RAD 1126 CHAPTER 11 Flashcards

1
Q

X RAY BEAM

A

Divided into 2 parts
Primary Beam
Remnant beam

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1
Q

Remnant beam ( RR)

A

It is the beam that comes out of the Patient (Photons that makes it out of the patient
Also, it is the image-forming beam that carries signals from the tissue to IR ( emerges from behind tissue or object and strikes Ir)
Less than 1 % of the primary beam makes it out of the remnant beam
Most x-ray beam entering the patient never makes it out

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2
Q

Primary beam ( PR)

A

-The beam that comes out of the X-ray tube and has not interacted with the patient as yet
-Comes out of the beam in an upside-down fan of Diverging Rays
-They Diverge isotropically from the Focal spot (FS) to the Object (OB) ALL OF THESE RAYS DIVERGE AT AN ANGLE EXCEPT THE CENTRAL RAY

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3
Q

The remnant beam contains

A
  1. Photons from the primary beam,
  2. scatter radiation results in- a Random direction,
  3. secondary radiation
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4
Q

Scatter Radiation

A

provides unwanted information that degrades the quality of the image, could be too dark, grainy, digital noise or not using enough Kv

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5
Q

When information is missing from the remnant beam

A

It can never be recovered

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6
Q

CENTRAL RAY (CR) ( POSITIONED PERPENDICULAR)

A

-Diverges the least ( found in the middle) It is the point of least beam Divergence
-All of the rays diverge at an angle except the central ray, which diverges perpendicularly to the IR, where information is captured.
-It is important in Patient Positioning
Important to make sure tube locks are activated

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7
Q

CENTRAL RAY (PERSONAL NOTES)

A

Minimize Distortion, Reduce Magnification, Improve Sharpness,

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8
Q

(Personal Notes) Anatomy projected by the other rays

A

Are distorted in the final image due to their all direction ( can affect overall alignment of image)

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9
Q

IR, CR, OB, OID,SID, SHARPNESS

A

IR- Could be a flat panel detector or a CR Cassette
CR- Diverges the least
Object- could be ankle feet hand etc
OID/SID- Affect magnification of the image and alters sharpness or blur
Sharpness- callednSpatial Resolution

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10
Q

X-RAY 3 most important distances

A

SID- Source to image distance- FS- IR- THIS IS THE ENTIRE DISTANCE TRANSVERSED BY THE CR
SOD- Source to object distance- FS-OB- TOP SURFACE
OID-Object to image distance- OB-IR

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11
Q

3 TYPES OF IR

A
  1. Film Cassettes
  2. Computed Radiography Casttes (CR)
  3. Direct Digital Radiography (DR) Flat panel detector
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12
Q

Definition of Image Receptor

A

Captures organized signals from the Remnant beam and converts/ accurately conveys the information for viewing the Radiographic image,

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13
Q

6 Categories of Radiographic Variables
( Note- These are variables that affect the formation of the projected images, how they can be controlled and manipulated to optimize quality)

A
  1. Technical Variables
  2. Geometrical Variables
  3. Patient status
  4. Image Receptor Systems
  5. Image Processing
  6. Viewing conditions
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14
Q

Geometrical Variables

A
  1. Geometrical Variables- PATIENT POSITION, MOTION OF PATIENT/ ANGLE OF X-RAY TUBE, IR, OID, SID, SOD PART OF INTEREST, SIZE OF FS,
    These geometrical variables affect image resolution (sharpness), ie. Spatial Resolution (detail), magnification and distortion
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15
Q

Technical Variables

A

Electrical values set by Radtech, KVP, MAS, EXPOSURE (IN SECONDS, MILLISECONDS)

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16
Q

Patient Status

A

The condition of a patient, the status of the disease, age, and trauma play a variable in any radiographic procedure, This includes body habitus
ex. FLUID IN LUNG (GRAY), WILL NEED MORE EXPOSURE, Increase kvp to penetrate / DARK TOSEE

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17
Q

Image Receptor Systems

A

This includes anything that interacts with the Remnant beam, such as the Radiographic grid, Tabletop, and image receptor type, all of these can affect the overall resolution, ie, Film, CR, DR

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18
Q

Image processing

A

Images are processed in several different ways, utilizing different mathematical algorithms that vary from company to company. Images are stored, and transferred and can also be altered thru vary post-processing techniques. Means- changes made by the operator such as smoothing, format changes, windowing, annotation, edge enhancmet

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19
Q

Viewing conditions

A

All images must be reviewed on some media, such as the monitor, Viewing conditions such as an ambient light and type of monitor can make a difference in diagnosis. Eg, lighting, black masking, and collimating is better never black mask is unethical

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20
Q

X RAYS INTERACTIONS (X-RAY PHOTONS) WITH THE PATIENT TISSUE

A
  1. Photoelectric Absorption- mostly happens
  2. Compton Interaction
  3. Coherent Scattering- hardly happens
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21
Q

PHOTOELECTRIC ABSORTION PROCESS

A

An X-ray photon with slightly higher energy than the binding energy comes and hits an electron in the inner shell, and the photon gets absorbed completely by the inner shell electron. The electron that got hit gets ejected as a PHOTOELECTRON and the incoming photon now ceases to exist, due to being completely absorbed.

