Chapter 7: Radiography Flashcards
(a+b)/a
a = src to obj distance
b = obj to detector distance
Object Magnification
parameter that is kept consistent during xray
Source to image distance
General SID and upright Chest SID
100 cm (40 inches) and 183 cm (72 inches)
types of radiography where a sheet of film with light sensitive emulsion on both sides sandwiched between 2 intensifying screens
Screen film radiography
converts incident xray photons to visible light which exposes the Ag halide emulsion of the film
Scintillator
material used in scintillator
Gd2O2S
In screen film radiography, only one screen with single emulsion film is used
Extremities and Mammo
The film is a thin plastic base coated on one or both sides with a layer of light sensitive emulsion, consisting of _____ held in water soluble gelatin
Ag halide crystals (95% AgBr/AgI)
AgS introduces defects producing a protrusion of the (+) charge that reaches the surface of the crystal, which is called _______.
Sensitivity Speck
Reducing Agent and Oxidizing Agent
Reducing Agent - Developer
Oxidizing Agent - Fixer
This corresponds to the non linear change of the Optical density (OD) with respect to the xray exposure.
Hurler and Driffield (H&D Curve)
A low contrast and wide latitide is required in _____.
A high contrast and narrow latitude is required in ______.
Chest xray and Mammography
Xrays are absorbed by PSP, some light is emitted but a fraction is trapped in the PSP screen and can be read out later using laser light. these systems are housed in cassette.
Computed Radiography
Phosphors usually composed of
BaFBr or other Ba Fluorohalides
CR Reader translate the image plate _______ by rollers across the moving stage, then scans ______ by a laser beam
Vertically and horizontally
typical imaging plates are usually composed of ______ and is activated with _____. The activation is called ____.
85% BaFBr/15%BaFl
Europium
Doping
Form image using visible light, using an integrated circuit using crystalline silicon
Charge couple device (CCD)
stage where the # of quanta is lowest
Quantum sink
optically couples to an xray scintillator by fiberoptic channel plates.
Linear CCS arrays
used is slot scan systems and use a narrow xray fan beam
Linear CCD Arrays
This type of xray is useful in examinations of chest and in full body trauma imaging
Linear CCD arrays
based on crystalline silicon matrix. These are RAM chips with built in photosensitive detectors, storage capacitors and active readout electronics
CMOS
Major issue of CMOS
Limitation of CMOS
Electronic noise
Small FOV
Signal modulates light transmitter from a backlit liquid crystal display element
Thin film transistor (tft) array
TFT charge collection electrode + storage capacitor
Dexel
USe a scintillator to convert xrays to light with optical coupling of the scintillator to the active matrix
Indirect Detection TFT arrays
Scintillator use in Indirect TFT
CsI
Disadvantage of Indirect TFT
light released inthe scintillator layer has to propagate large distances and may cause blurring and loss of spatial resolution
Percent of each dexel taht is photosensitive
Fill factor
Use a semiconductor material that produces electron hole pairs in proportion to incident xray intensity
Direct detection TFT arrays
Widely used conductor for DIrect Detection TFT arrays
Amorphous Selenium
Relate the relationship of kV in relation to the
Patient Dose
Contrast resolution (and why and where is it used?)
Low kV Inc Px Dose but Inc Contrast resolution
Lower kV emphasize contrast due to PE effect on px which is impt for high z materials (bone)
In CXR is the kV low or high?
HIGH
High kV is used (120kV) to decrease conspicuity of the ribs by reducing PE effect
High mA allows exposure time to be (shorter/longer).
High mA allows exposure time to be SHORTER -> Freezes px motion
mA is set at high value (500( and exp time is determined by the AEC
converts xray to visible light which exposes the film emulsion or photoconductor
scintillator
thicker/thinner phosphor screen, more spreading of light.
THICKER
Called lateral light propagation.
CsI has less lateral light propagation
One factor of xray detectors (phosphor layer)
It is determined by the phosphor composition (z and density) and screen thickness, as well as, the xray beam energy
Absorption efficiency
NOTE: Thicker, denser phosphor layer absorb more of the incident xray beam but concomitant incin blurring and loss of spatial resolution has to be considered
This described how well xray detectors capture the incident photom beam but does not include xray fluorescence (from reemission of photon energy)
Quantum detection efficiency
Describes how efficiently the optical signal is conveyed from the scintillator to the photodetector and subsequently amplified and converted to signal in the image
Conversion efficiency
phenomenon whereby technologists tendto use unnecessary high exposures
dose creep
indicates amount of radiation reaching the detector
If this a indicator of dose to patient?
Exposure index
NO.
reduces anatomical noise and produces imagewithbetter information content.
acquires 2 radiographic images at 2 different effective energy levels (kV) enable either the bone/ST component to be removed by image post processing
Dual Energy Radiography
Refers to the amt of scatter in an image
Scatter to primary ratio (SPR) or scatter fraction
Scatter fraction INC or DEC in relation to
volume of tissue irradiated, field size and patient thickness
INCREASES in ALL
most widely used technology to reduce scatter in radio, fluoro and mammo
Antiscatter grid
most fundamental descriptor of the grid’s construction
grid ratio
ratio of the height of the interspace material to its width
grid ratio
Lower in mammo
Grid septa is usually made up of ____
Lead
Solid interspace material should be used to keep the malleable septa aligned, which is made up of
Al - low cost
Carbon fiber grids - more common
What is the grid type used in diagnostic xrays and mammo?
Dx xrays - linear grid
Mammo - crossed grid
this is a moving grid whichs moves with a reciprocating motion during exposure causing the grid bars to be blurred and not visible on the image. Movement is perpendicular to the long axis of the septa.
Bucky grid
Refers to the relative increase in x ray intensity or equivalent mA needed when a grid is used
typically, 3-8
Bucky factor
fraction of primary photons transmitted thru the grid
Primary transmission factor
Ideally 1
Usually 0.5 to 0.75
Fraction scattered radiation that penetrates the grid
ideally 0
usually 0.05 to 0.2
Gold standard in scatter radiation reduction methods
Scan slot system
One gray is equal to
100 rads
Xray tube output:air kerma
mGy per 100mAs at 100cm
Distance from the xray tubes focal spot to the entrance skin layer
Source to skin distance (SSD)
Free in air measurements
Without backscatter
Surrogate measure of the dose used in projection radiography
ESK
Use computer simulation to study the dose deposition during an xray exposure
Monte Carlo procedures
Compute the 3D dose distribution for a given exposure geometry
Monte Carlo calculations
Based on tracking the trajectory and energy deposition of xray photons through a mathematical phantom with a defined geomatery and composition
Monte Carlo dosimetry