Wednesday, October 31, 2012

New Ways in the Field of Medical Imaging: Terahertz Radiation

 


 

The History of Terahertz (THz) Radiation
Terahertz (THz) radiation refers to the region of the electromagnetic spectrum between 100GHz and 30 THz (wavelengths of 3 mm to about 1 µm). This encompasses the region from just beyond microwaves through the far infrared and some way into mid-infrared. In the past, generating THz radiation required bulky and expensive equipment like free electron lasers or alternatively, the use of thermal sources to produce weak, incoherent radiation. Detecting (Terahertz) THz radiation was not much easier, requiring liquid helium-cooled bolometers with poor noise performance.
Radio waves sent at terahertz (THz) frequencies usually travel in line of sight. These waves, known as terahertz radiation, are in a waveband that is the overlap of what is normally regarded as microwave radiation and far-infrared light. The Earth’s atmosphere is a strong absorber of terahertz (THz) radiation, so the range of terahertz radiation is quite short. However, recent technologies using terahertz radiation have been developed, which are intended for applications including medical imaging and surveillance.
The research in terahertz radiation is almost 15 years old and includes waves between 300 GHz to 10 THz. The first imaging device based on terahertz radiation was introduced in 1995 by Hu and Nuss. Terahertz imaging has applications in security screening systems, genetic engineering, pharmaceutical quality control and medical imaging.
Technological Advances in Terahertz (THz) Imaging
The lack of viable sources and detectors leads to this band of the spectrum to be referred to as the “THz Gap”. In recent times however, advances in technology have made possible the production and detection of THz radiation with solid-state devices operating at room temperature. In doing so, a previously unavailable region of the spectrum has been made accessible, and it is a region of great potential for medical science in particular. While other portions of the spectrum are already well-established in medical applications, the properties of the THz band allow it to occupy a new niche. THz quanta are far less energetic than those of x-rays and pose no ionization hazard for biological tissue. While this is also true of microwaves, the shorter wavelengths of the THz band allow for greater spatial resolution. The technology now exists to generate and detect coherent THz radiation at useful power levels, either as a continuous wave or as a series of pulses.
Tetrahertz (THz) Radiation Applications in Medicine and Biology
THz radiation has found two fundamental modes of application in medicine and biology – spectroscopy and imaging, though far more use has been made of the latter in medical applications. An unavoidable issue when imaging with THz radiation is absorption by water. The entire THz band is strongly absorbed by water (or any polar liquid) and consequently does not penetrate moist tissue to any significant depth. So, medical imaging can be done in two different ways, first by performing transmission imaging on thin, clinically prepared tissue samples, and secondly by imaging surface features using reflection geometry imaging. Transmission imaging, for obvious reasons, can only be carried out in vitro, while a reflection geometry set-up allows the possibility of in vivo imaging.
Imaging with THz radiation has been most successful when dealing with illnesses of the skin. Work in this area initially focused on identifying previously diagnosed basal cell carcinomas. At first this was accomplished in vitro using both transmission and reflection modes, where THz showed promising tissue differentiating abilities – being able to distinguish between diseased and normal, but inflamed tissue. More recently, reflection geometry techniques have been used to take in vivo THz images of skin cancers, showing surface features and depth information. In both the in vivo and in vitro tests, THz radiation has been shown to perform well when compared to the standard in vitro histological test.
Another area where THz imaging will likely find use is wound assessment. It is also conceivable that THz imaging could be of use in monitoring treatment of skin conditions (like psoriasis), since THz imaging is cheaper than MRI and does not necessitate contact with the skin like ultrasound.
Future Potential for Dental Applications
In dentistry, in vitro experiments using THz imaging and spectroscopy have already been carried out to determine the characteristic THz properties of enamel and dentine in human teeth. THz radiation has been shown to be capable of the early detection of dental caries. Since in vivo THz imaging is currently limited to surface features, it would seem that dentistry should be a suitable field of application. However, in practice THz imaging systems are large and cumbersome and even structures as observable as teeth can make a challenging target. In this respect, THz imaging is still some way off from offering a non-ionizing alternative to x-rays in dentistry.
Image Source: Ophir-Spiricon Beam Profiler
 
Source: http://www.medwow.com/articles/
 

Remote High Dose Rate (HDR) Afterload Brachytherapy Explained

 

 
 
The Advantages of Brachytherapy
Brachytherapy is radiation therapy of cancer. The treatment is performed by placing radioactive sources in or near the tumor. In this way, the tumor is treated from inside the body so it receives the highest possible radiation dose with minimal exposure to the surrounding tissues. Teleradiotherapy, which is achieved by the aid of medical high-energy particles accelerators, is an alternative approach to radiotherapy treatment.
Remote afterloading brachytherapy means that the source is accurately positioned at the tumor by a special mechanical-electronic system through thin tubes or needles. After the treatment, the source is withdrawn into the shielded source-container, which is the major part of the brachytherapy system. Brachytherapy can be performed with short treatment times, high dose rate brachytherapy, or over a longer period of time, low dose or pulsed dose rate brachytherapy.

