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Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
4 topics, 23 min. of video
6 topics, 24 min. of video
6 topics, 34 min. of video
1 topic
0:00
Finally, the field of view.
0:03
For an image intensifier, it is always circular because the image intensifier
0:07
is always circular.
0:09
It's round, whereas it can get distorted with
0:13
image intensifier because the input screen is slightly curvature.
0:18
It can create an artifact. This is called a pincushion
0:21
artifact. Basically,
0:24
it is pushing the field of view in different direction.
0:27
On a flat panel, one of the advantage is rectangular.
0:30
You can see a larger part of the anatomy, and no matter how
0:34
large or small you do, there is no geometric distortion is present
0:38
with a flat panel compared to the image
0:42
intensifier.
0:44
This is a photograph of a uniform wire mesh pattern used
0:48
for mapping on the II and flat panel to show
0:52
disadvantage of the II system.
0:56
You can see here it is increasingly blurry
0:59
compared to this one with a wire mesh pattern.
1:04
The II and TV has a
1:08
limited dynamic range. They cannot keep increasing the dose or increase the
1:11
brightness, whereas in the flat panel detector with the lookup
1:15
table, the image glare reduces due to wide
1:19
dynamic range, so therefore, the image quality also
1:21
improves. Low contrast
1:24
resolution. The flat panel detector devices
1:28
versus image intensifier.
1:30
On the right-hand side is the image intensifier or a TV screen.
1:34
For the same image quality, look at the loss in the image contrast
1:38
at the smaller area.
1:40
Compared to the flat panel detector, you can see much better
1:43
visualization of the objects.
1:46
What is the difference between the flat panel and the image intensifier?
1:50
Flat panel, which is digital, has a wide dynamic range.
1:54
II has a limited dynamic range. Geometric distortion
1:58
is none, whereas with image intensifier, it can
2:02
cause a pincushion syndrome or a S-distortion artifact.
Interactive Transcript
0:00
Finally, the field of view.
0:03
For an image intensifier, it is always circular because the image intensifier
0:07
is always circular.
0:09
It's round, whereas it can get distorted with
0:13
image intensifier because the input screen is slightly curvature.
0:18
It can create an artifact. This is called a pincushion
0:21
artifact. Basically,
0:24
it is pushing the field of view in different direction.
0:27
On a flat panel, one of the advantage is rectangular.
0:30
You can see a larger part of the anatomy, and no matter how
0:34
large or small you do, there is no geometric distortion is present
0:38
with a flat panel compared to the image
0:42
intensifier.
0:44
This is a photograph of a uniform wire mesh pattern used
0:48
for mapping on the II and flat panel to show
0:52
disadvantage of the II system.
0:56
You can see here it is increasingly blurry
0:59
compared to this one with a wire mesh pattern.
1:04
The II and TV has a
1:08
limited dynamic range. They cannot keep increasing the dose or increase the
1:11
brightness, whereas in the flat panel detector with the lookup
1:15
table, the image glare reduces due to wide
1:19
dynamic range, so therefore, the image quality also
1:21
improves. Low contrast
1:24
resolution. The flat panel detector devices
1:28
versus image intensifier.
1:30
On the right-hand side is the image intensifier or a TV screen.
1:34
For the same image quality, look at the loss in the image contrast
1:38
at the smaller area.
1:40
Compared to the flat panel detector, you can see much better
1:43
visualization of the objects.
1:46
What is the difference between the flat panel and the image intensifier?
1:50
Flat panel, which is digital, has a wide dynamic range.
1:54
II has a limited dynamic range. Geometric distortion
1:58
is none, whereas with image intensifier, it can
2:02
cause a pincushion syndrome or a S-distortion artifact.
Report
Faculty
Mahadevappa Mahesh, PhD, FACR, MS, FAAPM, FACMP, FSCCT, FIOMP
Professor of Radiology and Cardiology
Johns Hopkins University School of Medicine
Tags
Physics and Basic Science
Nuclear Medicine
Fluoroscopy
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