Podcast
Questions and Answers
Which carrier is considered the sturdiest for data transmission?
Which carrier is considered the sturdiest for data transmission?
- Satellite Wireless
- Coaxial cables (correct)
- Fiber optics
- Twisted pair wires
What is the bandwidth range for twisted pair wires in a hospital's Intranet network?
What is the bandwidth range for twisted pair wires in a hospital's Intranet network?
- 1 to 5 Gbps
- 100 to 1000 Mbps
- 1 to 10 Mbps
- 10 to 100 Mbps (correct)
What is the primary function of a Network Interface Card (NIC)?
What is the primary function of a Network Interface Card (NIC)?
- To store program data permanently
- To supply electricity to the system
- To connect the PC to other computers in a network (correct)
- To manage input and output devices
What are the transmission capabilities of fiber optics?
What are the transmission capabilities of fiber optics?
Which of the following is a characteristic of a Hard Disk Drive (HDD)?
Which of the following is a characteristic of a Hard Disk Drive (HDD)?
Which of the following is NOT a characteristic of wireless connections?
Which of the following is NOT a characteristic of wireless connections?
Which storage technology is typically used in modern PACS systems for image storage?
Which storage technology is typically used in modern PACS systems for image storage?
What is the primary function of a computer router in a network?
What is the primary function of a computer router in a network?
What essential service does a server provide in a computer network?
What essential service does a server provide in a computer network?
What distinguishes a thin client from a regular PC?
What distinguishes a thin client from a regular PC?
What is a significant disadvantage of a star topology PACS system?
What is a significant disadvantage of a star topology PACS system?
How does a web-based PACS system primarily differ from traditional client-based PACS systems?
How does a web-based PACS system primarily differ from traditional client-based PACS systems?
What is a key component of network security in PACS systems?
What is a key component of network security in PACS systems?
Which of the following accurately defines telemedicine?
Which of the following accurately defines telemedicine?
What is a benefit of remote monitoring in telehealth?
What is a benefit of remote monitoring in telehealth?
What is a thick client computer workstation capable of in radiology?
What is a thick client computer workstation capable of in radiology?
Which of the following best describes the TCP/IP protocol?
Which of the following best describes the TCP/IP protocol?
Which statement accurately characterizes the OSI model?
Which statement accurately characterizes the OSI model?
What distinguishes an IP address from a MAC address?
What distinguishes an IP address from a MAC address?
What does a gateway do in a network?
What does a gateway do in a network?
What is one of the primary functions of the Hospital Information System (HIS)?
What is one of the primary functions of the Hospital Information System (HIS)?
What is a key benefit of using an Electronic Medical Record (EMR) in a hospital?
What is a key benefit of using an Electronic Medical Record (EMR) in a hospital?
What do the standards of Health Level 7 (HL7) primarily focus on?
What do the standards of Health Level 7 (HL7) primarily focus on?
How does the Dossier Santé Quebec (DSQ) improve health care in Quebec?
How does the Dossier Santé Quebec (DSQ) improve health care in Quebec?
What advantage does the Hospital Information System (HIS) provide concerning drug usage?
What advantage does the Hospital Information System (HIS) provide concerning drug usage?
What is the primary function of the Radiology Information System (RIS)?
What is the primary function of the Radiology Information System (RIS)?
Which system does not manage or store images but focuses on radiology data?
Which system does not manage or store images but focuses on radiology data?
What feature of a PACS ensures that all patient images can be recovered in case of a failure?
What feature of a PACS ensures that all patient images can be recovered in case of a failure?
What communication standard is primarily used between the HIS and the RIS?
What communication standard is primarily used between the HIS and the RIS?
Which of the following accurately describes the role of DICOM in medical imaging?
Which of the following accurately describes the role of DICOM in medical imaging?
What is a primary advantage of using a client/server-based PACS system?
What is a primary advantage of using a client/server-based PACS system?
What is a significant disadvantage of a web-based PACS system?
What is a significant disadvantage of a web-based PACS system?
Which of the following is considered a disadvantage of a client/server-based PACS system?
Which of the following is considered a disadvantage of a client/server-based PACS system?
What storage technology are hospitals increasingly using for long-term archival of medical images?
What storage technology are hospitals increasingly using for long-term archival of medical images?
