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RAD 102: Radiographic Technique > Ch 20, 22-24 > Flashcards

Ch 20, 22-24 Flashcards

1
Q

Image on film after exposure but before processing

A

Latent

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2
Q

Image put into developer

A

Manifest/visible

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3
Q

Takes latent image and makes it manifest

A

Developer

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4
Q

The step in film processing; silver is deposited at the latent image sites and an image becomes visible

A

Developing

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5
Q

The process of removing undeveloped silver halides to make the image permanent for viewing

A

Fixing

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6
Q

Rinse of chemicals

A

Washer

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7
Q

The process of using water to remove as much of the fixer and developer solutions as possible

A

Washing

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8
Q

Blow on either side of film to dry it off

A

Dryer

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9
Q

The process of film developing in which hot air is forced over both sides of the film as it exits the processor

A

Drying

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10
Q

Able to give off light; the ability of a material to emit light in response to excitation

A

Luminescence

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11
Q

Instantaneous emission, preferred; the ability of a material to emit light instantaneously in responses to excitation within one nanosecond

A

Fluorescence

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12
Q

Delayed emission, bad; the ability of a material to delay emission of light in response to excitation
Occurs when light is emitted for a period longer than necessary
Screens would continue to emit light and end up with an picture with two images on it

A

Phosphorescence

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13
Q

Not enough x-rays/lack of exposure/mAs; a lack of sufficient incoming data to process an image (noise)
Increase mAs to fix this
Insufficient amount of x-rays interacting with imaging plate fixed by increasing exposure (increase mAs or kV)
Grainy image, takes away from detail
Can be caused by person setting technical factors

A

Quantum mottle

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14
Q

Chemical used in film developing in the fixer solution to maintain an acidic pH to enhance the functioning of the clearing agent

A

Activator

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15
Q

The effect on a film when unexposed silver halides are reduced

A

Chemical fog

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16
Q

A part of the automatic processing system designed to stabilize temperatures, agitate solutions, mix the chemistry and filter the solution

A

Circulation system

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17
Q

Primary agent of the fixer

A

Clearing agent

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18
Q

Twice the time necessary for the milky appearance of the film to disappear

A

Clearing time

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19
Q

Final stage of film processing that removes the excess water, cools and dries the film and seals the film for viewing and storage

A

Dryer system

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20
Q

Specially designed crossover network to begin the film traveling from the feed tray down into the developer section

A

Entrance roller

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21
Q

Chemical used in film processing that controls the swelling of the gelatin to prevent scratches and abrasions to the emulsion during processing; in a fixer solution, must function in an acidic environment

A

Hardener

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22
Q

Chemical used in film processing to help decrease the oxidation of the reducing agents when they are combined with air; also used in fixer solution to aid in removal of silver from the emulsion

A

Preservative

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23
Q

Chemical used in film processing that provides electrons to the silver ions attached to the sensitivity specks of the silver halide crystals

A

Reducing agent

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24
Q

Replaces chemicals that are depleted through the chemical reactions of processing, oxidation and evaporation

A

Replenishment system

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25
Q

Chemical used in film processing added to the developer to restrict the reducing action to those crystals with sensitivity speck gates

A

Restrainer

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26
Q

Chemicals used in developing film suspended in water

A

Solvent

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27
Q

When two reducing agents are combined, forming a PQ developer, their reducing ability is the sum of their independent abilities

A

Superadditivity

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28
Q

Part of the automatic processing unit that maintains all three solutions at compatible temperatures

A

Temperature control system

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29
Q

Part of the automatic processing system designed to move a film through the developer, fixer, wash and dryer sections of the processor

A

Transport system

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30
Q

Delayed phosphorescent emission

A

Afterglow/screen lag

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31
Q

Material film is made from
Usually polyester, tough, stable, rigid and uniformly lucent
Usually contains a blue tint

A

Base

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32
Q

Ability of the phosphor to emit as much light per x-ray photon interaction as possible, related to the screen speed

A

Conversion efficiency

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33
Q

Most accurate factor that measures the speed or sensitivity of an intensifying screen; measurement of the amplification of the image that occurs due to the screen’s ability to convert x-ray photons to light

A

Intensification factor

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34
Q

Device used to amplify the incoming x-ray beam and reduce patient radiation dose

A

Intensifying screen

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35
Q

When the incident x-ray photons match the K-shell binding energy of the phosphor, there is an increase in characteristic production within the screen

A

K-shell absorption edge

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36
Q

Measurement of recorded detail, sharpness and resolution; the minimum size and space between objects that can be visualized on the final image

