Final Review Apparatus And Image Flashcards
The slope of the characteristic curve changes?
More slope = more contrast
Pros of vertical placement of the image plate during CR reading
- IP barely leaves cassette and is less likely to be damaged
- reduced occurrence of artifacts
What is image sampling?
The plate is scanned and the image location and size of signal is determined. A histogram is then generated
What is multiplanar reconstruction?
Allows you to change from an axial slice to a transverse slice, reconstructs image
How does window level work?
It increases/decreases the pixel values by the same factor to brighten or darken the image
Direct conversion parts, active layer material, and how it works
Amorphous selenium, and a TFT (thin film transistor)
Absorbs x-rays and coverts them into electrons, electrons are stored in TFT detectors
Amorphous selenium is sandwiched between two charged electrodes
How does density effect contrast?
If extremely overexposed or underexposed, the contrast will decrease
Synonyms for Detail
- recorded detail
- definition
- sharpness
- blur
- resolution
How does filtration affect scatter?
It takes away the low energy photons and increases the penetrability of the beam
Increased filtration = decreased contrast
4 factors that affect radiographic image quality?
- Photographic: OD and Contrast
- Geometric: detail and distortion
Why are imagers needed?
- Backup if PACS is unavailable
- Outside physicians
- Legal cases
- Teaching purposes
Advantages of a fixed kVp/variable mAs chart
- lower dose (higher kVp settings)
- adequate penetration of all anatomic parts
- consistent image contrast
- greater latitude with exposures
- measurement of part is not critical
What is a histogram?
A graph of all of the densities that the pixels captures
What are imaging plate artifacts? Examples?
- usually due to aging/wear
- ex. Cracks on the plate, appear as areas of radiolucency
- ex. Static
- ex. Backscatter
Factors that control detail
- Geometric unsharpness
- Motion unsharpness
- Image receptor unsharpness
Is a high SNR or low SNR better?
High
What is a review workstation?
- Most interactive part of PACS
- any computer that can be used to view a digital image
- received image from archive or modalities for viewing
- minor image manipulation
Radiographic contrast is the product of what?
Image receptor contrast and subject contrast
Why is the light filtered before it reaches the photodetector during CR reading?
So that none of the stimulation light swamps the emitted light signal
Purpose of the layers of film and what they’re made of
Film base: polyester or plastic, foundation of film that allows us to handle it
Emulsion: silver halide crystals suspended in gelatin, radiation and light sensitive layer
Adhesive layer: holds base and emulsion together
Supercoat/Overcoat: hard gelatin, protective layer to prevent damage to the emulsion layer beneath it
Is overexposure or underexposure ideal for the patient (EI numbers)
Underexposure
Radiographic contrast is a result of….?
Differential absorption
Line pairs consist of?
-Lead strip: line
-Air space: space
Together they are a line pair
How does phosphor size and thickness affect speed?
Greater size and thickness= higher speed
Network connections
- Wired
- Wireless
2 types of magnification?
- Magnifying glass function: a box placed over a section of anatomy shows a magnified version of that section
- Zoom: enlarges the entire image, need mouse to navigate because too large for screen
What is causal repeat rate? Formula?
Percentage of repeats from a specific cause # of repeats from a specific cause / total # of repeats x100
How to decrease focal spot blur
- use smallest focal spot possible
- largest SID
- smallest OID
What is health level seven (HL-7)
- universal standards used for most clinical and administrative data
- used for communication between HIS and RIS
2 types of spatial frequency filtering?
- High pass filtering: when frequencies are amplified, increases contrast and edge enhancement
- Low pass filtering: when frequencies are suppressed, smoothing, decrease contrast
Repeat rate maximums for different departments
General x-ray: less than 4-6%
Mammography: less than 5%
3 types of x-ray tube charts
- Radiographic rating chart
- Anode cooling chart
- Housing cooling chart
What is a CCD (charged couple device)
Is a photodetector and electronics embedded into a silicon chip
Converts light to an electric charge and stores it
Charge is released to the ADC (analog to digital converter)
Advantages to digital imaging
- wider range of exposure
- linear response
- greater density range
- easily manipulated with computer
- post processing
What is bit depth and what does it mean?
-the number of bits in a pixel
-the number of greys a pixel can produce
Ex. 8 bit = 2^8 = 256 greys
Configurations of RAID
- DAS: direct attached storage, couples to system with cable connections
- NAS: network attached storage, stand alone RAID arrays attached to network
- SAN: storage area network, high speed, special purpose network that link data storage devices with data servers
Exposure indicators represent?
The average gray shade values of the image
DQE
- Detective quantum efficiency
- % of x-rays absorbed by the screen
What has the greatest effect on geometric unsharpness?
OID
Formula to calculate magnification factor
MF = SID/SOD
MF= image size/object size
3 components of film
- Cassette
- Intensifying screen
- Film
Purpose of Anode Cooling Chart?
