Final Exam Review Flashcards

1
Q

What are 2 types of scintillator materials?

A

Cesium Iodine

Gadolinium

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2
Q

What does a scintillator do?

A

Converts x-rays to light

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3
Q

Cesium Iodine Vs. Gadolinium Oxysulfide

A

CSI- long crystal columns that direct the light down to the TFT, higher spacial resolution due to less light spread

Gd2O2S-random unstructured crystal layer, light can escape laterally before reaching TFT(air pockets)
Lower spacial resolution due to more light spread
Good for rugged applications

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4
Q

What is the TFT? And function?

A

Thin film transistor

-isolates each pixel element and acts like a switch to send electrical charge image processor

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5
Q

What is fill factor?

A

% of pixel face that is sensitive to x-rays

Approx. 80% leaving 20% of the beam that doesn’t contribute to image

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6
Q

Photodetector?

A
  • holds the pixels

- made of amorphous silicon

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7
Q

CCD?

A

Charged Coupled Device

  • photodetector
  • electronics embedded into silicon chip
  • converts light to electrical charge & stores it
  • Charge is released to the ADC (analog to Digital Converter)
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8
Q

Advantages of Digital?

A
  • wide exposure latitude(can detect lots of grays)
  • reduction in repeats
  • can compensate for over/under exposure
  • environmentally friendly
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9
Q

3 components of film?

A
  • cassette
  • intensifying screen
  • film
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10
Q

What is the purpose of the intensifying screen?

A
  • reduces patient does because it converts x-rays to visible light
  • decreases resolution because of light
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11
Q

Layers of the intensifying screen (4)

A
  • Protective layer
  • Phosphor layer
  • reflecting layer
  • base
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12
Q

Function of phosphor layer?

A

-emits light when x-rays hits

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13
Q

DQE?

A

Detective Quantum Efficiency

-% of x-rays absorbed by the screen

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14
Q

CE?

A

Conversion Efficiency
-amount of light emitted for each x-ray absorbed

-Characteristic of phosphor layer

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15
Q

2 types of luminescence?

A
  1. Fluorescence -light is emitted only while being stimulated
    (Light bulb)
  2. Phosphorescence- light emitted even after stimulation
    (Glow in the dark sticker)
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16
Q

Phosphor factors that effect the image? (4)

A
  1. Material Composition-calcium tungstate vs. Rare earth
  2. Thickness of layer- thicker layer=increased DQE
  3. Concentration-more concentrated = higher screen speed
  4. Size of Phosphor- larger phosphor = more light produced per x-ray interaction
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17
Q

Intensification Factor?

A

exposure without screen/exposure with screen=IF

-gives information about patient dose

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18
Q

Screen Speeds ?

A
  • describes Efficiency of x-ray conversions to light

- calcium tungstate is used for a basis of comparison with assigned value of 100

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19
Q

How does screen speed effect does?

A

higher speed =lower dose

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20
Q

How does screen speed effect detail?

A

Higher speed = less detail

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21
Q

Uncontrolled speed Factor? (6)

A
  • built in
    1. Phosphor composition
    2. Phosphor thickness
    3. Reflective layer (has one or doesn’t)
    4. Dye in phosphor layer
    5. Crystal Size
    6. Crystal concentration
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22
Q

How does phosphor size and thickness effect speed?

A

Greater size and thickness = higher speed

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23
Q

Controllable speed Factors? (3)

A
  1. Radiation quality- high KVP =high Intensification Factor
  2. Processing
  3. Temperature- higher IF at low temp
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24
Q

Film base? Fog?

A

Base- colour added to film base

Fog- any exposure during storage, contamination, processing

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25
Q

On a characteristic curve the slope is?

A

-the degree of contrast

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26
Q

Slope of the line is drawn between points corresponding to OD (0.25-2) above base and fog densities

A

.

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27
Q

Gradient on characteristic curve?

A

-slope of the tangent at any point on the curve

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28
Q

Toe gradient?

A

-more important than average because many clinical OD’s appear in this region

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29
Q

Shoulder Gradient?

A

-important in mammo, most of their OD’s are in this region

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30
Q

Latitude?

A

Range of exposures that the image receptor can display

  • Wider=lower contrast
  • Narrow=high contrast q
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31
Q

Speed?

