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How to Order and Interpret Radiology Studies

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Plain Film X-Ray X<br />

Radiography<br />

Advantages<br />

– Inexpensive<br />

– Readily available<br />

– Excellent spatial resolution<br />

– “Real-time” availability as<br />

fluoroscopy<br />

Limitations<br />

– Two-dimensional<br />

Need > two orthogonal views<br />

– Relatively poor soft tissue<br />

contrast resolution<br />

Useful for radio-opaque<br />

opaque<br />

foreign bodies<br />

Useful if emphysema<br />

or free air present<br />

– Ionizing radiation exposure<br />

Plain Film X-Ray X<br />

Radiography<br />

– Contraindications<br />

Pregnancy<br />

– More of concern for<br />

L-spine & pelvis XR<br />

– Minimal radiation<br />

exposure <strong>to</strong> fetus<br />

with shielding when<br />

imaging other areas<br />

Computed Tomography<br />

CT uses an array of x-raysx<br />

X-ray beams directed at several<br />

different angles<br />

Processed by computer <strong>to</strong><br />

produce cross sectional images<br />

Findings are described as<br />

radio-opaque opaque or radio-lucent<br />

329

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