Introduction to Applied Medical Science (AMS 110) مقدمة العلوم الطبية التطبيقية Part I: Introduction to Chemical Analyses Analytical chemistry deals with methods for the identification of one or more of the components in a sample of matter and the determination of the relative amounts of each. The identification process is called a qualitative analysis while the determination of amount is termed a quantitative analysis. Some Medical Applications of Quantitative Analysis: 1. Determination of the concentration of ionized calcium in blood serum is an important method for the diagnosis of hyperparathyroidism in human patients. 2. Determination of the blood sugar levels is very important for the diagnosis of diabetes. 3. Monitoring of the serum cholesterol level is very important to follow the coronary disease. 4. Determination of albumin, urea, creatinin and some elements such as copper, zinc, and iron is very important for the diagnosis of many diseases. 5. Quantitative data on nitrogen in breakfast cereals and other foods are directly related to their nutritional qualities. 6. Measuring the conduction of nerve signals in humans and the contraction or relaxation of muscles involves the transport of sodium and potassium ions across membranes. 7. Studies concerned with the mechanism by which oxygen and carbon dioxide are transported in blood have required methods for continually monitoring the concentration of these and other compounds within a living organism. 1 Performance of Quantitative Analysis: The results of a typical quantitative analysis are based upon two measurements: 1. The quantity of sample taken. 2. The quantity of analyte in that sample. The chemist who has need for analytical data usually finds himself faced with an array of methods which could be used to provide the desired information. His choice among these will be based on such considerations as speed, convenience, accuracy, availability of equipment, number of analyses, amount of sample that can be sacrificed, and concentration range of the analyte. Analytical chemistry is a sub discipline of chemistry that has the broad mission of understanding the chemical composition of all matter and developing the tools to elucidate such compositions. This differs from other sub disciplines of chemistry in that it is not intended to understand the physical basis for the observed chemistry as with physical chemistry and it is not intended to control or direct chemistry as is often the case in organic chemistry and it is not necessarily intended to provide engineering tactics as are often used in materials science. Analytical chemistry generally does not attempt to use chemistry or understand its basis; however, these are common outgrowths of analytical chemistry research. Analytical chemistry has significant overlap with other branches of chemistry, especially those that are focused on a certain broad class of chemicals, such as organic chemistry, inorganic chemistry or biochemistry, as opposed to a particular way of understanding chemistry, such as theoretical chemistry. For example the field of Bioanalytical chemistry is a growing area of analytical chemistry that addresses all analytical questions in biochemistry, (the chemistry of life). Analytical chemistry and experimental physical chemistry, however, have a unique relationship in that they are very unrelated in their mission but often share the most in common in the tools used in experiments. 2 Analytical chemistry is particularly concerned with the questions of "what chemicals are present, what are their characteristics and in what quantities are they present?" These questions are often involved in questions that are more dynamic such as what chemical reaction an enzyme catalyzes or how fast it does it, or even more dynamic such as what is the transition state of the reaction. Although analytical chemistry addresses these types of questions it stops after they are answered. The next logical steps of understanding what it means, how it fits into a larger system, how can this result be generalized into theory or how it can be used are not analytical chemistry. Since analytical chemistry is based on firm experimental evidence and limits itself to some fairly simple questions to the general public it is most closely associated with hard numbers such as how much lead is in drinking water. Modern analytical chemistry Modern analytical chemistry is dominated by instrumental analysis. Many analytical chemists focus on a single type of instrument. Academics tend to either focus on new applications and discoveries or on new methods of analysis. The discovery of a chemical present in blood that increases the