A

The ability of image receptor to respond to an x-ray exposure

-also known as Measure of Sensitivity

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32
Q

Changing speeds formula?

A

RS1/RS2=mAs2/mAs1

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33
Q

Image Receptor Speeds effect?

A
  • radiation sensitivity
  • density
  • dose
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34
Q

Quantum Mottle?

A
  • not enough radiation hits the IR
  • more light producing the image rather than x-rays
  • it will appear splotchy, mottled, and grainy
  • decreases image detail
  • need to increase mAs to correct it
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35
Q

4 Factors that effect radiographic image quality?

A
  1. Photographic
    - optical density
    - contrast
  2. Geometric
    - detail
    - distortion
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36
Q

What is recorded detail?

A

-degree of sharpness of structural lines on a radiograph

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37
Q

Synonyms for Detail?

A
  • recorded detail
  • definition
  • sharpness
  • blur
  • resolution
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38
Q

What is resolution?

A
  • ability of an imaging system to distinguish between 2 adjacent structures
  • expressed in (line pairs/mm)
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39
Q

Resolution is the combination of?

A
  • Spacial resolution ( ability to image small objects )

- Contrast resolution ( ability to distinguish between 2 objects with similar subject contrast )

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40
Q

Line pairs consist of?

A

-lead stripe(line) and air space (space) = line pair

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41
Q

How do line pairs effect resolution?

A

More line pairs = higher resolution

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42
Q

Factors that control detail? (3)

A
  • Geometric unsharpness
  • Motion unsharpness
  • Image receptor unsharpness
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43
Q

Factors that effect Geometric Unsharpness?

A
  • focal spot size ( ranges from 0.1-3.0 mm )

- distance ( SID & OID )

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44
Q

What is focal spot blur?

A

Occurs because the effective focal spot is not a single point

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45
Q

The most important factor for spacial resolution is?

A
  • Focal spot blur

- High contrast objects that are smaller than focal spot blur can’t be imaged

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46
Q

How does magnification effect blur?

A

-more magnification = more blur

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47
Q

How to decrease focal spot blur?

A
  • use smallest focal spot possible
  • largest SID possible
  • Smallest OID possible
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48
Q

Less focal spot blur on Anode Side

A

.

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49
Q

Why does increasing SID reduce blur?

A

-diverging rays become more perpendicular to object which decreases the unsharpness

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50
Q

How does decreasing OID decrease blur?

A

-Less room for diverging rays between patient and IR

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51
Q

What has the greatest effect of Geometric unsharpness?

A

-OID

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52
Q

The most detrimental effect on recorded detail is?

A
  • motion unsharpness

- motion of anatomy, tube, or image receptor

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53
Q

2 Types of patient motion?

A
  • Voluntary

- Involuntary

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54
Q

What is image receptor unsharpness affected by?

A

The device used to record the image

  • do to manufacture
  • don’t have control over this
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55
Q

If you____________speed, you _______________unsharpness

A

Increase, Increase

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56
Q

Factors that affect recorded detail? (4)

A
  • Phosphor size
  • Phosphor layer thickness
  • Phosphor Concentration
  • Film Screen Contact
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57
Q

__________phosphor size results in a _____________recorded detail

A

Large, Decrease

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58
Q

Factors that affect resolution of digital imaging systems(2)

A
  • Geometric properties of the IR

- Image Processing system

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59
Q

Factors that limit detail? (4)

A
  • Phosphor size
  • Layer thickness
  • Concentration
  • Scanning of the screen and processing
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60
Q

_________the pixel, ___________the resolution

A

Smaller, Higher

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61
Q

Fill Factor?

A
  • area of detector that is light sensitive
  • HIGH fill factor=HIGH resolution
  • more transitions(steps)=REDUCES recorded detail
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62
Q

Distortion? Types?

A
  • results from radiographic misinterpretation of an object
    1. Size distortion-magnification
    2. Shape distortion-elongation and foreshortening
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63
Q

Ways to minimize distortion?`

A
  • distances
  • central ray
  • patient postition
  • IR position
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64
Q

Size Distortion?

