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Questions and Answers
What is the main purpose of Positive-Beam-Limiting (PBL) devices?
What is the main purpose of Positive-Beam-Limiting (PBL) devices?
What is the ratio used to evaluate the effectiveness of radiographic grids?
What is the ratio used to evaluate the effectiveness of radiographic grids?
Which type of grid is designed to be more efficient in reducing grid cutoff?
Which type of grid is designed to be more efficient in reducing grid cutoff?
What is a major disadvantage of using crossed grids?
What is a major disadvantage of using crossed grids?
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How does a moving grid improve radiographic imaging?
How does a moving grid improve radiographic imaging?
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Which type of moving grid mechanism involves a back-and-forth motion during exposure?
Which type of moving grid mechanism involves a back-and-forth motion during exposure?
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Which of the following statements is false regarding grid frequency?
Which of the following statements is false regarding grid frequency?
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What does the term 'grid cutoff' refer to?
What does the term 'grid cutoff' refer to?
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What primarily determines the spatial resolution in radiographic imaging?
What primarily determines the spatial resolution in radiographic imaging?
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Which factor leads to higher subject contrast in radiographic imaging?
Which factor leads to higher subject contrast in radiographic imaging?
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What is one method to reduce motion blur during radiographic imaging?
What is one method to reduce motion blur during radiographic imaging?
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How can patient positioning improve radiographic image quality?
How can patient positioning improve radiographic image quality?
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Which factor is the most significant in affecting subject contrast?
Which factor is the most significant in affecting subject contrast?
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What is a correct statement regarding tissue mass density in radiographic imaging?
What is a correct statement regarding tissue mass density in radiographic imaging?
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What is one of the best practices for selecting radiographic technique factors?
What is one of the best practices for selecting radiographic technique factors?
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Why is immobilization important during radiographic procedures?
Why is immobilization important during radiographic procedures?
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What is the primary function of the charge-coupled device (CCD) in digital radiography?
What is the primary function of the charge-coupled device (CCD) in digital radiography?
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Which material is NOT mentioned as being used in digital radiography?
Which material is NOT mentioned as being used in digital radiography?
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In the CR image receptor, what is the role of the photo-stimulable phosphor (PSP)?
In the CR image receptor, what is the role of the photo-stimulable phosphor (PSP)?
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Which is NOT a component of the optical subsystem in the CR reader?
Which is NOT a component of the optical subsystem in the CR reader?
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What distinguishes direct digital radiography from computed radiography?
What distinguishes direct digital radiography from computed radiography?
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What is the primary purpose of the collection element in a digital radiographic system?
What is the primary purpose of the collection element in a digital radiographic system?
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Which statement about the dynamic range of CCD technology is true?
Which statement about the dynamic range of CCD technology is true?
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What is the function of the optical filters in the CR reader's optical subsystem?
What is the function of the optical filters in the CR reader's optical subsystem?
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What is the definition of spatial resolution in radiographic imaging?
What is the definition of spatial resolution in radiographic imaging?
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Which component is NOT part of radiographic noise?
Which component is NOT part of radiographic noise?
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Which of the following describes the toe region of a characteristic curve?
Which of the following describes the toe region of a characteristic curve?
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What is the main effect of increased scatter radiation on a radiographic image?
What is the main effect of increased scatter radiation on a radiographic image?
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What is a disadvantage of using an oscillating grid in radiography?
What is a disadvantage of using an oscillating grid in radiography?
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What geometric factor can contribute to distortion in radiographic images?
What geometric factor can contribute to distortion in radiographic images?
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Which of the following factors does NOT contribute to the intensity of scatter radiation?
Which of the following factors does NOT contribute to the intensity of scatter radiation?
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Which primary characteristic affects the quality of a radiograph that represents the extent to which it reproduces structures and tissues?
Which primary characteristic affects the quality of a radiograph that represents the extent to which it reproduces structures and tissues?
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Which grid type is more commonly used when moving grids are applied?
Which grid type is more commonly used when moving grids are applied?
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What factor does NOT influence the selection of a radiographic grid ratio?
What factor does NOT influence the selection of a radiographic grid ratio?
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How can magnification be minimized in radiographic imaging?
How can magnification be minimized in radiographic imaging?
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What is one primary characteristic of the variable-aperture collimator?
What is one primary characteristic of the variable-aperture collimator?