About Electromagnetic Interference in Hospitals

Radio Frequency Interference (RFI) and Medical Equipment
With the assimilation of wireless communication technology into hospital infrastructures, hospitals are becoming concerned about the impact of radio frequency (RF) electromagnetic interfer (EMI) between wireless technologies and medical equipment. Such interference may cause undesirable changes to medical equipment, possibly resulting in misdiagnosis, mistreatment, and/or patient injuryThese wireless communication devices include: wireless Local Area Networks (LAN), Bluetooth, wireless telecommunications, paging, two-way radios, telemetry devices, cell phones, wireless Personal Digital Assistants (PDA), and PC tablets/laptops. While most medical devices are manufactured now with a recommended 3V/m (10V/m for life support devices) immunity level against interference from RF emissions (IEC 60601-1-2), older equipment may have inadequate shielding and, therefore, be more susceptible to interference.
Preventing Interference
Wireless devices are becoming mainstream in today’s society. The pervasiveness of the mentioned wireless devices in the medical field is unavoidable and here to stay, with more being introduced all the time. So, what is the most logical solution for hospitals? One option is to do nothing and deal with the RFI interference if and as it happens. Another option is to test every electronic-based medical device in the hospital to gauge and measure the potential of interference issues. Unfortunately, it is virtually impossible to test every combination of transmitting wireless device and electronic-based medical device.

Flat Panel Detectors for X-Ray Imaging


 

 
For far too long, the effective design and manufacture of a reliable and affordable digital X-ray radiographic imaging system has been in process, but not completely achieved. Finally, at the end of the last century, commercially available flat panel digital X-ray detectors using amorphous silicon found their permanent place in the X-ray imaging world.
In the current digital era, we are collecting, storing, analyzing and using more and more information at a faster and faster pace. X-ray imaging is no exception. The forces behind the digital X-ray revolution are much the same as those powering home and office technologies. Digital devices are smaller and more robust and once an image is digital, it becomes portable. The x-ray image can easily be made available in multiple locations at the same time, as it can be transmitted over long distances in real-time. Digital images make it possible to have computer-assisted diagnoses. Digital images are far simpler to archive and much less costly than their analog counterpart, film. Digital images, video sequences and even volumetric data sets are easily linked to a patient’s electronic record. Just as digital technologies have dramatically improved home audio and video fidelity, digital X-ray technology offers significant improvement in image quality and dose utilization.
Medical modalities, such as CT, PET, SPECT, MRI and ultrasound are naturally digital. However, standard X-ray radiography and fluoroscopy are still mainly based on analog technologies; specifically, screen/film and the image intensifier. Flat panel detectors (FPDs) have emerged as the next generation digital X-ray technology. Flat panel X-ray imagers are based on solid-state integrated circuit (IC) technology, similar in many ways to the imaging chips used in visible wavelength digital photography and video.

Healing with Continuous Shortwave Diathermy



Alternative Pain Relief in the Mainstream
In the last few decades, many medical professionals have found that there are several ways to help their patients heal without the use of or with limited use of long-term pain medication use. Therapies such as therapeutic massage, neuromuscular stimulators, and therapeutic ultrasound have revolutionized the way the medical community can aid in patient healing.
Another type of technology that has shown real worth in the clinical setting is shortwave diathermy. This method of controlling pain and increasing the blood flow to damaged muscle areas acts with deep heat, as opposed to sound waves like therapeutic ultrasound. In conjunction with other non medication-based therapies, shortwave diathermy can help a large number of patients with varying degrees of injury, as well as different types of injury.

Understanding Surgical Diathermy

 



What is Surgical Diathermy?
Surgical diathermy, also known as electrosurgery, is the passage of a high-frequency alternating current through the body to produce a desirable surgical effect. Despite extensive use, many surgeons and anesthetists remain ignorant of its governing principles and associated hazards. Diathermyinvolves the deliberate use of electrical energy to produce tissue damage and despite the incorporation of various safety measures, injury to patients still occurs.
Principal Electrosurgical Tissue Effects
The main electrosurgical tissue effects are:
• Electrosurgical cutting divides tissue with electric sparks that focus intense heat at the surgical site. By sparking to tissue, the surgeon produces maximum current concentration. To create this spark, the surgeon should hold the electrode slightly away from the tissue. This will produce the greatest amount of heat over a very short period of time, resulting in vaporization of tissue.
• Electrosurgical fulguration (sparking with the coagulation waveform) coagulates and chars the tissue over a wide area. Since the duty cycle (on time) is only about 6 percent, less heat is produced. The result is the creation of a coagulum rather than cellular vaporization. In order to overcome the high impedance of air, the coagulation waveform has significantly higher voltage than the cutting current. Use of high-voltage coagulation current has implications during minimally invasive surgery.
• Electrosurgical desiccation occurs when the electrode is in direct contact with the tissue. Desiccation is achieved most efficiently with the “cutting” current. By touching the tissue with the electrode, the current concentration is reduced. Less heat is generated and no cutting action occurs. The cells dry out and form a coagulum rather than vaporize and explode.
• Many surgeons routinely “cut” with the coagulation current. You can also coagulate with the cutting current by holding the electrode in direct contact with tissue. It may be necessary to adjust power settings and electrode size to achieve the desired surgical effect. The benefit of coagulating with the cutting current is that you will be using far less voltage. Similarly, cutting with the cut current will also accomplish the task using less voltage. This is an important consideration during minimally invasive procedures.

About Surgical Instruments Used in Plastic Surgery


 

 
Due to developing technologies, the medical field is constantly changing and evolving. As a result, the branch of plastic surgery is advancing at an ever-changing pace. Therefore, it is imperative for medical professionals involved in the specialty of plastic surgery to upgrade their instruments on an ongoing basis to ensure they are best serving their patient population. Plastic surgeons’ decisions are based on years of medical research and they are very familiar with complex procedures when deciding which operations and which surgical instrumentsto use to perform complicated surgeries.
Whether for medically indicated plastic surgery or elected plastic surgery for aesthetic enhancement, this branch of medicine is wide and varied and there is a large array of precision plastic surgery instruments used. The most common surgical instrument used in plastic surgery is the scalpel, an extremely sharp knife which is used to cut tissue in many procedures. The scalpel comes in many sizes and shapes and there are even new models that pulse very quickly: 50,000x per second; cutting and sealing at the same time.