risk of cancer would be a discovery that an analytical chemist might be involved in. An effort to develop a new method might involve the use of a tunable laser to increase the specificity and sensitivity of a spectrometric method. Many methods, once developed, are kept purposely static so that data can be compared over long periods of time. This is particularly true in industrial quality assurance (QA), forensic and environmental applications. Analytical chemistry plays an increasingly important role in the pharmaceutical industry where, aside from QA, it is used in discovery of new drug candidates and in clinical applications where understanding the interactions between the drug and the patient are critical. 3 Types of analytical chemistry: Traditionally, analytical chemistry has been split into two main types, qualitative and quantitative: Qualitative Qualitative inorganic analysis seeks to establish the presence of a given element or inorganic compound in a sample. Qualitative organic analysis seeks to establish the presence of a given functional group or organic compound in a sample. Quantitative Quantitative analysis seeks to establish the amount of a given element or compound in a sample. Approaches Most modern analytical chemistry is categorized by two different approaches such as analytical targets or analytical methods. Analytical Chemistry (journal) reviews two different approaches alternatively in the issue 12 of each year. By Analytical Targets Bioanalytical chemistry Material analysis Chemical analysis Environmental analysis Forensics By Analytical Methods Spectroscopy Mass Spectrometry Spectrophotometry and Colorimetry Chromatography and Electrophoresis Crystallography Microscopy Electrochemistry 4 Traditional analytical techniques Although modern analytical chemistry is dominated by sophisticated instrumentation, the roots of analytical chemistry and some of the principles used in modern instruments are from traditional techniques many of which are still used today. These techniques also tend to form the backbone of most undergraduate analytical chemistry educational labs. Examples include: Titration Titration involves the addition of a reactant to a solution being analyzed until some equivalence point is reached. Often the amount of material in the solution being analyzed may be determined. Most familiar to those who have taken college chemistry is the acid-base titration involving a color changing indicator. There are many other types of titrations, for example potentiometric titrations. These titrations may use different types of indicators to reach some equivalence point. Gravimetry Gravimetric analysis involves determining the amount of material present by weighing the sample before and/or after some transformation. A common example used in undergraduate education is the determination of the amount of water in a hydrate by heating the sample to remove the water such that the difference in weight is due to the water lost. Inorganic qualitative analysis Inorganic qualitative analysis generally refers to a systematic scheme to confirm the presence of certain, usually aqueous, ions or elements by performing a series of reactions that eliminate ranges of possibilities and then confirms suspected ions with a confirming test. Sometimes small carbon containing ions are included in such schemes. With modern instrumentation these tests are rarely used but can be useful for educational purposes and in field work or other situations where access to state-of-the-art instruments are not available or expedient. 5 Instrumental Analysis: Block diagram of an analytical instrument Spectroscopy Spectroscopy measures the interaction of the molecules with electromagnetic radiation. Spectroscopy consists of many different applications such as: Atomic Absorption Spectroscopy (AAS) Atomic Emission Spectroscopy (AES) Ultraviolet-visible Spectroscopy (UV/VIS) X-ray Fluorescence Spectroscopy Infrared Spectroscopy (IR) Raman Spectroscopy Nuclear Magnetic Resonance Spectroscopy (NMR) Photoemission Spectroscopy Mass Spectrometry (MS) Crystallography Crystallography is a technique that characterizes the chemical structure of materials at the atomic level by analyzing the diffraction patterns of usually xrays that have been deflected by atoms in the material. From the raw data the relative placement of atoms in space may be determined. 