UNIT 4: Review Material Flashcards

1
Q

T or F: Spatial Resolution and Contrast Resolution are the most important characteristics of medical imaging quality

A

True

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2
Q

Contrast resolution is primarily controlled by

A

the amount of scatter radiation present on the IR

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3
Q

T or F: Collimation is the area in which the radiographer has the least control over contrast resolution

A

False, the most

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4
Q

Spatial Resolution is

A

the amount of detail present on any image or the ability to render small high contrast objects

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5
Q

Spatial frequency is expressed as

A

lp/mm or lp/cm

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6
Q

Higher spatial frequency indicates worse or better spatial resolution?

A

Better

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7
Q

Spatial resolution of a system is measured by

A

spatial frequency

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8
Q

Spatial Resolution of Imaging Systems

A

This demonstrates that mammography has the greatest spatial resolution – this is due to small focal spots used (0.3-0.6mm) as compared to radiography (1.0-2.0 mm), Film radiography has better spatial resolution than digital, but digital has superior contrast resolution

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9
Q

DQE is the

A

measure of how sensitive and accurate incoming data is converted to output viewing. DQE of 1 = 100% or no loss of information. No system can represent the object with 100% accuracy, therefore DQE is always less than 1

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10
Q

Film/screen systems have the ________ DQE and DR has the _________

A

Lowest, highest

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11
Q

K-shell absorption edge

A

When the x-ray energy equals the K-shell electron binding energy, the two K-shell
electrons become available for photoelectric interaction. Consequently, at this energy, the probability of photoelectric absorption increases abruptly. This abrupt increase in absorption at this energy level is called the K-shell absorption edge, and it is followed by another rapid reduction in photoelectric absorption with increasing x-ray energy

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12
Q

Lanthanum oxysulfide (LaOS) and gadolinium oxysulfide (GdOS) are used in

A

film/screen

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13
Q

Barium fluorobromide (BaFBr), cesium iodide (CsI), and amorphous selenium (a-Se) are used with

A

digital image receptors

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14
Q

more or less photoelectric absorption occurs with the DR receptors than film/screen?

A

-More, this translates to higher DQE and more importantly to less patient dose needed to produce an acceptable image

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15
Q

Modulation Transfer Function (MTF) measures

A

the accuracy of a recorded image compared to the original object. In other words it measures recorded detail, (sharpness or resolution) of a system as a function of image contrast. MTF is plotted on a scale of 0-1. Zero is no image and 1 is perfect fidelity

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16
Q

As spatial frequency increases, MTF

A

Decreases

Explanation: This is due to increased image blur with increase spatial frequency.
At low spatial frequencies (large objects), good reproduction is noted on the image.
However, as the spatial frequency of the object increases (the objects get smaller), the faithful reproduction of the object on the image gets worse. Higher spatial frequency means smaller objects but smaller objects are harder to see and to image due to image blur. MTF measures how true the recorded image is to the actual image. This is called fidelity. There is no system that can image an object exactly, therefor MTF is always less than 1.

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17
Q

Quality control test objects and tools have been designed to measure

A

the amount of blurring as a function of spatial frequency.

These are usually plastic-encased lead bar patterns that are designed to construct a modulation transfer function (MTF) curve. Such tools used with a microdensitometer (film) or special software (digital) can measure the modulation of each spatial frequency pattern and can use those data to construct an MTF curve

18
Q

MTF Curve

A

-MTF Curve plots the fidelity of the object (MTF) against the size of the object ( spatial frequency). This is just a fancy way to prove that large objects are easier to image than small objects.This type of curve is most useful when comparing the fidelity of two or more imaging systems.

