Showing posts with label tomographic. Show all posts
Showing posts with label tomographic. Show all posts

1/16/11

MRI Scans vs CT Scans

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There a few different methods of obtaining medical diagnostic images. Each method or type is known as a modality. In particular, MRI scans and CT scans bring a great deal to the field of medicine. Doctors use both modalities to help them provide accurate information about their patient in order to accurately diagnose what is wrong with them. There are differences between the two, with each providing its own advantages and disadvantages. This article acts as a guide to explaining the main differences between these two important and effective types of scan. Read on to find out more. 

The acronym CT, used with in the term CT scan, is an abbreviation of computed tomography. This modality uses x-rays which is a type of ionizing radiation to produce images of the body's interior. This makes it particularly good at investigating tissue that is more dense than the tissue that surrounds it. A good example of this is bone compared to muscle and the soft tissue and cells encasing it. In order to gain more clarity when using a CT scan, the medical personnel may administer what is known as a contrast agent. To get the most from this, the substance used may be more dense than the part of the body being investigated. This makes iodine or barium good substances to use. For example, for those of us who have had x-rays, the term barium meal may be familiar. 

The acronym MRI is an abbreviation of the term magnetic resonance imaging. Unlike CT and x-ray systems, MRI does not use ionizing radiation. Instead it uses radio waves sent through a magnetic field to acquire its images. This makes it ideal for investigating non-calcified tissue, i.e. other than bones and teeth. That is not to say it cannot be used for this purpose, it is just better suited for looking at softer tissue, organs and cells in the body. A contrast agent can also be used when carrying out an MRI scan: gadolinium or manganese are the most appropriate types as they have paramagnetic properties, and of course MRI makes use of magnetic fields. 

Although both CT and MRI scans produce two dimensional images of tissue and three dimensional reconstructions are created from this, MRI scans have greater image contrast capabilities. By varying an array of scanning parameters, different features of the body can be detected more easily. An MRI is generally considered to be more accurate when it comes to detecting tumors or problems in the brain, although a CT scan is better at detecting solid tumors in the abdomen or chest. 

A CT scan is cheaper than carrying out an MRI scan and is also more widely available so is usually the preferred route to take by doctors. An MRI scan tends to be used only when they have exhausted the other options and need further information still. A CT scan is also much quicker than an MRI scan. 

Both MRI scans and CT scans are important tools used by a doctor to facilitate accurate diagnoses of serious illnesses such as heart disease and cancer. When used in imaging in oncology, these modalities are particularly vital. By combining scanned images over time they allow information to be obtained such as how much the cancerous cells have spread and at what rate they are growing. This means patients can receive updates on whether their treatment is working and whether the cancer shrinking rather than growing in size. PET CT software in particular is vital for providing valuable oncological information such as this. Very different but equally as important as one another, CT scans, and MRI scans as well, play an important role in modern medicine.

1/12/11

Russian syndrome of tomographic immunity - RusBusinessNews


What is most essential in quality medical care? Good personnel and equipment. The Sverdlovsk Region has no luck with either of these - high-caliber professionals are almost non-existent; as for equipment, the situation is quite opposite - it is plentiful, but it is idle and just gathers dust. The "RusBusinessNews" reporter made an attempt to find out what prevents the doctor from curing the patient.

In November 2010, in Makhnevo, a settlement in the Middle Urals, a 9-year-old boy died. When sliding downhill on the sledge he crashed into a tree, hit his head and sometime later died. The experts are sure that the child could be rescued. "This death could have been prevented", Maxim Starodubtsev, President of the Association of Regional Medical Insurers, states.

Makhnevo does not have any hospital. Local residents seek medical help in the first-aid station where general practitioners work. The only ambulance car is assigned to it. It took the ambulance two hours to get to the boy - when the call was received it was in Alapayevsk district center. It took another two hours to get to the district hospital; however, the hospital did not have the required equipment. They had to wait for a specialist accident-assistant squad from Ekaterinburg for about one hour. By that time the boy died. M. Starodubtsev says that such a situation is not singular - similar cases take place in the Middle Ural hinterland all the time. For example, early in 2010 the ambulance came too late to save two men in the Nizhneturinsk Region.

