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Radiation Dose and Image Quality in Fluoroscopy: Part 1

S Balter1*, J Jans2*, M Lendl3*, (1) Columbia University Medical Center, New York, NY, (2) Philips Healthcare, (3) Siemens Healthineers, Forchheim, BY


(Wednesday, 8/1/2018) 4:30 PM - 6:00 PM

Room: Room 205

The imaging tools available for performing fluoroscopically-guided interventions have evolved rapidly in the last decade. Volumetric imaging is now commonplace, and the operating logic of modern fluoroscopic equipment is rapidly outpacing the methods commonly used to evaluate its performance, and will soon defy traditional attempts at performance characterization. The aim of this two part mini course is to review the history of fluoroscopic imaging equipment to understand how we ended up with many of the regulations with which we must comply today, to look at the present and future technology of equipment used to perform fluoroscopically-guided interventions, to review some of the state of the art technology available to optimize radiation dose and image quality, and finally to discuss how physicists might adapt to this changing environment.

The learning objectives of the first session in this mini-course are:
1. To review the history of medical imaging equipment, including fluoroscopy equipment, in an effort to understand how we ended up with the regulations and approach to system performance evaluation that we have today;
2. To learn about modern fluoroscopy technology to understand how historical methods for performance evaluation must evolve to provide medical physics support today; and
3. To discover what the future of fluoroscopy technology holds to understand how medical physicists must prepare to adapt performance evaluation methods in the future.



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