A

And increase in the size of an objects image compared to its actual size
-Due to OID (greatest effect)

65
Q

Magnification Factor Formula

A

MF=SID/SOD (SOD=SID-OID)

OF

MF=Image Size/Object Size

66
Q

Shape Distortion?

A
  • misrepresentation of an object with distortion of its shape
    1. Elongation-image appears longer than actual object
    2. Foreshortening- image appears shorter than actual object
67
Q

What causes Shape distortion?

A
  • inaccurate central ray alignment of tube
  • inaccurate alignment of part
  • inaccurate alignment of IR
68
Q

__________magnification=__________OID

A

More, More

69
Q

What is Digital Imaging?

A

-Any imaging acquisition process that produces an electronic image that can be viewed and manipulated on a computer

70
Q

Components of a Computer?

A
  • Input devices
  • Output devices
  • Processing devices
71
Q

Input Device Examples?

A
  • keyboards
  • Mice
  • Microphones
  • Barcode Readers
  • Touch Screens
  • Image Scannerss
72
Q

Output Device Examples?

A
  • Monitors
  • Printers (paper, laser film)
  • Speakers
73
Q

2 Monitor Types?

A

CRT-Cathode Ray Tube

LCD-Liquid Crystal Display

74
Q

CRT

A
  • Refresh rate
  • Controls “flicker” seen by user
  • Higher refresh rate=less flicker
75
Q

LCD

A

Response rate-amount of time for crystal to go from off state to on
-Slower response time=causes blurring

76
Q

Aspect Ratio?

A

-Ratio of the width of the monitor to the height of the monitor

77
Q

How does CRT work?

A
  • Works like an X-ray tube
  • Electrons strike phosphors causing glass to emit a color determined by the intensity of the interaction and area with which electrons interacted
  • Electron beam starts in upper left corner and scans across glass side to side
  • After reaching bottom it starts again at the top
78
Q

How does LCD work?

A
  • Images are produced by shining or reflecting light through a layer of liquid crystal and a series of color filters
  • Light passes through the first layer, and when a current is applied to the crystal layer it aligns and allows light in carrying intensities through to the next layer
79
Q

Different types of Workstations?

A

-Administration
-Tech
-PACS
-CR reader
-Radiologist
_Archives

80
Q

What is a Digital Image?

A
  • one that has been converted into numerical values for transmission or processing
  • Requires DR or CR
81
Q

What is an Array Processor?

A
  • Special computer that functions as a peripheral device

- Uses its own memory to preform simultaneous math operation at very high speeds

82
Q

What factors remain unchanged in Digital Imaging?

A
  • Patient positioning
  • Projections
  • Collimation
83
Q

Pros of Digital?

A
  • wider range of exposure
  • linear response
  • greater range of densities
  • easily manipulated with computer
  • post processing
84
Q

What are the critical characteristics of a digital image?

A
  • Spatial resolution
  • Contrast resolution
  • Noise
  • Dose efficiency
85
Q

Pixel? Size? Depth?

A
  • smallest element in digital imaging

- Size of pixel is DIRECTLY related to the amount of spacial resolution/detail of image

86
Q

_____________pixel size=__________detail

A

Smaller, Increases

87
Q

___________bit depth=____________grey levels displayed

A

Higher, More

88
Q

Matrix?

A
  • image is recorded as a matrix
  • numerical values
  • divided into small boxes
  • Each pixel displays numerical value and a density level proportional to degree of the incoming signal
89
Q

__________matrix size=_____________resolution

___________the matrix=_____________the pixels

A

Increased, Increased

Larger, Smaller

90
Q

What is Dynamic Range?

A
  • The ability to respond to varying levels of exposure

- identified by the bit capacity of each pixel

91
Q

What is windowing?

A
  • Allows us to see only a portion of the entire dynamic range
  • Raw data image will show full dynamic range
    • Appears very low contrast, as so many shades of grey are displayed
92
Q

What is Window Level?

____________Window Level=___________Brightness

A
  • Controls the image brightness ( controlled by varying the value of each pixel)
  • DIRECT relationship

-Decreased, Increased

93
Q

Increasing brightness of the image…..

Decreasing brightness of the image…..

A
  • All pixels are raised to higher value by the same factor

- All pixels are decreased to lower value by the same factor

94
Q

What is Window Width?

