Image Acquisition and Technical Evaluation Flashcards
How does an increase in mAs affect receptor exposure, spatial resoulation, and distortion?
RE - Increase
Spat Res - No effect
Distortion - No effect
How does an increase in kVp affect receptor exposure, spatial resoulation, and distortion?
RE - Increase
Spat Res - No effect
Distortion - No effect
How does an increase in OID affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Decrease
Distortion - Increase (size)
How does an increase in SID affect receptor exposure, spatial resoulation, and distortion?
RE - Decrease
Spat Res - Increase
Distortion - Decrease (size)
How does an increase in FSS affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Decrease
Distortion - No effect
How does an increase in grid ratio affect receptor exposure, spatial resoulation, and distortion?
RE - Decrease
Spat Res - No effect
Distortion - No effect
How does an increase in tube filtration affect receptor exposure, spatial resoulation, and distortion?
RE - Decrease
Spat Res - No effect
Distortion - No effect
How does an increase in beam restriction affect receptor exposure, spatial resoulation, and distortion?
RE - Decrease
Spat Res - No effect
Distortion - No effect
How does an increase in motion affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Decrease
Distortion - No effect
How does an increase in anode heel effect affect receptor exposure, spatial resoulation, and distortion?
RE - Decrease
Spat Res - No effect
Distortion - No effect
How does an increase in patient size affect receptor exposure, spatial resoulation, and distortion?
RE - Decrease
Spat Res - Decrease
Distortion - Increase (size)
How does an additive pathology affect receptor exposure, spatial resoulation, and distortion?
RE - Decrease
Spat Res - No effect
Distortion - No effect
How does an increase in angle (tube, part, receptor) affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Decrease
Distortion - Increase (shape)
How does an increase in pixel size affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Decrease
Distortion - No effect
How does an increase in pixel pitch affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res -Decrease
Distortion - No effect
How does an increase in DEL fill factor affect receptor exposure, spatial resoulation, and distortion?
RE - Increase
Spat Res - Increase
Distortion - No effect
How does an increase in sampling frequency (CR) affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Increase
Distortion - No effect
How does an increase in matrix size affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Increase
Distortion - No effect
How does an increase in FOV affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Decrease
Distortion - No effect
How does an increase in MTF affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Increase
Distortion - No effect
How does an increase in DQE affect receptor exposure, spatial resoulation, and distortion?
RE - Increase
Spat Res - No effect
Distortion - No effect
How does an increase in DEL size affect receptor exposure, spatial resoulation, and distortion?
RE - No effect
Spat Res - Decrease
Distortion - No effect
What is the main controller of spatial resolution in DR?
Pixels
What is the main controller of spatial resolution in CR?
Sampling frequency
Definition of MTF:
Measurement of systems ability to transfer object information to the image
Definition of DQE:
Measurement of systems ability to convert xray intensity into electronic signal
What is a good number for MTF?
.7 - .9
As FOV increases for a fixed matrix size, the size of each pixel:
Increases
For a fixed FOV with an increase in matrix size, the size of each pixel:
Decreases
Rank from least dense to most dense:
Bone, Water, Air, Muscle, Fat
Air
Fat
Water
Muscle
Bone
What is the 15% rule?
A 15% increase or decrease in kVp, keeping all other factors constant, will result in doubling or halving receptor exposure
It is determined that an underexposed abdominal radiograph needs to be repeated with the exposure factors doubled. If the original exposure factors were 70@32, what new exposure factors should be used to improve this image?
80.5@32
What is the grid ratio?
Height/Distance or Width of interspace
To maintain a desired amount of receptor exposure, changes in ____ are required to compensate for the presence of a grid
mAs
Grid conversion formula
Old mAs/New mAs = Old GF/New GF
Grid ratio multiplication factors:
No grid/IR speed - 1
5:1 - 2
6:1 - 3
8:1 - 4
10:1 - 5
12:1 - 5
16:1 - 6
When converting from an 8:1 grid to a 12:1 grid, the radiographer would need to increase mAs from 20 to ___ in order to maintain the same receptor exposure
25
Additive diseases that affect multiple sites:
Edema
Tumor
Additive diseases that affect the chest:
Atelectasis
Cardiomegaly
CHF
Pleural Effusion
Pneumonia
TB
Additive diseases that affect the abdomen:
Ascites
Additive diseases that affect extremities and the skull:
Hydrocephalus
Paget’s disease
Destructive diseases that affect multiple sites:
Atrophy
Destructive diseases that affect the chest
Emphysema
Pneumothorax
Destrucitve diseases that affect the abdomen
Bowel obstruction
Destructive diseases that affect extremities and the skull
Carcinoma
Degenerative arthritis
Gout
Multiple myeloma
Osteomalacia
Osteoporosis
What is the anode heel effect?
Variation in x-ray beam intensity with an increase in beam intensity toward the cathode end of the beam and a decrease in intensity toward the anode end of the beam
When is the anode heel effect most prominent?
