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Dasar Radiologi Diagnostik Dan Radioterapi, 17 Okt 2017
Dasar Radiologi Diagnostik Dan Radioterapi, 17 Okt 2017
One of Roentgen's first experiments late in 1895 was a film of the hand of his wife, Bertha
In June 1896, only 6 months after Roentgen announced his discovery, X-rays were being
used by battlefield physicians to locate bullets in wounded soldiers
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A Second Source of Radiation
It was not until the discovery of radium (shining element) by Pierre and Marie Curie in
1898 that interest in radioactivity became widespread
In 1946, man-made gamma ray sources such as cobalt and iridium became available
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Ultrasound
Computed tomography (CT),
Nuclear medicine,
Positron emission tomography (PET) and
Magnetic resonance imaging (MRI) to diagnose or treat diseases.
Interventional radiology is the performance of (usually minimally invasive)
medical procedures with the guidance of imaging technologies.
Radio-diagnostic
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X-ray radiography
Plain photo of:
Skull AP-Lat ; Waters and Caldwell (paranasal sinuses); Schuller and Law
(mastoid); TMJ (temporomandibular joint)
Thorax AP_Lateral_ Top Lordotik
Abdomen, Abdomen 3 position
Bony extremities
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Abdominal fluoroscopy:
Barium swallow (Oesophagus )
OMD (Oesophagus Maag Duodenography)
Barium meal (Gaster- Duodenum)
Barium follow through (small intestines)
Barium enema (Colon inloop)
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Non fluoroscopy:
Intra Venous Pyelography (IVP)
Radio-diagnostic
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Interventional radiology
Ultrasound
Using a high-frequency sound waves to visualize soft tissue structures in the body in real time.
No ionizing radiation
The quality of the images is highly dependent on the skill of the person (ultrasonographer)
performing the exam and patient body habitus.
Larger patients may have a decrease in image quality due to sound wave absorption in the
subcutaneous fat layer.
Ultrasound is also limited by its inability to image through air (lungs, bowel loops) or bone
The first ultrasound images were static and two-dimensional (2D), but with modern
ultrasonography, 3D reconstructions can be observed in real time, effectively becoming "4D"
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Nuclear medicine
Nuclear medicine imaging involves the administration into the patient of
radiopharmaceuticals consisting of substances with affinity for certain
body tissues labeled with radioactive tracer.
The most commonly used tracers are technetium-99m, iodine-123, iodine-
131, gallium-67, indium-111, thallium-201 and fludeoxyglucose (18F) (18F-
FDG).
The heart, lungs, thyroid, liver,gallbladder, and bones are commonly
evaluated for particular conditions using these techniques
Bone scan
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Mammography
is the radiographic examination of the breast utilizing low energy x-rays
and fine detail film-screen or digital imaging.
Mammograms may be a screening examination, aimed at detecting early
breast cancer or a diagnostic study, to better define abnormalities on a
screening, follow-up a previously found abnormality or to evaluate a
palpable mass or other symptoms. Early breast cancer may be seen as a
mass, a focal asymmetric density or as clustered microcalcifications (<
1 mm)
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Radiotherapy
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Internal Radiation:
Cobalt 60
Caesium137
Irridium192
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