6 Electrochemical Analysis Electroanalytical methods measure the potential (volts) and/or current (amps) in an electrochemical cell containing the analyte. These methods can be categorized according to which aspects of the cell are controlled and which are measured. The three main categories are: Potentiometry (the difference in electrode potentials is measured) Coulometry (the cell's current is measured over time) Voltammetry (the cell's current is measured while actively altering the cell's potential). Chromatographic Analysis: Chromatographic analysis includes two different types according to the mobile phase; gas or liquid. Gas Chromatograph (GC) High Performance Liquid Chromatograph (HPLC) Electrophoresis Separation processes are used to decrease the complexity of material mixtures. Chromatography and electrophoresis are representative of this field. Hybrid Techniques: Combinations of the above techniques produce "hybrid" or "hyphenated" techniques. Several examples are in popular use today and new hybrid techniques are under development. Hyphenated separation techniques refer to a combination of two (or more) techniques to detect and separate chemicals from solutions. Most often the other technique is some form of chromatography. Hyphenated techniques are widely used in chemistry and biochemistry. A slash is sometimes used instead of hyphen, especially if the name of one of the methods contains a hyphen itself. 7 Examples of hyphenated techniques: GC-MS HPLC-MS GC-IR Lab-on-a-chip Devices that integrate (multiple) laboratory functions on a single chip of only millimeters to a few square centimeters in size and that are capable of handling extremely small fluid volumes down to less than pico liters. Standard Curve A standard method for analysis of concentration involves the creation of a calibration curve. This allows for determination of the amount of a chemical in a material by comparing the results of unknown sample to those of a series known standards. If the concentration of element or compound in a sample is too high for the detection range of the technique, it can simply be diluted in a pure solvent. If the amount in the sample is below an instrument's range of measurement, the method of addition can be used. In this method a known quantity of the element or compound under study is added, and the difference between the concentration added, and the concentration observed is the amount actually in the sample. Internal Standards Sometimes an internal standard is added at a known concentration directly to an analytical sample to aid in quantitation. The amount of analyte present is then determined relative to the internal standard as a calibrant. Trends Analytical chemistry research is largely driven by: Performance which includes: sensitivity, selectivity, linear range, accuracy, precision, and speed. Cost which includes: purchase, operation, training, time, and space. 8 Among the main branches of contemporary analytical atomic spectrometry, the most widespread and universal are optical and mass spectrometry. In the direct elemental analysis of solid samples, the new leaders are laser-induced breakdown and laser ablation mass spectrometry, and the related techniques with transfer of the laser ablation products into inductively coupled plasma. Advances in design of diode lasers and optical parametric oscillators promote developments in fluorescence and ionization spectrometry and also in absorption techniques where uses of optical cavities for increased effective absorption path length are expected to expand. Steady progress and growth in applications of plasma- and laserbased methods are noticeable. A lot of effort is put in shrinking the analysis techniques to chip size. Although there are few examples of such systems competitive with traditional analysis techniques, potential advantages include size/portability, speed, and cost. (micro Total Analysis System (µTAS) or (Lab-on-a-chip). Microscale chemistry reduces the amounts of chemicals used. Much effort is also put into analyzing biological systems. Examples of rapidly expanding fields in this area are: Genomics - DNA sequencing and its related research. Genetic fingerprinting and DNA microarray are very popular tools and research fields. Proteomics - the analysis of protein concentrations and modifications, especially in response to various stressors, at various developmental stages, or in various parts of the body. Metabolomics - similar to proteomics, but dealing with metabolites. Transcriptomics- mRNA and its associated field Lipidomics - lipids and its associated field Peptidomics - peptides and its associated field 9 Metalomics - similar to proteomics and metabolomics, but dealing with metal concentrations and especially with their binding to proteins and other molecules. Analytical chemistry has played critical roles in the understanding of basic science to a variety of practical applications such as: Biomedical applications