________Window Width=___________Contrast

A
  • Controls image CONTRAST
  • INVERSE RELATIONSHIP

Decreased, Increased

95
Q

A NARROW window width=

A WIDE window width=

A

Decreased window width=Increased Contrast

Increased window width=Decreased Contrast

96
Q

What does Image Sampling determine?

A

Image LOCATION and SIZE of the signal

97
Q

What is a Histogram?

A

Graphical representation of the optimal densities within the collimated area

  • Takes the image data from sample
  • System finds useful signal by locating the minimum and maximum signal within the regions of interest on the image
  • all intensities are plotted on the histogram
98
Q

The values at the ______ of the histogram represent ______

The values at the ______ of the histogram represent______

The values at the ______of the histogram represent______

A

Left, Black

Right, White

Middle, Medium tones

99
Q

How will a dark image appear on a histogram? A light image?

A
  • Most data points will be on the LEFT

- Most data points will be on the RIGHT

100
Q

NyQuist Theorum states?

A

When sampling a signal the sampling frequency must be greater than TWICE the frequency of the input signal so that the reconstruction of the original image will be as accurate as possible

101
Q

What is Aliasing?

A

-Produces an image that looks like two superimposed images just slightly misaligned

102
Q

What is Automatic Rescaling?

A
  • used for high and low exposures
  • attempts to correct pixel display
  • it produces images with uniform density and contrast regardless of the exposure
103
Q

What will occur if the exposure is too small?

A

-Quantum mottle

104
Q

What will occur if the exposure if too large?

A

Loss of contrast and edge sharpness and increased scatter

105
Q

What is a LUT?

A
  • Look up table

- used as a reference to evaluate the raw info and correct pixel values during processing

106
Q

Can the raw data be changed?

A

NEVER!

107
Q

When the slope of the graph is changed what will be increased/decreased?

A

-contrast

108
Q

When moving the line along the y-axis what will be increased/decreased?

A

-Brightness/density

109
Q

___________slope=____________contrast

____________slope=_____________contrast

A

Greater, High

Less,Low

110
Q

What is an exposure indicator?

A

-refers to the amount of exposure received by the IR

111
Q

Factors that affect EI #’s

A
  • Technical factors
  • Histogram analysis error
  • Patient positioning
  • Image processing algorithms
  • SID
  • Collimation
  • Beam entering
  • Artifacts
112
Q

Following and exposure what happens?

A
  1. The IR is read and a histogram in formed
  2. EI #’s represent the average gray shade value of the image
    * *based on collimated boundaries**
  3. Compared to a pre-programmed histogram of the same body part
113
Q

EI_s #’s Linear Response

A

-As exposure increases the EI_s increases

114
Q

EI # Direct Response
Carestream/Kodak
Philips Digital

A

Double the exposure=EI increases by 300
Halve the exposure=EI decreases by 300

Double the exposure=Halve the EI number

115
Q

SNR (Signal to noise ratio) components

A
  1. Signal-meaningful pattern carrying info about subject
  2. Noise-Chaotic pattern, carrying no info about subject
    - Quantum noise=quantum mottle
    - Electronic noise=created during amplification of the signal
116
Q

_________SNR=_________is HIGHER than __________

_________SNR=_________is LOWER than ___________

A

High, signal, noise

Low, signal, noise

117
Q

Shuttering/masking?

A

-Used to black out the white collimation borders eliminating glare

118
Q

Image Orientation?

A

-Allows us to rotate images

119
Q

Image Annotation?

A

-Allows additional info to be added to image

120
Q

2 Types of Magnification?

A
  1. Magnifying glass function-only one part of the image is being magnified
  2. Zoom function-the whole image is getting bigger
121
Q

Spacial Frequency Filtering ?

A

After signal is obtained for each pixel, to shorten process time and minimize storage the signals are averaged
-MORE pixels involved=SMOOTHER image

122
Q

What is High Pass Filtering? Low pass?

A
  • When frequencies are amplified
  • sharpening effect
  • increases contrast and edge effect
  • When frequencies are suppressed
  • Smoothing
  • Can lose small details, reduces noise and contrast
123
Q

Image stitching?

A

-Multiple images are stitched together to create on big image.

124
Q

4 main types of artifacts?

