diagnostic imaging lecture 2 Flashcards

0
Q

explain conventional radiography? How are they processed?

A

x-ray film needed, cassettes. automatic or manual film processor (develop, fix and rinse and dry) dark room or view box.

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1
Q

3 main types of radiographic image acquisition?

A

conventional, computed radiography (CR), Digital radiography (DR)

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2
Q

What is a double emulsion x-ray film?3 layers? what does each layer rovide?

A

responds to x-rays faster. polyester base with silver halide emulsion and then protective coating on each side. base is for structural strength, adhesive binds the emulsion to the base. the coat provides protection for the silver halide against mech damage.

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3
Q

What do silver halide crystals consist of?

A

light sensitive material in the emulsion. sensitivity increased by having a mixture of 1% silver iodide and 90-99% silver bromide.

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4
Q

what happens when silver halide crystals exposed to light?

A

electron in silver bromide released by light energy. silver atom is formed at the sensitivity speck and this is turned to metallic silver. - this produces the latent image.

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5
Q

How is the latent image formed?

A

greater number of silver halide crystals that have been transferred to metallic silver - the blacker the film and greater film density.

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6
Q

what are the advantages of an automatic film processor for conventional radiography?

A

reduces film processing time by 4 . silver halide cyrstals that are not exposed are removed during fixing.

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7
Q

what does the developer do in conventional radiography?
what does the fixer do?
what does the wash do?

A

it causes cataylsis of the reaction which reduces the reamining silver ion into grain of metallic silver
the fixer prevents further development and removes undeveloped silver bromide from the film
the wash removes fixer chemicals which would discolour the film over time.

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8
Q

before processing any films what should you do? what should this include?

A

you should permanently identify them (date, medical record number, animal name, owner name and practice name. )

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9
Q

what is the difference between non-screen and screen x ray films. ? which one is better?

A

non-screen - used direct exposure to x ray and use cardboard holders. results in high personal and patient exposure.
screen - single or double emulsion. 95% of film exposure is from ight given off by the intensifying screen.

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10
Q

what is the intensifying screen used for screen x ray films?

A

reduces person exposure and patient exposure

increases the contrast.

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11
Q

x ray photons may either? (2) they either interact with what or what? if they are absorped? what is the Compton effect? what is the coherent effect?

A

they are either scattered or absorped. they either interact with the orbital electrons (diagnostic) or the nucleus of the atoms. if they are absorped then they are completely removed from the x-ray film. compton - 90-180 degree deflection
coherent - in the same direction.

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12
Q

what is a grid used for?

A

use to absorb scatter radiation to improve the radiographic contrast. this is recommened when body thickness is over 10 cm. (good picture)

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13
Q

what are the main advantages of CR?image caprtued in?

A

computed radiography. it is filmless, no darkroom and no chemistry. image is captured in casettes containing phosphor storage layer. creates image in DICOM FORMAT. and the image is sent and stored in PACS.

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14
Q

phosphor - how does it work in CR?

A

stirage phosphor. a laser beam then stimulates it to reases its stored light energy.

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15
Q

advantages and disadvantages of CR?

A

advantages: time efficient, robusts and good image,
lower radiation dose possible
cost effective
disadvantages: laser reader sensitive to dust
maintenance of moving part
still needs manual labour

16
Q

what does DR stand for? how does it work? what is PACS?

A

direct digital radiography. has an image receptor plate that transforms x rays into an electrical signal. images sent to PACS - picture acrchiving and communications system. cassette often built inthe table - wired or moveable.

17
Q

what are the advantages and disadvantages of DR?

A

ad - image obtained in several seconds
good image
lowest radiation dose possible
disad - very expensive, fragile.

18
Q

what is image stitching?

A

means you can join all the x rays together to see as one long image. up to 1.2 m. created by rotation.

19
Q

what is dynamic DR?

A

provides moving radiographic images. up to 40frames per second. high quality images. fluoroscopy not as good yet. but 100 frames/second possible.

20
Q

what is DICOM?

A

digital imaging and communication in medicine - vendor independant storage.

21
Q

major advantages of CR and DR?

A

no more flim, no lost film, no dark room,
all images are available from computers
PAC and DICOM.

22
Q

what are RIS? and HIS?

A

radiology information system - RIS. database to store, mainpulte and distribute imaging data. patient registration and shcedule for imaging. plus a connection to the
HIS - hospital information system. (electronic medical records.)