Podcast
Questions and Answers
Which of the following are patient/subject factors that affect radiographic technique? (Select all that apply)
Which of the following are patient/subject factors that affect radiographic technique? (Select all that apply)
- Image Quality Factors
- Tissue Mass Density (correct)
- Effective Atomic Number (correct)
- Patient Thickness (correct)
What is subject contrast?
What is subject contrast?
The degree of differential absorption resulting from the differing absorption characteristics of the tissues in the body.
What body type is described as having a large frame and being overweight?
What body type is described as having a large frame and being overweight?
Hypersthenic
Define attenuation in the context of radiography.
Define attenuation in the context of radiography.
Which of the following conditions are considered additive pathologies? (Select all that apply)
Which of the following conditions are considered additive pathologies? (Select all that apply)
What type of pathology requires decreasing the mAs during radiographic procedures?
What type of pathology requires decreasing the mAs during radiographic procedures?
The basic photometric unit is the ______.
The basic photometric unit is the ______.
True or False: A patient history is irrelevant in determining radiographic technique adjustment.
True or False: A patient history is irrelevant in determining radiographic technique adjustment.
What happens to the luminous intensity when viewed from the side?
What happens to the luminous intensity when viewed from the side?
What is the relationship between bore obstruction and radiographic technique?
What is the relationship between bore obstruction and radiographic technique?
What has led to reconfigured ergonomic digital workstations for Radiographers and Radiologists?
What has led to reconfigured ergonomic digital workstations for Radiographers and Radiologists?
Ambient light levels should be increased for the best viewing of digital display devices.
Ambient light levels should be increased for the best viewing of digital display devices.
What is the purpose of calibrating digital equipment?
What is the purpose of calibrating digital equipment?
Flatfielding is performed during ______ to offset the irregular variation of the anode-heel effect.
Flatfielding is performed during ______ to offset the irregular variation of the anode-heel effect.
What technique is used to correct defective pixels in digital IRs?
What technique is used to correct defective pixels in digital IRs?
What is image lag?
What is image lag?
Which of the following is NOT a post-processing action?
Which of the following is NOT a post-processing action?
Image inversion results in a black appearance of soft tissue and a white appearance of bone.
Image inversion results in a black appearance of soft tissue and a white appearance of bone.
How many shades of gray does a 16-bit dynamic range DR system have?
How many shades of gray does a 16-bit dynamic range DR system have?
Image subtraction is commonly used in ______.
Image subtraction is commonly used in ______.
What does pixel shift allow for in image processing?
What does pixel shift allow for in image processing?
Which adjustment impacts the visibility of detail in an image?
Which adjustment impacts the visibility of detail in an image?
What is the effect of increasing window level in image processing?
What is the effect of increasing window level in image processing?
What is the primary effect of destructive pathologies on x-ray beam attenuation?
What is the primary effect of destructive pathologies on x-ray beam attenuation?
When managing a patient with increased destructive pathology, how should the mAs be adjusted?
When managing a patient with increased destructive pathology, how should the mAs be adjusted?
Which of the following conditions is classified under additive pathologies?
Which of the following conditions is classified under additive pathologies?
What is the relationship between destructive pathology and IR exposure?
What is the relationship between destructive pathology and IR exposure?
Which statement is true regarding effective techniques for imaging patients with chronic destructive pathologies?
Which statement is true regarding effective techniques for imaging patients with chronic destructive pathologies?
What is the primary factor influencing spatial resolution in digital radiography?
What is the primary factor influencing spatial resolution in digital radiography?
Which condition would most likely require an increase in radiographic technique due to fluid presence?
Which condition would most likely require an increase in radiographic technique due to fluid presence?
In the context of imaging pathologies, which of the following describes a condition that does not significantly alter radiographic density?
In the context of imaging pathologies, which of the following describes a condition that does not significantly alter radiographic density?
What anatomical feature is most effectively visualized with long-scale contrast adjustments?
What anatomical feature is most effectively visualized with long-scale contrast adjustments?
Which of the following statements about radiographic quality is true?
Which of the following statements about radiographic quality is true?
Which of the following pathologies is considered a destructive pathology affecting bone density?
Which of the following pathologies is considered a destructive pathology affecting bone density?
What is the minimum percentage of bone loss required before changes can be detected on a radiograph?
What is the minimum percentage of bone loss required before changes can be detected on a radiograph?
Which of the following best defines the term 'image quality' in radiography?