When attempting to produce images that require a long field size combined with a body part of varying part thickness at its extremes (AP tspine, AP femur)
When needed, place the thickest portion of the anatomy toward the _______ side
Cathode
What is the pimary controlled factor of subject contrast?
kVp
What is umbra?
Area of image sharpness
What is penumbra?
Area of unsharpness surrounding the image
Is penumbra greater on the anode or cathode side?
Cathode
What is ARP (automatically programmed radiography) and when is it used?
Pre-programmed technique charts
Used in table top exams
What is a fixed kVp chart and what are the pros/cons?
Fixed kVp, variable mAs
Contrast is more consistent, but more repeats due to longer exposure times and more patient motion
What is a variable kVp chart and what are the pros/cons?
Variable kVp, fixed mAs. kVp is determined by using calipers to measure body part thickness.
Assures the penetration of the object, but contrast is not consistent
When using a variable kVp chart, a __ kV change is made for each centimeter in part thickness
2 kV
How much should kVp increase for wet plaster casts?
8-10
How much should kVp increase for dry plaster casts?
5-7
How much should kVp increase for fiberglass casts?
3-4
Parts measuring greater than ____ cm require the use of a grid
10-13
How does a tech adjust the rate of exposure when using AEC?
Density control
How is spatial resolution measured?
lp/mm
What is the smallest area depcited in an image?
Pixel
How is the size of a pixel measured?
End to end
How is the pitch of a pixel measured?
Center to center
As pixel size increases, spatial resolution:
Decreases
As pixel pitch increases, spatial resoltuion:
Decreases
What is pixel density?
Number of pixels per mm
How is pixel density determined?
By pixel size and pitch
As pixel size decreases, pixel density:
Increases
DEL size is used with _____ capture radiography
Direct
As DEL increases, spatial resoltuion:
Decreases
What is the DEL fill factor?
Ratio of pixels light sensitive area versus total area
A two dimensional array of pixels (x and y)
Matrix
Matrix size is the total number of:
Pixels
Matrix size is dependant upon:
FOV and pixel density
FOV is 35cm by 43cm at 5 pixels/mm. What is the matrix size?
3,762,500
350mm x 5 = 1750
430mm x 5 = 2150
1750 x 2150 = 3,762,500
Increase in IR size results in an _______ in matrix size
Increase
Decreasing pixel size results in __________ matrix size and _________ spatial resolution
Increased
Increased
Decreasing pixel size ___________ visibility of small structures and __________ spatial resoltuion
Increases
Increases
T/F spatial resolution is related to exposure amount
False
The number of pixels sampled per mm as the laser scans each line of the imaging plate
Sampling frequency
Increasing the sampling frequency results in the laser moving in a smaller distance and ________ spatial resolution
Increases
The relationship between the sampling frequency and spatial resolution
Nyquist frequency
What is the minimum rate at which a signal can be sampled without producing errors?
2x
If 10 pixels/mm are scanned, Nyquist frequency is a maximum of:
5 lp/mm
Results from x-ray deposition of energy in a detector
Signal
A series of exposure values used to produce an acceptable image. It is the lightest light to the darkest darks that can be seen.
Dynamic range
Greater dynamic range will yield greater:
Contrast resolution
Ability of a system to both over and under expose yet still produce an acceptable image.
Exposure latitutde
_______ is a range within the dynamic range
Exposure latitude
Results from extaneous information and limits the ability to visualize objects
Noise
Results when too few x-rays reach the IR
Quantum noise
Increased __________ results in decreased noise
Intensity
An increased SNR = a/an _________ in visbility spatial resolution
Increase
What image information is required for legal considerations?
Name and ID number
Markers
Exam date
Hopsital/clinic name where exam was performed
A minimum mAs change of ___% is necessary to yield a noticeable RE change
30%
Where will grid cutoff take place when using a grid outside the established focal range?
Lead strips on both lateral edges
Where will grid cutoff take place when there is lateral decentering to a focused grid angulation?
Strips of more frequency one side more than the other
Where will grid cutoff take place if a reciprocating grid is stopped during the exposure?
Uniform appearance of lead strips across the entire image
Where will grid cutoff take place if a grid is placed upside down?
Complete cutoff towards both ends of the image
Where will grid cutoff take place if a grid is placed off-level?
Lead strips across the entire image
A wave-like or watery appearance of an image is referred to as:
Moire pattern
When does the Moire pattern occur?
When two linear grids are placed on top of each other and the lead lines are not aligned at right angles with one another
The moire pattern may occur with digital subtraction images if there is a misalignment of:
Pixels
How does the Moire pattern occur in CR?
Laser light in CR reader runs parallel with the area of the grid lines
How can the Moire pattern be avoided in CR?
Use a grid frequency of at least 60 lines per cm
Image magnification is increased by:
Long OID
Short SID
What is the best way to minimize magnification?
Short OID (longer SID will result in a greater entrance exposure to the patient)
What causes shape distortion?
Angulation of the tube, part, IR, and motion
What causes a ghost image?
Insufficient erasure of an image