Artificial Intelligence in Radiology – A new dimension in imaging technology

Dr. S.T. Sathya Meonah

Coupling Artificial Intelligence and Fluoroscopy – The Future of Imaging Technology

Life has been made much simpler after the advent of AI and automation. The astounding new-age technologies like remote sensors, robotics, 3D printing, and Big data Analytics have also crept into today’s healthcare technology to make life easier. I have always been fascinated with AI’s mind-blowing healthcare modalities which have translated the quality of healthcare to its highest pinnacle in history. Some AI-assisted modern-day modalities are more patient-friendly with a high degree of precision and efficiency.

The utilization of fluoroscopy has disseminated to diverse medical specialties other than radiology including interventional cardiology, vascular surgery, and gastroenterology.

In this article, I drop my two cents on some recent AI-assisted fluoroscopic systems in diagnosing diverse disease conditions.

The Future of AI based Imaging System in Cardiology

Artificial Intelligence in cardio imaging technology

Present-day cardiac resynchronization therapy (CRT) deploys an X-ray fluoroscopy system which involves a multimodality approach using ultrasound parametric imaging, 3-D geometric fluoroscopy, and coronary venogram for lead implantation in the left ventricle. This multimodal approach assists physicians to have a wide spectral assessment on the plaque buildup in the myocardial tissues and specific activation patterns in the left ventricle before choosing the spot for lead positioning.

AI-Induced Interventional Endoscopy

The functionality of fluoroscopy is perhaps most crucial for endoscopic retrograde cholangiopancreatography, which is used to treat bile duct calculi, chronic hepatitis and bile infections. The system includes a duodenoscope followed by a catheter, which injects the contrast to perform the cholangiogram. Fluoroscopy-assisted stents have become the new normal when treating oesophageal, gastric, duodenal, and enteric malignancies. The system also is widely used in corrective surgeries for complications such as stent displacement and perforation. Other diverse treatment interventions including biopsies, balloon sweeps, and stent placement in bile duct and pancreas for calculi removal, warrant the assistance of AI-induced fluoroscopy.

AI based Solution for reducing radiations

Medical technology has seen vibrant changes during the last two decades with increasing diagnostic procedures and eventually high radiation exposure. GE’s imaging technology-based interventional fluoroscopy system offers high imaging quality with very low radiation hazards at the rate of 22-75% minimal radiation compared to other panel detectors. Other salient features like X-ray tunneling systems, Automatic Exposure control technology, Linear Dose Reduction Strategies upsurge the Detective Quantum Efficiency (DQE) rate enabling better quality images with lower body absorption rate.

 Artificial Intelligence in Reducing radiations
Reducing Radiations using AI

To greatly reduce the hazards of radiations, DQE, the index criterion for detector performance dictates the use of high-grade collimators, flat-panel detectors and AI induced high image processing platforms to produce a full field of view (FOV) images on multiple frames. The novel automated control system regulates the radiation with copper spectral beam filters of different width capacities to effectively reduce dose radiation. The dose reduction software assists manual adjustment of a dose at the clinician’s convenience by the click of a button.

Coupling AI and Radiological fluoroscopy to increase Patient and Physician safety

  AI-based modalities that increase safety and minimize radiations.       

Table 1: Dose Management AI technologies to reduce excess dosing

AI-based Patient-Physician safety Systems Features
Dose mapCalculates the distribution of local radiation exposures performed on the angiographic system
InnovaSenseOptimize the best position for patient to minimize radiation exposure
Virtual collimation Visualize blade position to reduce radiation exposure
Dose Watch Analyze radiation levels
Dose Reports Give periodic dose report
RaySafe Calculate radiation exposure in real-time for medical staff

Single – and Dual-Plane Imaging Systems

Single- and dual-plane fluoroscopy has been successful in precisely measuring the tibia, talus, and calcaneus of the ankle and to study the axial rotation of the subtalar joints. Dual-plane fluoroscopy performs clinically significant reconstruction of three-dimensional (3D) locales of bone structures and carefully analyzes the quasi-static motion of the joints. The unique combination of high-speed dual-plane fluoroscopy and treadmill helps in assessing ankle kinematics in vivo, during motion. Flat-panel X-ray detectors include an X-ray scintillator and photodiode and have been preferred to the image intensifier/TV, and are immensely beneficial for invasive procedures in pediatric patients. The novel flat-panel detectors exhibit low geometric distortion, high-resolution images, and excellent ergonomics, in accordance with principles of ALARA (As Low As Reasonably Achievable).

Table 2: AI assisted fluoroscopy techniques in gastroenterology

Disease Condition AI assisted fluoroscopy technique
Gastric outlet obstruction Gastroduodenal stent
Peritoneal carcinomatosis Stricture removal
Bowel obstruction Colonic stent
Acute colonic obstruction Endoscopic stent
Benign strictures Balloon dilation
Chronic fistula Over the scope clips, through the scope clips and suture.


AI has integrated into life itself. The influence of AI and Automation has crept into man’s technological and scientific endeavors. More upgrades with AI and Big Data are in the pipeline as necessity urges the spirit of innovation.

36 thoughts on “Artificial Intelligence in Radiology – A new dimension in imaging technology”

  1. I am happy and feel lucky to stumble on this blog. This blog has thrown more light on the recent advancements in the AI field. The info provided is novel and serves a fantabulous recipe of the technology. I long to see more from this blog.

  2. I am very thankful for your efforts put on this article.
    This article is updated extremely informative and translucent.
    Can I expect you will post this type of another article
    inthe nearr future?
    King regards,
    Boswell Griffin

  3. Hey There. I discovered your blog the usage of msn. This is
    a very neatly written article. I will be sure to bookmark it and come back
    to learn more of your useful info. Thanks for the post.
    I will definitely return.

  4. Can I just say what a relief to discover an individual
    who actually understands what they are discussing on the net.

    You actually understand how to bring a problem to light and
    make it important. More people should look at this and understand this side of
    the story. It’s surprising you are not more popular since
    you surely have the gift.

  5. I do trust all of the ideas you have presented to your post.
    They are really convincing and can definitely work.
    Nonetheless, the posts are too short for beginners.
    May you please prolong them a little from subsequent time?
    Thanks for the post.

  6. Does your site have a contact page? I’m having a tough time locating it but, I’d like to shoot
    you an e-mail. I’ve got some suggestions for your blog you might be
    interested in hearing. Either way, great site and I look forward to seeing
    it expand over time.

  7. With havin so much content and articles do you ever run into any issues
    of plagorism or copyright infringement? My blog has a lot of
    completely unique content I’ve either written myself or outsourced but it
    appears a lot of it is popping it up all over
    the internet without my authorization. Do you know any solutions to help reduce content from being stolen? I’d definitely appreciate it.

    1. Sometimes those embarrasments occur. I keep track of where it occurs and then report immediately or take suitable measures like blocking the content by intimating it to the respective authorities.
      Also do not check plagiarism in unauthorized websites.

Leave a Comment

Your email address will not be published. Required fields are marked *