X-ray

Medical X-rays have mostly converted from film, to computed radiography (CR) that used individual plates to record each X-ray digitally that then had to be uploaded into a PACS, to what is the standard-of-care today with digital radiography (DR). DR X-ray which allows immediate digital transfer of images into a PACS for immediate review. X-rays are used to diagnose fractures, bone abnormalities, lung pathologies and tumors, as well as monitor pediatric growth, plan for surgery and treat oncology patients during radiation therapy. More detailed anatomical imaging, especially soft tissue imaging, is usually sent for advanced imaging with CT or MRI. X-ray, especially mobile DR systems, are a primary use case for artificial intelligence (AI) integration. 

Dynamic lung air flow analysis just using X-ray without any contrast with new technology from 4D Medical.

PHOTO GALLERY: New technology and trends at RSNA 2022

Images from the Radiological Society of North America (RSNA) 2022 annual meeting Nov. 27- Dec. 1 in Chicago. The gallery includes new technologies and a look at sights around the world's largest radiology conference. 

The Nanox ARC cold-cathode, tomosythesis 3D X-ray system is currently pending FDA clearance. If cleared, it would be the first device of its kind to offer cold-cathode X-ray tube technology and the ability to slice through the anatomy in images similar to CT scans aid diagnosis. The new type of tube also could greatly reduce the size and weight of X-ray systems. The vendor sees this system as key to its larger plan to address health disparities and access to imaging world-wide. #Nanox

Can cold-cathode X-ray combined with teleradiology and AI eliminate health disparities?

The Israeli vendor Nanox says it has a vision for the future of healthcare. It seeks to address health disparities and access challenges with a new business model and innovative package of technologies. Hurdles loom, but opportunities abound. 

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Dynamic chest radiography a suitable, low-cost alternative to V/Q scanning for pulmonary hypertension

Dynamic chest radiography was recently shown to be comparable to lung ventilation-perfusion scanning for detecting chronic thromboembolic pulmonary hypertension.  

hand x-ray radiograph

Has electronic cropping in digital radiography resulted in the death of collimation?

While electronically cropping an image may seem like a harmless act, the habit is not without unintended consequences, the authors of a new paper recently explained.

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Chest X-rays alone ineffective in COVID triage

New research indicates that there is significant reader variability in COVID classifications among different specialties when chest X-rays alone are the diagnostic tool of choice.

Representative cases showing pneumonia extents and patterns on chest X-ray (CXRs) and CT images. (E and F) A 36-year-old male with no history of vaccination for COVID- 19. The patient had no history of comorbidity. Axial chest CT image obtained on the same day showing unilateral ground-glass opacity with a nonrounded morphology and non-peripheral distribution in the left upper lobe (arrows). RSNA Image. COVID on X-ray, CT scan. What does COVID look like in medical imaging? Example of COVID imaging.

Vaccinated vs unvaccinated, Delta vs Omicron—how do these factors impact clinical and imaging features?

Vaccination rates likely had a role in reducing disease severity during Omicron, a new paper published in Radiology suggests.

Improving the diagnostic value of portable imaging: Experts propose 3 interventions

After experts from one institution evaluated 500 portable chest x-rays completed during the summer of 2021, it was revealed that 46.2% of the images obtained were problematic, requiring the imaging to be repeated. 

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TB-detecting AI tool shows promise for improving screening in low resource areas

A new artificial intelligence system can detect active tuberculosis on chest radiographs with accuracy comparable to radiologists, a recent paper in Radiology reports. 

Around the web

The newly approved PET radiotracer is expected to improve patient care significantly. “We have been able to reach the pinnacle of myocardial perfusion imaging with flurpiridaz," one expert said.

GE HealthCare's flurpiridaz, the PET radiotracer that recently received FDA approval, offers several key benefits over SPECT. Jamshid Maddahi, MD, discussed the details in an exclusive interview. 

Ultrafast MCE could go on to become a go-to treatment option for obstructive coronary artery disease, according to the authors of a new first-in-human clinical study.

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