What is a limitation of using JPEG format in a web-based PACS system?
What is a limitation of using JPEG format in a web-based PACS system?
What does the Cross Document Sharing Mediator (XDS-M) server facilitate in the DSQ system?
What does the Cross Document Sharing Mediator (XDS-M) server facilitate in the DSQ system?
How does the RID contribute to radiology services within the DSQ system?
How does the RID contribute to radiology services within the DSQ system?
What is a notable benefit of utilizing the DI-r or RID according to the information provided?
What is a notable benefit of utilizing the DI-r or RID according to the information provided?
What triggers the request for previous exams when a radiology examination is scheduled?
What triggers the request for previous exams when a radiology examination is scheduled?
What impact does the DSQ system have on emergency cases according to the benefits listed?
What impact does the DSQ system have on emergency cases according to the benefits listed?
What effect does increasing the atomic number (Z) of an object have on x-ray transmission?
What effect does increasing the atomic number (Z) of an object have on x-ray transmission?
What characterizes a radiolucent object in the context of x-ray imaging?
What characterizes a radiolucent object in the context of x-ray imaging?
What is the primary factor that controls the contrast of an x-ray image?
What is the primary factor that controls the contrast of an x-ray image?
How does tissue density impact the attenuation of x-rays?
How does tissue density impact the attenuation of x-rays?
How does increasing the thickness of an object affect x-ray absorption?
How does increasing the thickness of an object affect x-ray absorption?
What is one of the factors that influences whether x-ray photons are absorbed or transmitted?
What is one of the factors that influences whether x-ray photons are absorbed or transmitted?
Which of the following statements is true about the wavelength of x-rays?
Which of the following statements is true about the wavelength of x-rays?
What is the purpose of contrast media like iodine and barium in imaging?
What is the purpose of contrast media like iodine and barium in imaging?
Which of the following types of tissue generally has the highest attenuation of x-rays?
Which of the following types of tissue generally has the highest attenuation of x-rays?
What occurs to an x-ray beam as it travels through matter?
What occurs to an x-ray beam as it travels through matter?
In the Compton Effect, what energy must the incident photon primarily exceed?
In the Compton Effect, what energy must the incident photon primarily exceed?
What is the total energy equation for an incident x-ray photon in a Compton scattering event?
What is the total energy equation for an incident x-ray photon in a Compton scattering event?
What is the relationship between the atomic number (Z) and the probability of photon interaction in the photoelectric effect?
What is the relationship between the atomic number (Z) and the probability of photon interaction in the photoelectric effect?
What type of tissue does the photoelectric effect occur mainly in?
What type of tissue does the photoelectric effect occur mainly in?
How much more likely is it for x-rays to interact with bone compared to soft tissue based on the given atomic numbers?
How much more likely is it for x-rays to interact with bone compared to soft tissue based on the given atomic numbers?
What is the primary outcome when a photon is completely absorbed by an electron in the photoelectric effect?
What is the primary outcome when a photon is completely absorbed by an electron in the photoelectric effect?
How does an increase in Source-to-Image Distance (SID) affect the required milliampere-seconds (mAs) to maintain exposure?
How does an increase in Source-to-Image Distance (SID) affect the required milliampere-seconds (mAs) to maintain exposure?
If the new distance (DN) is one half of the original distance (DO), by what factor must mAs be adjusted?
If the new distance (DN) is one half of the original distance (DO), by what factor must mAs be adjusted?
What value of mAs would be used if the original (mAsO) was 100 mAs at a SID of 40 inches and the new SID is found to be 60 inches with the same mAs?
What value of mAs would be used if the original (mAsO) was 100 mAs at a SID of 40 inches and the new SID is found to be 60 inches with the same mAs?
For a portable X-ray taken at 50 mAs and 60 inches SID, what should the mAs be if the SID is increased by a factor of 1.3?
For a portable X-ray taken at 50 mAs and 60 inches SID, what should the mAs be if the SID is increased by a factor of 1.3?
If the initial SID was 72 inches and the new SID is 40 inches, how does the mAs change using the mAs-related formula?
If the initial SID was 72 inches and the new SID is 40 inches, how does the mAs change using the mAs-related formula?
What effect does Source to Image Distance (SID) have on exposure in radiographic imaging?
