CT Scans vs Ultrasound: What Machine Provides Real-Time Video?

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Discussion Overview

The discussion revolves around the capabilities of various imaging technologies, specifically comparing CT scans and ultrasound, in providing real-time video of internal bodily functions. Participants explore the potential for observing dynamic processes such as blood flow, lung movement, and organ activity in a way that goes beyond still images.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested

Main Points Raised

  • Some participants note that CT scans provide still images, while ultrasound offers live images, particularly of fetuses.
  • One participant expresses a desire to see real-time functioning of organs, such as lungs and blood flow, rather than relying on animations.
  • Another participant mentions that combined imaging techniques like Spiral CT, FMRI, and PET scans are approaching the level of real-time visualization.
  • CT fluoroscopy is discussed as a method that allows for repeated scans of the same region, but it is noted that this method has high radiation exposure and is not commonly used.
  • Dynamic MRI is mentioned as a technique that can generate a series of images to visualize heart motion and blood flow, but it has longer acquisition times and does not involve ionizing radiation.
  • One participant suggests that surgical training videos might provide the type of real-time observation desired, although access to such videos may be limited.

Areas of Agreement / Disagreement

Participants do not reach a consensus on a single imaging technology that meets the criteria for real-time video of internal organ function. Multiple competing views and methods are presented, indicating that the discussion remains unresolved.

Contextual Notes

Limitations include the high radiation exposure associated with some imaging techniques, the varying resolution and acquisition times of different methods, and the reliance on indirect methods for visualization of internal processes.

jimmie
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I know that CT Scans provide still images of various parts of the whole human body.

I also know that Ultrasound provides live images and movements of fetuses.

Is there a machine/scanner that scans the body and provides real-time video of the organs in operation, including blood-flowing, heart beating, lungs working, kidneys, etc..

Kind of like putting the body under the microscope and watching it function internally.
 
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Combined, Spiral CT, FMRI, and PET scans are approaching this level of sophistication.
 
Basically, I just want to see the human body function as it does. Still images just don't cut it.

For example, I want to see exactly how the lungs move when in operation. Yeah, they expand and such, and I have seen animations of the lungs, but I want to see real lungs move in real life. I want to see real blood flow, and real stomachs digest whatever.

Is there a possible source for that type of info?
 
I listed them. Spiral CT can be used for lungs. The device scans so quickly that the images can effectively be run as a video; or nearly so. The state of the art is changing so quickly that it's hard to say the precise limits of technology at any moment. For example, GE might be doing wonderous things that only GE knows about until the next trade show.

I'll try to get Tsu to jump in later. She knows much better than I what is currently being used.
 
thanks

I'll search those scan terms and see what I get.
 
jimmie said:
I know that CT Scans provide still images of various parts of the whole human body.

I also know that Ultrasound provides live images and movements of fetuses.

Is there a machine/scanner that scans the body and provides real-time video of the organs in operation, including blood-flowing, heart beating, lungs working, kidneys, etc..

Kind of like putting the body under the microscope and watching it function internally.

Functional imaging is generally done using nuclear medicine techniques. dynamic imaging (acquiring a series of frames at regular intervals) can provide visualization of blood flow through organs or indications of metabolic activity, and is a common technique used to evaluate many organs and systems. It sounds like you're looking for something a little more high resolution though.

CT fluoroscopy is another application where the CT scanner scans the same region repeatedly. The radiation exposure to the patient tends to be quite high though, so this is not used very often (the most common use is for biopsies or aspirations). Respiratory gated CT is a technique commonly used for PET/CT applications or radiation therapy treatment planning for lung tumours. It's a technique where the patient is scanned while they're breathing. A reflective block placed on the patient is monitored with a camera and used to track the up/down motion of the chest while the patient is breathing. CT images of each part of the respiratory cycle are binned so that the result is a series of images showing the breathing motion.

Dynamic MRI acqusitions are starting to become more common using the same idea as CT fluoroscopy: repeated acquisitions in the same volume. This generates a series of images that can be displayed like a movie, allowing you to watch the motion of the heart wall and even blood flow through the chambers. Very good tissue contrast and resolution, no (ionizing) radiation exposure, but acquisition times are fairly long.

All of these are indirect methods though. If you want to see the real thing, you need to either cut someone open, or obtain some videos of someone being cut open. I'm sure there are sugical training videos that probably show some of what you're looking for, but I don't imagine they're the kind of thing that just anyone can get their hands on.
 

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