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Radiography
Chapter 7
86
Medical
Post-Graduate
06/28/2016

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Term
Magnification is given by
Definition

M = SID/SOD

SID - Source to Image Distance

SOD - Source to Object Distance

Term
For most radiographic exams, the SID is
Definition
40" (100 cm)
Term
For upright chest radiography, the SID is
Definition
72" (183 cm)
Term
Why does upright chest radiography use a larger SID?
Definition
To reduce the differential magnification in the lung parenchyma.
Term
The length of the edge gradient (Lg) is related to the length of the focal spot (Lf) by
Definition
Lg = Lf * (edge-to-detector distance)/(source-to-edge distance)
Term
geometric blurring is due to
Definition
the finite length of the focal spot
Term
Higher object magnification _______ the width of the edge gradient and ________ the spatial resolution of the image.
Definition
increases the width of the edge gradient and reduces the spatial resolution
Term
What is the purpose of the scintillator in the intensifying screen?
Definition
It converts incident x-rays photons into visible light.
Term
Thicker screens are ______ efficient absorbers, but result in ________ spatial resolution due to the _______ spread of the light.
Definition
more, reduced, lateral
Term
Intensifying screens are commonly made from
Definition

CaWO4 or Gd2O2S

Calcium Tungstate

Gadolinium Oxysulfide

Term
The light sensitive emulsion on film consists of
Definition
silver halide (95% AgBr and 15% AgI)
Term
When a silver halide grain is exposed to light, what happens.
Definition
Some of the Ag+ ions are reduced (gain electrons) and are converted into metallic Ag forming a latent image center.
Term
What is the purpose of the film developer?
Definition
It reduces the remaining silver ions at the latent image centers.
Term
What is the purpose of the fixer?
Definition
It removes the remaining (inactivated) silver halide from the emulsion layer.
Term
What is plotted on an H and D curve?
Definition
The optical density on the y-axis is plotted against the log of the exposure on the x-axis.
Term
Film transmittance is defined as
Definition

The fraction of visible light passing through the film.

T = It /Ii

Term
Optical density is defined as
Definition
OD = -log10(T) = -log10(I/I0)
Term
OD of 1, 2, and 3 transmit how much light intensity?
Definition
1 - 10%, 2 - 1%, 3 - 0.1%
Term
High speed films require _____ radiation.
Definition
less
Term
A change in screen-film speed is shows as a ______ shift in the H and D curve.
Definition
lateral
Term
An H and D curve with a steeper slope has ______ contrast, but the ________  _________ is narrower.
Definition
higher contrast, but the exposure latitude is narrower.
Term
The speed of a screen-film system relates to how much exposure is required to obtain what specific OD?
Definition
OD = 1 + base + fog
Term
Computed radiography (CR) referes to
Definition
a photostimulable phosphor detector system.
Term
CR imaging plates are typically made from
Definition
BaFBr - referred to as barium fluorohalide
Term
____ laser light is used to stimulate the CR plate and _____ light is emmitted from the CR plate.
Definition
Red, blue-green
Term
The barium fluorohalide in a CR plate is doped with _______.  This gives rise to the _______.
Definition
Europium, F-centers
Term
F centers act as
Definition
electron traps.
Term
A CCD Detector detects
Definition
visible light.
Term
A CCD chip is limited in ______?
Definition
size, typically 2.5 cm by 2.5 cm
Term
How are CCD chips read out?
Definition
By using a "bucket brigade" method.  The bottom row is read out, then the electrical charges in each column are shifted down one row and the process is repeated.
Term
Quantum Sink
Definition
The stage in the imaging process where the number of quanta is the lowest and therefore where the statistical integrity of the signal is the worst.
Term
X-ray quantum limited detector
Definition
The quantum sink (lowest number of quanta) occurs where the x-rays are absorbed.
Term
What is the problem with a secondary quantum sink?
Definition
The image quality is not commensurate with the x-ray dose used to make the image.
Term
What kind of system might a CCD detector be used in?
Definition
A slot-scan system.
Term
What is an alternative to a CCD array?
Definition
CMOS, Complementary Metal-Oxide Semiconductor, array
Term
What is different about a CMOS array from a CCD array.
Definition
The detector elements in the CMOS array can be randomly addressed.
Term
What is the biggest problem with a CMOS array?
Definition
electronic noise
Term
TFT detectors stands for
Definition
Flat Panel Thin-Film-Transistor Array Detectors
Term
The TFT is an electronic switch that is comprised of three connections that are called the
Definition
gate, source, and drain.
Term
Each dexel in a TFT array consists of
Definition
the TFT, a charge collection electrode, and a storage capacitor
Term
Two types of TFT Arrays
Definition
Indirect detection and direct detection
Term
Fill Factor
Definition
The percentage of area in each dexel of a TFT detector that is photosensitive.  Typically 80%.  The remaining area is taken up by electronics.
Term
Most flat panel TFT detectors use what for a scintillator and why?
Definition
CsI - It grows in columns that act as light pipes which reduce the lateral spread of light.
Term
Direct detection TFT arrays use a semiconductor material that produces ________ when exposed to x-rays.
Definition
electron-hole pairs
Term
The most commonly used semi-conductor in direct detection TFT array detectors is
Definition
amorphous selenium - a-Se
Term
The advantage of a direct detect TFT over an indirect detect TFT is
Definition
almost no lateral spreading so the spatial resolution is much higher.
Term
Lower kV settings _____ patient dose, but higher kV settings ______ subject contrast.
Definition
increase, decrease
Term
Typical contrast agents and their atomic number.
Definition
iodine (Z=53) and barium (Z=56)
Term
x-ray fluence is _______ proportional to the mAs.
Definition
linearly
Term
Phototiming is more properly referred to as
Definition
Automatic Exposure Control (AEC)
Term
CsI forms in columns which helps to reduce the spread of light, why isn't CsI used in screen-film radiography?
Definition
Too fragile and expensive.
Term
Absorption efficiency of a screen is determined by
Definition
The phosphor composition, effective Z and density, and its thickness.
Term
Increased screen thickness results in
Definition
Better absorption, but increased blurring and loss of spatial resolution due to the increased lateral diffusion of the light.
Term
Quantum detection efficiency
Definition
Describes how well an x-ray detector captures an x-ray photon beam.
Term
What two factors characterize the ability of a detector system to detect x-rays?
Definition
absorption efficiency and conversion efficiency
Term
Conversion Efficiency refers to
Definition