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22
Q

PHOTO ELECTRIC CONTINUED

A

Ionization took place- because we have 1 less electron
AKA- Photoelectric absorption
Incoming Photon- completely absorbed
Absorbed in an Inner shell
Energy of the incoming photon is slightly higher than the Binding energy
BIPRODUCT- ejected PHOTOELECTRON
Photoelectric absorption creates majority subject contrast
END PRODUCT- 1 ELECTRON AND AN ORBITAL VACANCY

23
Q

Photo electric Effect (PE EFFECT)

A

-Has a major role in subject contrast of resulting radiograph
- Multiple tiny areas on the IR not receiving radiation as it was absorbed just above the patient, appear white or very gray such as bone. ( WHITE MICROSCOPIC SPOTS)

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MAJOR ROLE
CREATION OF SUBJECT CONTRAST -CAPTURE OF IMAGE BY IR MOST OF THE PRIMARY BEAM CONSIST OF PHOTOELECTRIC INTERACTION
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PHOTOELECTRIC INTERACTION
THE INCOMING PHOTON MUST BE JUST ABOVE THE BINDING ENERGY OF THE INNER SHELL ELECTRON HAS A SLIGHTLY HIGHER ENERGY THAN THE BINDING ENERGY
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PE EFFECT FORMULA
EP= EB+EKE
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What x-ray interaction within the patient produces no scatter radiation, and therefore leaves a microscopic "white" spot wherever it occurs in the resulting image
PHOTOELECTRIC INTERACTION
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COMPTON INTERACTION PROCESS AKA MODIFIED SCATTERING, INCOHERENT SCATTERING, INELASTIC
This is an interaction with an incoming high-energy photon hitting the electron in the outer shell whose binding energy is weak, the electron in the outer shell absorbs some energy from the incoming photon and gets ejected as a recoil electron, and a slight lower energy photon is created and shots out at a different angle
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COMPTON CONTINUE
- The incoming photon loses a small amount of energy and changes direction, and angle based on initial energy -Takes place in outer shell -Incoming photon energy much higher than binding energy The electron ejected becomes a recoil electron/secondary electron/Compton scattered electron
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COMPTON FORMULA
EP= ES+EB+EKE
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COMPTON EFFECT ON CONTRAST
Can be in remnant beam but reduces contrast, Represents 97% of all scatter Represents occupational dose
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IN COMPTON
SCATTER OCCURS IN ALL DIRECTIONS, AND THE ANGLE IS BASED ON THE ORIGINAL ENERGY OF INCOMING PHOTON SCATTER THAT COMES DIRECTLY BACK TO THE TUBE (180 DEGREES) KNOWN AS BACK SCATTER
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AS KVP INCREASES CONTRAST DOWN
As kvp increases the energy of the initial photon as well increases. As the energy increases more scatter is likely to hit the IR. THIS SCATTER IS LIKE A FOG OBSCURING THE DETAILS IN THE WITHIN THE IMAGE AND IS KNOWN AS NOISE
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SCATTER PROCESS IN COMPTON
KVP INCREASE, INTIAL/INCOMING PHOTO ENERGY INCREASE, SCATTER INCREASE, THEN FOG AND THEN NOISE
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WHAT IS COMPTON EFFECT WITH CONTRAST?
IT REDUCES CONTRAST
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COHERENT SCATTERING UNMODIFIED, RAYLEIGH, THOMPSON CLASSICAL, INELASTICC
An incoming low-energy photon interacts with the tightly bound electron, but instead of knocking it out, the energy is absorbed by the electron, existing the electron and causing a release of a new photon in a different direction but with the same energy as the initial photon 80KV IN AND 80KV OUT, END PRODUCT IS A SCATTERED PHOTON
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Thompson ( orbital electrons)
Here the electrons are exited, the initial photon energy was absorbed by the orbital electrons NEW PHOTON CREATED
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Rayleigh (entire cloud of electrons) ATOM
Here the entire atom is exited, the initial photon energy was absorbed by the entire atom NEW PHOTON CREATED
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COMPTON, THOMPSON EFFECT ON CONTRAST
Represents only 3 % scatter to IR, Very little effect on image
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CHARACTERISTIC RADIATION
After an (Ionizing event) in a tissue atom such as Compton or photoelectric interaction an electron will be pulled ( from the inside or outside) to fill the vacancy. This can result in an extremely low photon (1kv) or ultraviolet light and will not have an effect on the x-ray image
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IN characteristic
- Occurs after the atom is ionized by Compton or PE -Happens in any shell with vacancy -New electron from inside or outside falls causing a loss of potential energy and emission IT IS THE ONLY INTERACTION THAT TAKES PLACE IN THE X. RAY TUBE AND WITHIN THE PATIENT -An ionizing effect can cause a characteristic event
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EXPLANATION
After an ionizing event (like Compton or photoelectric interaction) happens in an atom, it knocks an electron out, creating a vacancy. To fill that vacancy, another electron from a different part of the atom (inside or outside) moves in. When this happens, a small amount of energy is released, but it’s so low (around 1 kV or ultraviolet light) that it doesn’t affect the X-ray image. These low-energy photons are too weak to contribute to the image you see on the X-ray.
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CHARACTERISTIC RADIATION EFFECT ON RADIATION
The energy created is so slow there is no effect on image and energy created is likely to be light or ultraviolet EM Radiation
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Attenuation ( Partial absorption)- Tissue thickness, tissue density, average atomic number and Subject Contrast
