At the beginning of this past summer, I took a job working as what is known as a medical scribe. In short, a scribe is a non-medically trained individual who records and compiles information that hospital physicians use to diagnose patients. In this short amount of time, the importance of medical imaging has become even more abundantly clear then it was before I took this job. In particular, the most common methods of medical imaging boil down to X-Ray, Ultrasound, CT scans (computerized tomography), and MRI scans (magnetic resonance imaging). Of these four, MRI is probably the most enigmatic. It provides one of the most detailed images of inside the human body without using any harmful radiation.
MRI can be used to form a diagnosis for
a variety of diseases and injuries such as strokes, cancer, and other various internal injuries and infections. How a machine can accomplish such tasks employs the use of quantum mechanics. Physics is divided into two major sections: classical mechanics and quantum mechanics. Classical mechanics is, in short, what most individuals are used to and what Sir Isaac Newton was most famous for studying. Quantum mechanics defines the set of physical laws by which molecules and sub-atomic particles obey since classical mechanics begins to fail when describing the smaller building blocks of our world. Hydrogen atoms are among the simplest of atoms due to the fact that it only has one electron, a negatively charged particle, around it’s nucleus and said nucleus is only composed of a single proton, a positively charged particle. Due to this fact, and the fact that hydrogen is very abundant in a human body due to water content, the molecule is commonly used to form accurate MRI images. This form of imaging relies on the spin the hydrogen atom’s nucleus. This spin produces a magnetic moment and can therefore be manipulated using a magnetic field. A classic closed MRI machine looks very much like a tube with a table in the middle of it for the patient to lie on. The machine itself consists of five main parts: a magnetic coil, a radio frequency coil, an empty space, and a computer processor. The spins of the hydrogen protons in the human body are aligned in random ways, and this phenomenon is what an MRI machine exploits; when placed in a strong magnetic field, such as one found in an MRI machine, all the hydrogen protons’ spins align. Next, the radio frequency coil produces radio waves that cause the hydrogen protons to resonate, thus adding energy to the particle. Once the radio wave is shut off, the protons are allowed to “relax” back to their aligned state. These signals can be collected by receiver coils and then plotted on a computer. The time that it takes for the hydrogen proton to relax determines the type of tissue the signal was collect from. Because diseases and injuries can result in changes in water content, these changes are easily viewed with this form of imaging. This makes the diagnostic tool invaluable to medical professionals and the patients they treat, but it is important that the function of such machines aren’t written off as something thing akin to magic. The genius of methods such as these should be appreciated as a clever use of quantum mechanical phenomena.
What needs to be assessed is how these full body scans are produced. It is produced through radiation through computed tomography. And, is the amount of radiation that a patient is receiving necessary. Radiation exposure is harmful. According to the FDA website
The dream that I most desire in life is to become a Diagnostic Medical Sonographer. I’ve always had an interest in the inner workings of the human body, but I also value life, and care for others, and my happiness is the happiness of others. Although this career has its bumps on the road just to see mothers face light up when they see the image of their unborn baby is such a breath taking experience. This all originated from going to one of my sisters’ ultrasound appointment that I ended up going to all my sisters’ ultrasound appointments. I believe becoming a diagnostic medical sonographer is something I can do because I have what it takes. Diagnostic medical sonographer is imaging modality that can work in conjunction with other imaging modalities
The MRI, on the other hand is less expensive and much safer (as it doesn’t expose the patient to potentially harmful radioactive chemicals). The MRI or magnetic resonance imaging device, as an safer alternative, applies a powerful magnetic field around the head of the patient.
I have always been fascinated with the medical field ever since I was little, my first choice for electives were always health science and anatomy classes. After my cousin, Deanna, had her first child and receive her first ultrasound, I knew that was what I wanted to do for the rest of my life. The ultrasound technician had made her feel so comforted and just made the entire experience enjoyable for everyone; I’m eager to be able to start my life with a job that I know I will love. Anytime that I meet someone who is in the field themselves, I always ask questions and listen to what they do throughout the day to get some real insight on what being a technician really entails.
MRI is a unique machine that not only helps people, but also detects if something is wrong inside a patient’s body. MRI machines are getting more advanced each year and every year it saves lives. According to MedicineNet, “It provides valuable information on glands and organ within the abdomen, and accurate information about the structure of the joints, soft tissues, and bones of the body. Often, surgery can be deferred or more accurately directed after knowing the results of an MRI scan.” Doctors will be doing less guessing and more knowing when it comes to surgery.
The role of the radiologist is one that has undergone numerous changes over the years and continues to evolve a rapid pace. Radiologists specialize in the diagnoses of disease through obtaining and interpreting medical images. There are a number of different devices and procedures at the disposal of a radiologist to aid him or her in these diagnoses’. Some images are obtained by using x-ray or other radioactive substances, others through the use of sound waves and the body’s natural magnetism. Another sector of radiology focuses on the treatment of certain diseases using radiation (RSNA). Due to vast clinical work and correlated studies, the radiologist may additionally sub-specialize in various areas. Some of these sub-specialties include breast imaging, cardiovascular, Computed Tomography (CT), diagnostic radiology, emergency, gastrointestinal, genitourinary, Magnetic Resonance Imaging (MRI), musculoskeletal, neuroradiology, nuclear medicine, pediatric radiology, radiobiology, and Ultrasound (Schenter). After spending a vast amount of time on research and going to internship at the hospital, I have come to realize that my passion in science has greatly intensified. Furthermore, both experiences helped to shape up my future goals more prominently than before, which is coupled with the fact that I have now established a profound interest in radiology, or rather nuclear medicine.