Shows maximum heat capacity for anode and how long it will take to completely cool
How direct conversion works
- Charge is applied from top surface of amorphous selenium layer
- Ionization from radiation causes selenium to release electrons
- Free electrons are collected at the bottom of the selenium layer
- Charged collected by a storage capacitor and read out line by line by the TFT to the computer
Define low subject contrast
Anatomy with similar tissue types (types that absorb the photons similarly)
Layers of film
- Film Base/base layer
- Emulsion
- Adhesive Layer
- Supercoat/Overcoat
Factors that limit detail
- phosphor size
- layer thickness
- concentration
- scanning of the screen and processing
2 types of luminescence
- Fluorescence: light it emitted only while being stimulated
- Phosphorescence: light is emitted even after stimulation
2 types of scintillator material and what does a scintillator do?
-Cesium Iodide (CsI)
-Gadolinium Oxysulfide (Gd2O2S)
Converts x-rays to light
Slope of the line is drawn between the point corresponding to OD 0.25-2 above the base and fog densities.
Add 0.25 and then add 2 to that and in between is your slope
How does fill factor affect resolution?
Higher fill factor (area of detector that is light sensitive) = higher resolution
How does magnification affect blur?
More magnification = more blur
If you have a technique chart do you still need to assess the patient and adjust technical factors accordingly?
Yes
Network classifications
- LAN: local area network, linked computers that are close together
- WAN: wide area network, computers that are far apart, connected by telephone lines, cables, or radio waves, internet
Layers of the intensifying screen
- Protective layer
- Phosphor layer
- Reflecting layer
- Base
Layers of intensifying screen
- Protective Coating
- Phosphor Layer
- Reflective Layer
- Base
What do array processors do?
Allow us to see the image instantaneously, puts all the info together into an image
What is an intensifying screen?
Device found in cassettes containing phosphors to convert x-rays into light which then exposes the film
Why are digitizers needed?
- teleradiology
- comparison
- duplication
- computer aided diagnosis
4 main types of artifacts
- Image plate artifacts
- Plate reader artifacts
- Image processing artifacts
- Printer artifacts
What is image stitching?
When 2 or more images or combined to create one image
Why do we need technique charts?
To provide a level of consistency among images and radiographers
Characteristics of a digital image
- spatial resolution
- contrast resolution
- noise
- dose efficiency (of the IR)
2 methods of image compression
- Lossy: reduced storage by eliminating information
- Lossless: exact replica of original
What is the fast scan mechanism?
When a laser is deflected across the image plate during reading
Advantages of digital
- Wide exposure latitude: detect a lot of greys
- Reduction in repeats
- Can compensate for over/under exposure
- Environmentally friendly
Film base plus fog
Base: colour added to the film base
Fog: any exposure during storage, contamination, storage
What is dynamic range?
The ability to respond to varying levels of exposure (how many greys the system can detect)
List and describe the role of the two types of contrast media
- Positive contrast agent: high atomic number, absorbs more photons, appears white
- Negative contrast agent: low atomic number, transmits more photons, appears black
When critiquing an image, techs must…
Magnify the image to check for noise or overexposure (burnout/saturation)
With an LCD monitor, what is response rate?
The amount of time for crystal to go from off state to on and vice versa
Why are beam shaping optics required during CR reading
To correct/even out the shape/intensity of the laser across the image plate
Why do we need LUTs?
Without it the images would look very low contrast because too many greys are able to be recorded.
Exposure indicators are affected by?
- technical factors
- histogram analysis errors
- patient positioning
- image processing algorithms
- SID
- collimation
- beam centering
- artifacts
What is offset correction?
Corrects image lag, determines the amount of signal inherent in the detector, creates a mask of residual signal
What is a matrix?
A display of the shades of grey of each pixel as numerical values
Advantages of repeat analysis
- improved department efficiency
- lower costs
- lower patient dose
Image receptor speeds affect what?
- Radiation sensitivity
- Density
- Dose
What does automatic rescaling do?
Produces an image with uniform density and contrast regardless of exposure-fixes under/over exposure to look good
In CRT monitors, what is the refresh rate?
How fast the monitor rewrites the screen “flicker” sometimes seen
What is fill factor?
% of the pixel face that is sensitive to x-rays
-Approx. 80% meaning 20% of the x-ray beam doesn’t contribute to the image
PACS fundamentals
- Image acquisition
- Display workstations
- Archiving
S numbers
Sensitivity numbers
How does electron beam scanning work in a CRT monitor?
Starts in upper left corner and scans across the glass from side to side, top to bottom
Purpose of layers of intensifying screens
- Protective Coating: protect active layer
- Phosphor: converts x rays into light
- Reflective Layer: reflects light toward film to enhance efficiency
- Base: mechanical support for active layer
Intensification Factor
Exposure without screen/ exposure with screen
Gives information about patient dose
Cons of intensifying screens
Recorded detail is reduced because of increased blur
How to minimize shape distortion
Proper alignment of:
- x-ray tube
- part
- IR
- Entry/exit point of CR
How does screen speed affect dose?
Higher speed= lower dose