Medical Radiology Course Completion Report
Medical Radiology Course Completion Report
NORTH GREAT
TECHNICAL COURSE IN MEDICAL RADIOLOGY
NATAL/RN
2014
SAMUEL SILVA SANTOS
NATAL/RN
2014
THANKS
To CEPRN, its teaching staff, management, and administration who provided the opportunity to
window that today I glimpse a higher horizon, imbued with fervent confidence in merit and
ethics present here.
To the radiology technicians of the Radiology Institute of Natal and the Center
Cel. Passos clinic, for the guidance provided during the internship.
1. INTRODUCTION 5
1. INTRODUCTION
The history of Radiology began in 1895 with the experimental discovery of rays.
By the German physicist Wilhelm Conrad Roentgen. At the time, the medical applications of this
The first X-ray was performed on December 22, 1895. On this day, Roentgen
put his wife Anna Bertha Roentgen's left hand on the chassis, with photographic film,
exposing the radiation from the tube for about 15 minutes. Once the film was developed, there
they were, for confirmation of their observations, the figure of his wife's hand and her bones
within the less dense soft tissues.
The discovery of X-rays soon spread around the world with impressive
speed, teasing the imagination of the press, laypeople, scientists, and doctors. Already in
February 1896, just three months after Röntgen's discovery, were carried out, in the
USA, the first practical clinical applications of radiology, when used foridentify
bone fracturesin a few months, almost all the urban centers of importance
doctors had adopted the new technology, with countless variations.
We can say that there has never been, in the history of science, such a short period.
time elapsed between a fundamental discovery and its first application, particularly in the
medical science. This is particularly extraordinary for having occurred at a time when
the difficulties and slowness of scientific communication were immensely greater than those
current. In the following decades, various technical improvements occurred, such as theX-ray tube
of Coolidge(1913), and the mobile radiography apparatus for hospitals (1920). It was discovered
also that X-rays had harmful effects on the body's cells (but only after
that countless doctors and technicians died from radiation-induced cancer) and that,
therefore they could be used for various types of therapies, including cancer itself.
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The Radiology Technician is the medical professional who uses radiation sources.
ionizing radiation for obtaining radiographic images of the human body. The job market
for this type of professional is broad, and grows as the concern for
health and the well-being of humanity. Its activities extend to hospitals, clinics,
radiology laboratories, centers for technical and scientific research, airports, to education in
radiology sector and companies for the marketing and technical assistance of machines
radiology.
The objective of this profession is to evaluate, program, and execute all available techniques.
will be used in prevention, promotion, and diagnosis, using equipment for this purpose
of advanced technology.
In recent decades, new methods have been added to the already traditional X-rays.
ultrasound, nuclear magnetic resonance, mammography, the new equipment of
Computed tomography and many other advances have contributed to make this area
even more interesting. The branches of radiology are divided into:
The National Health Surveillance Agency (Anvisa), of the Ministry of Health, requires
that imaging diagnostic services follow specific protocols that ensure
the quality of the service and the safety in handling the machines, both for the patients
how much for the professionals who operate them. The Radiology Technician is responsible for everything
radiological process. Acts in the prevention, promotion, maintenance, recovery, and alleviation of
health hazards through scientific development and the use of radiological technologies.
The professional in Radiology has a vast field of action. They can work
in radiology and imaging diagnosis services, public or private, independent or
linked to hospitals. Clinics and basic health units, that is, it can operate in the
radiology services from hospitals, polyclinics, offices, specialized clinics,
support, diagnostic and therapy units.
The first part of the internship was held at the Cel. Passos Clinical Center.
located at Av. Alexandrino de Alencar, No. 411, Alecrim–Natal/RN, also known as
by the PM Clinical Center. Currently, the space has an X-ray machine.
conventional from the brand VMI and an automatic radiological film processor from the brand
LOTUS. About 50 exams are performed every day, the service unlike
what many think is not restricted only to military police and their dependents, but rather,
open to the entire underprivileged population. As for the physical structure, the sector is divided into: reception,
examination room, darkroom, and report room, all equipped and air-conditioned. In addition to the
pacientes ambulatoriais, o setor de radiologia também atende os pacientes internos do
Central Hospital Cel. Pedro Germano, also known as the PM Hospital, as the
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During the internship period, we observed some difficulties that the institutions
public health services face, such as: lack of radiological films,
problems with equipment (printer, computer, x-ray processor, air-
conditioned). However, the Health Directorate of the Military Police of the State of Rio Grande do
Norte possui Dotação Orçamentária Própria, e esses contratempos são solucionados
quickly.
