Introduction to Radiology
Prepared by:
Dr. Saddam Al-zofi
[Link]. Radiologic Technology (SUST) 2015
[Link]. Medical Diagnostic imaging (UMST) 2017
PhD. Medical Diagnostic imaging (KU) 2021
History
X-rays were discovered in 1895 by Wilhelm Conrad Roentgen (1845-1923) who was a
Professor at Wuerzburg University in Germany.
Working with a cathode-ray tube in his laboratory.
Radiology
It is the science that concern in studying radiation, application of
radiation and its effects.
Radiation
Electromagnetic wave either ionizing or none ionizing with
different energy, frequency and wave length.
Sources of ionizing radiation
Natural background radiation
Artificial sources of radiation
Medical sources:
Radiation has many uses in medicine. The most well known use is X-ray
machines, which use radiation to find broken bones and diagnose
disease.
Types of radiation
Non-ionizing radiation
People use and are exposed to non-ionizing radiation sources every day.
This form of radiation does not carry enough energy to ionize atoms or
molecules.
Microwave, telephones, television stations, radio wave.
Ionizing radiation
The radiation that can produce ions is called ionizing radiation.
▪ Alpha radiation
▪ Beta radiation
▪ Gamma radiation
▪ X-rays
▪ Neutron radiation
Medical Imaging Department
Diagnostic imaging is made up of a range of imaging modalities.
The followings are short descriptions of modalities:
Conventional Radiography
Uses x rays to produce 2D static image, of the human body. To show Size,
shape, density and location of structures can be evaluated.
General x-ray unit
Mobile x-ray unit General x-ray unit
X-ray images
Chest x-ray PA
Lumber x-ray AP-LAT
Chest x-ray lateral
Fluoroscopy
Uses x rays to produce 2D
Real time images (video), of
the human body using contrast
media to visualize soft tissue
structures .
Size, shape, density and Fluoroscopic unit
location of structures can be
evaluated.
Fluoroscopic Images
Barium swallow for esophagus
Barium enema for enlarge intestine Plain abdominal x-ray-AP
Barium meal for stomach
Dental Xray
Specially designed to image tooth and jaw using x-ray
Panorama
CBCT –Cone Beam CT
Preapical film for tooth CBCT –Machine
Mammography
Specially designed to image breast using x-ray
Mammography Machine
Bone densitometry(DEXA)
Use x-ray to measure density of the bone to diagnose osteoporosis
DEXA Report
DEXA
C-arm
Used in the operation room… orthopedic, Cardiac catherization …..
Advantages of conventional Disadvantages of conventional
radiography radiography
◼ Less expensive ◼ Radiation hazard
◼ Portable ◼ Poor soft tissue contrast
◼ Available ◼ Overlaying densities
◼ Easy and fast
◼ Effective in diagnosis bone
fractures
Computed Tomography (CT)
Use x rays to produce the
images, transmitted through
patient
image the body is cross sections
(slices), multiple detectors are
used.
size, shape, density, location and
no superimposition of structures
requires computer manipulation
of images
Types of CT Images
Axial CT image of the brain
Bone window vs soft tissue window
Sagittal CT images of lumber spine
Soft tissue window vs Bone window
Types of CT Images
Axial CT image of the chest
Axial, coronal,Sagittal and oblique CT
images of abdomen Soft tissue
window
3D CT Images
3D CT image of the heart and
coronary arteries
3D CT image of abdominal
angiography
3D CT image of the skull
Advantages of CT Disadvantages of CT
◼ Comprehensiveness ◼ Much more radiation
◼ Speed ◼ More expensive than x-ray and
ultrasound
◼ Fewer Restrictions than MRI
◼ Dense bone (petrous ridge for
◼ No overlapping densities
example) and metal cause
◼ Multiplanar imaging (coronal
severe artifacts
,axial and sagittal)
◼ Less than MRI in soft tissue
◼ 3D imaging imaging.
Magnetic Resonance Imaging (MRI
Uses strong magnetic fields and
radiofrequency waves to image
structures
There is no ionizing radiation –
only radiofrequency waves
Cross sectional images are
obtained (just like CT).
Types of MRI Images
Axial MRI Brain images Sagittal MRI knee images
T2 = Fluid Bright T2 = Fluid Bright Sagittal MRI L.S images
T1 = Fluid Black
T2 = Fluid Bright
Sagittal MRI Spine
images
T1 = Fluid Black
T2 = Fluid Bright
Coronal and Sagittal MRI Brain
images
T1 = Fluid Black
Types of MRI Images
Coronal and Sagittal MRI cardiac
images
MRI Brain Angiography
MRI safety
Advantages of Disadvantages of
MRI MRI
◼ No overlapping artifact ◼ Very expensive
◼ Excellent resolution ◼ Patients cannot have a
◼ Very good at detecting fluid pacemaker or ferromagnetic
◼ Excellent for imaging the brain, material
spine and joints ◼ Slower to acquire images
◼ No radiation ◼ (approximately 45 minutes)
◼ Multiple imaging tests within the
◼ Claustrophobia
same study (T1, T2, …)
Ultrasound
Uses sound waves to produce an
image, transmitted from
transducer through patient
Sending out and listening for
echoes
good for evaluating soft tissue
structures in the abdomen and
also the heart (Echo
cardiography)
Ultrasound Images
2D and 3D images of the fetus
Doppler Ultrasound
Advantages of Disadvantages of
Ultrasound Ultrasound
◼ Less expensive
◼ No radiation hazard ◼ Fast and non invasive procedure
◼ Portable ◼ Does not work well in large or
obese patients
◼ Instantaneous (real time)
◼ Resolution less than CT and MRI
◼ Excellent for cysts and fluid
◼ Air or bowel gas prevents
visualization of structures.
Nuclear Medicine
Radiopharmaceutical Agents
Injected to the patent , then
Gamma rays emitted from
patient used to produce image,
Detects abnormal function,
metabolic activity or abnormal
amount of uptake
Nuc. med is poor with regards to
anatomical information
Nuclear medicine Images
Advantages of Disadvantages of
nuclear medicine Nuclear medicine
◼ Detect tissues function
◼ Scan all similar tissues in one
exam
◼ Computer analysis of the results
Thank you