An Update on Imaging and Radiation Minimizing Techniques in Orthopedic Digital Radiology

George Tsoukatos, BPS, R.T.(R)(ARRT)®

^*Medical Imaging Consultant, Germantown, NY

Address correspondence to: George Tsoukatos, BPS, R.T.(R)(ARRT)^®, Radiology Support Services, PO Box 215, Germantown, NY 12526. E-mail: radiologytechnique@gmail.com.

Disclosure Statement: The author reports having no significant financial or advisory relationships with corporate organizations related to this activity.

 ABSTRACT

The digital revolution has brought about many changes and has provided medical imaging professionals with better tools to help facilitate workflow changes in everyday clinical applications and specialties. As the use of radiography grew beyond the scope of the hospital setting, digital radiography (DR) began to be used in other areas such as orthopedics, pain management, and sports medicine. The implementation of DR systems in a dedicated digital orthopedic imaging suite was also part of this evolution. As advancements in this technology continued, the amount of time from completing the imaging study, to when the orthopedist viewed the images, was greatly reduced. Orthopedic radiologic technologists (ORTs) have also been able to improve patient outcomes by providing clinicians with the highest quality diagnostic imaging studies. This article will examine the technologic development of DR detectors, discuss image processing applications and optimization parameters, as well as the benefits and clinical applications of DR. It will also provide an overview of the advantages and limitations of digital methods of X-ray detection and processing, how to identify appropriate radiation exposure levels, and other technical considerations in the orthopedic clinical environment. Utilizing prudent radiation safety techniques during DR imaging in an orthopedic outpatient setting, reviewing additional examinations performed in this specialty, and how to properly use the imaging equipment to maximize radiation safety for both patient and RT will also be discussed.