Environmental monitoring Quality control of industrial manufacturing Forensic science The recent developments of computer automation and information technologies have innervated analytical chemistry to initiate a number of new biological fields. For example, automated DNA sequencing machines were the basis to complete human genome projects leading to the birth of genomics. Protein identification and peptide sequencing by mass spectrometry opened a new field of proteomics. Also, analytical chemistry has been an indispensable area in the development of nanotechnology. Surface characterization instruments, electron microscopes and scanning probe microscopes enables scientists to visualize atomic structures with chemical characterizations. Analytical chemistry is pursuing the development of practical applications and commercial instruments rather than elucidating scientific fundamentals. This may be an arguable difference from overlapping science areas such as physical chemistry and biophysics, although there isn't any distinct boundaries among disciplines in contemporary science and technology. However, this aspect may attract many engineers' interest; thus, it is not difficult to see papers from engineering departments in analytical chemistry journals. 10 Among active contemporary analytical chemistry research fields, micro total analysis system is considered as a great promise of revolutionary technology. In this approach, integrated and miniaturized analytical systems are being developed to control and analyze single cells and single molecules. This cutting-edge technology has a promising potential of leading a new revolution in science as integrated circuits did in computer developments. 11 SPECTROSCOPY Spectroscopy is the study of the interaction electromagnetic radiation (EMR) and matter. Electromagnetic radiation The Shape of wave motion 12 between radiation Spectrometry is the measurement of these interactions and a machine which performs such measurements is a spectrometer or spectrograph. A plot of the interaction is referred to as a spectrogram, or, informally, a spectrum. A spectrometer is an optical instrument used to measure properties of light over a specific portion of the electromagnetic spectrum, typically used in spectroscopic analysis to identify materials. The variable measured is most often the light's intensity. A spectrometer is used in spectroscopy for producing spectral lines and measuring their wavelengths and intensities. Spectrometer is a term that is applied to instruments that operate over a very wide range of wavelengths, from gamma rays and X-rays into the far infrared. Basic units for any spectrometer Instrument are: Energy source Monochromator Sample container Detector Recorder Tungsten lamp As a source of visiple light UV lamp as a source of ultraviolet light 13 Light filters Monochromators used in photometres used in spectrophotometers 14 Prism Grating Sample containers 15 Detector (vl) Photomultiplier tube (uv) Recorders 16 Single beam spectrophotometer Double beam spectrophotometer 17 Photometer S-D Curve 18 C-D curve Concentration (μg/ml) = Absorbance/specific extinction coefficient (K) 19 Ultraviolet-visible spectroscopy UV/VIS- Spectrophotometer UV/ VIS spectrometer involves the spectroscopy of photons in the UV-visible region. It uses light in the visible and adjacent near ultraviolet (UV) and near infrared (NIR) ranges. In this region of the electromagnetic spectrum, molecules undergo electronic transitions. This technique is complementary to fluorescence spectroscopy, in that fluorescence deals with transitions from the excited state to the ground state, while absorption measures transitions from the ground state to the excited state. 20 Applications UV/Vis spectroscopy is routinely used in the quantitative determination of solutions of transition metal ions and highly conjugated organic compounds. Solutions of transition metal ions can be coloured (i.e., absorb visible light) because d electrons within the metal atoms can be excited from one electronic state to another. The colour of metal ion solutions is strongly affected by the presence of other species, such as certain anions or ligands. For instance, the colour of a dilute solution of copper sulfate is a very light blue; adding ammonia intensifies the colour and changes the wavelength of maximum absorption (λmax). Organic compounds, especially those with a high degree of conjugation, also absorb light in the UV or visible regions of the electromagnetic spectrum. The solvents for these determinations are often water for water soluble compounds, or ethanol for organicsoluble compounds. (Organic solvents may have significant UV absorption; not all solvents are suitable for use in UV spectroscopy. Ethanol absorbs very weakly at most wavelengths.) Solvent polarity and pH can effect the absorption spectrum of an organic compound. Tyrosine, for example, increases in absorption maxima and molar extinction coefficient when pH increases from 6 to 13 or when solvent polarity decreases. While charge transfer complexes also give rise to colours, the colours are often too intense to be used for quantitative measurement. The absorbance of a solution is directly proportional to the solution's concentration. Thus UV/VIS spectroscopy can be used to determine the concentration of a solution. 