A

Line pairs per millimeter (lp/mm)

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37
Q

Measurement of recorded detail, sharpness and resolution; measures the resolving ability of a film/screen combination

A

Modulation transfer function

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38
Q

Layer of material used in an intensifying screen that is capable of absorbing the energy of an incident x-ray photon and then emitting light photons

A

Phosphor layer

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39
Q

Layer of material used in an intensifying screen applied to the top of the phosphor layer to protect it from abrasions and stains, usually thick plastic

A

Protective coat

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40
Q

Layer of material used in an intensifying screen to reflect light toward the film

A

Reflective layer

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41
Q

The most useful rating of intensifying screens expressed with par-screens and film being arbitrarily assigned a relative speed number of 100 as a control point

A

Relative speed

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42
Q

An indication of the precise wavelength of light emitted by the phosphor

A

Spectral emission

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43
Q

Measures the ability of a film/screen system to accurately measure the boundaries of an image

A

Line spread function (LSF)

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44
Q

Platforms that are used for medical purposes, such as patient care, and for biological applications and activities related to health care, including both preclinical research (studying disease or treatments in cells and animals) and clinical research (ex: testing new drugs on patients or analyzing health-care statistics)

A

Biomedical informatics (BMI)

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45
Q

Standard format for communicating imaging files around the world
Must protect patients’ healthcare data

A

Digital imaging and communication in medicine (DICOM)

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46
Q

An electronic version of an individual patient’s collection of medical documents

A

Electronic health-care (or health) record (EHR)

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47
Q

All patient medical documentation stored in electronic format

A

Electronic medical record (EMR)

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48
Q

Images that are visualized on film
Laser printers and dry processors
Print them out onto film

A

Hard copy

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49
Q

The electronic database used in the hospital to store, generate and retrieve information on patients

A

Hospital information system (HIS)

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50
Q

A body of ideas, devices and processes related to handling multiple types of information

A

Informatics

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51
Q

Computer system that can manage images in an electronic form

A

Picture archiving and communication system (PACS)

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52
Q

Database of images and patient records specific to imaging department

A

Radiology information system (RIS)

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53
Q

Images visualized on monitors, either flat panel technology or older cathode ray tubes
Flat screen computer monitors, many advantages

A

Soft copy

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54
Q

Binary digits

A

Bit

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55
Q

8-bit word

A

Byte

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56
Q

Type or indirect digital radiography; the radiographer must usually move the detector, that is most often housed in a cassette, between image acquisition and display
Photostimulable imaging plates (PSP, IP) and filmless cassette

A

Computed radiography (CR)

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57
Q

Measure of the sensitivity and accuracy by which the image receptor converts the incoming data to the output viewing device
How effective IR is at detecting x-rays and sending it on
1 = 100% or no loss of information
Most IRs 30-70% accurate (0.3-0.7)

A

Detective quantum efficiency (DQE)

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58
Q

Indicator as to whether the detector response of a specified image Kind agrees with Ktgt

A

Deviation index (DI)

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59
Q

Flat-panel detectors
Imaging systems that replace traditional film with a reusable detector
Manufactured in table/wall bucky or cassette

A

Digital radiography (DR)

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60
Q

Conversion of incoming x-ray photons to an electronic signal without scintillation
Use amorphous selenium and thin film transistor (TFT)

A

Direct conversion

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61
Q

Increase in contrast due to high-pass filtering

A

Edge enhancement (sharpening)

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62
Q

Descriptive term used for the plates used in both direct and indirect DR digital systems

A

Flat panel detector

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63
Q

The number of shades of gray; ranges from 8 bits to 32 bits which equals a range of 1-4 bytes of storage that would be required per pixel in the image matrix
12 produces 2^12 gray levels
Represents 4096 different shades of gray

A

Grayscale bit depth

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64
Q

Amplifies or deletes all but the high frequencies

Uses a Fourier transform algorithm to convert the image into the spatial frequency domain

A

High-pass filtering

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65
Q

Generated by dividing a scanned area into pixels and determining the signal intensity for each pixel, can be calculated for specific anatomy and procedures

A

Histogram

66
Q

Two-part process involving a scintillator (which converts incoming x-ray photons to light) and a photodetector (which converts light into an electronic signal)
Converts x-ray protons to light, photodetector converts light into an electronic system
Use amorphous silicon and TFT

A

Indirect conversion

67
Q

Data that are stored to substitute new values for each pixel during processing

A

Look-up table (LUT)

