Contrast
Contrast is a term used in medical imaging to describe the difference in color and brightness between different parts of an image. It is a crucial factor in the quality of medical images, as it allows for the differentiation of different tissues and structures within the body.
Types of Contrast
There are two main types of contrast used in medical imaging: positive and negative.
Positive contrast is when the area of interest is brighter than the surrounding tissue. This is often used in X-ray imaging, where the contrast agent absorbs more X-rays and appears white on the image.
Negative contrast is when the area of interest is darker than the surrounding tissue. This is often used in MRI imaging, where the contrast agent reduces the signal and appears dark on the image.
Contrast Agents
Contrast agents are substances used to increase the contrast of structures or fluids within the body in medical imaging. They can be classified by the imaging modalities where they are used, such as X-ray/CT contrast agents, MRI contrast agents, and ultrasound contrast agents.
X-ray/CT Contrast Agents
X-ray/CT contrast agents are usually iodine-based or barium-based. These agents are used to enhance the image of blood vessels, the gastrointestinal tract, and other structures.
MRI Contrast Agents
MRI contrast agents are usually based on the element gadolinium. These agents are used to enhance the image of blood vessels, tumors, and areas of inflammation.
Ultrasound Contrast Agents
Ultrasound contrast agents are gas-filled microbubbles that are injected into the bloodstream. These agents are used to enhance the image of blood flow and to detect areas of inflammation or tumors.
Risks and Side Effects
While contrast agents are generally safe, they can cause side effects in some people. These can range from mild reactions like nausea and itching to more serious reactions like difficulty breathing and low blood pressure. In rare cases, contrast agents can cause kidney damage, especially in people with pre-existing kidney disease.
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Contributors: Prab R. Tumpati, MD