21 UV spectrum It is necessary to know how quickly the absorbance changes with concentration. This can be taken from references (tables of molar extinction coefficients), or more accurately, determined from a calibration curve. 22 CHARACTERISTIC ABSORPTION BANDS FOR COMMON CHROMOPHORES. Chromophore Compound types Example Solvent Absorption Band max Alkene RCH=CHR Ethylene Vapor Alkyne R-CC-R 2-octyne Heptane Ketone R2 - C=O Acetone Hexane Aldehyde R-COH Carboxyl R-COOH Acetaldehy de acetic acid Amido Nitro R-C(O)-NH2 RNO2 vapor, hexane 95% ethanol Water methanol Nitrate R-ONO2 Nitroso R-N=O Nitrile Sulfoxide Sulfone Azo -CN -S=O O=S=O R-N=N-R Acetamide Nitrometha ne n-butyl nitrate Nitroso butane 95% ethanol ethyl ether alcohol Azomethan e 23 95% ethanol (m) max 165 193 195 223 189 270 180 290 208 15,000 10,000 2,100 160 900 15 10,000 17 32 220 201 63 5,000 270 17 300 665 < 160 210 <180 338 100 20 4 ATOMIC ABSORPTION SPECTROSCOPY Atomic absorption spectrometer 24 In analytical chemistry, atomic absorption spectroscopy is a technique for determining the concentration of a particular metal element in a sample. Atomic absorption spectroscopy can be used to analyze the concentration of over 62 different metals in a solution. Principles The technique makes use of absorption spectrometry to assess the concentration of an analyte in a sample. It relies therefore heavily on BeerLambert law. In short, the electrons of the atoms in the atomizer can be promoted to higher orbitals for an instant by absorbing a set quantity of energy (i.e. light of a given wavelength). This amount of energy (or wavelength) is specific to a particular electron transition in a particular element, and in general, each wavelength corresponds to only one element. This gives the technique its elemental selectivity. As the quantity of energy (the power) put into the flame is known, and the quantity remaining at the other side (at the detector) can be measured, it is possible, from Beer-Lambert law, to calculate how many of these transitions took place, and thus get a signal that is proportional to the concentration of the element being measured. Instrumentation In order to analyze a sample for its atomic constituents, it has to be atomized. The sample should then be illuminated by light. The light transmitted is finally measured by a detector. In order to reduce the effect of emission from the atomizer (e.g. the black body radiation) or the environment, a spectrometer is normally used between the atomizer and the detector. 25 Single beam AAS Double beam AAS 26 Types of Atomizer The technique typically makes use of a flame to atomize the sample, but other atomizers such as a graphite furnace or plasmas, primarily inductively coupled plasmas, are also used. When a flame is used, it arranged so that it is laterally long (usually 10 cm) and not deep. The height of the flame above the burner head can be controlled by adjusting the flow of the fuel mixture. A beam of light passes through this flame at its longest axis (the lateral axis) and hits a detector. Mixing of feul and oxidizing agent 27 Analysis of liquids A liquid sample is normally turned into an atomic gas in three steps: 1. Desolvation – the liquid solvent is evaporated, and the dry sample remains 2. Vaporization – the solid sample vaporises to a gas 3. Atomization – the compounds making up the sample are broken into free atoms. Light Sources The light source chosen has a spectral width narrower than that of the atomic transitions. Hollow cathode lamps In its conventional mode of operation, the light is produced by a hollow cathode lamp. Inside the lamp is a cylindrical metal cathode containing the metal for excitation, and an anode. When a high voltage is applied across the anode and cathode, the metal atoms in the cathode are excited into producing light with a specific wavelength. The type of hollow cathode tube depends on the metal being analyzed. For analyzing the concentration of copper in an ore, a copper cathode tube would be