What effect does Source to Image Distance (SID) have on exposure in radiographic imaging?
How does the Inverse Square Law influence the intensity of radiation exposure as distance increases?
How does the Inverse Square Law influence the intensity of radiation exposure as distance increases?
Which variable is primarily affected when adjusting the kVp in radiographic techniques?
Which variable is primarily affected when adjusting the kVp in radiographic techniques?
What is the outcome of increasing the distance from the radiation source in terms of exposure rate?
What is the outcome of increasing the distance from the radiation source in terms of exposure rate?
Given a skin dose of 5 Rads/minute at 100 cm, what would be the effect on skin dose when the distance is changed to 150 cm?
Given a skin dose of 5 Rads/minute at 100 cm, what would be the effect on skin dose when the distance is changed to 150 cm?
What is the consequence of increasing kVp by 15% in mid-range kVp settings?
What is the consequence of increasing kVp by 15% in mid-range kVp settings?
Which factor does NOT influence the choice of SID in practice?
Which factor does NOT influence the choice of SID in practice?
If the mAs is halved from 20 mAs to 10 mAs, what kVp adjustment would be necessary to maintain exposure?
If the mAs is halved from 20 mAs to 10 mAs, what kVp adjustment would be necessary to maintain exposure?
What directly affects the energy of the x-ray beam and hence exposure?
What directly affects the energy of the x-ray beam and hence exposure?
When adjusting from 40 mAs to 80 mAs, what kVp adjustment must be made to maintain the exposure?
When adjusting from 40 mAs to 80 mAs, what kVp adjustment must be made to maintain the exposure?
What is the relationship between mAs and radiation exposure?
What is the relationship between mAs and radiation exposure?
Which of the following factors does NOT influence radiation exposure?
Which of the following factors does NOT influence radiation exposure?
How does increasing the kVp affect the exposure in radiology?
How does increasing the kVp affect the exposure in radiology?
What is the purpose of using grids in radiology?
What is the purpose of using grids in radiology?
What effect does the Anode Heel Effect have on exposure?
What effect does the Anode Heel Effect have on exposure?
What happens to the primary beam to scatter ratio in the exit beam when kVp is increased?
What happens to the primary beam to scatter ratio in the exit beam when kVp is increased?
What is the impact of increased filtration on the average beam energy?
What is the impact of increased filtration on the average beam energy?
How does contrast media generally affect scatter (SC) in imaging?
How does contrast media generally affect scatter (SC) in imaging?
What is the effective atomic number (Zeff) of barium?
What is the effective atomic number (Zeff) of barium?
Which of the following factors does NOT affect the scatter created by contrast media?
Which of the following factors does NOT affect the scatter created by contrast media?
What is the primary relationship between Image Contrast (IC) and Subject Contrast (SC)?
What is the primary relationship between Image Contrast (IC) and Subject Contrast (SC)?
Which factor is essential for generating Image Contrast (IC)?
Which factor is essential for generating Image Contrast (IC)?
What effect does increasing the kilovolt peak (kVp) have on Subject Contrast (SC)?
What effect does increasing the kilovolt peak (kVp) have on Subject Contrast (SC)?
What is a primary requirement for achieving optimal diagnostic value in imaging?
What is a primary requirement for achieving optimal diagnostic value in imaging?
Which of the following best defines Contrast Resolution?
Which of the following best defines Contrast Resolution?
How can the amount of scatter in the remnant beam increase?
How can the amount of scatter in the remnant beam increase?
Which method can effectively reduce scatter reaching the image receptor (IR)?
Which method can effectively reduce scatter reaching the image receptor (IR)?
What does a contrast improvement factor (K) of 1 indicate?
What does a contrast improvement factor (K) of 1 indicate?
Which of the following factors can reduce the scatter formation during imaging?
Which of the following factors can reduce the scatter formation during imaging?
What effect does increasing the kVp have on scatter radiation?
What effect does increasing the kVp have on scatter radiation?
Which factor leads to an increase in subject contrast (SC) according to the information provided?
Which factor leads to an increase in subject contrast (SC) according to the information provided?
How does the tissue density of an object affect the subject contrast (SC)?
How does the tissue density of an object affect the subject contrast (SC)?
What is indicated if SC1 is greater than SC2 in the context of tissue types?
