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Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Computed Tomography01:10

Computed Tomography

Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
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X-ray Imaging01:24

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German physicist Wilhelm Röntgen (1845–1923) was experimenting with electrical current when he discovered that a mysterious and invisible "ray" would pass through his flesh but leave an outline of his bones on a screen coated with a metal compound. In 1895, Röntgen made the first durable record of the internal parts of a living human: an "X-ray" image (as it came to be called) of his wife’s hand. Scientists worldwide quickly began their own experiments with X-rays, and by 1900, X-ray was widely...
Positron Emission Tomography01:29

Positron Emission Tomography

Positron emission tomography (PET) is a medical imaging technique involving radiopharmaceuticals — substances that emit short-lived radiation. Although the first PET scanner was introduced in 1961, it took 15 more years before radiopharmaceuticals were combined with the technique and revolutionized its potential.
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Effects of Creep01:25

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Creep in concrete, the gradual deformation under prolonged stress, significantly impacts the integrity of structures. For reinforced concrete beams, it can be a vital design consideration, as it increases deflection, sometimes necessitating additional design measures. In columns, especially slender ones under eccentric loads, creep can cause buckling, compromising their stability. However, creep can be beneficial in indeterminate structures by mitigating stresses that arise from shrinkage,...

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Related Experiment Video

Updated: May 26, 2026

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
08:30

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging

Published on: September 11, 2011

Exposure creep in computed radiography: a longitudinal study.

Dale J Gibson1, Robert A Davidson

  • 1Flinders Medical Centre, Bedford Park, South Australia, Australia.

Academic Radiology
|January 10, 2012
PubMed
Summary
This summary is machine-generated.

Exposure creep, a rise in radiation dose, was confirmed in digital radiography. Providing technologists with prior exposure data successfully halted this trend, improving patient safety.

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06:28

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Published on: January 30, 2020

Area of Science:

  • Radiologic Technology
  • Medical Imaging Physics
  • Patient Radiation Safety

Background:

  • Exposure creep, a gradual increase in radiographic exposures, is theorized to stem from the wide exposure latitude of computed radiography (CR) and digital radiography (DR).
  • This phenomenon can lead to increased patient radiation dose over time.
  • Understanding and mitigating exposure creep is crucial for maintaining radiation safety in medical imaging.

Purpose of the Study:

  • To evaluate radiographic exposures over 43 months to determine if exposure creep exists.
  • To assess if interventions can halt or reverse exposure creep trends.

Main Methods:

  • Exposure indices (EI) from CR images in the intensive and critical care unit (ICCU) and emergency department (ED) were recorded over 29 months (Aug 2007-Dec 2009).
  • EI values were compared to the optimal range (1400-1800), with values above considered overexposed.
  • An intervention in ICCU (Jan 2010) provided technologists with previous EI values for chest x-rays (CXRs) to guide subsequent exposures.

Main Results:

  • A significant increasing trend in EI values (exposure creep) was observed in ICCU (P = .023), but not in the ED (P = .120).
  • Following the intervention in ICCU, the overexposure trend was halted.
  • 17,678 ICCU CXRs and 69,327 ED x-ray examinations were analyzed.

Conclusions:

  • Exposure creep is a demonstrable phenomenon in digital radiography, likely due to the need for judgment in setting exposure factors across varying patient sizes.
  • Providing radiologic technologists with prior exposure index values for similar examinations is an effective method to halt exposure creep.
  • This intervention helps maintain optimal radiation dose and image quality.