used, and likewise for any other metal being analyzed. Hollow Cathode lamp 28 X-RAY SPECTROMETER X-radiation (composed of X-rays) is a form of electromagnetic radiation. Xrays have a wavelength in the range of 10 to 0.01 nanometers. They are longer than gamma rays but shorter than UV rays. In many languages, Xradiation is called Röntgen radiation after one of its first investigators, Wilhelm Conrad Röntgen. X-rays are primarily used for diagnostic radiography and crystallography. As a result, the term "X-ray" is metonymically used to refer to a radiographic image produced using this method, in addition to the method itself. X-rays are a form of ionizing radiation and as such can be dangerous. X-rays span 3 decades in wavelength, frequency and energy. From about 0.12 to 12 keV they are classified as soft x-rays, and from about 12 to 120 keV as hard X-rays, due to their penetrating abilities. 29 Medical uses: 30 Since Röntgen's discovery that X-rays can identify bony structures, X-rays have been developed for their use in medical imaging. Radiology is a specialized field of medicine. Radiographers employ radiography and other techniques for diagnostic imaging. This is probably the most common use of X-ray technology. X-rays are especially useful in the detection of pathology of the skeletal system, but are also useful for detecting some disease processes in soft tissue. Some notable examples are the very common chest X-ray, which can be used to identify lung diseases such as pneumonia, lung cancer or pulmonary edema, and the abdominal X-ray, which can detect ileus (blockage of the intestine), free air (from visceral perforations) and free fluid (in ascites). In some cases, the use of X-rays is debatable, such as gallstones (which are rarely radiopaque) or kidney stones (which are often visible, but not always). Also, traditional plain X-rays pose very little use in the imaging of soft tissues such as the brain or muscle. Imaging alternatives for soft tissues are computed axial tomography (CAT or CT scanning), magnetic resonance imaging (MRI) or ultrasound. Since 2005, X-rays are listed as a carcinogen by the U.S. government. Radiotherapy, a curative medical intervention, now used almost exclusively for cancer, employs higher energies of radiation. The efficiency of X-ray tubes is less than 2%. Most of the energy is used to heat up the anode. 31 NMR SPECTROSCOPY 900MHz NMR instrument Nuclear magnetic resonance spectroscopy, most commonly known as NMR spectroscopy, is the name given to a technique which exploits the magnetic properties of certain nuclei. This phenomenon and its origins are detailed in a separate section on nuclear magnetic resonance. The most important applications for the organic chemist are proton NMR and carbon-13 NMR spectroscopy. In principle, NMR is applicable to any nucleus possessing spin. Many types of information can be obtained from an NMR spectrum. Much like using infrared spectroscopy to identify functional groups, analysis of a 1D NMR spectrum provides information on the number and type of chemical 32 entities in a molecule. However, NMR provides much more information than IR. The impact of NMR spectroscopy on the natural sciences has been substantial. It can, among other things, be used to study mixtures of analytes, to understand dynamic effects such as change in temperature and reaction mechanisms, and is an invaluable tool in understanding protein and nucleic acid structure and function. It can be applied to a wide variety of samples, both in the solution and the solid state. Basic NMR techniques The NMR sample is prepared in a thin-walled glass tube - an NMR tube. When placed in a magnetic field, NMR active nuclei (such as 1H or 13C) absorb at a frequency characteristic of the isotope. The resonant frequency, energy of the absorption and the intensity of the signal are proportional to the strength of the magnetic field. For example, in a 21 tesla magnetic field, protons resonate at 900 MHz. It is common to refer to a 21 T magnet as a 900 MHz magnet, although different nuclei resonate at a different frequency at this field strength. 