What is indicated if SC1 is greater than SC2 in the context of tissue types?
In comparing soft tissues, which arrangement shows a higher subject contrast with specific tissue densities?
In comparing soft tissues, which arrangement shows a higher subject contrast with specific tissue densities?
Which scenario would likely decrease the subject contrast (SC) when evaluating different tissues?
Which scenario would likely decrease the subject contrast (SC) when evaluating different tissues?
What causes magnification in radiographic imaging?
What causes magnification in radiographic imaging?
Which factor is least likely to affect shape distortion in imaging?
Which factor is least likely to affect shape distortion in imaging?
What is the result of an increase in object-to-image distance (OID)?
What is the result of an increase in object-to-image distance (OID)?
What is true distortion in the context of imaging?
What is true distortion in the context of imaging?
Which formula correctly expresses the magnification factor (MF)?
Which formula correctly expresses the magnification factor (MF)?
What is the length of the object if an image measures 18 cm long with a magnification of 20%?
What is the length of the object if an image measures 18 cm long with a magnification of 20%?
If the SID is 100 cm and the OID is 60 cm, what is the SOD?
If the SID is 100 cm and the OID is 60 cm, what is the SOD?
Given an object size of 24 cm and a magnification of 20%, what will be the size of the image?
Given an object size of 24 cm and a magnification of 20%, what will be the size of the image?
In a situation where the SID is 40 inches and the OID is 10 inches, what is the SOD?
In a situation where the SID is 40 inches and the OID is 10 inches, what is the SOD?
What is the magnification factor if the actual size of an object is 2.5 inches and the image size on the radiograph is calculated?
What is the magnification factor if the actual size of an object is 2.5 inches and the image size on the radiograph is calculated?
How does an increase in OID affect the magnification factor of an image?
How does an increase in OID affect the magnification factor of an image?
What would cause a magnification factor of 2.5 if the SID is set to 100 cm?
What would cause a magnification factor of 2.5 if the SID is set to 100 cm?
What would be the effect on SOD when both the SOD and OID are kept constant while the SID increases?
What would be the effect on SOD when both the SOD and OID are kept constant while the SID increases?
What is the formula for calculating the magnification factor (MF)?
What is the formula for calculating the magnification factor (MF)?
Which condition leads to elongation or foreshortening of an image?
Which condition leads to elongation or foreshortening of an image?
How can you reduce magnification during imaging?
How can you reduce magnification during imaging?
What is implied by the Marginal Rays Rule?
What is implied by the Marginal Rays Rule?
Which positioning technique is NOT recommended to prevent superimposition?
Which positioning technique is NOT recommended to prevent superimposition?
What causes true shape distortion in an image?
What causes true shape distortion in an image?
What is the effect of increasing the source-image distance (SID) on distortion?
What is the effect of increasing the source-image distance (SID) on distortion?
Flashcards
Thick Client (Fat Client)
Thick Client (Fat Client)
A computer workstation capable of working independently of a network, handling complex processing tasks like 3D image reconstruction.
WAN (Wide Area Network)
WAN (Wide Area Network)
A network that connects computers and LANs over long distances. The internet is the biggest example.
What is a computer network?
What is a computer network?
A computer network is a system of connected devices that allows for the sharing and exchange of information.
What is a server?
What is a server?
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Network Protocol
Network Protocol
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IP Address
IP Address
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What is a thin client?
What is a thin client?
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What is RAID?
What is RAID?
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MAC Address
MAC Address
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What is an SSD?
What is an SSD?