how well absorbed x-rays are converted into signal.

This includes x-ray to light photon energy transfer in scintillators and electronic gain in digital detectors.

 

Term
For the same signal level, increasing conversion efficiency results in ________ image noise.
Definition
increased image noise. (less photons are used)
Term
For the same signal level, increasing absorption efficiency results in _________ image noise, but the _____ can be reduced.
Definition
the same image noise, but dose can be lowered.
Term
What does the exposure index indicate?
Definition
The amount of radiation reaching the detector.  It is not an indicator of the dose to the patient.
Term
What is the deviation index?
Definition

It is a measure of how close an exposure was to the target value by comparing the exposure index to the target exposure index.

 

DI = 10log10(EI / EIT)

Term
The deviation index of an overexposure is a _________ value.
Definition
positive
Term
An acceptable range for deviation index is
Definition
-1 to +1
Term
What is the algorithm for computing dual-energy subtracted images?
Definition

DE = α + β [Ln(IHI) - R Ln(ILO)]

R is selected to isolate bone or soft tissue. α and β scale the image for brightness and contrast.

Term
In digital radiography, scatter reduces ________.
Definition
signal-to-noise ratio
Term
In screen-film radiography, scatter reduces _______.
Definition
contrast
Term
SPR
Definition
Scatter-to-Primary Ratio, SPR = S/P
Term
Scatter Fraction
Definition
F = S / (P + S)
Term
SPR refers to the _______ deposited, not to the number of ________ deposited.
Definition
energy, photons
Term
2 things that increase SPR
Definition
larger field size, thicker patient
Term
Typical SPR for abdominal radiography
Definition
4.5
Term
Grid Ratio
Definition
Ratio of the height of the interspace material to the width of the interspace.
Term
The best way to reduce scatter
Definition
an anti-scatter grid.
Term
Common materials used for interspace material in grids.
Definition
Aluminum and Carbon
Term
Grid frequency
Definition
Number of septa per centimeter.
Term
Typical grid frequency?
Definition
60 lines/cm
Term
Grid Cutoff
Definition
When a grid is not located at the correct distance from the source.  Grids must be aligned with the x-ray source.
Term
Bucky Grid
Definition
A grid that oscillates in a reciprocating motion during the exposure so the grid bars are blurred out.
Term
Bucky Factor
Definition
Describes the relative increase in x-ray intensity that is required when using a grid.
Term
Typical Bucky Factor for abdominal radiography.
Definition
3-8
Term
When would you not use a grid?
Definition
When imaging thin anatomical structures because they have very little scatter.
Term
Contrast degradation factor
Definition

refers to the reduction in contrast due to scatter

CDF = 1 / (1 + SPR)

Term
What are two methods for reducing scatter other than using a grid?
Definition
Air gap and slot scanning
Term
What is the drawback of using an airgap to reduce scatter?
Definition
Increased magnification (loss of spatial resolution from increased geometric blurring) and reduced field of view.
Term
What is the drawback to using a slot-scanning system to reduce scatter?
Definition
Longer scan times that lead to increased heat loading on the x-ray tube and the potential for patient movement.
Term
What is a typical exposure to mAs ratio?
Definition
10 mR/mAs
Term
Image quality improvement factor (Q factor)
Definition

Used in digital imaging instead of Bucky factor.

It is the factor by which the patient dose can be reduced when the grid is used and still have the same CNR.

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