33 In the Earth's magnetic field the same nuclei resonate at audio frequencies. This effect is used in Earth's field NMR spectrometers and other instruments. Because these instruments are portable and inexpensive, they are often used for teaching and field work. Chemical shift Depending on the local chemical environment, different protons in a molecule resonate at slightly different frequencies. Since both this frequency shift and the fundamental resonant frequency are directly proportional to the strength of the magnetic field, the shift is converted into a field-independent dimensionless value known as the chemical shift. The chemical shift is reported as a relative measure from some reference resonance frequency. (For the nuclei 1H, 13C, and 29Si, TMS (tetramethylsilane) is commonly used as a reference.) This difference between the frequency of the signal and the frequency of the reference is divided by frequency of the reference signal to give the chemical shift. The frequency shifts are extremely small in comparison to the fundamental NMR frequency. A typical frequency shift might be 100 Hz, compared to a fundamental NMR frequency of 100 MHz, so the chemical shift is generally expressed in parts per million (ppm). By understanding different chemical environments, the chemical shift can be used to obtain some structural information about the molecule in a sample. The conversion of the raw data to this information is called assigning the spectrum. For example, for the 1H-NMR spectrum for ethanol (CH3CH2OH), one would expect three specific signals at three specific chemical shifts: one for the CH3 group, one for the CH2 group and one for the OH group. A typical CH3 group has a shift around 1 ppm, a CH2 attached to an OH has a shift of around 4 ppm and an OH has a shift around 2–3 ppm depending on the solvent used. Because of molecular motion at room temperature, the three methyl protons average out during the course of the NMR experiment (which typically 34 requires a few ms). These protons become degenerate and form a peak at the same chemical shift. The shape and size of peaks are indicators of chemical structure too. In the example above—the proton spectrum of ethanol—the CH3 peak would be three times as large as the OH. Similarly the CH2 peak would be twice the size of the OH peak but only 2/3 the size of the CH3 peak. Modern analysis software allows analysis of the size of peaks to understand how many protons give rise to the peak. This is known as integration—a mathematical process which calculates the area under a graph (essentially what a spectrum is). The analyst must integrate the peak and not measure its height because the peaks also have width—and thus its size is dependent on its area not its height. However, it should be mentioned that the number of protons, or any other observed nucleus, is only proportional to the intensity, or the integral, of the NMR signal, in the very simplest one-dimensional NMR experiments. In more elaborate experiments, for instance, experiments typically used to obtain carbon-13 NMR spectra, the integral of the signals depends on the relaxation rate of the nucleus, and its scalar and dipolar coupling constants. Very often these factors are poorly understood therefore, the integral of the NMR signal is very difficult to interpret in more complicated NMR experiments. 35 MAGNETIC RESONANCE IMAGING (MRI) Magnetic resonance imaging (MRI), or Nuclear magnetic resonance imaging (NMRI), is primarily a medical imaging technique most commonly used in radiology to visualize the structure and function of the body. It provides detailed images of the body in any plane. MRI provides much greater contrast between the different soft tissues of the body than computed tomography (CT) does, making it especially useful in neurological (brain), musculoskeletal, cardiovascular, and oncological (cancer) imaging. Unlike CT, it uses no ionizing radiation, but uses a powerful magnetic field to align the nuclear magnetization of (usually) hydrogen atoms in water in the body. Radiofrequency fields are used to systematically alter the alignment of this magnetization, causing the hydrogen nuclei to produce a rotating magnetic field detectable by the scanner. This signal can be manipulated by additional magnetic fields to build up enough information to construct an image of the body. MRI is a relatively new technology, which has been in use for little more than 30 years (compared with over 110 years for X-ray radiography). Magnetic resonance imaging was developed from knowledge gained in the study of nuclear magnetic resonance. In its early years the technique was referred to as nuclear magnetic resonance imaging (NMRI). However, as the word nuclear was associated in the public mind with ionizing radiation exposure it is generally now referred to simply as MRI. Scientists still use the term NMRI when discussing non-medical devices operating on the same principles. The term Magnetic Resonance Tomography (MRT) is also sometimes used. 36 How MRI works Brief lay explanation of MRI physics When a person lies in a scanner, the hydrogen nuclei (i.e., protons) found in abundance in the human body in water molecules, align with the strong main magnetic field. A