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An optimized
medical imaging procedure is on in which all of the variable
factors and quantities have been adjusted to produce an image
with the quality characteristics to provide visualization of the
necessary anatomical structures and signs of pathology or injury
to contribute to an accurate and effective diagnosis and
approprate treatment for each individual patient
balanced against any associated risks.
When projection x-ray imaging (radiography and fluoroscopy)
was the major method of imaging optimizing a procedure was for
the most part adjusting the characteristics of the x-radiation,
specifically the spectrum, geometry, and exposure, generally
referred to as the technique factors.
With the development of the many new imaging methods that
produce images in a digital format an additional and highly
significant variable factor, the size of the digital elements
(voxels and pixels) becomes a major factor in imaging procedure
optimization. This must be considered in the formulation
of the protocols (technique factors) for each
clinical procedure.
Because element size has multiple and conflicting effects on
image quality and potential risks through complex relationships
experienced medical physicists are needed to participate in
clinical procedure optimization through consultations and as
educators.
This is an expanding role and opportunity for medical
physicists to participate in clinical procedure
optimization in addition to equipment
performance in the context of quality control and
assurance activities. To support this specific educational
resources will be added to this site in early 2019.
The following articles and links provide additional
supporting information.
EFFECTIVE PHYSICS EDUCATION FOR OPTIMIZING CT IMAGE
QUALITY AND DOSE MANAGEMENT WITH OPEN ACCESS RESOURCES
P. Sprawls1,
P-A. T. Duong,
MEDICAL PHYSICS INTERNATIONAL Journal, vol.1, No.1, 2013
PHYSICS EDUCATION FOR THE OPTIMIZATION OF MRI
CLINICAL PROCEDURES: VISUALIZING
THE INVISIBLE AND COLLABORATIVE TEACHINGP.
Sprawls. MEDICAL
PHYSICS INTERNATIONAL Journal, vol.1, No.2, 2013
OPTIMIZING MEDICAL IMAGE CONTRAST, DETAIL AND NOISE
IN THE DIGITAL ERA
P. Sprawls. MEDICAL
PHYSICS INTERNATIONAL Journal, vol.2, No.1, 2014
EDUCATION MODELS FOR THE EXPANDING ROLE OF CLINICAL MEDICAL
PHYSICS
P. Sprawls. MEDICAL
PHYSICS INTERNATIONAL Journal, vol.5, No.2, 2017
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