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Data Transmission Carrier
Data Transmission Carrier
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Twisted Pair Wires
Twisted Pair Wires
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Local Area Network (LAN)
Local Area Network (LAN)
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Computer Router
Computer Router
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Fiber Optic Carrier
Fiber Optic Carrier
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PACS (Picture Archiving and Communication System)
PACS (Picture Archiving and Communication System)
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Star Topology
Star Topology
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Intranet
Intranet
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Teleradiology
Teleradiology
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Tertiary Care
Tertiary Care
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Study Notes
Image Formation & Management Systems
- Course code: 142-B14-DW
- Topic 1: Computer Basics
Specific Learning Objectives
- Understand the basic functions of a computer
- Define the basic functions of computer hardware components
- Identify primary computer tasks performed by technologists
- Distinguish between different types of image storage systems
- List the methods computers use to communicate
- Compare various network topologies
- Describe network risks and safeguards for medical imaging computer systems
- State the data storage and transmission requirements for PACS
- State the applications and advantages of telehealth and telemedicine
- Define and describe components of teleradiography
Information Videos
- Computer binary codes: [video links available]
- Computer hardware and software [video links available]
- Hard Disk Drive [video links available]
- RAID 0, 1, and 5 [video links available]
- Networking [video links available]
- DICOM [link available]
- Pixel definition [video links available]
- ADC [video links available]
- Image matrix size and bit depth [video links available]
- Radiologist job offer [link available]
A Computer
- Input, output, and data processing devices
- Processes data into information under a stored program control
- Data: unstructured facts
- Processes: changes to data
- Information: meaningful facts
- Stored program: a set of instructions
Important Dates in Computer History
- First electronic digital computer designed and built in 1939
- First general-purpose electronic computer developed in 1946 (cost $500,000; 18,000 vacuum tubes; one failed every 7 mins)
- Transistor invented in 1948; replaced vacuum tubes
- Transistor: an electronic switch that controls electronic signals
Computer Language
- The Binary Code: The foundation of computer programming/language uses 1s and 0s to process data from input devices
- Binary code processing is done by transistors that are on or off
- If the circuit is closed and current passes through, the value is 1; 0 if open
- Bit: single unit of data; byte: 8 bits storing alphanumeric characters
- Decimal to Binary codes of the alphabet are presented
Operating Systems
- Manage all computer resources; interface between software and hardware
- Examples: DOS, Windows 11, Mac OS X, Unix, Linux, iOS, Android
- Computer Hardware: Physical components (input/output devices)
- Software: Programs running on the hardware; Moodle & LEA are online learning platforms.
Hardware Components
- Box/Tower: Contains components in a cool, clean, and secure environment; prevents radio frequencies from spreading outside.
- Motherboard: A printed circuit board serving as the computer’s foundation; allocates power, enabling communication between hardware.
- Processor/CPU: Manages instructions from hardware and software using transistors to process data; examples include Intel Core i5-11600K.
- System Clock/Internal Clock: Regulates instruction execution rates and synchronizes computer components.
- RAM (Random Access Memory): Short-term data storage; contents are erased when the system is turned off.
Additional Hardware Components
- Ports/Connectors: Connecting peripherals to the computer.
- CMOS: Preserves hardware settings when the computer is off using a battery; stores system information and time.
- Network Interface Card (NIC): Enables communication with other computers (e.g., radiology workstations).
- Power Supply: Supplies electricity and cools the system.
- Hard Disk Drive (HDD): Stores programs and data; uses moving parts; RAID is widely used in radiology systems for long-term archiving.
- Solid State Drive (SSD): Stores data in microchips; faster than HDDs; suitable for both short-term and long-term storage in PACS.
- Cloud Storage: Remote server-based storage accessible via the internet; useful for backing up data and files.
- CD/DVD Disk Drives: Optical storage devices utilizing laser light to read and write data.
- Input/Output Devices: Various input devices (e.g., mouse, keyboard), and output devices(e.g., monitor, speakers)
Computer Applications in Radiology
- Computers control electronic devices (e.g., X-ray generators, control panels).
- Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound (US), and Nuclear Medicine (NM) are essential radiology applications.
Computer Networks
- A telecommunications network enabling information exchange between computers.
- Server: A computer providing services to other computers on the network, such as web servers, mail servers, and archive servers.
- Thin Client: Hardware without a hard drive requiring continuous server interaction.
- Thick Client (Fat Client): A workstation capable of functioning independently from the network.
Important Definitions
- Network Classification (LAN, WAN, Intranet, Internet)
- Network Protocols (e.g., TCP/IP)
- Transmission of data in packets; used for information sharing on private networks (intranet or extranet) and the internet
- OSI Model (Open Systems Interconnection) Model
- IP Address: Unique address for each computer on a network
- MAC Address: Unique physical address for hardware components
- Gateway: Networking node connecting two separate networks with different transmission protocols
- Hub and Switch: Network devices. A hub transmits every packet to all connected devices; a switch only transmits packets to the intended destination
Network Topologies
- Patterns defining how computers and network devices are connected in a network
- Star topology: Common in modern client-server networks with devices connecting to a central hub.