Which of the following best defines the term 'image quality' in radiography?
What defines the portion of the pixel face available for transmitting light on an LCD monitor?
What defines the portion of the pixel face available for transmitting light on an LCD monitor?
What is the primary disadvantage of an LCD monitor when viewing images at an angle?
What is the primary disadvantage of an LCD monitor when viewing images at an angle?
What is contrast resolution primarily used for in radiography?
What is contrast resolution primarily used for in radiography?
Which mechanism continues to emit light after the initial stimulation of a phosphor?
Which mechanism continues to emit light after the initial stimulation of a phosphor?
How is distortion minimized in radiographic imaging?
How is distortion minimized in radiographic imaging?
Among the following, which light emission process occurs alongside the flow of electrons in materials?
Among the following, which light emission process occurs alongside the flow of electrons in materials?
What term describes the degree of sharpness of structural lines on a radiograph?
What term describes the degree of sharpness of structural lines on a radiograph?
What is a significant advantage of LED monitors over fluorescent backlit monitors?
What is a significant advantage of LED monitors over fluorescent backlit monitors?
What condition is considered optimal for the viewing of images on LCD monitors?
What condition is considered optimal for the viewing of images on LCD monitors?
What is the primary concern when interpreting medical images in terms of visibility of detail?
What is the primary concern when interpreting medical images in terms of visibility of detail?
What is the effect of foreshortening in radiographic imaging?
What is the effect of foreshortening in radiographic imaging?
How does the brightness requirement for a white image with black text compare to one with white text on a black background in LED displays?
How does the brightness requirement for a white image with black text compare to one with white text on a black background in LED displays?
What is the role of photometry in digital imaging?
What is the role of photometry in digital imaging?
What is the main benefit of reducing ambient light levels for LCD monitors?
What is the main benefit of reducing ambient light levels for LCD monitors?
What is the term for the misrepresentation of true size or shape in imaging?
What is the term for the misrepresentation of true size or shape in imaging?
What distinguishes photopic vision from scotopic vision in the context of radiographic interpretation?
What distinguishes photopic vision from scotopic vision in the context of radiographic interpretation?
Which of the following correctly describes image inversion in digital imaging?
Which of the following correctly describes image inversion in digital imaging?
When would pixel shift be primarily used in digital imaging?
When would pixel shift be primarily used in digital imaging?
What is the primary purpose of region of interest (ROI) in digital imaging?
What is the primary purpose of region of interest (ROI) in digital imaging?
What is the primary function of pre-processing in digital imaging?
What is the primary function of pre-processing in digital imaging?
What is the role of edge enhancement in post-processing of images?
What is the role of edge enhancement in post-processing of images?
In what scenario would image subtraction be most beneficial?
In what scenario would image subtraction be most beneficial?
Which process involves repairing dead pixels by assigning digital values from surrounding pixels?
Which process involves repairing dead pixels by assigning digital values from surrounding pixels?
What type of image correction is applied to address the irregular variation caused by the anode-heel effect?
What type of image correction is applied to address the irregular variation caused by the anode-heel effect?
How frequently are gain images generated in the calibration of digital equipment?
How frequently are gain images generated in the calibration of digital equipment?
Which issue is corrected by applying offset voltage before acquiring the next image?
Which issue is corrected by applying offset voltage before acquiring the next image?
What technique is used to address line noise in digital imaging?
What technique is used to address line noise in digital imaging?
What is the role of automatic calibration images like offset images?
What is the role of automatic calibration images like offset images?
Which of the following best describes the action of interoperability between adjacent pixels?
Which of the following best describes the action of interoperability between adjacent pixels?
What adjustment should be made to kVp when dealing with additive pathology?
What adjustment should be made to kVp when dealing with additive pathology?
How does additive pathology affect IR exposure?
How does additive pathology affect IR exposure?
What is the relationship between additive pathology and technical factors in radiography?
What is the relationship between additive pathology and technical factors in radiography?
What does an increase of 15% in kVp achieve in terms of exposure to the IR?
What does an increase of 15% in kVp achieve in terms of exposure to the IR?
What is an indicator of the presence of additive pathology in a patient?
What is an indicator of the presence of additive pathology in a patient?
What impact does patient thickness have on x-ray attenuation?
What impact does patient thickness have on x-ray attenuation?
Which body type would most likely require special considerations due to its physical characteristics?
Which body type would most likely require special considerations due to its physical characteristics?
How does subject contrast influence radiographic quality?
