Image Receptors 1 Flashcards

1
Q

What are the two ways and types an x-ray image can be captured?

A

Film: placed in chemicals in dark conditions

  • direct action
  • indirect action

Digital: read and translated into an image by a computer

  • solid state sensor
  • photostimulable phosphor plate
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2
Q

How does direct action film work?

Indirect action?

A

Direct action - actual piece of film containing silver halide crystals whoch are sensitive to x-rays, wrapped in a packet

Indirect action - a film inside a cassette which contains intensifying screens, x-ray photons react with intensifying screens to produce light photons which expose the film to produce the image, used for extra-oral radiography

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3
Q

How do solid state digital sensors work?

Photo-stimulable phosphor plates?

A

Solid state: charged couple device (CCD) and complimentary metal oxide semiconductor (CMOS)

  • convert light into electrons, info collected by a computer programme and transformed into the image

Photostimulable phosphor plates:

  • images produced by interaction of x-rays with the phosphor layer on the plate, which is then scanned by a laser to produce the image
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4
Q

What is the difference between phosphor plates and solid state sensors?

A

Phosphor plate:

  • can be used with existing film holders
  • tolerated well by patients
  • plates easily damaged
  • relatively expensive
  • sensitive to background radiation - must be cleared every 24hrs if not being used

Solid state sensor:

  • similar to image capture in digital camera
  • can only be used with its own holders
  • not tolerated well by patients - can be bulky
  • sensors very expensive
  • easily damaged
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5
Q

How does the PSP work?

A
  • phosphor layer on plate exosed to x-ray photons
  • x-ray energy stored in the electrons of the phosphor crystals (latent image)
  • plate inserted into scanner
  • scanned by red laser
  • stored energy released as blue light
  • light detected by photodetector and sent to a signal digitiser (ACD convertor)
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6
Q

What is grey-scale?

What is the latent image?

A

Grey-scale - the ADC concerts light to a digital signal which corresponds to a different shade id grey which forms the image on the monitor

Latent image - x-ray energy stored in the electrons of the phosphor crystals

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7
Q

What are the layers of a CCD?

A
  • front cover
  • scintillator layer - converts x-ray energy to light
  • silicon wafer layer - converts light into an electrical signal
  • back cover - particular sensor incorporating cable to carry signal to PC
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8
Q

How does a CCD work?

A
  • x-rays hit the scintillator layer within the sensor
  • this gives off light which hits the phtoosensitive cells within a very thin piece of silicon, these make up pixels of image
  • electrons within each cell are released and form a charge which is converted to an electrical signal which the computer software converts to an image
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9
Q

What advantages are there to having digital imaging?

A

Advantages - digital:

  • no chemicals
  • faster processing times
  • easy archiving
  • easy image transfer
  • image manipulation
  • dose reduction
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10
Q

What disadvantages are there to digital imaging?

A

Disadvantages - digital:

  • expensive and easily damaged
  • reduction in resolution due to pixel size (larger the pixel, lower the detail)
  • archiving - issues accessing, powercuts, software issues, cyber terrorism
  • security issues due to easy image transfer
  • image manipulation - incorrect diagnoses
  • dose reduction drop in resolution
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11
Q

How are digital images stored?

A

Stored in:

  • dental practice
  • local server
  • some form of backup - CD, DVD, hard drive

DDH use PACS

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