Film and Digital Radiology - digital receptors Flashcards

1
Q

What is the basic difference between digital and film receptors/radiology?

A

how the x-ray beam is dealt with after it has interacted with the patient. E.g. how the x-rays are captured, converted into an image and stored (the photon interaction is the same).

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2
Q

Out of the different types of film receptors, what ones are single and multi use?

A

film = single

digital = multi use

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3
Q

What diff digital receptors do you get?

A
  • Phosphor plate
  • Solid-state sensor
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4
Q

What diff film receptors do you get?

A
  • direction action film
  • indirect action film receptors
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5
Q

How is an image created from x-rays and a digital x-ray recptor?

A
  • When the x-ray beam passes through an object some of the x-ray photons are attenuated, creating an “x-ray shadow”
  • The x-ray shadow is basically the image “information” held by the x-ray photons after an x-ray beam has passed through an object
  • The image receptor detects this x-ray shadow & uses it to create an image
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6
Q

Why is the x-ray shadow lighter in the middle and darker on the outside? (when a radiograph is taken of a ball)

A
  • there is more attenuation in the centre (more x-ray absorbed) as the beam is passing through the widest diameter of the ball
  • There is less attenutaion on the outside as the x-rays are passing through air
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7
Q

How is the x-ray image displayed on digital receptors? (how does the receptor measure the attenuation and how does this make a difference?)

A

The receptor measures the x-ray intensity at defined areas which are arranged in a grid

Each are is given a value which corresponds to a shade of grey

Each of these sqaures are called pixels

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8
Q

How do the number of pixels influence the x-ray image?

A

more pixels = better detail = higher resolution

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9
Q

Increasing the resolution of an x-ray will do what?

A

It will provide a more diagnostic image UP TO A LIMIT (eventually increased pixilation will not provide any clinical benefit)

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10
Q

Why are digital receptors limited to the number of pixels it has?

A

Because its a small space - manufacturing challenges

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11
Q

What is the greyscale bit depth?

A
  • describes the number of shades of greys that have been used to represent the image
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12
Q

Radiographs are usually processed in at least how many bits? (greyscale)

A

at least 8 (256 shades of grey)

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13
Q

In what ways can you manipulate a digital image to view it? (that you cant do with a film)

A
  • Contrast
  • negative contrast
  • emboss
  • magnify
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14
Q

What format are digital images kept as?

A

DICOM (digital imaging and communications in medicine)

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15
Q

What is good about the digital format that images are kept in (DICOM)?

A
  • It is an international standard format for handling digital medical images
  • It is used to transmit, store, retrieve, print, process and display images
  • Allows imaging to work between different software, machines, manufacturers, hospitals & countries without compatibility issues
  • Stores other info such as patient ID, exposure, date
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16
Q

Management of digital imaging is done through what?

A

PACS (picture archiving and communication system)

Note: just dental hosp and wont be in practises (is used in all Scottish hospitals)

17
Q

What are the main componenets/features of pacs?

A
  • Input by imaging modalities
    • eg. plain radiography, CT, MRI, US
  • Secure network for the transmission of patient information
  • Workstations for interpreting & reviewing images
  • Archives for the storage & retrieval of images & reports
18
Q

Describe how you should view digital radiographs.

A
  • Suitable environement
    • subdued lighting
    • avoid glare
    • no bright lights/windows shining onto screen
  • Use a suitable monitor
    • clean
    • adequate display resolution
    • high enough brightness level
    • suitable contrast level
19
Q

Describe phosphor plate receptors briefly.

A
  • Are not connected to a computer
  • After the receptor is exposed to x-rays the it must be put in a scanner and ‘read’ to create the final image.
20
Q

Describe how an image is created using phosphor receptors (the process).

A
  1. The receptor is exposed to x-ray beam within the patients mouth
  2. The phosphor crystals in the receptor are excited by the x-ray energy, resulting in the creation of a latent image
    1. An image stored by the phosphor crystals in the receptor which we cannot see
  3. The receptor is then scanned by a laser
  4. The laser energy causes the excited phosphor crystals to emit visible light
  5. This light is detected by the scanner and created the digital image
21
Q

What different types of solid state sensor do you get?

A
  • CCD (charge-coupled devices)
  • CMOS (comolimentary metal oxide semiconductor)
22
Q

Solid state sensors are connected to what?

A

A computer (normally wired but can be wireless)

23
Q

Describe how the image is produced in a solid state sensor?

A

The latent image is created and immediately read within the sensor itself (instant final image created)

24
Q

What is found on a solid state sensor to help aid orientation of the image?

A

an identification dot located in the corner of the receptor

(However, this is only effective if the receptor was positioned correctly during exposure)

25
Q

How is cross-infection control managed in terms of x-ray receptors?

A
  • intra-oral receptors have purpose-made covers to prevent saliva contamination (are single-use)
  • Receptor still needs to be disinfected between uses
26
Q

What are examples of intra oral receptor covers?

A
  • Adhesive sealed plastic covers (for Phosphor Plates)
  • Long plastic sleeves (for wired Solid State Sensors)
27
Q

How should you hold both digital and film receptors to avoid damage?

A

hold by their edges and not the flat surface

28
Q

Why do you want to be careful not to damage the receptors?

A

Will reduce the diagnostic value of the receptors

If digital, some damage will impact every subsequent image and may render it unusable

29
Q

Compare phosphor plates to solid state sensors.

A
  • Thinner, lighter & (usually) flexible
  • Wireless
    • More stable (& more comfortable)
  • Variable room-light sensitivity
    • Risk of impaired image
  • Latent image needs to be processed in scanner separately
  • Handling similar to film
30
Q

Compare SSS’s to phosphor plates.

A
  • Bulkier & rigid
  • Usually wired
  • Smaller active area (for same physical area of receptor)
  • No issues with room-light control
  • Arguably more durable
    • Replaced less often
  • More expensive