second electromagnetic field (which oscillates at radiofrequencies and is perpendicular to the main field) is pulsed to push a proportion of the protons out of alignment with the main field. These protons then drift back into alignment with the main field, emitting a detectable radiofrequency signal as they do so. Since protons in different tissues of the body (e.g., fat vs. muscle) realign at different speeds, the different structures of the body can be revealed. Contrast agents may be injected intravenously to enhance the appearance of blood vessels, tumors or inflammation. Contrast agents may also be directly injected into a joint, in the case of arthrograms, MR images of joints. Unlike CT scanning MRI uses no Ionizing Radiation and is generally a very safe procedure. Patients with some metal implants and cardiac pacemakers are prevented from having an MRI scan due to effects of the strong magnetic field and powerful radiofrequency pulses. MRI is used to image every part of the body, but is particularly useful in neurological conditions, disorders of the muscles and joints, for evaluating tumors and showing abnormalities in the heart and blood vessels 37 38 39 Sagittal MR image of the knee Para-sagittal MRI of the head 40 41 GENERAL QUESTIONS Choose the best answer of the following: The identification process is termed: 1. Qualitative analysis 2. Quantitative analysis 3. Spectrometric analysis The determination of amount is termed: 1. Qualitative analysis 2. Quantitative analysis 3. Photometric analysis The performance of quantitative Analysis is based upon: 1. The quantity of sample taken. 2. The quantity of analyte in that sample only . 3. Both of them. The modern analytical chemistry is dominated by: 1. Instrumental analysis. 2. Volumetric analysis. 3. Gravimetric analysis. The study of the interaction between radiation electromagnetic radiation (EMR) and matter is called: 1. Spectroscopy. 2. Spectrometer. 3. Spectrum. The machine used to measure the interaction electromagnetic radiation and matter is called: 1. Spectroscopy. 2. Spectrometer. 3. Spectrum. Imaging alternatives for soft tissues are: 1. Computed axial tomography (CAT or CT scanning) 2. Magnetic resonance imaging (MRI) 3. Ultrasound. 4. all 42 between MRI provides detailed images of the body in 1. vertical position 2. horizontal position 3. any plane MRI is very useful in 1. neurological (brain) imaging. 2. cardiovascular imaging 3. oncological (cancer) imaging. 4. All answers are correct. The plotting of the interaction between electromagnetic radiation and matter is called: 1. Spectroscopy. 2. Spectrometer. 3. Spectrum. Complete the following statements: 1. Basic units for any spectrometer Instrument are ………………………………. , …………………………………………………, ………………………….…………………, …………………………………………, and …………………………………………… 2. S-D curve shows the relationship between …………………. and …………… 3. ……………………. curve shows the relationship between absorbance and concentrations. 4. Tungsten lamp is a source of ……………. While ……. ……… is a source of ultraviolet light. 5. Light filters used in ………………… instrument while ……………………… used in spectrophotometers. 6. UV/Vis spectroscopy is used in the quantitative determination of ………………………………….and ……………………….. 43 7. Atomic absorption spectroscopy is a technique for determining the concentration of ………………………………………... 8. ……………………………. are primarily used for diagnostic radiography and crystallography. 9. X-rays are a form of ……………………. radiation and as such can be ……………………….. 10. X-rays are classified as …………………………………………. and ………………………………. due to their penetrating abilities. 11. X-rays are especially useful in the detection of pathology of the skeletal system, but are also useful for detecting some disease processes in soft tissue such as ……………………………………………………… 12. Magnetic resonance imaging (MRI) is primarily a medical imaging technique used in radiology to visualize the ………………. and ………….. of the body. 13. MRI uses no ionizing radiation, but uses a powerful magnetic field to align the nuclear magnetization of (usually) ………….. atoms in water in the body. 14. MRI provides much greater contrast between the different soft tissues of the body than …………………….. does. 15. ……………………may be injected intravenously to enhance the appearance of blood vessels, tumors or inflammation. 44 Select the correct name for each item: Hollow cathode lamp UV lamp Tungesten lamp Filters Grating Prism detector used in visible light Single beam spectrometer Sample containers UV/VL Spectrometer MRI machine X-ray image NMR Photomultiplier tube Atomic Absorption Spectrometer magnetic resonance image 45 Double beam spectrometer X-ray Spectrometer Single beam AAS x-ray source 46 47