Sudan University of Science & Technology College of Medical Radiological Science Department of Radiological Technology SD0000012 IMAGING ARTIFACTS Comparative Sludy in X- Ray Ct & Medical Ultrasound Kha\\cVMoh&VY\ecl MayVAohamed W\edan\ W\ahas\n Fad\ KWa NU2H\\ Saved Supervised by. * Sad\Q KA. Tam July 1998-Khartoum I 2. CONTENTS. 1.1 RESEARCH PROPOSAL. 1.2 INTRODUCTION. Contents Part one (1) Section one [1] 1. Acknowledgement. 2. Contents. 1.1 Research Proposal. 1.2Introduction. Part two (2) 2.1 Artifacts in X-RayCT. 2.1.1 Equipment 2.1.2 .Technique 2.1.3 Patient 2.2 Reducing of Artifacts in CT. 2.2.1 Equipment 2.2.2 Technique 2.2.3 Patient Part three (3) 3.1 Artifact in Medical Ultrasound. 3.1.1 Equipment 3.1.2 Technique 3.1.3 Patient 3.2 Reduction of Artifacts in Ultrasound 3.2.1 Equipment 3.2.2 Technique 3.2.3 Patient Part Four (4) 4.1 Comparative Studies Tables. 4.2 Data Collection. 4.3 Discussion of Results. Part Five (5) 5.1 Q.C 5.2 Conclusion & Recommendation Reference Appendix r A emem To pur imehersrm the DiplmM leva! how. in Sudan, My B9S Khartoum Chapter One Research Proposal: Imaging Artifacts: A Comparative Study In X-Ray CT & Medical Ultrasound Introduction: This study draws attention forwards the quality of imaging process. Concerning the factors that may observe the diagnosis out come which represents the aim of the whole process of imaging technology. Imaging artifacts is one of the major limitation factor that after and decrease the value of diagnosis and out come in conventional radiography we can estimate the factors that cause artifacts which could be easily evaluated because most of the parameters in imaging process are fixed to some extend and the accessing of the imaging approximately in direct mode. But the errors which leads to artifacts skill arise in digital imaging "Concerning CTV U/S", the accessing process taken over several steps involve conversion from analogue format to digital and vice versa; and application of computer technology program needs careful awareness. Tiny errors many arise artifact, issue, errors leads to artifact, on digital imaging can't predicted unless listed and discussed on a cord of practices according to the operational protocol. Statement of problem: The digital imaging nowadays cover most of investigations done in radiography department ever the conventional process started earlier and cover along of time and the technologist gain experience skill errors lead to artifacts seem to be more while digital imaging replace the conventional imaging in a fast steps it carry also the same errors with the new errors, that may warser the new practice as a whole. Reasons for Choice This Project: There were a lot of errors in different department that deals with digital imaging can be observed by any general observer this issue reflected on the fetal report at the level of diagnosis and this will affect the quality of patient cane and may be the morbidity rate as well as mortality rate. Objectives of the Project: The main objective of this study is to high light the artifacts and the source of errors that lead to artifact formation and we can summarize the main objectives on the following points: (1) Consider and identify the artifacts on each modality. (2) Show the cause of artifact. (3) Resolve and eliminate the reasons that lead to artifacts formation in imaging. (4) Establish proper quality control techniques issue set tha base line limits of artifact causation. Hypothesis: 1- The presence of artifact creates problems in diagnosis. 2-The cause errors leading to imaging artifact that affect the diagnosis more in digital U/S than CT. 3- Lack of quality assurance programs maximizes the presence of faults leading to imaging artifact. 4- Imaging artifacts affects the quality of patient care and delay medical diagnosis and treatment, and hence increase patient waiting time. Previous Studies: From what we read in the previous research studies (1,2,3) we did notice that there was just listing of faults without indicating any reason (s) or causes except in medical ultrasound. However, we planned to research it from our locate experts in CT and medical ultrasound in the teaching hospitals and medical centres according to the values of the code of practice. Research Methodology: In this study of have taken the scientific method in the field of X-ray CT and medical ultrasound imaging. Data Collection: 1-Questionnaire. 2- Interviews. Using both in the following variable: a. Equipment factors. b. Patient factors. c. Technique. Place & Period of Study: Sudan- Khartoum March/July 1998 (Teaching Hospitals and Medical Imaging Centers). Introduction Diagnostic imaging is an important element in the practice of the modern medicine without it medical treatment would have been impossible. Radiation medicine had seen many changes since 1895, where only early tuals. A radiation therapy and radoidiagnosis. Today imaging has many source of electromagnetic radiation "EMRs" and each source has its advantages over the other. However, medical radiation education had also seen more advances in the medical sciences and medical education, which lead to the discoveries of new methods, and techniques in these fields. There were also new approaches to refine and perfect the practice of radiologic techniques and to reduce radiation exposure, patient waiting time and cost. We have seen lots of new imaging modalities, quality assurance and quantity control procedures in all modalities to produce images of high quality and more diagnostic information. Here, we have taken the lead to research and study carefully how we could participate in the area of reducing image retakes and study the reasons of image artifacts in diagnostic imaging. In this regaid we are researching on artifacts in X-ray computed tomography and medical ultrasound and considering how these artifacts may be eliminated. PART 10W ARTIFACTS IN X-RAY CT. 2.1.1 TECHNIQUE 2.1.2 EQUIPMENT 2.1.3 PATIENT 'ffifflf '* V'f$"*'/lbfff&$*S* $ **f * .•'*'">• y Vf ' 8 Artifacts This section deals with experience gained with the original model EMI 160 xl60 matrix scanner. Modification, because of the experience with EMI CT 1010 scanner and other scanning systems, is expected. This section should be of considerable value in the understanding of the basic causes of artifact production and sources of error despite such modifications. Artifacts: Motion and high-differential attenuation value of adjacent tissues are principal cause of artifacts. Technical errors are also responsible. Motion Artifacts: Motion of a point places that point different computed positions during the scanning cycle. This false representation usually produces a linear artifact called a "streak". Point A scanned at 0 degree is again scanned at 180 degrees with an interval time delay. A change in point A position will produce computer error in the form of a streak. Computer error due to movement will, therefore, be more marked along the vertical (Odegree/180degrees) line, because of motion during the time that elapses between the two readings. The head can rotate in all directions, producing a variety of streaking outside or inside the skull vault. Assuming that the scanning time is constant, head support, patient cooperation and sedation are factors to consider in order to diminish motion artifact. The faster
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