How does subject contrast influence radiographic quality?
In what way does effective atomic number affect radiographic contrast?
In what way does effective atomic number affect radiographic contrast?
What is a consequence of inadequate adjustment of exposure techniques based on patient characteristics?
What is a consequence of inadequate adjustment of exposure techniques based on patient characteristics?
Which factor is directly proportional to the number of x-rays leaving a body section?
Which factor is directly proportional to the number of x-rays leaving a body section?
What does the term 'attenuation' specifically refer to in medical imaging?
What does the term 'attenuation' specifically refer to in medical imaging?
Which aspect of patient characteristics requires consideration in radiographic technique but does not relate to geometric factors?
Which aspect of patient characteristics requires consideration in radiographic technique but does not relate to geometric factors?
Which condition requires an adjustment to the radiographic technique due to the presence of liquid in the abdomen?
Which condition requires an adjustment to the radiographic technique due to the presence of liquid in the abdomen?
What is a common outcome for imaging a skeletal structure affected by osteoporosis?
What is a common outcome for imaging a skeletal structure affected by osteoporosis?
Which of the following statements correctly describes the factors that influence image quality?
Which of the following statements correctly describes the factors that influence image quality?
In radiographic imaging, which condition is classified as an additive pathology?
In radiographic imaging, which condition is classified as an additive pathology?
Which tissue has the highest effective atomic number?
Which tissue has the highest effective atomic number?
What defines a high-quality radiograph?
What defines a high-quality radiograph?
Which condition signifies the need to decrease the radiographic technique due to higher air levels in the GI tract?
Which condition signifies the need to decrease the radiographic technique due to higher air levels in the GI tract?
How does emphysema typically affect tissue composition in radiographic imaging?
How does emphysema typically affect tissue composition in radiographic imaging?
Which contrast material has the lowest effective atomic number?
Which contrast material has the lowest effective atomic number?
How does chronic destructive pathology primarily affect x-ray beam attenuation?
How does chronic destructive pathology primarily affect x-ray beam attenuation?
Observing physical indications of pathology during patient assessment helps in which key area of radiography?
Observing physical indications of pathology during patient assessment helps in which key area of radiography?
In terms of spatial resolution, what is a critical factor in digital imaging?
In terms of spatial resolution, what is a critical factor in digital imaging?
What does visibility of detail in radiographic imaging primarily depend on?
What does visibility of detail in radiographic imaging primarily depend on?
Which of the following pathologies is associated with a decrease in tissue thickness?
Which of the following pathologies is associated with a decrease in tissue thickness?
How can foreshortening affect the representation of anatomical structures in imaging?
How can foreshortening affect the representation of anatomical structures in imaging?
What type of tissues absorb x-rays and appear white on a radiograph?
What type of tissues absorb x-rays and appear white on a radiograph?
Which of the following best describes the effect of dense pathologies on radiographic images?
Which of the following best describes the effect of dense pathologies on radiographic images?
What defines the term 'distortion' in radiographic imagery?
What defines the term 'distortion' in radiographic imagery?
Which practice helps to reduce distortion in radiographic imaging?
Which practice helps to reduce distortion in radiographic imaging?
What is a potential impact of reviewing patient history before imaging?
What is a potential impact of reviewing patient history before imaging?
What element differentiates photopic vision from scotopic vision?
What element differentiates photopic vision from scotopic vision?
What is meant by the term 'contrast resolution' in radiography?
What is meant by the term 'contrast resolution' in radiography?
Which process quantifies light perception in human vision, established by the CIE?
Which process quantifies light perception in human vision, established by the CIE?
What is the primary purpose of calibration in the digital imaging system?
What is the primary purpose of calibration in the digital imaging system?
What is a significant challenge in imaging that can lead to shape distortion?
What is a significant challenge in imaging that can lead to shape distortion?
Which technique is employed to repair dead pixels in digital images before processing?
Which technique is employed to repair dead pixels in digital images before processing?
How often are gain images generated in the calibration process?
How often are gain images generated in the calibration process?
What is the primary function of flatfielding in digital image pre-processing?
What is the primary function of flatfielding in digital image pre-processing?
What does signal interpolation primarily correct for in digital imaging?
What does signal interpolation primarily correct for in digital imaging?
What does the term 'image lag' refer to in the context of digital imaging?
What does the term 'image lag' refer to in the context of digital imaging?
Which of the following best illustrates a pre-processing step in digital imaging?
Which of the following best illustrates a pre-processing step in digital imaging?