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Which of the following statements best describes contrast resolution?
Which of the following statements best describes contrast resolution?
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Which device is considered a modification of the aperture diaphragm?
Which device is considered a modification of the aperture diaphragm?
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What is a significant advantage of computed radiography over screen-film radiography?
What is a significant advantage of computed radiography over screen-film radiography?
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Focal-spot blur is primarily a result of which factor in radiographic imaging?
Focal-spot blur is primarily a result of which factor in radiographic imaging?
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How does the size of the field influence the amount of scatter radiation?
How does the size of the field influence the amount of scatter radiation?
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What phenomenon is the basis for computed radiography technology?
What phenomenon is the basis for computed radiography technology?
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Which feature is NOT related to the storage phosphor imaging plate in computed radiography?
Which feature is NOT related to the storage phosphor imaging plate in computed radiography?
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What type of x-rays are responsible for the optical density and contrast on a radiographic image?
What type of x-rays are responsible for the optical density and contrast on a radiographic image?
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Which beam-restricting device is the most commonly used?
Which beam-restricting device is the most commonly used?
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How does computed radiography contribute to patient radiation dose reduction?
How does computed radiography contribute to patient radiation dose reduction?
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What happens to scatter radiation when imaging thicker body parts?
What happens to scatter radiation when imaging thicker body parts?
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Which of the following is a challenge when using off-level or off-center grids?
Which of the following is a challenge when using off-level or off-center grids?
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Study Notes
Radiographic Image Quality
- Radiographic image quality is defined as a radiograph that accurately reproduces tissue structures and is considered high-quality.
- Key characteristics of radiographic image quality include spatial resolution, contrast resolution, noise, and artifacts.
Spatial Resolution
- Spatial resolution refers to the ability to image small structures with high subject contrast, such as a bone-soft tissue interface.
Contrast Resolution
- Contrast resolution is the ability to differentiate anatomical structures with similar subject contrast, such as liver-spleen or gray matter-white matter.
Radiographic Noise
- Radiographic noise is the random variation in optical density (OD) of an image.
- Screen-film radiographic noise has four components: film graininess, structure mottle, quantum mottle, and scatter radiation.
- Film graininess is the distribution of silver halide grain size and spacing in the emulsion.
- Structure mottle refers to the phosphor in the intensifying screen.
- Quantum mottle results from the random nature of x-ray interactions with the image receptor.
- Scatter radiation is scattered x-rays.
Film Factors
- Sensitometry describes the relationship between the intensity of exposure to the film and its blackness after processing.
- The characteristic curve demonstrates the connection between optical density and radiation exposure. It has three key parts: toe, straight-line portion, and shoulder.
Geometric Factors
- Magnification is the enlargement of an object in an image. Minimizing magnification is important in most medical images.
- Magnification is minimized by using a large source-to-image distance (SID) and a small object-to-image distance (OID).
- Distortion occurs because of object thickness, position, shape and focal-spot blur.
Subject Factors
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Subject contrast depends on patient thickness, tissue mass density, and effective atomic number.
- A thicker body part attenuates more x-rays than a thin part.
- Tissues can have equal thickness but different densities.
- High subject contrast is seen when effective atomic numbers of adjacent tissues differ significantly. Variations affect the amount of x-rays absorbed in each tissue.
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Object shape influences subject contrast
- A structure with a shape that closely aligns with the exposure beam creates the highest possible subject contrast.
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Kilovolt peak (kVp) is crucial in influencing subject contrast.
- Low kVp creates high subject contrast (short grayscale), while high kVp leads to low subject contrast (long grayscale).
Motion Blur
- Motion blur occurs when the patient or x-ray tube moves during exposure. Minimizing motion blur involves using short exposure times, immobilizing patients, and utilizing larger SID and smaller OID values.
- Voluntary movement of limbs can be minimized through immobilization techniques.
- Involuntary movement of the heart and lungs is best controlled using short exposure times.
Tools for Improved Radiographic Image Quality
- Patient Positioning: The body part under examination should be close to the image receptor, with its axis parallel to the receptor plane. The central x-ray beam should hit the center of the body part to optimize image quality. Effective immobilization of the patient is critical.
- Image Receptors: Standard screen-film image receptors are commonly used in radiology.
- Technique Selection: Optimum technique factors (kVp, mAs, exposure time) are chosen for the examination
Scatter Radiation
- Image-forming x-rays include those that pass through the patient without interacting and those that are Compton scattered within the patient.