68
Q

Amplifies or deletes all but the low frequencies

Intentionally blur image, thus reducing noise and the displayed brightness level of the pixels, decreases image detail

A

Low-pass filtering/smoothing

69
Q

Square series of boxes laid out in rows and columns that gives form to the image
Made up of pixels and voxels

A

Matrix

70
Q

Rigid sheet of several layers
Records and transmits image from x-ray beam
Typically inside a cassette, used in CR (filmless cassette)
More sensitive to scatter both before and after exposure than radiographic film

A

Photostimulable imaging plate

71
Q

Picture elements, individual matrix boxes

A

Pixel

72
Q

Physical distance between pixels generally measured from center to center
Inversely related to spatial resolution
Dependent on matrix size and image receptor size

A

Pixel pitch

73
Q

Correction of an exposure that is outside the range from underexposure or overexposure by shifting the histogram to the correct area

A

Rescaling

74
Q

Quantity of incoming information compared to the level of random background information

A

Signal-to-noise ratio

75
Q

How clearly the image is seen (sharp, shades of gray, bone and heart outline visible, etc); dependent on matrix size
One of the geometric properties of image quality; the degree of geometric sharpness or accuracy of structural lines actually recorded in the image; also referred to as detail, definition, sharpness and recorded detail
In digital images, it can be expressed in terms of three dimensions of the image

A

Spatial resolution

76
Q

A point processing operation that changes the contrast and brightness of the image on the monitor

A

Windowing

77
Q

2 types of digital radiography systems

A

Computed (CR)

Digital (DR)

78
Q

2 types of flat panel detectors

A

Direct conversion without scintillator

Indirect conversion with scintillator

79
Q

Requires binary machine language

Two-symbol alphabet of 0 and 1

A

Digital image formation

80
Q

Each pixel represents a 3D volume of tissue

A

Voxels

81
Q

How big the cassette is

A

Field of view (FOV)

82
Q

What unit is spatial resolution measured in?

A

Line pairs per millimeter (lp/mm)

83
Q

How is the total number of pixels in a matrix calculated?

A

By multiplying the number of boxes in the row by the number of boxes in the column

84
Q

2 spatial domains

A

Spatial (pixel) location

Frequency

85
Q

Cycles per unit of length

Object size and contrast

A

Frequency

86
Q

Algorithm applied to change an image from spatial location domain to the spatial frequency domain (x-ray uses spatial location)

A

Fourier transformation

87
Q

3 image processing operations

A

Point processing
Local processing
Geometric processing

88
Q

Happens between when you make exposure and before image pops up

A

Image processing operations

89
Q

4 steps of grayscale processing

A

Creation of histogram
Analysis of histogram
Application of the look-up table
Windowing for contrast and brightness

90
Q

Adjusting input image with output image

A

Point processing operations

91
Q

Shape will correspond to the specific anatomy and technique used for an exam

A

Creation of histogram

92
Q

Determines the values of interest (VOI) and exposure index

A

Analysis of histogram

93
Q

Used to locate the minimum and maximum exposure values for the body part

A

Values of interest (VOI)

94
Q

Proper one will provide the proper grayscale, regardless in kVp and mAs resulting in consistent images

A

Application of the look-up table (LUT)

95
Q

Range of densities that will be displayed, narrow one will have few densities so the image will have high contrast

A

Window width (WW)

96
Q

Small group of pixels

A

Kernel

97
Q

Subtracts a low-pass filtered image from the original image, thus producing a new subtracted and sharper image

A

Unsharp masking/blurring

98
Q

A kernel is applied repeatedly to each pixel in a matrix in order to weigh the values or to apply a coefficient across the matrix

A

Spatial location filtering/convolution

99
Q

Calculations applied to small group of pixels that sharpens image

A

Local processing operations

100
Q

4 types of local processing operations

A

High-pass filtering/edge enhancement
Low-pass filtering/smoothing
Unsharp masking or blurring
Spatial location filtering

101
Q

Changing position or orientation of pixels

Allows rotation and magnification

A

Geometric processing operations

102
Q

How detailed the image is
Want pixels small to see fine details & big matrix
Matrix size increases, pixel size decreases, spatial resolution increases
Gray scale bit depth increases, density resolution increases
Controlled by matrix size
Direct relationship between matrix and pixel size and spatial resolution (inverse/indirect between matrix and pixel size)

A

Resolution

103
Q

Degrades quality of image

A

Noise

104
Q

2 types of noise

A

Electronic

Quantum mottle

105
Q

What’s there from a normal functioning system
System has to try to get this down to minimum
Has inverse relationship to contrast (increased noise decreases image contrast; increased image contrast tends to obscure or decrease noise)

A

Electronic noise

106
Q

What is noise measured as?