This is the partial absorption of X-ray in the patient's body based on the thickness or atomic density of a tissue, which is the basis for contrast known as attenuation. So without Contrast we wont be able to see differences in tissues
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EXPLANATION OF ATTENUATION
Attenuation refers to the partial absorption of X-rays as they pass through the patient's body. The amount of absorption depends on the thickness and atomic density of the tissue. Dense tissues, like bone, absorb more X-rays, while less dense tissues, like muscle or fat, absorb fewer X-rays. This difference in absorption creates contrast on the X-ray image, allowing different tissues to be seen clearly.
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CONTRAST
The contrast created by attenuation in an X-ray image refers to the differences in brightness (shades of gray) between various tissues. This contrast helps distinguish between different structures in the body based on how much X-ray each tissue absorbs. For example: Dense tissues like bone absorb more X-rays, so they appear white or very light on the image. Less dense tissues like muscle or fat absorb fewer X-rays, so they appear in shades of gray. Air-filled areas like the lungs absorb the least X-rays, so they appear black or very dark.
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WITHOUT CONTRAST
Without contrast, it would be difficult to distinguish between different tissues in an X-ray image. All the tissues would appear the same shade, making it impossible to tell apart structures like bones, muscles, fat, or organs. Contrast is what allows us to see the differences in density and make the various tissues visible in the image. Without it, the X-ray image would lack detail and clarity.
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In a homogenous object Darker image = more X-rays reaching the IR Lighter image = fewer X-rays reaching the IR In summary, the thicker the tissue or material, the more X-rays are absorbed (attenuated), leading to brighter areas on the image. Thinner areas absorb less, resulting in darker areas.
In a homogeneous object (made of the same material throughout), the attenuation of the X-ray beam depends only on the thickness of the object. Here's what happens: Thinner areas cause less attenuation because there is less material for the X-rays to pass through. More X-rays reach the detector, making those areas appear darker on the radiograph. Thicker areas, like the right side of a stepwedge, cause more attenuation because there is more material, so fewer X-rays make it through. This results in those areas appearing lighter (brighter) on the radiograph. In summary, the thicker the tissue or material, the more X-rays are absorbed (attenuated), leading to brighter areas on the image. Thinner areas absorb less, resulting in darker areas.
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The intensity of the beam is cut in half every 4-5cm of tissue. 1. Double mas pr 2. Incrase kvp by 15%
The intensity of the X-ray beam is reduced by 50% (cut in half) for every 4 to 5 cm of tissue it passes through. To maintain a consistent image, the exposure technique must be doubled for each increase of 4 to 5 cm in tissue thickness. This can be done in two ways: Doubling the mAs (milliamperage-seconds), which increases the total amount of X-rays produced. Increasing the kVp (kilovolt peak) by approximately 15%, which makes the X-rays more penetrating. This principle reflects the normal rate of attenuation, where 50% of the beam's intensity is lost for every 4 to 5 cm of tissue, and adjustments in technique ensure the image quality remains consistent despite changes in tissue thickness
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Each tissue has a different molecular makeup (avg. Z#) and combined with different thickness will attenuate the beam to a different degree. This will be represented as a different shade of gray. The various shades of gray become part of the overall gray scale of an image which can be manipulated with digital processing.
Each type of tissue in the body has a unique molecular structure and atomic number (Z#), which influences how it interacts with X-rays. Combined with varying thicknesses, different tissues will attenuate (absorb) the X-ray beam to different degrees. Dense tissues like bone have a higher atomic number and absorb more X-rays, so they appear lighter (whiter) on the image. Less dense tissues like muscle or fat absorb fewer X-rays, resulting in darker shades of gray. These differences in attenuation create various shades of gray in the X-ray image, forming the gray scale. In digital imaging, the gray scale can be further adjusted or manipulated using digital processing to enhance the image and make the details clearer
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ATTENUATION DEFINED
It is the total reduction in number of x-rays in beam after passing through tissue
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Which interaction produces only secondary photons within the patient? B. coherent scattering- a new. photon was emitted no loss of energy occured either
Secondary Photon: This is a photon that is produced as a result of interactions with matter, specifically when the primary photon interacts with atoms in the body or material. Coherent Scattering: In this interaction, the primary photon can change direction without a loss of energy, leading to the emission of a secondary photon of the same energy. Both the scattered photon and the original photon can coexist after the interaction, but they are not the same photon
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Image Capture REMNANT BEAM-PHOSPOR OF IR
Digital imaging relies on atomic interactions between the remnant beam and the various phosphors contained in different image receptors. Much more on this in future lectures.
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