•Large objects = low spatial frequency- MTF closer to 1.0- are easier to image faithfully
•Small objects = high spatial frequency – MTF closer to 0 – they are harder to image
faithfully
•Contrast is lost at high spatial frequencies

19
Q

Contrast resolution is the

A

ability to discern similar tissues (similar contrast values)

20
Q

Dynamic Range is

A

-the number of gray shades that an imaging system (monitor) can produce
-dependent of the number of bits in the system

21
Q

Exposure latitude is

A

the range of exposures than can be used to produce an acceptable image

22
Q

Dynamic range and Exposure latitude

A

-Dynamic Range is the number of shades of gray the imaging system is capable of
representing. With film screen imaging the dynamic range is about 1000 shades of
gray. Even though the range of Optical Density (OD) is from 0.0 to 3.0, the useful
ranges are between the toe and shoulder of the H & D curve (see image on the left)
With digital imaging the dynamic range can up to about 65,000 (216) shades of gray for digital mammography. For digital radiography about 214 or 16,384 shades of gray are available. This is based on the pixel bit depth of the imaging system.

-The exposure latitude is the range of exposures than can be used to produce an
acceptable image. Digital imaging systems have a greater range of exposures that will produce an acceptable image than film/screen. This is reason that most repeats in digital are due to errors in positioning rather than for technical factor selection. In
film/screen, because of the very narrow exposure latitude about half of all repeats were due to technical factor selection.

23
Q

Window width vs Window level

A

-Window Width (WW) – the range of gray levels (contrast)
-Window Level (WL) – center gray shade in the range (center of the WW) (brightness)

24
Q

Excessive windowing should not be done by the technologist prior to sending the image to PACS because

A

this will narrow the radiologists’ ability to manipulate the gray scale and brightness

25
Q

Signal and Noise

A

-Signal: the remnant beam incident on the IR that is converted to shades of gray eventually displayed on the monitor
-Noise: any part of the signal that does not represent patient tissues

26
Q

The primary producer of noise in any imaging system is

A

scatter radiation

27
Q

Noise limits…

A

contrast resolution, this is why limiting the effects of scatter radiation is so important for quality imaging.

28
Q

Noise

A

-Electronic or quantum mottle
-Measured as signal-to-noise (SNR or S/N) ratio
-High SNR = better
-Low SNR = not good

29
Q

High SNR is _______, Low SNR is _______

A

Good, Bad

30
Q

As mAs is increased, signal is __________ but so is patient dose.

A

Increased

31
Q

As kVp is increased, pt dose is __________, but noise is _________ (increased scatter
due to an increase in Compton interaction relative to photoelectric interactions).

A

decreased, increased

32
Q

The ALARA concept tell us to keep SNR ______, with lowest patient dose possible, so a compromise b/t dose and noise must be made.

A

High

33
Q

T or F: Exposures should not be repeated in digital radiography because of brightness or contrast concerns.

A

True, Brightness and contrast are a function of image processing, NOT of exposure.

34
Q

DR systems cannot compensate for excessive noise caused by quantum mottle
due to photon starvation (i.e., low mAs or kVp)- this means that….

A

the IR must receive enough exposure to activate the capture layer in order to make an acceptable image. Theses image should be repeated depending on the clinical indication for the exam

35
Q

Because the digital receptor is more sensitive in the higher technique ranges
(more signal), marginally overexposed images…

A

do NOT have to be repeated depending on the clinical indication for the exam, and SHOULD NOT BECOME A HABIT

36
Q

Grossly overexposed images (i.e., excessively high kVp or mAs) that demonstrate a loss of contrast should or should not be repeated?

A

Should be depending on the clinical indication for the exam

37
Q

The type of monitors used most often in todays practice is the

A

liquid crystal display (LCD)

38
Q

Performance standards have been developed for monitors used to view medical images. Examples of test patterns used to verify performance of medical displays were developed by the

A

-The Society of Motion Picture and Television Engineers (SMPTE) called appropriately the SMPTE pattern (left image)
-Another set of QC patterns (right image) was developed by the American Association of Physicists in Medicine (AAMP) called the task group (TG) report 18

39
Q

Display QC-test patterns measure the luminance (light output) of the display via visual observation or by using a tool called a

A

luminance meter

40
Q

Exposure index

A

Measures total signal to the IR
• Varies per manufacturer
• Could be direct or indirect

41
Q

Deviation index

A

Measures the difference between the target exposure and the actual exposure
• Universal system
• More specific indicator of over or underexposure
• Range from -3 to +3 regardless of manufacturer