A

Signal-to-noise (S/N) ratio

High S/N ratio = less noise

107
Q

Provides information about exposure to image receptor
If you take image and there’s too much radiation being used, machine fixes it; have to have something to look at after exposure is made to tell you if that image is within acceptable ranges of radiation
No universal system: different manufacturers use different systems
Carestream (formally Kodak) CR indicator system
Directly proportional to the radiation striking the IP
Calculated by formula: EI = Log (exposure in mR) x 1000 + 2000

A

Exposure index

108
Q

What are the acceptable ranges of exposure index for best image quality?

A

1800-2200 (usually 1400-1650)

109
Q

Fuji, Konica and Philips CR systems
Inversely proportional to the exposure reaching the imaging plate; higher one indicates that the imaging plate (IP) was underexposed whereas a lower one indicates overexposure of IP
Calculated by formula: S = 200/(exposure in mR)

A

S number

110
Q

Agfa exposure indicator

Compares the exposure level of an image to a baseline established for the department

A

Log median exposure LgM

111
Q

What is the active layer in PSPs?

A

Phosphors

112
Q

2 common PSP phosphors

A

Barium fluorohalide Bromides (most common) = BaFBr:Eu

Barium fluorohalide Iodides = BaFI:Eu

113
Q

X-rays expose cassettes and latent image is stored in IP (can be used tabletop or with grid)
Rules of positioning remain the same
Wider latitude than film/screen (should avoid overexposure)

A

Image acquisition

114
Q

Electron pattern stored in active layer of exposed IP
Fluorohalides absorb beam through photoelectric interactions
Liberated electrons have extra energy
Fluorohalides trap electrons to create holes at Europium sites
Latent image will lose approximately 25% of its energy in 8 hours so it is important to process cassette shortly after exposure

A

Latent image production

115
Q

Energy transferred to photoelectrons
Several photoelectrons liberated
More electrons freed by photoelectrons

A

Fluorohalides absorb beam through photoelectric interactions

116
Q

Fluorohalide crystals trap half of liberated electrons

Europium sites contain electron holes (actual latent image)

A

Hole formation

117
Q

Red laser beam
Photostimulated luminescence
Electrons return to lower energy state
Emit blue-purple light
IP scanned by finely focused neon-helium laser beam in raster pattern
Light goes in all direction
Light captured by photomultiplier (PM) tubes or CCD array
PM tubes convert light to analog electronic signal
Analog electronic signal sent to analog to digital converter (ADC)
ADC sends digital data to computer for additional processing
IP erased via exposure to intense light
Plate throughput = 30-200 plates per hour
Throughput and spatial resolution can be improved by using dual-sided PSP
Self-contained units
PM tubes output signal

A

Reading CR data

118
Q

Trapped electrons from europium area freed and get rid of excess energy in form of light

A

Photostimulated luminescence

119
Q

House plates and reader within upright bucky or table

A

Self contained units

120
Q

Determines number of density values
Affects density and contrast of system
Controlled by ADC

A

Pixel bit depth

121
Q

What is sampling frequency expressed as?

A

Pixels/mm

122
Q

2 things pixel pitch is dependent on

A

Matrix size

Image receptor size

123
Q

3 things image file size is affected by

A

Pixel size
Matrix
Bit depth

124
Q 
Before image is processed
Raw data located and prepared
What anatomical part is selected
Orientation of part on IP (parallel/straight with cassette)
Number of projections on IP
A

Data manipulation/preprocessing

125
Q

3 types of Fuji’s scanning detectors patterns (data manipulation)

A

Automatic
Semiautomatic
Fixed

126
Q

Adjusts latitude and sensitivity for image

A

Automatic

127
Q

Adjusts sensitivity, but not latitude for image

A

Semiautomatic

128
Q

Does not adjust sensitivity or latitude for image

A

Fixed

129
Q

Clinically irrelevant data not included in image display
Determined by VOI
Different for each body part
LUT has appropriate contrast for each body part

A

Data clipping (histogram analysis)

130
Q

4 histogram analysis errors

A

Obtained image data does not match reference histogram
Computer cannot find collimated edges
Prosthetic devices
Abnormal areas of increased or decreased attenuation

