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Radiological Investigation I: X-ray and CT01:30

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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...
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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...
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Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Imaging Studies I: Kidney, Ureter, and Bladder Studies01:28

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Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
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Imaging Studies I: CT and MRI01:14

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Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
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Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
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Radiological Investigation II: MRI and Ventilation Perfusion Scan

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Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
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相关实验视频

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Focused Assessment with Sonography for Trauma FAST Exam: Image Acquisition
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目前的腹部X射线在事故和紧急情况下的实践.

Winnie Tam1

  • 1University Hospital Wales, Heath Park Way, Cardiff, CF14 4XW, United Kingdom.

Journal of medical imaging and radiation sciences
|August 12, 2023
PubMed
概括

事故和急救部门的腹部X射线 (AXR) 经常被过度使用,理由率低,发现最小. 改善对指导方针的遵守,可以减少患者的辐射暴露,并优化成像资源.

科学领域:

  • 放射学 放射学是一门学科.
  • 医疗成像医学成像
  • 紧急医疗 紧急医疗

背景情况:

  • 之前的审查表明,在急诊室,腹部X射线 (AXR) 的指导方针的敏感性低,不符合指导方针.
  • 过度使用AXR导致不必要的辐射暴露和低效的资源分配.

研究的目的:

  • 调查英国一家大型事故和紧急情况 (A&E) 部门当前的AXR实践.
  • 确定需要改进的AXR请求理由和性能方面的领域.

主要方法:

  • 在28天的时间内,从A&E对169个AXR请求进行了回顾性评估.
  • 排除非A&E患者和放弃的检查.
  • 分析请求的理由,发现和进一步成像的速度.

主要成果:

  • 在包含的141个AXR请求中,15.4%是不合理的.
  • 报告的AXR中,只有4%显示病理异常.
  • 45/136 (33.1%) 患者需要进一步的成像,比之前报告的更低.

结论:

  • 调查结果表明,在A&E环境中,AXR的过度使用是显著的.
关键词:
腹部X射线检查 腹部X射线检查腹部疼痛 腹部疼痛事故和紧急情况过度使用过度使用.辐射保护 辐射保护

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  • 建议通过临床治理提高对证明准则的认识.
  • 减少AXR过度使用可以最大限度地降低辐射剂量,提高成像服务效率.