| The X-ray has
been called one of the most significant advances in medical history.
It is used in many different ways in medical diagnosis. Routine
X-rays involve exposing a body part to a small dose of radiation
to produce an image of an internal organ. An X-ray image is
produced when a small amount of radiation passes through the body
and strikes a sheet of sensitive film placed on the other side of
the body. This film is then either placed in a developing
machine, to produce images much like negatives from a 35-mm camera,
or is digitally stored on a computer.
The most common use of X-rays is to identify and treat bone fractures.
It is particularly beneficial in emergency situations. X-ray
images of the skull, spine, joints and extremities can show even
very fine hairline fractures or chips. After treatment, a
bone X-ray can be done to ensure that the fracture has been properly
aligned and stabilized for healing. X-rays can also be used
to diagnose and monitor the progression of degenerative diseases
such as arthritis. They play an important role in the detection
and diagnosis of cancer, as well, although CT, MRI and PET are usually
better at defining the extent and nature of suspected cancer.
X-ray is a fast and easy procedure. Patients will experience
no discomfort or side effects from their examination and are allowed
to leave immediately following their X-ray test.
Contrast Studies
Espohagram
An examination of the pharynx (throat) and esophagus using still
and fluoroscopic X-ray images. The X-ray pictures are taken
after the patient drinks a solution that coats and outlines the
walls of the esophagus (also called a barium swallow).
Upper GI Series
A series of X-rays of the esophagus, stomach, and small intestine
(upper gastrointestinal, or GI, tract) that are taken after the
patient drinks a barium solution. (Barium is a white, chalky substance
that outlines the organs on the X-ray.)
Small Bowel or Small Intestine Series
A series of X-rays of the part of the digestive tract that extends
from the stomach to the large intestine.
Barium Enema / Lower GI Series
A series of X-rays of the lower intestine (colon) and rectum that
are taken after the patient is given an enema with a white, chalky
solution that contains barium. The barium outlines the intestines
on the X-rays. These X-rays permit the detection of colon and rectal
abnormalities including diverticulosis, diverticulitis, abnormal
colon movement, dilation (widening) of the colon, polyps and cancers
of the colon and rectum. Air can be instilled into the colon
along with the barium contrast medium to further define structures
of the large bowel and rectum. Polyps and small cancers are more
readily found using this method which is called an air contrast
barium enema or a double-contrast barium enema. This is the only
kind of barium enema that is appropriate for detecting colorectal
polyps and potentially curable colorectal cancers.
Intravenous Pyelogram (IVP)
An X-ray examination of the kidneys, their drainage to the bladder,
and the bladder.
Hysterosalpingogram
X-ray of the uterus and Fallopian tubes; usually done in diagnosing
infertility to see if there any blockages.
Arthrogram
X-ray of a joint after the injection of a contrast medium to more
clearly visualize the joint.
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