Digital Radiography Flashcards

1
Q

What is the difference between digital and film radiography?

A

Difference in the x-ray beam is dealt with after it has interacted with the patient

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2
Q

What different x-ray receptors are used in digital radiography?

A

Phosphor plate
Solid-state sensor

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3
Q

What sizes do phosphor plates come in and what is each size for?

A

Size 0 - anterior periapicals
Size 2 - bitewings, posterior periapicals
Size 4 - occlusal radiographs

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4
Q

How is an x-ray shadow converted into an image?

A

When x-ray beam passes through an object some of the x-ray photons are attenuated, creating an x-ray shadow
The shadow is basically the image information held by the x-ray photons after the beam has passed through an object
The image receptor detects this shadow and uses it to create an image

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5
Q

Describe a digital image

A

Displayed as a grid of pixels
Each pixel can only display one colour at a time
The more pixels you have, the more detailed/accurate your image can be

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6
Q

Describe the greyscale bit depth

A

Radiographs typically are processed in at least 8 bits
Meaning there are 256 shades of grey

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7
Q

What is DICOM?

A

Digital Imaging and Communications in Medicine
International standard format for handling digital medical images
Essentially an alternative to JPED, GIF etc

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8
Q

How are digital images managed?

A

PACS
Picture Archiving and Communication System

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9
Q

What affects how digital radiographs are viewed?

A

Environment - subdued lighting, avoid glare
Monitor - clean, adequate display resolution, high enough brightness, suitable contrast level

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10
Q

What is the SMPTE test pattern?

A

Society of Motion Picture and Television Engineers
Can be used to assess the resolution, contrast and brightness of your monitors

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11
Q

Describe image creation using phosphor plates when inside the patient’s mouth

A

Receptor exposed to x-ray beam
Phosphor crystals in receptor excited by the x-ray energy resulting in the creation of a latent image

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12
Q

Describe image creation using phosphor plates when inside the scanner

A

Receptor scanned by a lapsed
The laser energy causes the excited phosphor crystals to emit visible light
This light is detected and creates the digital image

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13
Q

What are the types of solid-state sensory?

A

CCD - charge-coupled device
CMOS - complimentary metal oxide semiconductor

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14
Q

How is an image created using solid-state sensory?

A

Latent image created and immediately read within the sensor itself
Final image created virtually instantly

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15
Q

What is an identification dot?

A

Located in the corner of receptor to aid orientation of image

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16
Q

How is cross-infection control implemented in intra-oral receptors?

A

Receptors have single use covers to prevent saliva contamination
Receptor still disinfected between use

17
Q

What are the advantages of phosphor plates?

A

Thinner, lighter and flexible
Wireless
More stable and comfortable

18
Q

What are the disadvantages of phosphor plates?

A

Variable room-light sensitivity
Risk of impaired image
Latent image needs to be processed in scanner separately
Handling similar to film

19
Q

What are the advantages of solid-state sensors?

A

Bulky and rigid
More durable
Need replaced less often
No issues with room-light control

20
Q

What are the disadvantages of solid-state sensory?

A

Usually wired
Smaller active area
More expensive

21
Q

What are the advantages of digital radiography?

A

No need for chemical processing
Easy storage and archiving of images
Easy back-up of images
Images can be integrated into patient records if digital
Easy sharing of images

22
Q

What are the disadvantages of digital radiography?

A

Worse resolution
Requires good computer monitors for optimal viewing
Risk of data corruption (solved by backing up)
Hard copy print-outs generally have lower image quality
Image enhancement can create misleading images