6: Explaining the radiographic image Flashcards

1
Q

How is a radiograph created (6 steps)

A

1) Beam of xray photons generated by the xray tube is directed at a person
2) A detector is placed behind the object + receives the transmitted xray photons
3) The transmitted xray photons not attenuated form the image

(The xray photon beam is attenuated as it passes through the object, some are absorbed while others may be deflected or scattered- this is dependent on the objects density, thickness and structural composition as well as the energy level of the photon beam)

4) Computer algorithm constructs the image and displays it

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2
Q

Transmission

A

Photons pass straight through body with no interactions with the body atoms

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3
Q

Photoelectric effect

A

Photons collide with the body’s atoms
Entire energy of the incident photon is absorbed
This energy is then transferred to a single inner shell electron
Which is then removed from the electron cloud
Does not contribute to the resultant image
(Low energy phenomenon)

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4
Q

Coherent/ Rayleigh scatter

A

X-ray photon comes in, interacts with electron cloud and goes out scattered however still maintains the same energy

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5
Q

Compton scattering

A

Photons collide with the body’s atoms
The incident photon transfers only a part of its energy to an outer shell weakly bound electron
The interacted photons are scattered by the electrons

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6
Q

Factors affecting beam attenuation

A

Thickness of the examined region
Tissue type (higher Z = more absorption)
Tissue density

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7
Q

Radiopacity / radiopaque

A

Bright regions on the radiograph, structures which have attenuated the xray photons

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8
Q

Radiolucent

A

Dark regions, structures easily penetrated by xray, very little attenuation

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9
Q

Optimum xray image quality (6)

A

Accurately displaying the ROI
Minimal distortion or magnification
Sharp clear image, no blurring
Balance between brightness and contrast
No avoidable artefacts present
Suitable for diagnosis

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10
Q

Image density

A

Amount of image blackening

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11
Q

Low contrast structure

A

Show little difference in density between structures

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12
Q

High contrast image

A

Show larger difference in density between structures

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13
Q

Radiation contrast

A

The difference in xray intensities

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14
Q

Radiography contrast

A

The difference in image density

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15
Q

FFD/ SID

A

Film focus distance/ Source image distance

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16
Q

Focal spot

A

Source of xrays

17
Q

FOD / OFD

A

Distance from xray focal to object

18
Q

To lower magnification…

A

Lower FOD

19
Q

Body part under examination must be positioned…..

A

Parallel to the image receptor and beam

20
Q

What is spatial resolution

A

The ability of an imaging system to differentiate between two near by objects

21
Q

In digital imaging spatial resolution depends on…

A

The matrix or pixel size

22
Q

Spatial frequency is measured in…

A

Line pairs per mm

23
Q

MTF

A

Modulation transfer function = how well the imaging system is able to accurately represent the objects spatial frequency

24
Q

IR

A

Image receptor

25
Q

Geometry unsharpness

A

Increase focal spot size + increase FOD

26
Q

Motion unsharpness

A

Can be due to equipment patient
Increase sharpness by decreasing exposure time

27
Q

Absorption unsharpness

A

Due to the shape of the structures in the body

28
Q

How to improve spatial resolution (5)

A

*Using a fine focal spot size for small body parts close to detector
*Minimize motion unsharpness through patient cooperation & observation, *Immobilization or tailor exposure factors for short exposure
*Minimize magnification through OFD + SID
* Image processing techniques

29
Q

What is responsible for image noise

A

Quantum noise

30
Q

What is noise

A

Random irregular grainy pattern within an image

31
Q

SNR

A

Signal to noise ratio

32
Q

Dynamic range

A

The range of xray intensities a detector can differentiate

33
Q

Dose creep

A

When exposures increased in practice to obtain crisper images without noise

34
Q

EI

A

Exposure index

35
Q

Values under target EI

A

Underexposed

36
Q

Values over target EI

A

Overexposed

37
Q

What is EI affected by

A

Collimation, shielding + any implants present