEDICAL STAFF MEDICAL DIRECTOR ER IMAGING BLAH, BLAH, BLAH DALLAS, TEXAS INTRODUCTION TO RADIOLOGY J. MARK FULMER, MD 972-523-4323 [email protected] INTRODUCTION TO RADIOLOGY COME TO THE LECTURES READ THE SYLLABUS LOOK AT THE IMAGES PARTICIPATE IN THE REVIEW INTRODUCTION TO RADIOLOGY MODERN MEDICAL IMAGING IS OFTEN AT THE CENTER OF THE DIAGNOSTIC EVALUATION, CRUCIAL IN EVALUATING RESPONSE TO THERAPY, AND ESSENTIAL IN POPULATION HEALTH SCREENING. INTRODUCTION TO RADIOLOGY SHOW YOU THE TOOLBOX INTRODUCE INTERPRETATION IMPROVE ORDERING EFFICIENCY INTRODUCTION TO RADIOLOGY ANATOMIC IMAGING FUNCTIONAL IMAGING IMAGING GUIDED INTERVENTION INTRODUCTION TO RADIOLOGY RADIOGRAPHY FLUOROSCOPY ULTRASOUND COMPUTED TOMOGRAPHY MAGNETIC RESONANCE IMAGING NUCLEAR MEDICINE RADIOGRAPHY RADIOGRAPHY X-RAYS ARE PRODUCED BY CATHODE RAY TUBES. ELECTRONS ACCELARATE FROM CATHODE TO THE ANODE. IF THE TUBE ISN’T ON, THERE ARE NO X-RAYS. RADIOGRAPHY RADIOGRAPHY RADIOGRAPHY FLUOROSCOPY FLUOROSCOPY COMPUTED TOMOGRAPHY DIGITAL MAMMOGRAPHY BASIC RADIOGRAPHIC DENSITIES AIR FAT MEAT BONE METAL BASIC RADIOGRAPHIC DENSITIES MARGINS ARE MADE WHEN THE DIFFENT DENSITIES APPOSE ONE ANOTHER. IF THE DENSITIES BECOME THE SAME, THE MARGIN DISAPPEARS. BASIC RADIOGRAPHIC DENSITIES RADIOGRAPHY CHANGE IN DENSITY CHANGE IN POSITION BASIC RADIOGRAPHIC DENSITIES RADIOGRAPHY CHANGE IN DENSITY CHANGE IN POSITION RADIOGRAPHY What Do the Foxes Say? ULTRASOUND HIGH FREQUENCY SOUND WAVES ARE REFLECTED AT ACOUSTIC INTERFACES NO IONIZING RADIATION DOPPLER IMAGING ULTRASOUND ULTRASOUND ULTRASOUND ULTRASOUND MAGNETIC RESONANCE IMAGING IMAGES PRODUCED BY THE INTERACTION OF MAGNETIC FIELDS AND RADIOFREQUENCY PULSES NO IONIZING RADIATION UNPAIRED HYDROGEN PROTONS MAGNETIC RESONANCE IMAGING T1 RELAXATION T2 RELAXATION GADOLINIUM CONTRAST SHORTENS T1 MAGNETIC RESONANCE IMAGING MULTIPLANAR IMAGES SOFT-TISSUE DIFFERENTIATION FLOW KINETICS MAGNETIC RESONANCE IMAGING Bear With Me NUCLEAR MEDICINE RADIOACTIVE PHARMACEUTICALS IMAGES PRODUCED BY RADIOACTIVE DECAY PHYSIOLOGIC IMAGING NUCLEAR MEDICINE PET SCAN BONE SCAN HEPATOBILIARY SCAN NUCLEAR CARDIOLOGY NUCLEAR MEDICINE TECHNITIUM 99m FLUORODEOXYGLUCOSE --FDG NUCLEAR MEDICINE http:// PET SCAN BONE SCAN NUCLEAR MEDICINE RADIOLOGIST CLINICAL ANATOMIST PATHOPHYSIOLOGIST MEDICAL WRITER RADIOLOGIST RADIOLOGIST RADIOLOGIST RADIOLOGIST BODY IMAGING GI/GU IMAGING NEURORADIOLOGY PEDIATRIC RADIOLOGY BREAST IMAGING NUCLEAR MEDICINE VASCULAR/INTERVENTIONAL MUSCULOSKELETAL ER RADIOLOGY NEUROINTERVENTIONAL CARDIAC IMAGING How Many Horses?