- As scatter radiation increases, image contrast decreases, and the image becomes dull
- Factors affecting scatter radiation intensity are kVp, field size, and patient thickness.
- Higher kVp leads to more x-rays and higher scatter radiation intensity.
- A larger field size results in a greater amount of scatter radiation.
- Thicker body parts produce more scatter radiation due to more interactions within the tissue.
Control of Scatter Radiation
- Beam-restricting devices include aperture diaphragms, cones or cylinders, and variable-aperture collimators.
- Aperture diaphragms are simple lead-lined metal plates attached to the x-ray tube head.
- Cones and cylinders are modifications of aperture diaphragms, expanding the beam to a required size.
- Variable-aperture collimators use collimator blades with motorized leaves to restrict the X-ray beam.
- Positive beam limiting (PBL) is mandated by the FDA for consistent beam restriction to the size of the image receptor.
Radiographic Grids
- Radiographic grids are structures utilized to reduce scatter radiation and improve the quality of radiographic images.
- They consist of radiopaque and radiolucent alternating strips.
- Grids have three main dimensions: the grid strip thickness, interspace material width, and height.
- Grid ratio (h/D) is the most critical dimension influencing scatter reduction.
- Grid frequency is the number of grid strips per centimeter.
- Grids improve contrast by absorbing scatter radiation.
- High-ratio grids are superior at lowering scatter compared to low-ratio grids
Radiographic Grids Performance
- Contrast improvement factor (k) gauges the contrast improvement achieved by using a grid.
- Bucky factor (B) measures the reduction in patient dose with the use of a grid.
Radiographic Grid Types
- Parallel Grids: Lead strips are parallel to each other.
- Crossed Grids: Lead strips run parallel to both the long and short axes.
- Focused Grids: Lead strips are curved to better redirect the scattered radiation towards the image receptor.
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Moving Grids: Improve image quality by minimizing image blur introduced by movement.
- Reciprocal motion, Oscillating motions
Radiographic Grids Problems
- Off-level Grid: The central ray is not perpendicular to the grid.
- Off-center Grid: The central ray does not align with the grid center.
- Off-focus Grid: The x-ray beam is not properly aligned with the focal axis of the grid.
- Upside-down Grid: The grid is positioned in the wrong direction, thus reversing the image.
Radiographic Grids Selection
- Selecting an appropriate grid for an imaging procedure relies on high-quality imaging and reducing the amount of patient radiation dose.
Computed Radiography (CR)
- CR is a digital radiography technique that uses phosphor plates (PSP).
- Advantages of CR include its workflow and flexibility. It reduces manual handling when compared to screen-film radiography.
- The critical element in CR is the Storage Phosphor Imaging Plate (IP). PSPs capture and record the image data.
- CR uses a laser to release light energy and transform absorbed x-ray energy into a visible light signal.
Digital Radiography
- Digital radiography (DR) refers to techniques that convert X-rays into electronic signals for image display.
- Capture elements, coupling elements, and collection elements translate x-rays into displayable electron signals. Each element has different properties affecting the image quality. Examples of capturing elements are amorphous silicon (a-Se), cesium iodide (CsI), and barium fluorohalide for CR. Coupling elements transfer the signal from the capturing element. Collection elements display the signal in a final format to the user. Typical collection elements are a CCD or flat-panel detector.
CCD Technology
- CCDs (Charge-Coupled Devices) are silicon-based semiconductor elements.
- They have high sensitivity and dynamic range.
CsI/CCD Technology
- CsI transfers X-ray input to a light signal, which is further transferred to a CCD.
CsI/a-Si Technology
- CsI/a-Si is an indirect DR approach.
- CsI converts x-rays to light.
- Amorphous Silicon (a-Si) converts light to an electronic signal.
- Fill factor is the proportion of pixels that actually detect x-rays.
Amorphous Selenium (a-Se) Technology
- a-Se is directly used to detect x-rays.
- The x-rays create electron-hole pairs in the a-Se material.
- The a-Se acts as both a capture and coupling element.
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Description
Test your knowledge on radiographic image quality, including key characteristics like spatial resolution, contrast resolution, noise, and artifacts. This quiz covers essential concepts that help ensure high-quality radiographs. Explore various factors that influence image quality and their significance in radiography.