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2 What you need to know about
imaging to get through the next four
years

2 Mark Chambers D.V.M., Ph.D., M.D.

 
2 ½ow to approach reading any image
2 What are the different imaging
modalities
2 What imaging modality is this

2 Tips and tricks for image

interpretation
2 Practice! Practice! Practice!
 ½

 
 

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2 |dentify the patient
2 When was the image taken

2 Are these the proper images

2 The five densities

2 Are the images technically adequate

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2 Always look for the patient name
and/or number
2 Even if the film came out of the
³right´ folder
2 |f something seems ³wrong´, double
check
  

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2 Œbserve dates and times closely,
especially with serial images
2 Date ³stickers´ (color keyed)
 

|

2 Correct type of study
2 Correct / complete views

2 Correct limb

2 Contrast
  

2 Metal
2 Bone

2 Soft tissue (water)

2 Fat

2 Gas
 
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2 Exposure
2 Development / display

2 Positioning

2 Proper contrast

2 Artifacts

‡ Movement
‡ |nterference





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2 aadiography ³plain films´
2 Computed axial tomography ³CT´

2 Magnetic resonance imaging ³Ma|´

2 Ultrasound ³US´

2 |nterventional radiology ³angio´




2 Also called ³plain films´ or ³standard films´
2 |mage formed using broad beam ionizing
radiation
2 The image formed is related to the
subjects density
2 May involve the use of contrast agents
‡ |odinated
‡ Barium
‡ Air
 



2 Also called CAT scanning or ³CT´
2 |mage formed using a rotating thin
beam(s) of ionizing radiation
2 |mage ³slices´ reconstructed by
computation
2 The image formed is related to the
subjects density
2 |mage display on computer or
multiple films
2 New technology is multislice helical
scanner
 
 
 
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2 Also called ³Ma|´ (used to be NMa|)
2 |mage formed by transmitting and
receiving radio waves inside a high
magnetic field
2 |mage ³slices´ reconstructed by
computation
2 The image formed is related to:
‡ Scanner settings
‡ Patient hydrogen density
‡ Patient hydrogen chemical/physical
environment
2 |mage display on computer or multiple
films
 §

 
2 Also called ³sono´ or ³echo´ or ³US´
2 |mage formed by transmitting and
receiving high frequency sound
waves
2 |mage ³slices´ reconstructed by
computation
2 The image formed is related to
interfaces between tissue areas of
differing sound transmission
characteristics
2 |mage display on computer or
multiple films
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2 Also called angiography or ³angio´ or ³|a´
2 |mage formed using broad beam ionizing
radiation (fluoroscopy)
2 |mages acquired using digital detector and
processed by computer
2 The image formed is related to the
subjects density
2 Usually involves the use of iodinated
contrast agents and long catheters
2 Many varied techniques including the use
of CT or Ma|
2 |mage display on computer or multiple
films
 

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2 |s it plain film or interventional
2 |s it CT or Ma|
 
 |



2 May look very similar
2 Angio studies usually printed on
large sheet film like CT or Ma|
2 Will usually see catheter or needle,
often with contrast in |a studies
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2 CT images are tissue density related
‡ Brightness and contrast may vary
‡ Bone is brighter than fat
2 Ma| is not density related
‡ Brightness and contrast may vary
‡ Bone is darker than other tissues
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2 The ³quick read´ technique
2 Scrolling through axial images
 
 
2 Why did you order the image
2 What did you expect to see

2 Do you see it

2 Now start over fresh

M 
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2 aapid paging through sequential
images
2 Œn computer display of CT and Ma|
images
2 Allows you to follow long/large
structures
2 ½elps rapidly identify small higher
contrast areas
 

 

 


2 aadiology, News, Education, Service
2 Teenage male with severe left arm
pain after hit while playing football.
2 Man with leg swelling and mass in
popliteal fossa. ½istory of trauma 8
months ago.
2 Fifty
Fifty--year-
year-old woman originally
presenting with headaches and
claudication.