A
  1. Imaging plate artifacts
  2. Plate reader artifacts
  3. Image processing artifacts
  4. Printer artifacts
125
Q

What are imaging plate artifacts?

A
  • Usually due to aging or wear

- Plate becomes more prone to cracks due to constant removal and replacement within reader

126
Q

Static Artifacts? Backscatter?

A
  • Causes things to stick inside the IP

- Worn down or cracked areas of the lead coating on the cassette allow scatter to reach IP

127
Q

What are Image Processing Artifacts?

A

-Can occur from incorrect part selection or incorrect sampling

128
Q

What are Plate Reader Artifacts?

A
  • Any extraneous line patterns that appear randomly can be caused by issues with electronics
  • If IP is not completely erased residual info can be left before next exposure is taken
129
Q

What are Printer Artifacts?

A

-Fine white lines may appear on the image due to debris in the laser printer

130
Q

What are some examples of operator errors?

A
  • Collimation
  • Cassette Orientation
  • Technical Factor Selection
131
Q

What is image lag?

A

-when an image is taken before the detector has finished releasing all the signal for the previous image
Caused by : taking images in rapid succession, over exposure, areas with little beam attenuation

132
Q

A group of two or more computers linked together is a…..

A

Network

133
Q

LAN?

A

Local Area Network

-linked computers that are close together

134
Q

WAN?

A

Wide area Network

-Computers that are further apart and must be connected by telephone lines, cables, or radio waves

135
Q

Peer-to-Peer Network

A

Each party has the same capability and any party can initiate communication

136
Q

Client-Server Based Network

A
Centralized Computer(server) controls operations, files and sometimes computer programs that are attached to the network. 
Server-computer that facilitates communication between and delivers info to other computers
137
Q

Network Components

  • Server
  • Think Client
  • Thick Client
A
  1. Manages resources for other computers, servers and networked devices
  2. Any device that requires a server to complete its tasks
  3. Computer that can work independently of the network
138
Q

4 Common Topology’s?

A
  1. Star
  2. Bus
  3. Ring
  4. Mesh
139
Q

What is Bus topology?

A
  • All devices physically attached to and listen for communication on a SINGLE wire
  • if wire breaks the whole thing stops
140
Q

What is Ring Topology?

A

Devices are connected in a circle, data travels in one direction until it reaches the correct receiver

141
Q

What is Star topology?

A

Devices connected to a central hub or switch

-Like a mailbox, anyone can grab anything whenever

142
Q

What is Mesh Topology?

A

Multiple pathways to connect devices and networks

143
Q

What is DICOM?

A
  • consists of 20 parts

- standard that makes the images viewable everywhere

144
Q

What is HIS?

A

-HOlds patient’s full medical info

145
Q

What is RIS?

A

-Holds all radiology specific patient data

146
Q

What is EMR?

A
  • Electronic Medical Record

- all info

147
Q

3 Fundamentals of PACS?

A

Image Acquisition
Display Workstations
Archiving

148
Q

What is Image Acquisition?

A

-Images are acquired in a digital format

149
Q

Review the 4 types of workstations

A
  1. Review
  2. Tech
  3. Radiologist
  4. Image Management
150
Q

Review Workstation

A
  • any computer used to view digital image

- minor manipulation

151
Q

Radiologist Workstation

A
  • used to make primary diagnosis

- highest quality

152
Q

Tech Workstation

A
  • review image before sending

- minor adjustments

153
Q

Image Management Workstation

A

-used to look up exams or print copies

154
Q

What are the common 4 functions of workstations

A
  1. Navigation-moving through image
  2. Image Manipulation-post processing stuff
  3. Image Management-can make changes
  4. Advanced-Multi-planar Reconstruction, Max and Min Intensity Projection, Volume Rendering Technique, Shade Surface Display
155
Q

PACS Archiving?

A

-file room for all DICOM images

156
Q

Image Manager?

A
  • Contains the master database of everything in the archive

- receipt retrieval and distribution

157
Q

Image Storage?

A

-Actual physical storage device of the archive system

158
Q

What is RAID?

A
  • Redundant array of independent discs

- Made of several magnetic discs or hard drives linked as an array

159
Q

Examples of Long term storage?

A
  • Optical Disk
  • Tape
  • Magnetic Disk