Showing posts with label MRI. Show all posts
Showing posts with label MRI. Show all posts
Wednesday, July 22, 2015
Wisdom Wednesday: Magnetic Resonance Imaging
Magnetic resonance imaging or MRI was developed from nuclear magnetic resonance (NMR) in the 1970’s by Dr. Raymond Damadian. NMR had industrial uses for evaluating structural components. Dr. Damadian used NMR to study potassium ions in the human body and proposed that tumors could be visualized with the images he was able to generate.
In simple terms, an MRI is a giant electromagnet is which the patient is placed. The entire room is shielded in copper to block out external FM radio waves. When the magnet is turned on, all the water molecules in the body line up with the magnetic field. The water molecules also absorb FM radio waves generated by the MRI.
When the magnet is turned off the water molecules resume their normal orientation. This has two measurable effects: First, the molecules emit the same FM radio waves they absorbed. Second, the molecules “wobble” slightly as they reorient, creating their own magnetic field.
This data is stored in the computer showing where all the water molecules are located throughout the human body. The computer then can generate holographic images depicting the location of the water.
There are also two sets of images. The T1 views are created from the FM signal from the water molecules. The T2 images are built from the data from the magnetic “wobble”. Comparing the T1 to T2 images yields additional insight as the images highlight tissues quite differently.
Bone, being virtually devoid of water, is imaged as an absence of any signal. So MRI is quite limited in its’ ability to “see” bone. However, tumors, infection, and even fracture involve the inclusion of water so these pathologies actually light up very well on MRI.
Monday, June 22, 2015
Only ‘Limited’ Evidence for Mammograms in 40s
Adding to the debate about the benefits of mammography screening before age 50, a new research review find “limited” evidence that screening prevents breast cancer deaths among women in their 40s.
The results come from the International Agency for Research on Cancer, which asked experts from 16 countries to look at the latest evidence on breast cancer screening.
What they found largely confirmed what experts have long said: For women ages 50 to 75, routine mammograms reduce the risk of dying form breast cancer.
The report, published in the June 4 issue of the New England Journal of Medicine, reflects a longstanding debate.
In 2009, the U.S. Preventive Services Task Force ignited a controversy when it changed its recommendations on mammograms – which had long advised women to have screening every one to two years, starting at age 40.
The revised guidelines now say routine screening should begin at age 50 and be done every two years. The panel said women in he 40s should discuss the pros and cons of mammography screening with their doctors, then make an informed decision.
However, the cancer society and the American Collage of Obstetricians and Gynecologists still urge women to get yearly mammograms, starting at age 40.
The results come from the International Agency for Research on Cancer, which asked experts from 16 countries to look at the latest evidence on breast cancer screening.
What they found largely confirmed what experts have long said: For women ages 50 to 75, routine mammograms reduce the risk of dying form breast cancer.
The report, published in the June 4 issue of the New England Journal of Medicine, reflects a longstanding debate.
In 2009, the U.S. Preventive Services Task Force ignited a controversy when it changed its recommendations on mammograms – which had long advised women to have screening every one to two years, starting at age 40.
The revised guidelines now say routine screening should begin at age 50 and be done every two years. The panel said women in he 40s should discuss the pros and cons of mammography screening with their doctors, then make an informed decision.
However, the cancer society and the American Collage of Obstetricians and Gynecologists still urge women to get yearly mammograms, starting at age 40.
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