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A ventilation/perfusion lung scan, also called a V/Q lung scan, or ventilation/perfusion scintigraphy, is a type of medical imaging using scintigraphy and medical isotopes to evaluate the circulation of air and blood within a patient's lungs, [1] [2] in order to determine the ventilation/perfusion ratio.
In anteroposterior (AP) views, the positions of the x-ray source and detector are reversed: the x-ray beam enters through the anterior aspect and exits through the posterior aspect of the chest. AP chest x-rays are harder to read than PA x-rays and are therefore generally reserved for situations where it is difficult for the patient to get an ...
The radioactive gamma rays are emitted through the body as the natural decaying process of these isotopes takes place. The emissions of the gamma rays are captured by detectors that surround the body. This essentially means that the human is now the source of the radioactivity, rather than the medical imaging devices such as X-ray or CT.
Iodinated contrast contains iodine.It is the main type of radiocontrast used for intravenous administration.Iodine has a particular advantage as a contrast agent for radiography because its innermost electron ("k-shell") binding energy is 33.2 keV, similar to the average energy of x-rays used in diagnostic radiography.
Contrast agents are sometimes used in CT scans of the chest to accentuate or enhance the differences in radiopacity between vascularized and less vascularized structures, but a standard chest CT scan is usually non-contrasted (i.e. "plain") and relies on different algorithms to produce various series of digitalized images known as view or "window".
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Low-dose high-resolution (1.25 mm) chest CT. HRCT is performed using a conventional CT scanner. However, imaging parameters are chosen so as to maximize spatial resolution: [1] a narrow slice width is used (usually 1–2 mm), a high spatial resolution image reconstruction algorithm is used, field of view is minimized, so as to minimize the size of each pixel, and other scan factors (e.g. focal ...
For comparison, radiation dosage for other medical procedures range from 0.02 mSv for a chest X-ray and 6.5–8 mSv for a CT scan of the chest. [ 42 ] [ 43 ] Average civil aircrews are exposed to 3 mSv/year, [ 44 ] and the whole body occupational dose limit for nuclear energy workers in the US is 50 mSv/year. [ 45 ]