RAD 1126 CHAPTER 11 Flashcards
X RAY BEAM
Divided into 2 parts
Primary Beam
Remnant beam
Remnant beam ( RR)
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
Primary beam ( PR)
-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
The remnant beam contains
- Photons from the primary beam,
- scatter radiation results in- a Random direction,
- secondary radiation
Scatter Radiation
provides unwanted information that degrades the quality of the image, could be too dark, grainy, digital noise or not using enough Kv
When information is missing from the remnant beam
It can never be recovered
CENTRAL RAY (CR) ( POSITIONED PERPENDICULAR)
-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
CENTRAL RAY (PERSONAL NOTES)
Minimize Distortion, Reduce Magnification, Improve Sharpness,
(Personal Notes) Anatomy projected by the other rays
Are distorted in the final image due to their all direction ( can affect overall alignment of image)
IR, CR, OB, OID,SID, SHARPNESS
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
X-RAY 3 most important distances
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
3 TYPES OF IR
- Film Cassettes
- Computed Radiography Casttes (CR)
- Direct Digital Radiography (DR) Flat panel detector
Definition of Image Receptor
Captures organized signals from the Remnant beam and converts/ accurately conveys the information for viewing the Radiographic image,
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)
- Technical Variables
- Geometrical Variables
- Patient status
- Image Receptor Systems
- Image Processing
- Viewing conditions
Geometrical Variables
- 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
Technical Variables
Electrical values set by Radtech, KVP, MAS, EXPOSURE (IN SECONDS, MILLISECONDS)
Patient Status
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
Image Receptor Systems
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
Image processing
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
Viewing conditions
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
X RAYS INTERACTIONS (X-RAY PHOTONS) WITH THE PATIENT TISSUE
- Photoelectric Absorption- mostly happens
- Compton Interaction
- Coherent Scattering- hardly happens
PHOTOELECTRIC ABSORTION PROCESS
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.
PHOTO ELECTRIC CONTINUED
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
Photo electric Effect (PE EFFECT)
-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)