Floro s Copy

RADIOLOGY
fluoroscopy
WHO INVENTED
 Who invented the fluoroscopy?
 The fluoroscope was invented in 1896 by Enrico
Salvioni. The name was coined by Thomas Edison
when he created a machine in same year. Edison used
calcium tungstate as the fluorescing material.
Floroscopy machine
 During a fluoroscopy
procedure, an X-ray beam is
passed through the body.
The image is transmitted to a
monitor so the movement of
a body part or of an
instrument or contrast agent
(“X-ray dye”) through the
body can be seen in detail
USES OF FLOROSCOPY
 Providers can use fluoroscopy to look at several body
systems in real time, including:
• Cardiovascular system.
• Digestive system.
• Urinary system.
• Musculoskeletal system.
• Reproductive systems.
COMPONENTS OF FLOROSCOPY
an X-ray tube, spectral shaping filters, a field
restriction device (aka collimator), an anti-scatter
grid, an image receptor, an image processing
computer and a display device.
PRINCIPLE OF FLOROSCOPY
 During a fluoroscopy procedure, an X-ray beam is passed
through the body. The image is transmitted to a monitor so the
movement of a body part or of an instrument or contrast agent
(“X-ray dye”) through the body can be seen in detail
What are 3 modes of floroscopy
What are the 3 modes of operation in fluoroscopy?

Fluoroscopes typically have the capability of operation in a
number of dynamic imaging modes:
Normal fluoroscopy,
High-dose fluoroscopy,
conventional and digital cine fluoroscopy.

Types of Fluoroscopy
•Musculoskeletal Fluoroscopy. ...
•Barium Swallow. ...
•Fluoroscopic Enteroclysis. ...
•Fluoroscopic Defecography. ...
•Fluoroscopic Small Bowel Follow Through. ...
•Fluoroscopic IVP (Intravenous Pyelogram) ...
•A Fluoroscopic VCUG (voiding
cystourethrogram) ...
•Fluoroscopic HSG (hysterosalpingogram)
What is the difference between fluoroscopy and
radiography
Radiography or X-ray and fluoroscopy procedures seem similar.
However,
Fluoroscopy obtains moving images of the inner part of the
body and
Radiography uses gamma rays to develop a static image of the
internal structure of a body.
Radiography or X-ray and fluoroscopy procedures seem similar
INDICATION
 A growing indication for fluoroscopy in endoscopy is
the placement of enteral stents. These include
 esophageal,
 gastric
 duodenal, and colonic stents used in the setting of
advanced malignancies for palliative restoration of
luminal patency.
DIAGNOSTIC FLOROSCOPY
 Diagnostic fluoroscopy
 Healthcare providers use fluoroscopy for different parts of
your body to diagnose several conditions, including:
 BARRIUM SWALLOW
 BARIUM ENEMA
 BARIUM MEAL FOLLOW THROUGH
 ESOPHYGOGRAM
 COLONOSCOPY
DIAGNOSTIC FLOUROSCOPY
 Barium swallow (esophagogram): A barium swallow is a
fluoroscopy imaging test that checks for problems in your upper
gastrointestinal (GI) tract, which includes your mouth, back of the
throat, esophagus, stomach and the first part of your small intestine.
The test involves drinking a chalky-tasting liquid that contains
barium, a safe substance that makes parts of your body show up
more clearly on X-ray imaging. These tests can help diagnose
esophageal disorders, ulcers, hiatal hernia, GERD (gastroesophageal
reflux disease), structural problems in the GI tract and tumors.
NORMAL ESOPHAGOGRAM
CONGENITAL ESOPHAGEAL STENOSIS
BARIUM ENEMA
Barium enema: A barium enema, which is also called lower
gastrointestinal tract radiography, is a fluoroscopy imaging test
that checks for problems in your colon and rectum (parts of your
large intestine). A healthcare provider pours a safe liquid
containing barium through a tube inserted into your anus. This
liquid coats the inside of the large intestine and clearly shows its
outline on X-ray imaging. This test can help diagnose
inflammatory bowel disease (Crohn’s disease or ulcerative colitis
), diverticulosis, colon cancer, polyps and colonic volvulus
(abnormal twisting of the bowel)
BARIUM ENEMA
ANGIOGRAPHY
Angiography: Angiography, or angiogram, uses
fluoroscopy to identify and diagnose narrowing or
blockages in the arteries in your body. Sometimes,
providers may perform an angioplasty, a
procedure used to open blocked coronary
arteries, during a diagnostic angiography, if
necessary
ANGIOGRAPHY
CYSTOGRAPHY
 Cystography: Cystography is an imaging test that can use
fluoroscopy to help diagnose problems in your bladder. During
cystography, a healthcare provider inserts a thin tube called a urinary
catheter into your urethra and injects contrast dye into your bladder.
This dye helps parts of your bladder show up more clearly on X-ray
imaging. This test can help your provider study your bladder
emptying while you’re urinating (peeing). This is called a voiding
cystography. It can help show how well your bladder empties during
urination and whether any urine backs up into your kidneys (
vesicoureteral reflux).
HYSTEROSALPINGOGRAM
 Hysterosalpingogram: In this procedure, a provider uses
 fluoroscopy to provide images of biologically female reproductive
organs.
 It can help diagnose certain causes of infertility.
HSG
HSG
What are the risks of fluoroscopy?
 Fluoroscopy carries some of the same risks as other X-ray procedures

