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Fluoroscopy is an imaging technique that uses X-rays to obtain real-time moving images of the interior of an object. In its primary application of medical imaging, a fluoroscope allows a physician to see the internal structure and function of a patient, so that the pumping action of the heart or the motion of swallowing, for example, can be watched. This is useful for both diagnosis and therapy and occurs in general radiology, interventional radiology, and image-guided surgery. In its simplest form, a fluoroscope consists of an X-ray source and a fluorescent screen, between which a patient is placed. However, since the 1950s most fluoroscopes have included X-ray image intensifiers and cameras as well, to improve the image's visibility and make it available on a remote display screen. For many decades fluoroscopy tended to produce live pictures that were not recorded, but since the 1960s, as technology improved, recording and playback became the norm. Fluoroscopy is similar to radiography and X-ray computed tomography (X-ray CT) in that it generates images using X-rays. The original difference was that radiography fixed still images on film whereas fluoroscopy provided live moving pictures that were not stored. However, today radiography, CT, and fluoroscopy are all digital imaging modes with image analysis software and data storage and retrieval. The use of X-rays, a form of ionizing radiation, requires the potential risks from a procedure to be carefully balanced with the benefits of the procedure to the patient. Because the patient must be exposed to a continuous source of x-rays instead of a momentary pulse, a fluoroscopy procedure generally subjects a patient to a higher absorbed dose of radiation than an ordinary (still) radiograph. Much research has been directed toward reducing radiation exposure, and recent advances in fluoroscopy technology such as digital image processing and flat panel detectors, have resulted in much lower radiation doses than former procedures. The type of fluoroscopy used in airport security (to check for hidden weapons or bombs) uses lower doses of radiation than medical fluoroscopy. It was formerly also used in retail stores in the form of shoe-fitting fluoroscopes, but such use was discontinued because it is no longer considered acceptable to use radiation exposure, however small the dose, for nonessential purposes. Only important applications such as health care, bodily safety, food safety, nondestructive testing, and scientific research meet the risk-benefit threshold for use. The reason for higher doses in medical applications is that they are more demanding about tissue contrast, and for the same reason they sometimes require contrast media. ==Mechanism of action== Visible light can be seen by the naked eye (and thus forms images that people can look at), but it does not penetrate most objects (only translucent ones). In contrast, X-rays can penetrate a wider variety of objects (such as the human body), but they are invisible to the naked eye. To take advantage of the penetration for image-forming purposes, one must somehow convert the X-ray's intensity variations (which correspond to material contrast and thus image contrast) into a form that is visible. Classic film-based radiography achieves this by the variable chemical changes that the X-rays induce in the film, and classic fluoroscopy achieves it by fluorescence, in which certain materials convert X-ray energy (or other parts of the spectrum) into visible light. This use of fluorescent materials to make a viewing scope is how fluoroscopy got its name. As the x-rays pass through the patient, they are attenuated by varying amounts as they pass through or reflect off the different tissues of the body, casting an X-ray shadow of the radiopaque tissues (such as bone tissue) on the fluorescent screen. Images on the screen are produced as the unattenuated or mildly attenuated X-rays from radiolucent tissues interact with atoms in the screen through the photoelectric effect, giving their energy to the electrons. While much of the energy given to the electrons is dissipated as heat, a fraction of it is given off as visible light. Early radiologists would adapt their eyes to view the dim fluoroscopic images by sitting in darkened rooms, or by wearing red adaptation goggles. After the development of X-ray image intensifiers, the images were bright enough to see without goggles under normal ambient light. Nowadays, in all forms of digital X-ray imaging (radiography, fluoroscopy, and CT) the conversion of X-ray energy into visible light can be achieved by the same types of electronic sensors, such as flat panel detectors, which convert the X-ray energy into electrical signals, small bursts of current that convey information that a computer can analyze, store, and output as images. As fluorescence is a special case of luminescence, digital X-ray imaging is conceptually similar to digital gamma ray imaging (scintigraphy, SPECT, and PET) in that in both of these imaging mode families, the information conveyed by the variable attenuation of invisible electromagnetic radiation as it passes through tissues with various radiodensities is converted by an electronic sensor into an electric signal that is processed by a computer and outputted as a visible-light image. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「fluoroscopy」の詳細全文を読む スポンサード リンク
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