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Questions and Answers
What is the basic definition of digital imaging?
What is the basic definition of digital imaging?
- Any imaging process that can only be viewed on a lightbox
- Any imaging process that produces an electronic image that can be viewed and manipulated on a computer (correct)
- Any imaging process that involves the use of X-rays
- Any imaging process that uses film and intensifying screens
What was the first medical imaging modality to become digital?
What was the first medical imaging modality to become digital?
- Ultrasound
- X-ray
- MRI
- CT (correct)
What is the image formation process in conventional radiography?
What is the image formation process in conventional radiography?
- Film is placed on one or between two intensifying screens that emit light when struck by X-rays (correct)
- The film is placed on a lightbox for interpretation by a radiologist
- The film is processed with chemicals and then viewed on a computer
- The X-rays directly expose the film
What is the historical significance of CT in medical imaging?
What is the historical significance of CT in medical imaging?
What is the purpose of intensifying screens in conventional radiography?
What is the purpose of intensifying screens in conventional radiography?
What is exposure index in digital x-ray imaging?
What is exposure index in digital x-ray imaging?
What is the purpose of standardized radiation exposure (KSTD) in digital x-ray imaging?
What is the purpose of standardized radiation exposure (KSTD) in digital x-ray imaging?
What is indicated equivalent air kerma (KIND) in digital x-ray imaging?
What is indicated equivalent air kerma (KIND) in digital x-ray imaging?
What is deviation index (DI) in digital x-ray imaging?
What is deviation index (DI) in digital x-ray imaging?
What is the significance of the median KIND value in digital x-ray imaging?
What is the significance of the median KIND value in digital x-ray imaging?
What is target equivalent air kerma value (KTGT) in digital x-ray imaging?
What is target equivalent air kerma value (KTGT) in digital x-ray imaging?
What is the effect of adjusting technique on DI in digital x-ray imaging?
What is the effect of adjusting technique on DI in digital x-ray imaging?
What is the significance of reading pixel values (Q) in digital x-ray imaging?
What is the significance of reading pixel values (Q) in digital x-ray imaging?
What is the role of technologists in evaluating digital x-ray images?
What is the role of technologists in evaluating digital x-ray images?
What does exposure index refer to in digital x-ray imaging?
What does exposure index refer to in digital x-ray imaging?
What is standardized radiation exposure (KSTD)?
What is standardized radiation exposure (KSTD)?
What is indicated equivalent air kerma (KIND)?
What is indicated equivalent air kerma (KIND)?
What is the median KIND value used for in digital x-ray imaging?
What is the median KIND value used for in digital x-ray imaging?
What is the target equivalent air kerma value (KTGT) used for in digital x-ray imaging?
What is the target equivalent air kerma value (KTGT) used for in digital x-ray imaging?
What is deviation index (DI)?
What is deviation index (DI)?
What is the value of a perfect image according to the DI?
What is the value of a perfect image according to the DI?
How does adjusting technique affect KIND in digital x-ray imaging?
How does adjusting technique affect KIND in digital x-ray imaging?
What can affect reading pixel values (Q) in digital x-ray imaging?
What can affect reading pixel values (Q) in digital x-ray imaging?
Which of the following is true regarding exposure index in digital X-ray imaging?
Which of the following is true regarding exposure index in digital X-ray imaging?
What organizations have published reports on exposure indicator standardization?
What organizations have published reports on exposure indicator standardization?
What is KSTD in digital X-ray imaging?
What is KSTD in digital X-ray imaging?
What is KIND in digital X-ray imaging?
What is KIND in digital X-ray imaging?
What is KTGT in digital X-ray imaging?
What is KTGT in digital X-ray imaging?
What is DI in digital X-ray imaging?
What is DI in digital X-ray imaging?
What is the value of a perfect image according to the DI in digital X-ray imaging?
What is the value of a perfect image according to the DI in digital X-ray imaging?
How does adjusting technique affect KIND in digital X-ray imaging?
How does adjusting technique affect KIND in digital X-ray imaging?
What should technologists do if they are in doubt about the image's quality in digital X-ray imaging?
What should technologists do if they are in doubt about the image's quality in digital X-ray imaging?
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Study Notes
Understanding Exposure Indicators and Standard Units of Measure in Digital X-ray Imaging
- The size of the pixel, matrix, and field of view (FOV) are related and impact the size of the pixels in the image.
- Exposure index refers to the amount of exposure received by the image receptor (IR), not the patient, and standardization is needed across manufacturers.
- The International Electrotechnical Commission (IEC) and American Association of Physicists in Medicine (AAPM) have published reports on exposure indicator standardization.
- Standardized radiation exposure (KSTD) is a standard exposure typical of the imaging receptor system, used to ensure equipment is functioning appropriately.
- Indicated equivalent air kerma (KIND) is the radiation measurement incident on the IR for that particular exposure, derived from reading pixel values produced by the exposure.
- Median KIND value is compared to the KSTD exposure to derive the KIND, which determines whether the IR was overexposed or underexposed for that particular body part.
- Target equivalent air kerma value (KTGT) represents an optimal exposure for each specific body part and view, established by the system manufacturer or user.
- Deviation index (DI) is the difference between KIND and KTGT expressed logarithmically, used to determine whether the image was underexposed or overexposed.
- Technologists must evaluate the image and consult with a radiologist if in doubt about the image's quality, as DI is not the sole determining factor.
- A perfect image according to the DI has a value of 0.0, and a negative DI indicates underexposure while a positive DI indicates overexposure.
- Adjusting technique can change the DI, with +1 changing KIND by approximately 125% of the intended exposure and -1 changing KIND by approximately 80%.
- Reading pixel values (Q) can be affected by several variances, so technologists must use their judgment in adjusting technical factors.
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