What type of correction is applied to address line noise in digital imaging?
What type of correction is applied to address line noise in digital imaging?
Flashcards
Ergonomics
Ergonomics
Designing workstations to improve workplace efficiency and reduce strain on the user.
Ambient Light
Ambient Light
The general lighting level in an environment. Reducing it improves digital display viewing.
Software Artifacts
Software Artifacts
Imperfections in digital images, like dead pixels. Systems correct these.
Calibration
Calibration
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Dead Pixels
Dead Pixels
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Flatfielding
Flatfielding
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Signal Interpolation
Signal Interpolation
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Image Lag
Image Lag
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Line Noise
Line Noise
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Pre-processing
Pre-processing
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Post-processing
Post-processing
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Image Annotation
Image Annotation
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Dynamic Range
Dynamic Range
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Window/Leveling
Window/Leveling
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Magnification
Magnification
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Subject Contrast
Subject Contrast
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Patient Thickness
Patient Thickness
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Tissue Mass Density
Tissue Mass Density
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Effective Atomic Number
Effective Atomic Number
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Attenuation
Attenuation
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Pathology
Pathology
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Additive Pathology
Additive Pathology
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Destructive Pathology
Destructive Pathology
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Spatial Resolution
Spatial Resolution
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Contrast Resolution
Contrast Resolution
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Distortion
Distortion
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Image Luminance
Image Luminance
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Inverse Square Law
Inverse Square Law
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Photometry
Photometry
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Illuminance
Illuminance
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Luminance
Luminance
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Additive Pathology
Additive Pathology
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Destructive Pathology
Destructive Pathology
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Chest Pathology
Chest Pathology
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Decreased mAs
Decreased mAs
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IR Exposure
IR Exposure
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Destructive Pathology
Destructive Pathology
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Active Osteomyelitis
Active Osteomyelitis
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Bowel Obstruction
Bowel Obstruction
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Skeletal Pathology
Skeletal Pathology
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Spatial Resolution
Spatial Resolution
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Subject Contrast
Subject Contrast
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Radiographic Image Quality
Radiographic Image Quality
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Image Distortion
Image Distortion
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Contrast Resolution
Contrast Resolution
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Image Detail/Recorded Detail
Image Detail/Recorded Detail
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Resolution
Resolution
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Distortion
Distortion
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Size Distortion
Size Distortion
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Photometry
Photometry
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Photometric Quantities
Photometric Quantities
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Response of the Eye
Response of the Eye
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Image Luminance
Image Luminance
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Aperture Ratio
Aperture Ratio
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LED Monitor
LED Monitor
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Backlight
Backlight
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Ambient Light
Ambient Light
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Viewing Angle
Viewing Angle
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LCD Monitor
LCD Monitor
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Light Emission
Light Emission
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Image Flip
Image Flip
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Image Inversion
Image Inversion
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Image Subtraction
Image Subtraction
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Pixel Shift
Pixel Shift
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Region of Interest (ROI)
Region of Interest (ROI)
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Software Artifacts
Software Artifacts
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Calibration
Calibration
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Pre-processing
Pre-processing
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Flatfielding
Flatfielding
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Signal Interpolation
Signal Interpolation
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Image Lag
Image Lag
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Dead Pixels
Dead Pixels
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Offset and Gain images
Offset and Gain images
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Subject Contrast
Subject Contrast
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Patient Thickness
Patient Thickness
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Attenuation
Attenuation
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Patient/Subject Factors
Patient/Subject Factors
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Technique Considerations
Technique Considerations
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Radiographic Contrast
Radiographic Contrast
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Subject Contrast
Subject Contrast
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Body Types
Body Types
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Additive Pathology
Additive Pathology
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Radiolucent
Radiolucent
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Pathology (in X-ray)
Pathology (in X-ray)
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Increased kVp for Additive Pathology
Increased kVp for Additive Pathology
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IR exposure and Additive Pathology
IR exposure and Additive Pathology
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Tissue Mass Density
Tissue Mass Density
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Effective Atomic Number
Effective Atomic Number
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Subject Contrast
Subject Contrast
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Pathology
Pathology
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Additive Pathology
Additive Pathology
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Destructive Pathology
Destructive Pathology
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Patient History
Patient History
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Patient Physical Indications
Patient Physical Indications
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Destructive Pathology
Destructive Pathology
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Active Osteomyelitis
Active Osteomyelitis
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Bowel Obstruction
Bowel Obstruction
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Skeletal Pathology
Skeletal Pathology
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Spatial Resolution
Spatial Resolution
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Subject Contrast
Subject Contrast
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Radiographic Image Quality
Radiographic Image Quality
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Image Distortion
Image Distortion
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Software Artifacts
Software Artifacts
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Calibration
Calibration
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Pre-processing
Pre-processing
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Flatfielding
Flatfielding
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Signal Interpolation
Signal Interpolation
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Image Lag
Image Lag
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Dead Pixels
Dead Pixels
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Offset and Gain images
Offset and Gain images
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Contrast Resolution
Contrast Resolution
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Image Detail/Recorded Detail
Image Detail/Recorded Detail
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Resolution
Resolution
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Distortion
Distortion
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Size Distortion
Size Distortion
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Photometry
Photometry
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Photometric Quantities
Photometric Quantities
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Response of the Eye
Response of the Eye
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Study Notes
Principles of Radiography 1: Patient-Image Optimization & Viewing the Medical Image
- Julie Kloft, MSRS, RT(R), Clinical Coordinator & Professor of Radiography
- The presentation covers patient/subject factors, image-quality factors, and exposure technique factors relevant to optimizing radiographic images.