Recently, the Health Department of the State of Rio Grande do Norte entered into an agreement
with the Ministry of Health, held a bidding process for the acquisition of equipment for the
PM Hospital, among the items there is: a 16-slice computed tomography machine.
PHILIPS brand channels, a bone densitometry device and two X-ray machines
being one of them remote-controlled by fluoroscopy.
The second part of the internship was carried out at the Radiology Institute of Natal, which is located
located at Av. Afonso Pena, n° 744 - Tirol - Natal/RN. The institution carries out more
of 400 different types of exams, however the following description will be about Tomography
Computerized. Currently, the IRN has two tomography devices: one in the unit
Tyrol and another in the PAPI unit, with 64 and 16 channels respectively. The PAPI unit besides
outpatient care, also attends to emergency room patients.
Currently, the IRN is building another unit in the south zone, near the
Promater Hospital will also be providing a PET/CT or PET Scan between
others.
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3. FINAL CONSIDERATIONS
4. REFERENCES
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The significant developments in radiology equipment from its inception included the discovery of X-rays by Wilhelm Conrad Roentgen in 1895, the introduction of the Coolidge X-ray tube in 1913, and the development of mobile radiography apparatus for hospitals in 1920. These innovations rapidly advanced medical imaging capabilities, allowing physicians to diagnose internal conditions without invasive procedures .
Advancements in radiology, such as the development of computed tomography (CT), nuclear magnetic resonance, ultrasound, and other imaging technologies, have significantly enhanced diagnostic capabilities in contemporary medicine. These technologies allow for highly detailed images and 3D reconstructions which lead to more accurate diagnoses and personalized treatment plans. They have expanded the ability to detect and treat diseases earlier and more effectively compared to traditional methods .
The development of imaging technologies such as computed tomography (CT) has had a profound impact on healthcare by providing precise, non-invasive views into the human body, which enhances the accuracy of diagnoses and treatment plans. CT's capability for detailed visualization of structures and pathologies helps in early detection and better management of diseases, significantly contributing to improved patient outcomes and advancing medical research .
Radiology extends beyond medical diagnostics to include dental radiology for dentistry studies, veterinary radiology for animal studies, metallurgical radiology for examining pieces and welds, sterilization radiology for eliminating bacteria and fungi, environmental radiology for soil treatment, and nutritional radiology for similar sterilization purposes. Additionally, it plays a role in scientific teaching and research projects involving medical equipment .
Wilhelm Conrad Roentgen's discovery of X-rays is historically significant because it revolutionized medical diagnostics by allowing non-invasive visualization of patients' internal structures. It represents a landmark scientific breakthrough due to its immediate implementation in medical practices around the world, despite the slow pace of scientific communication during the 19th century. The discovery led to rapid technological advancements and formed the foundation for modern radiology .
Early technical challenges in radiological practice, such as equipment malfunctions and shortages of radiological films, significantly impacted public health services by limiting their capacity to efficiently conduct necessary radiological exams. These issues affected the availability and reliability of diagnostic services, although they were typically addressed with budget allocations and procurements to improve services .
The scope of practice for a Radiology Technician includes evaluating, programming, and executing radiographic imaging techniques. They are involved in various aspects of prevention, diagnosis, and therapy using advanced technology. Radiology Technicians play a vital role in conducting imaging exams, radiotherapy applications, and supporting scientific research and technological development, all crucial for maintaining and improving healthcare services .
The rapid spread and adoption of X-ray technology in the late 19th century was remarkable because it occurred at a time when scientific communication was much slower and more cumbersome than today. Despite these challenges, X-ray technology quickly became a crucial tool in medicine, widely adopted even in major urban centers within months of its discovery. This rapid integration is unprecedented in the history of science, illustrating the profound immediate impact of Roentgen's discovery on medical practice .
Major challenges faced by public health services in integrating radiology include equipment shortages, technical malfunctions, and financial constraints. These challenges are compounded by issues such as outdated technology and infrastructural limitations, which can hinder the timely execution of radiological exams and overall diagnostic efficiency. Institutions have often needed to manage these through budget allocations and partnerships to improve service delivery .
Regulatory measures to ensure quality and safety in radiological imaging services include specific protocols mandated by the National Health Surveillance Agency (Anvisa) within the Ministry of Health. These protocols are designed to maintain the service quality and ensure safe handling of machines both for patients and professionals in the radiology field .