By Ronald Eisenberg JD MD FACR, Alexander Margulis MD
Clinical imaging now performs a massive position in analysis, selection of remedy, and follow-up. in spite of the fact that, sufferers are usually intimidated via the a number of imaging modalities to be had, the indicators for his or her use, the implementing apparatus, what the examinations are like and the way lengthy they final, and the benefits and downsides of assorted systems. This ebook is designed to supply factors for those and different concerns which will relieve many of the nervousness regarding clinical imaging reviews.
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Additional resources for A Patient's Guide to Medical Imaging
The two worrisome aspects for the future of the legislation are: 1. With the polarization of Congress and with two forthcoming elections until 2014, much of this legislation may be amended or even repealed, as was the Medicare Catastrophic Coverage Act of 1988. 2. Much of the implementation of the legislation depends on the states, some of which are ill prepared to execute it, even if they are willing to cooperate. Many states, particularly in the Deep South, are unwilling to put the programs into effect.
Emphysema. Lateral view demonstrates severe overexpansion of the lungs with ﬂattening of the diaphragm. There is also increased size and darkness of the air space behind the sternum and the appearance of a “barrel” chest. Figure 2-3. Pneumothorax. The right hemithorax is ﬁlled with free air and there are no markings within the right lung, which is completely collapsed (arrows). 26 A PATIENT’S GUIDE TO MEDICAL IMAGING Figure 2-4. Fracture. Frontal view of the ankle shows an oblique fracture of the ﬁbula (arrow).
Many interventional procedures are performed under ﬂuoroscopic or CT guidance, both of which entail the use of x-rays. The amount of radiation 1 INTRODUCTION 19 exposure varies widely, depending on the complexity of the procedure, but usually the associated risk of developing a cancer is not a major concern when compared to the beneﬁts. Some of these procedures are literally lifesaving or avoid the need for extensive complicated surgery, general anesthesia, and prolonged hospitalization. Pregnancy and Radiation The developing fetus, especially during the ﬁrst 20 weeks, has a large number of rapidly developing cells and thus is especially sensitive to radiation.
A Patient's Guide to Medical Imaging by Ronald Eisenberg JD MD FACR, Alexander Margulis MD