Finals (Lab) | Radiographic Arifacts Flashcards
Artifacts are undesirable (1) or (2) on a radiograph or any other medical image.
- optical densities
- blemishes
An artifact is any (1) on an image that is NOT caused by the (2) of tissue by the (3).
- irregularities
- proper shadowing
- primary x-ray beam
Artifacts can interfere with the (1) of (2) and can lead to (3).
- visualization
- anatomical structures
- misdiagnosis
Artifacts can be controlled when their cause is (1).
- identified
RADIOGRAPHIC ARTIFACTS
01 EXPOSURE ARTIFACTS
02 PROCESSING ARTIFACTS
03 HANDLING AND STORAGE ARTIFACTS
What are not considered artifacts but are still seen in a radiograph?
Pins, fasteners, dressings, and splints
Why do pins, fasteners, dressings, and splints often have to remain in place?
In cases of trauma, such as fractures or severe injuries, these are often used to stabilize and support the affected area during healing. Removing these devices too early or without proper care could potentially worsen the injury or lead to complications.
For example, removing a splint too soon could result in the bone not healing properly or moving out of alignment. Similarly, removing dressings or fasteners too early could expose the wound to infection or cause excessive bleeding.
Associated with the manner in which the radiographer conducts the examination.
EXPOSURE ARTIFACTS
EXPOSURE ARTIFACTS
- Unexpected foreign objects
- Double Exposure
- Motion Blur
- Grid cut-off artifacts
- Poor Screen Film Contact
- Wrong Screen-Film Match
- Warped Cassette
- Underexposure/ Overexposure
Cause of Unexpected foreign objects
Improper patient preparation/ instruction
Unexpected FO appearance
Radiopaque/ radioparent
Corrective action for unepected FO
Give proper and detailed instruction
Cause of double exposure
Reuse of cassettes that had already been exposed
Corrective action for double exposure
Properly store CXTS
Exposed CXTs: loading bench
Unexposed CXTs:radiographic area
Cause of Motion Blur
Improper patient movement, including breathing
Corrective action for motion blue
Proper patient instruction
Proper patient instruction for a chest XR?
- Full inspiration on second instructed breathing.
- This allows full expansion of lungs full of air
Devices used to keep a specific body part still and in the correct position during the imaging procedure
Immobilization devices
Example of immobilization devices
Straps
Sponges
Sandbags
Pigg-o-stat
Cause of Grid cut-off artifacts
- Improper patient positioning
- Improper grid positioning/ ratio
What is a grid?
- A device placed b/n patient and the CXT
- Helps absorb scattered image
Cause of Poor Screen Film Contact
Destroyed compression device
Cause of Wrong Screen-Film Match
Improper match of film and screen combination
Cause of a Warped Cassette
- Leaking of light
- Poor CXT condition
Warped CXT apperance
Radiolucent
Corrective action for warped CXT
Replace CXT by new one
Cause of Underexposure/ Overexposure
Improper Exposure Factors
Corrective action for Underexposure/ Overexposure
Use exposure charts (indicate correct exposure factors per POI)
Any number of artifacts that can be produced during processing. (Both Manual and Automatic)
PROCESSING ARTIFACTS
PROCESSING ARTIFACTS
- ROLLER MARKERS: Guide Shoe Marks
- ROLLER MARKERS: Pi Lines
- Dirty rollers
- Chemical fog
- Curtain effect
- Wet- pressure sensitization
- Emulsion Pick-Off
- Dichroic stain
- Streaking
- Reticulation marks
Cause of ROLLER MARKERS: Guide Shoe Marks
Improper position or springing of guide shoes in Turnaround or crossover assembly
Cause of ROLLER MARKERS: Pi Lines
Dirt or chemical stains on
roller
Guide shoe marks vs Pi lines
Guide shoe marks: Radioparent lines
Pi lines: Radiolucent lines
Appearance of Pi lines (aside from radiolucent lines)
3.14 inches (π) interval between lines because of dirt or a chemical stain on a roller with 1 inch diameter. 3.1416 inches represents one revolution of a roller.
Corrective action for Pi lines
Clean rollers/ gears
Cause of Dirty rollers
Dirty or warped rollers, which can leave sludge deposits on film
Why should tanks be circulated in relation to dirty rollers?
Tanks should be circulated to prevent sludges
Cause of Chemical fog
Improper or inadequate processing chemistry
- Manual processing tank: Contaminated developer tank with fixer
Cause of Curtain effect
Improper squeezing of processing chemicals from film
Appearance of curtain effect
Running down pattern of water
Cause of Wet- pressure sensitization
Increased pressure during development that produces small circular patterns of increased OD.
Cause of Emulsion Pick-Off
Emulsion removed from the previous films that is either stuck on processor rollers or dissolved in the developer solution is deposited on subsequent images
- Manual: Emulsions stick with each others during hanging of film
Cause of Dichroic stain
- Improper or inadequate chemistry.
- Caused by continued development in the fixer.
(Never occurs in automatic processor)
DICHROIC MEANS (1). STAINS SEEN ON A RADIOGRAPH CAN APPEAR (2), (3), (4) OR (5),
- TWO COLORS
- YELLOW
- GREEN
- BLUE
- PURPLE
Cause of Streaking
Manual: Failure of proper agitation during processing
Automatic: improper circulation system
Cause of Reticulation marks
Uneven solution or high temperature causing excessive expansion and contraction of film emulsion during processing
A number of artifacts that are caused by improper film handling and storage conditions.
HANDLING AND STORAGE ARTIFACTS
HANDLING AND STORAGE ARTIFACTS
- Light or radiation fog
- Kink marks
- Pressure marks
- Static marks
- Hyporetention Stains
- Fingerprints
- Dirty Cassettes
Cause of Light or radiation fog
White-light leaks in the darkroom or within the cassette cause streak like artifacts of increased OD
Cause of Kink marks
Kinking or abrupt bending of film
Other term for kink marks
Fingernail marks
Cause of Pressure marks
Film is stacked too high in storage
Corrective action for pressure marks
Store films vertically uprights
Cause of Static marks
Build-up of electrons in the emulsion and is most noticeable during the winter or during periods of extremely low humidity.
Cause of Hyporetention Stains
Thiosulfate is left on the film because of inadequate washing
Cause of Fingerprints artifacts
Black: Developer on fingertips;
White: Oil or Fixer on fingertips blocks developer
Corrective action for fingerprints artifacts
Keep fingers dry
Cause of Dirty Cassettes
Improper cleaning of cassettes before and after exposure.
Corrective action for dirty CXTs artifacts
Clean CXT before and after exposure