Patient/Subject Factors
- Subject Contrast: The degree of differential absorption resulting from tissue differences in the body.
- Patient Thickness: Denser objects absorb more radiation.
- Tissue Mass Density: Different patients with equal thickness can have varying mass densities.
- Effective Atomic Number: This varies greatly among tissues, significantly impacting subject contrast. Materials/substances and their effective atomic number are listed.
- Object Shape: Technique adjustments compensate for patient size, shape, and composition. Positioning is related to geometric factors.
Image-Quality Factors
- Spatial Resolution: Ability to image small objects with high contrast (e.g., bone and soft tissue).
- Contrast Resolution: Ability to distinguish structures with similar subject contrast (e.g., liver and spleen).
- Distortion: Misrepresentation of true object size or shape on the radiograph. Foreshortening (shorter than actual length) and elongation (longer than actual length) are types of shape distortion. Magnification can distort size. Distortion reduced by proper positioning (body part parallel to IR and Central Ray perpendicular to both).
- IR Response: The display device's response to the incoming light depends on photometry (the science of human eye response to light).
Pathology
- Pathology can affect tissue thickness/composition, altering effective atomic number (or density). This changes x-ray attenuation.
- Additive conditions increase attenuation, and require increased kVp. Examples include Effusion, Hydrocephalus, and more.
- Destructive conditions decrease attenuation, and require a decrease of mAs. Examples include Osteoporosis, Emphysema, and other conditions.
- Collecting patient history and observing physical characteristics is important to avoid repeat radiographs.
Viewing the Medical Image
- The science of photometry is important when using digital imaging and viewing technologies (Digital Imaging devices).
- Photometric quantities: Lumen, luminous flux, candlepower, etc.
- Understanding eye response (photopic and scotopic vision) is important for effective image viewing and analysis.
Image Display
- Luminance: The measurement of source brightness in candela per sq meter or nit. Luminance intensity measures the luminous flux emitted into the entire viewing area.
- Cosine Law explains how intensity of light is reduced from the side on LCDs. LCD monitors should be examined straight-on so intensity and contrast are maximized.
- Inverse Square Law – Luminance intensity decreases as the square of the distance from the light source increases.
Digital Imaging Considerations
- Artifacts such as dead pixels are addressed by pre-processing methods. Calibration is used to identify and correct these issues.
- Pre-processing methods correct for image lag, line noise and other issues in digital images.
- Flatfielding corrects for anode-heel effect.
- Signal interpolation corrects defective pixels by averaging the response of surrounding pixels.
Post-Processing
- Window/Leveling allows visualization of a broader range of gray scales.
- Image Annotation adds labels, patient info, and other data to the image.
- Image Inversion changes the appearance of the image (white and black areas swap to improve visibility).
- Magnification is performed by using the larger matrix size to improve spatial resolution of small anatomical portions of the image.
- Image Flip reorients the image.
- Pixel Shift adjusts for patient movement.
- Additional post-processing features include edge enhancement, highlighting, and zooming for detailed analysis.
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Description
This quiz delves into the critical aspects of patient-image optimization in radiography. Covering patient factors such as tissue density and subject contrast, as well as image-quality factors like spatial resolution, this assessment is essential for those in the medical imaging field.