- Other examples include bus, ring, and mesh (point-to-point) topologies.
Web-Based Systems
- Client uses internet connection to access a network's web server to remotely access data (e.g., images in a PACS).
- Advantage: Less powerful hardware required; potential for access from anywhere, faster retrieval
- Disadvantages: Slower data download; often limited software functionality. Typically, images are saved as JPEG files only.
Internet and Intranet
- Internet: An international network of networks using TCP/IP protocols.
- Intranet: A local network using TCP/IP protocols for sharing information within an organization.
Telehealth and Telemedicine
- Telehealth and telemedicine: Telecommunication applications providing community medical information and services (e.g., Info-Sante 811).
- Telehealth: More broad, general, and may include prevention measures.
- Telemedicine: Focuses on diagnosis and treatment.
- Applications include diagnosis, education, research, phone and video conferencing, teleradiology, telepathology, and telesurgery
Teleradiology
- Remote transmission of medical images for interpretation and/or consultation.
- Accessed through various internet, WAN, LAN, satellite, and phone lines.
- Increased use due to COVID-19.
RUISSS (Réseau Universitaire Intègre de la Santé et des Services Sociaux)
- Coordinates tertiary healthcare services in remote areas of the province through associated teaching hospitals.
- Supports healthcare professional training and development.
- Tertiary Care: Specialized consultative care usually by referral from primary or secondary care personnel.
Network Security
- Potential risks: Viruses; ethical issues, human errors, confidentiality issues; defective hardware/software; issues with data integrity and reliability (data loss, corruption).
- Techniques to enhance security include anti-virus programs, anti-spyware software, firewalls, pop-up blockers, and encryption.
Calculating Image File Size and Storage Capacity
- Image file size calculation formula: Matrix size x Bit Depth.
- Calculations to determine the bytes of storage needed for digital image data based on a given matrix size and bit depth, along with calculations to determine how many images can be stored in a given storage space (e.g., 700MB or 1GB)
- Image file size calculations shown for 2-D and 3-D datasets.
Raw Data & Image Data
- Raw data: Unprocessed image data; acquired by the digital imaging unit.
- Image data: Processed raw data, adjusted and without non-essential background data; typically, smaller size than raw data file.
Analog & Digital Signals
- Analog signal: Continuous varying information (e.g., watch hands, analog X-ray film).
- Digital signal: Discrete data units (e.g., digital watch, image acquisition systems such as CT, MRI, CR or DR).
- Analog-to-digital converter (ADC): Translates analog signals into digital form.
Sampling and Quantization
- Sampling: Specific points in time selected for conversion.
- Quantization/Digitization: Analog level approximates to the closest digital level; assigned binary code.
Additional Information about Bit Depth
- Bit depth method: Number of shades of gray in an image; e.g., 8 bits (256 shades); 16 bits (65,536 shades); 24 bits or more (many shades).
The Digital Image
- Advantages: Image manipulation and reprocessing; lower storage and floor space requirements
- Disadvantages: Lower spatial resolution compared to analog (film) images.
Image Matrix Sizes in Radiology
- Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) have matrix dimensions from 256x256 up to 1024x1024.
- Other imaging modalities like radioscopy, radiography, and mammography have different matrix sizes.
Calculation of Pixel Size
- Pixel size calculation formula: Image area divided by matrix size.
Other Important Concepts
- Exposure: Defined as the quantity of X-ray photons reaching the image receptor.
- Factors affecting exposure: kVp, mAs, SID, SOD, OID, patient body habitus, part thickness, and other items.
- kVp (Kilovoltage peak): Controls the energy of the X-ray beam, and thus its penetrating power; directly relates to exposure.
- mAs (milliampere-seconds): Controls the quantity of X-rays generated; directly relates to exposure.
- SID (Source to Image Distance): Controls exposure and magnification. Longer distance means less exposure.
- SOD (Source to Object Distance): Controls exposure and magnification.
- OID (Object to Image Distance): Affects magnification and shape distortion.
- Inverse Square Law (ISL): Demonstrates the relationship between the distance from the source and exposure intensity.
- Grid Ratio: The height of the lead strips in a grid divided by the distance between the strips; determines how a grid removes scatter.
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