The Makhnevo tragedy can hypothetically be split into components. On the one hand, the ambulance failed to arrive on time. The blame lies with the territorial administration that did not provide financing to implement the program of government guarantees. During follow-up examinations, municipality executives tend to refer to lack of money, which made it impossible to optimize vehicle fleet and personnel; however, it does not release them from responsibility. The ambulance is on the balance sheet of municipalities, which are not able to support it; ii will be a long time before the ambulance is transferred to the financial system of compulsory health insurance.

On the other hand, there are claims to the general practitioner. The medical institute graduate who opted for general practice must be competent in all basic illnesses that may be encountered within the area he/she assigned to, including acute injuries. The doctor should have made every effort to diagnose the injury received by the child and to help him. He could even have called air ambulance from Ekaterinburg. "It is very important to conduct thorough and professional investigation. I am very afraid that this case can be put through red tape, because it may turn out as very indicative", Maxim Starodubtsev pointed out.

As for the equipment that was not available in the Alapayevsk hospital, it is rather exception to the rule. Most of the hospitals in the Sverdlovsk Region do not experience any shortage of equipment, sometimes having it in excess. However, the distribution of equipment among medical care institutions is inappropriate. Furthermore, part of the expensive equipment purchased through the Health National Project stands idle. There is no one who would operate it - either there are no payroll jobs, or specialists are not competent. M. Starodubtsev says that there are quite a few cases when the required spare part is missing and cannot be found or bought, and the expensive equipment has to "move" to the storage facility. There are situations when medical equipment is not used due to lack of funds for its installation or consumables.

As Alexei Kamenev, President of the First All-Russian Association of Private Medical Practitioners said, the Health National Project was brought to life in 2005. Essentially, the made decision was right and adequate: saturate hospitals and clinics with equipment and medications. However, it turned out wrong.

"The quantity of paid services increased, and availability of free medical care decreased. The saturation of health care institutions with equipment resulted in higher prices for medical services. Sometime ago American health care experts argued that the number of computer tomography scanners was not a problem: diagnostics will be better, but affordability of medical services will decrease. Therefore, cost effectiveness will be incommensurable. Today, we are facing the same situation", A. Kamenev remarks.

Analysts think that the main problem is not in availability or absence of equipment, but in the lack of well-developed strategy adopted by government authorities for development of the medical care system. This statement is convincingly illustrated by the incident that took place at the October meeting summoned by the Sverdlovsk Region's Health Ministry. The Minister Arkady Belyavsky criticized executives of municipal and regional health care departments for irresponsible approach to preparation of municipal requests for equipment. The requests served as the basis determining the relevant section of the regional program of health care modernization. It turned out that what medical institutions need first of all is a washing machine, cabinet oven, and refrigerator for a mortuary!

A. Belyavsky said angrily: "You will receive exactly what you have asked". The ministry, in its turn, decided that municipal hospitals needed much more: 5 magnetic resonance imaging devices, 6 angiography units, 18 apparatuses for computer tomography. The officials did not want to think what they are going to do with this sophisticated equipment without qualified specialists. Based on provisional estimates, during the next two years 18 billion rubles will be allocated for health care improvement in the Sverdlovsk Region. Out of them, 7.5 billion is planned to be spent on equipment.

"The situation with medical personnel is deteriorating steadily", Maxim Starodubtsev stated. The level and qualification of doctors are decreasing rapidly. Lack of proper supervision is one of the reasons. There is a growing number of doctors who become operators, and even there they are not able to work decently. The population that has been tired of low-quality medical care does not mind even such doctors, having only one request: they should perform their functions in dispatching centers more diligently. Here, we mean that they should ensure timely arrival of patients at higher level hospitals that still have skilled professionals. However, event such basic objectives are not fulfilled by dispatcher doctors.

The Middle Ural Ministry of Health admits that there is 50% personnel shortage. The Deputy Minister Dilyara Medvedskaya notes that the personnel shortage is one of the main problems in the Russian health care; the shortage of first-aid medical personnel, including specialists working in villages, is most pressing. Graduates of medical higher schools do not want to work in small settlements. In 2006, the ministry launched target programs attracting applicants from hinterland and paying for their studies from regional budget funds. The first graduates of the program will start working in municipal hospitals in three years. Let's hope that over this time the tomographs covered with dust will not fall apart in hospital warehouses.

Anna Khorkova

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