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Medical imaging

life science Maturity 11-13 Vital Level 3 Next article →

Medical imaging is a vital scientific process used to view the interior of the human body. This technique allows for clinical analysis and medical intervention by revealing structures hidden by skin and bones.

Derivative of medical imaging
Derivative of medical imaging

It also provides a visual representation of physiology, which is the function of organs and tissues. By establishing a database of normal anatomy, imaging helps healthcare professionals identify abnormalities. Most of these procedures are noninvasive, meaning no instruments are introduced into the patient's body. While imaging can be performed on removed tissues, that work is usually classified as pathology rather than medical imaging.

One primary method is radiography, which uses X-rays to create images. There are two main forms: projection radiography and fluoroscopy. Projection radiography uses a wide beam of X-rays to capture still images, such as checking for bone fractures or lung changes.

X-ray General Illustration
X-ray General Illustration

Fluoroscopy is different because it uses a constant input of X-rays to produce real-time, moving images. This is very useful for guiding catheters or seeing organs as they work. To make certain organs more visible, doctors use contrast media like barium, iodine, or air. Early technology used fluorescing screens to receive radiation, but this evolved into image amplifiers and eventually TV cameras.

Another advanced method is Magnetic Resonance Imaging, commonly known as MRI. This technique does not use ionizing radiation, which makes it safer for repeated use than X-rays.

MRI Scan General Illustration
MRI Scan General Illustration

An MRI scanner uses powerful magnets to polarize hydrogen nuclei, which are single protons found in the water molecules of human tissue. The machine emits a radio frequency (RF) pulse at a specific resonant frequency called the Larmor frequency. When the RF pulse is turned off, the protons "relax" and emit radio waves. These emissions are detected by RF antennas and reconstructed into detailed images. MRI is especially good at showing soft-tissue contrast compared to CT scans.

To create these complex images, MRI uses three distinct electromagnetic fields. First, a very strong static magnetic field, typically between 1.5 and 3 teslas, polarizes the hydrogen nuclei. Second, gradient fields are used for spatial encoding by varying in space and time. Third, a spatially homogeneous radio-frequency field is used to manipulate the nuclei to produce signals. Modern MRI machines can produce 3D blocks of images, whereas older versions focused on 2D "slices" or tomographic images.

TomographyPrinciple Illustration
TomographyPrinciple Illustration

While MRI is safe from radiation, doctors must control risks like tissue heating or interference with implanted devices like pacemakers.

The history of medical imaging is marked by massive technological leaps. In 1972, an engineer named Godfrey Hounsfield invented the X-ray computed tomography (CT) device for diagnosing head injuries.

Volume rendered CT scan of a pregnancy of 37 weeks of gestational age (smaller)
Volume rendered CT scan of a pregnancy of 37 weeks of gestational age (smaller)

This method involves projecting X-rays through a section of the body and using a computer for image reconstruction. By 1975, EMI developed a CT device capable of imaging the entire body. These breakthroughs were so significant that Hounsfield and physicist Allan Cormack won the Nobel Prize in 1979. Later, in 1994, digital image processing technology was recognized by the Space Technology Hall of Fame.

The scale of medical imaging is enormous. By 2010, over 5 billion medical imaging studies had been conducted worldwide. In 2006, medical imaging accounted for approximately 50% of the total ionizing radiation exposure in the United States. The production of this equipment relies heavily on the semiconductor industry. Manufacturers use CMOS integrated circuit chips, sensors, and various processors like microcontrollers and digital signal processors. The industry is massive, with annual shipments of medical imaging chips reaching 46 million units.

Medical imaging is a multidisciplinary field that connects many areas of science. It is a sub-discipline of biomedical engineering, medical physics, and medicine. Biomedical engineers and computer scientists often work on the research and development of new instrumentation and image acquisition. Meanwhile, specialists like radiologists interpret the images to diagnose diseases. Radiographers, or radiologic technologists, are often responsible for the technical task of acquiring high-quality diagnostic images. Finally, nuclear medicine adds another layer by using isotopes to assess physiology, helping doctors study the heart, brain, and other complex systems.

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🖼️ Images & Media (6)
File:X-ray General Illustration.jpg
X-ray General Illustration.jpg
File:MRI Scan General Illustration.jpg
MRI Scan General Illustration.jpg
File:Abdominal Ultrasound General Illustration.jpg
Abdominal Ultrasound General Illustration.jpg
File:TomographyPrinciple Illustration.png
TomographyPrinciple Illustration.png
File:Volume rendered CT scan of a pregnancy of 37 weeks of gestational age (smaller).gif
Volume rendered CT scan of a pregnancy of...
File:Derivative of medical imaging.jpg
Derivative of medical imaging.jpg
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