The amount of career opportunities involved with the profession are endless. Virtual Job Shadow estimates that there are about 75,000 Ultrasound Technicians in the world and half are working in hospitals. By far, hospitals are the most common employers for sonographers but doctor’s offices are not too far behind. Labs, rehabilitation centers, and nursing homes are other establishments that Ultrasound Technicians can be found. These jobs are highly competitive and they demand a high level of attention and accuracy. As medical careers flourish, needs for technicians in many fields of medicine are increasing. Instead of a doctor choosing complex and risky surgery to find out problems within the body, they can now choose a safer path; the ultrasound path. Patient’s history and physical evaluation are building blocks to diagnostics but ultrasounds are much greater. While the field of Ultrasound Technology is a popular in the health care industry, there are still a fairly small number of people in the
In conclusion, with all the facts being said, working with MRI machines may seem very challenging and very scary. Without the proper handling and correct safety precautions taken, several risk factors may be presented to the technologist and patients. It is vital that an MRI technologist be highly trained and educated in order to alleviate possible danger to patients and other personnels. MRI machines are highly used all over the world in order to diagnose and treat a good majority of the population's illness and diseases. They are capable of producing immensely detailed images that are unmatched to any other imaging modality. Though it is important to remember, the bigger the machine, the greater the risks and responsibilities both the patient and the technologist will be presented with.
Modern medicine is capable of treating a tremendous range of human disease and injuries, but the usefulness of all medical specialties depends on accurate diagnosis. Virtually every conceivable medical specialty relies on radiological technologies to provide formal diagnoses, making radiology one of the most important of all medical specialties. Radiologists enjoy some of the best working conditions in modern medicine and typically experience very positive employment conditions. Consequently, their services are generally in very high demand, with many starting out with six-figure annual incomes immediately after completion of their professional training.
During my half day shadowing of Memorial hospitals radiologist, Dr. Armah, I was able to observe several studies. These studies included several CT scans, and three PET/CT 18F-FDG scans. During my shadowing experience I was able to obtain a better understanding of how the radiologist reads images, what makes for good diagnostic images, and what role I play in the quality of the images. The shadowing experience was one of great importance as it proved to be very informative. Such information included technology impacts, various pathologies, and personal reflection on my role.
All in all, MRI is a great imaging modality to properly diagnose a patient. MRI has many advantages and does not use any type of radiation. Even though MRI has been around for about a century it has gained a lot of advancement in the image quality. MRI allows a wide variety of anatomy to be imaged such as soft tissue, spine work, and organs. Like any imaging modality MRI does have a couple of disadvantages, but the advantages out way the risks. MRI will continue to improve and will be one of the best imaging modalities in the medical field.
As a starting point in CT diagnostic imaging the form of radiation used to provide an image are x-rays photons , this can also be called an external radiation dose which detect a pathological condition of an organ or tissue and therefore it is more organ specific. However the physics process can be described as the radiation passes through the body it is received by a detector and then integrated by a computer to obtain a cross-sectional image (axial). In this case the ability of a CT scanner is to create only axial two dimensional images using a mathematical algorithm for image reconstruction. In contrast in RNI the main property for producing a diagnostic image involves the administration of small amounts of radiotracers or usually called radiopharmaceutical drugs to the patient by injection or oral. Radio meaning the emitted of gamma rays and pharmaceutical represents the compound to which a nuclide is bounded or attached. Unlike CT has the ability to give information about the physiological function of a body system. The radiopharmaceutical often referred to as a nuclide has the ability to emit ga...
To begin with, how has technology changed the field of radiology? Since the discovery of X-radiation there has been a need and desire for studying the human body and the diseases without actually any intervention. Over the past fifty years there has been a revolution in the field of radiology affecting medicine profoundly. “The ability to produce computers powerful enough to reconstruct accurate body images, yet small enough to fit comfortably in the radiology department, has been the major key to this progress”(Gerson 66). The core of radiology’s vast development consists of four diagnostic techniques: computed tomography (CT), digital subtraction angiography (DSA), ultrasonography, and magnetic resonance imaging (MRI). These methods of diagnostic imaging provide accurate information that was not seen before. Amid this information advancement, radiologists have broadened their role of diagnostician. Gerson writes, “With the advent of computer-enhanced imagery and new interventional techniques, these physicians are able to take an active part in performing therapeutic procedures”(66). A radiology breakthrough in 1972 was computed tomography discovered by Godfrey Hounsfield and Allan Cormack. Unlike standard radiography, computed tomography would spin the X-ray tube 360 degrees and inversely another 360 degrees while the patient ta...
I am a patient and caring person who enjoy helping people. My ambition to become a Diagnostic Imaging technologist developed when I was working at Queen Elizabeth University Hospital in Glasgow. During this time, I worked as a temporary support worker who helped patients to attend their scheduled medical examinations at the Imaging Department.
"Imaging and radiology." Magill's Medical Guide, 4th Rev. ed.. 2008. eLibrary. Web. 16 Dec. 2013.