131
Q

Algorithm that detects edges of exposure versus non-exposure

Can sometimes be triggered by prosthetics or implants

A

Collimator edge identification

132
Q

Overlapping exposures
Verified registration marks
Combine several images into one
Ex: leg length operation, doctor wants x-ray of whole leg; take separate images and machine puts them together

A

Image stitching

133
Q

Use photoconductor
Directly convert x-rays into electronic signal
Amorphous selenium (active layer) with thin film transistor (TFT)
Amorphous selenium (a-Se)
Directly converts ionization from x-rays into electronic signal
Electronic signal received by thin film transistors (TFTs) and sent to computer

A

Direct detectors

134
Q 
Use scintillator
Analog to digital convertors
Need scintillator (emits light isotropically) or intensifying screen to convert x-rays to light
Amorphous silicon flat panel (a-Si:H)
Converts light to electronic signal
TFTs send signal to computer
A

Indirect detectors

135
Q

2 types of indirect detectors

A

Flat panel

Charge-coupled device (CCD)

136
Q

In all directions

A

Isotropically

137
Q

Array or matrix of pixel Detector Elements (DEL)
Collects electric charges
Switch for each DEL activated and signal sent to computer
Fill factor expressed as percentage

A

Flat panel TFTs

138
Q

Photodetector typically used with screen scintillator
Requires optical coupling by lenses or fiber optics
Electric signal from this sent to computer

A

Charge-coupled device (CCD)

139
Q

Similar to CR: exposure field recognition, iis and application of LUT
Difference is only exposed detector elements used for image data

A

DR image processing

140
Q

May appear as a result of incomplete image plate erasure
Requires troubleshooting of both the CR plate preparation system and the display systems (laser imagers and/or display monitors)
Extreme overexposure may require two erasure cycles to completely remove the image

A

Phantom/ghost images

141
Q

Permanent artifacts caused by damage to CR plates

Replacement of CR plates is expensive but is the only solution because these artifacts cannot be repaired

A

Scratches or tears

142
Q

Usually caused by dust or other foreign material on the IP
CR plates can be cleaned but this must be done carefully according to the manufacturer’s recommendations to avoid permanant damage

A

Light spots

143
Q

Due to dust on the light guide

A

White line along the length of travel

144
Q

Reductions in resolution either overall or in specific areas of image
Result of dust accumulation in the CR or laser imaging unit components (polygonal mirror, light gate or other reflective surfaces
Cleaning of these units on a regular quality assurance schedule may avoid both image deterioration and early replacement of both CR and laser imaging equipment
Tend to be accompanied by contrast scale reductions but is difficult to assess because there are so many ways to modify image contrast and display monitors have inherent contrast deterioration over time

A

Dropout artifacts

145
Q

Due to IPs being much more sensitive that film

A

Fogging from background radiation

146
Q

Cover a wide range of image problems that correspond to the post-acquisition processing functions that are available on a specific CR system
To control these artifacts, manufacturers restrict access or provide preset values in order to provide a reasonable level of consistency between images for diagnostic comparisons

A

Algorithm artifacts

147
Q

Caused by uneven transport of film material through a laser imaging system
Uneven scanning, distortion and overlapping shading

A

Laser film transport artifacts

148
Q

Due to any of the following: improper collimation or technique, beam alignment, scatter and extreme density differences

A

Histogram analysis error

149
Q

Histograms require that collimation edges be parallel to the sides of IP

A

Nonparallel collimation

150
Q

Poor grid alignment may result in this, as the computer may not display the grid lines

A

Grid lines/poor image quality

151
Q

Particular device to pursue informatics

A

Platforms

152
Q

5 BMI platforms

A 
Picture archiving and communications systems (PACS)
Hospital information system (HIS)
Radiology information system (RIS)
Electronic medical record (EMR)
Electronic healthcare record (EHR)
153
Q

2 classes of DICOM information

A

Object

Service

154
Q

Contains information about study and patient

A

Object

155
Q

Describes what to do with object

A

Service

156
Q

Medical information must be encrypted

A

Health Insurance Portability and Accountability Act (HIPAA) of 1996

157
Q

Provides standards of interoperability between stakeholders

A

HL-7

158
Q

Network infrastructure and file management (large impact on data distribution)
Images need to be distributed to radiologists and clinicians

A

Image distribution

159
Q

What is storage like in a typical large radiology department?

A

150000 exams per year

3.2 terabytes of memory (3-5 years of storage, 10-16 terabytes)

160
Q

Digital processing that produces changes in density/brightness

A

Window level

RAD 102: Radiographic Technique (7 decks)

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