due to radiation exposure.
 Because of this, you should not have a fluoroscopy procedure if
you’re pregnant or think you may be pregnant.
 Radiation can be harmful to an unborn baby.
CONTRAST ALLERGY
 If contrast dye is part of your fluoroscopy procedure, there’s a small
risk of an allergic reaction. Be sure to tell your provider if you have
any allergies or if you've ever had a reaction to contrast material.
MYLOGRAPHY
 Myelography: Myelography uses fluoroscopy and an injection of
contrast material to evaluate your spinal cord, nerve roots and spinal
lining (meninges). It’s particularly useful for assessing your spine
following surgery and for assessing disc issues in people who cannot
undergo MRI testing (usually due to having a medical device, such as
a cardiac pacemaker).
CERVICAL MYLOGRAPHY
CERVICAL MYLOGRAPHY
Spinal stenosis is a
progressive
narrowing of the
spinal canal that
occurs most
commonly in the
cervical and lumbar
areas
CYSTOURETHROGRAM
 A VCUG, or a voiding cystourethrogram, is a minimally invasive
test that uses a special x-ray technology called fluoroscopy to
visualize your child's urinary tract and bladder. A VCUG can
help: diagnose vesicoureteral reflux, a condition in which
urine flows the wrong way, from the bladder back up to the
kidneys.
VCUG
Fluoroscopy for procedure guidance
 Cardiac catheterization: In this procedure, fluoroscopy shows blood

flowing through your arteries. It can help visually guide healthcare
providers in performing angioplasties.
 Cardiac catheterization: In this procedure, fluoroscopy shows blood
flowing through your arteries. It can help visually guide healthcare
providers in performing angioplasties.
• Placement of stents: Fluoroscopy can help ensure the proper placement of
stents, which are devices that help open narrow or blocked blood vessels.
• Orthopedic surgery: Your surgeon may use fluoroscopy to help guide
orthopedic procedures, such as joint replacement and fracture (broken
bone) repair.
Is a fluoroscopy test painful?
 Fluoroscopy imaging itself is painless and non-invasive. However, if

your healthcare provider is using fluoroscopy as imaging guidance
during a procedure such as surgery, you may experience pain due to
the surgery, not the fluoroscopy. If this is the case, your provider will
let you know what kind of pain levels you can expect during and after
your procedure.
What are the benefits of fluoroscopy?
 Fluoroscopy and other imaging tests are non-invasive procedures

that provide visual guidance for certain medical procedures and
allow your healthcare provider to diagnose diseases and injuries.
 The medical benefit of fluoroscopy outweighs the small radiation
risk.

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RADIOLOGY

What are the 3 modes of operation in fluoroscopy?

conventional and digital cine fluoroscopy.

 Fluoroscopy carries some of the same risks as other X-ray procedures

 Cardiac catheterization: In this procedure, fluoroscopy shows blood

 Fluoroscopy imaging itself is painless and non-invasive. However, if

 Fluoroscopy and other imaging tests are non-invasive procedures

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