Diagnostic Imaging for Physical Therapists: Difference between revisions

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== <sup></sup>References  ==
== Diagnostic Imaging for Body Regions  ==
* [http://www.physio-pedia.com/Diagnostic_Imaging_for_Hip Diagnostic Imaging of the Hip for the Physical Therapist]
* [http://www.physio-pedia.com/Imaging_for_knee_conditions Diagnostic Imaging of the Knee for the Physical Therapist]
* [http://www.physio-pedia.com/Diagnostic_Imaging_of_the_Foot_and_Ankle_for_Physical_Therapists Diagnostic Imaging of the Ankle and Foot for the Physical Therapist]
* [[Diagnostic Imaging of the Shoulder]]<sup></sup><sup></sup>
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== Computerised Axial Tomography (CT Scan)  ==
 
'''''Computed Tomography (CT)''''' is an imaging technique that takes multiple x-rays from different angles and creates cross-sectional images of a body part. Cross-sectional slices are typically 1-3 mm thick, depending upon the type and location of the tissue. CT scans are primarily used for bony pathologies, but can also be used for soft tissue dysfunction. CT scans are not as effective at detecting soft tissue pathology as MRIs because there is not enough differentiation in the x-ray absorption of injured and healthy tissue. Other benefits of CT scans are that they are fast, relatively inexpensive and often a good alternative to MRIs if an MRI is contraindicated.<ref name="Swain">Swain J, Bush K.  Diagnostic Imaging for Physical Therapists. St. Louis:  Saunders Elsevier; 2009</ref>
 
{| cellspacing="1" cellpadding="1" border="0" align="center" width="100%"
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| [[Image:CT scan brain.jpg|thumb|center|150px|CT Scan of the Brain]]
| [[Image:CT angiogram.JPG|thumb|center|250px|CT Angiogram]]
|}
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== Bone Scan  ==
 
'''''Bone scan''''' is an imaging technique that uses a radioactive compound to identify areas of healing within the bone. Bone scans work by drawing blood from the patient and tagging it with a bone seeking radiopharmaceutical. This radioactive compound emits gamma radiation. The blood is then returned to the patient intravenously. As the body begins its metabolic activity at the site of the injury, the blood tagged by the radioactive compound is absorbed at the bone and the gamma radiation at the site of the injury can be detected with an external gamma camera. A bone scan can be beneficial in determining injury to the bone within the first 24-48 hours of injury or when the displacement is too small to be detected by an x-ray or CT scan.<ref name="Swain" />
 
'''Indications for Bone Scans:'''
 
#Primary and metastatic bone neoplasms.
#Disease progression or response to therapy.
#Paget’s disease of bone.
#Stress and/or occult fractures.
#Trauma – accidental and non-accidental.
#Osteomyelitis.
#Musculoskeletal inflammation or infection.
#Bone viability (grafts, infarcts, osteonecrosis).
#Metabolic bone disease.
#Arthritides.
#Prosthetic joint loosening and infection.
#Pain of suspected musculoskeletal etiology.
#Myositis ossificans.
#Complex regional pain syndrome (CRPS 1). Reflex sympathetic dystrophy.
#Abnormal radiographic or laboratory findings.
#Distribution of osteoblastic activity prior to administration of therapeutic radio-pharmaceuticals for treating bone pain.<ref>College A. ACR PRACTICE GUIDELINE FOR THE PERFORMANCE OF ADULT AND PEDIATRIC SKELETAL SCINTIGRAPHY ( BONE SCAN ). North. 2007:1-5.</ref>
 
== References  ==


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Revision as of 07:52, 1 October 2019