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Diagnostic Imaging Tests and Scans

 

Diagnostic Imaging is a pivotal part of health care in diagnosing the reasons for patients health complaints. There are different imaging techniques such as x-rays, ultrasound, MRI and CT scans.

Diagnostic Imaging is a pivotal part of health care in diagnosing the reasons for patients health complaints. There are different imaging techniques such as x-rays, ultrasound scans, MRI and CT scans. All these tests involve creating images of the internal organs of the body one way or another and these images are used for clinical analysis and medical intervention, as well as a visual representation of the function of some organs or tissues (physiology).

X-rays

 X-rays are the oldest imaging technique and it is most commonly used to produce images of bones.

X-rays are usually carried out in NHS or Private hospital X-ray or Radiology departments by radiographers.  Other healthcare professionals, such as dentists also use x-rays to image body parts specific to their profession.

How X-rays work

X-rays use ionising radiation to produce the image. 

X-rays pass from one side of the body to the other and being absorbed different depending on the density of the body structures they meet. By the time they reach the detector some of the radiation energy has been absorbed by the body and that correlates to white parts on the image. The radiation that did not absorb by the body correlates to the white areas of the image.

When X-rays are used

X-rays can be used to examine most areas of the body. They're mainly used to look at the bones and joints, although they're sometimes used to detect problems affecting soft tissue, such as internal organs.

Problems that may be detected during an X-ray include:

  • bone fractures and breaks
  • tooth problems, such as loose teeth and dental abscesses
  • scoliosis (abnormal curvature of the spine)
  • non-cancerous and cancerous bone tumours
  • lung problems, such as pneumonia and lung cancer
  • dysphagia (swallowing problems)
  • heart problems, such as heart failure
  • breast cancer

X-rays can also be used to guide doctors or surgeons during certain procedures. For example, during a coronary angioplasty – a procedure to widen narrowed arteries near the heart – X-rays can be used to help guide a catheter (a long, thin, flexible tube) along with one of your arteries.

CT scan

A computerised tomography (CT) scan sometimes referred to as CAT scan, uses X-rays and a computer to create detailed images of the inside of the body.

They're carried out in the hospital by specially trained operators called radiographers and can be done while you're staying in the hospital or during a short visit.

When CT scans are used

CT scans can produce detailed images of many structures inside the body, including the internal organs, blood vessels and bones.

They can be used to:

  • diagnose conditions – including damage to bones, injuries to internal organs, problems with blood flow, stroke, and cancer
  • guide further tests or treatments – for example, CT scans can help determine the location, size and shape of a tumour before having radiotherapy, or allow a doctor to take a needle biopsy (where a small tissue sample is removed using a needle) or drain an abscess
  • monitor conditions – including checking the size of tumours during and after cancer treatment

CT scans wouldn't normally be used to check for problems if you don't have any symptoms (known as screening).

This is because the benefits of screening may not outweigh the risks, particularly if it leads to unnecessary testing and anxiety.

MRI scan

Magnetic resonance imaging (MRI) is a type of scan that uses strong magnetic fields and radio waves to produce detailed images of the inside of the body.

An MRI scanner is a large tube that contains powerful magnets. You lie inside the tube during the scan.

An MRI scan can be used to examine almost any part of the body, including the:

  • brain and spinal cord
  • bones and joints
  • breasts
  • heart and blood vessels
  • internal organs, such as the liver, womb or prostate gland 

The results of an MRI scan can be used to help diagnose conditions, plan treatments and assess how effective previous treatment has been.

What happens during an MRI scan?

During an MRI scan, you lie on a bed that's moved into the scanner.

Depending on the part of your body being scanned, you'll be moved into the scanner either head first or feet first.

PET scan

PET-CT scan
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