Week 1 - Introduction/Definitions Flashcards

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1
Q

X-Rays: Electromagnetic Waves

A
  • EW are waves that are created as a result of vibrations between an electric field and a magnetic field
  • Oscillations are created as a result of the two fields coming in contact
  • Have zero mass and travel at the speed of light (c = 3 x 108m/s= 1.08 x 109km/h (1080 million)
  • Can travel through any material or vacuum
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2
Q

Periodic Waves

A

Amplitude - Maximum excursion of a particle

Wavelength - Horizontal length of one cycle

Period - Time required for one cycle

Frequency - Related to the period (Hz or S-1)

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3
Q

Electromagnetic Spectrum: X-Rays and Gamma Rays

A
  • Short wavelength
  • High frequency
  • high energy
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4
Q

How Are X-Rays Produced

A
  • Originate from within atoms

- Discovered by Willheim Roentgen in 1895

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5
Q

X-Ray Tube

A

Generate Electrons - Place electric current through filament

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6
Q

Aims of Diagnostic Imaging

A
  • Produce images of optimum quality for diagnosis and management/treatment of the patients disease
  • The examination must be justified - valid reason
  • Expected to have an impact on the clinical management of the patient
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7
Q

Factors Influencing the Image Quality and Patient Dose

A

X-Ray Beam Characteristics

  • Focal Spot Size
  • Filtration of the beam
  • Exposure Factors
  • Field Size
  • Scattered Radiation
  • Geometry of image production

The Patient

  • Ability to keep still
  • Thickness and density of body parts

The Detector and Imaging System

  • Computed Radiography and Digital Radiography
  • Quantum Detection Efficiency
  • The Display System
  • Viewing Conditions

Practitioners Skill and Perception

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8
Q

Noise in an Image

A

Images Contain:

  • Useful Information (the signal)
  • Background Noise (hides useful information)

Signal-to-Noise Ratio (SNR)

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9
Q

Imaging System Geometry

A

Focus Receptor Distance (FRD)
Focus Object Distance (FOD)
Object Receptor Distance (ORD)

Focus = X-Ray Source 
Object = Patient 
Receptor = X-Ray Detector
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10
Q

Magnification

A
  • Essential to have minimal magnification and unsharpness
  • Unsharpness is magnified by increasing the distance between the object (patient) and the receptor (detector)
  • Image of object increases in size and distance to receptor increases

Can be reduced by:

  • Keeping the receptor (detector) close to the patient
  • Minimise patient-detector distance

Standardised FRD in a Department

  • Tabletop Work – 100 cm
  • Standing Chest Images – 180 cm
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11
Q

Unsharpness

A

Penumbra – All images will have some ‘unsharpness’ or blurring (0.3 mm)

May not be detectable but influenced by several factors

  • Movement of the patient (e.g. breathing)
  • Geometry of the imaging (e.g. focus, object, detector distance)
  • Display monitor (type, resolution, quality)
  • Brightness and Contrast of the display monitor (
  • Viewing Conditions (e.g. background monitor)
  • Perception of the Practitioner (e.g. contrast, resolution, experience
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12
Q

Geometric Unsharpness (Penumbra)

A

Minimising geometric unsharpness

  • Fine focus should be used
  • Object close to detector as possible
  • FRD as large as possible
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13
Q

Magnification and Sharpness

A
  • Large Magnification = Reduced Sharpness

- Small Magnification = Increased Sharpness

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14
Q

Resolution/Definition

A
  • The ability of a system to distinguish two close objects or a specific part of anatomy
  • Can be measured objectively using test object/phantom
  • Normally expressed in terms of line pairs/mm

Depends on:

  • All elements in the imaging chain
  • Focus size
  • Source, object, detector geometry
  • Monitor Display
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15
Q

X-Ray Detectors

A

Ideally

  • All primary x-rays exiting patient should be absorbed in the detector
  • Scattered radiation should not contribute to the image

Reality
- 40-60% of x-rays not detected – pass straight through detector

Two main types of detector systems for x-ray radiography

  • Computed Radiography (CR)
  • Digital Radiography (DR)

Detective Quantum Efficiency (DQE)
- A measure used to compare different imaging system performance

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16
Q

Ionisation

A
  • Any process by which electrically neutral atoms or molecules are converted to electrically charged atoms or molecules
  • X-Rays are ionising radiations
  • Removal of electrons from an atom in an ionised or excited state leads to positively charged atom
  • Involves a positively charged atom ‘ion’ and a negatively charged electron
17
Q

Ionisation and Imaging

A

Production of X-rays in a Tungsten Target

  • Thermionic emission at the filament
  • Production of heat in the tungsten x-ray target

Detection of Radiation

  • Radiation Measurement
  • Dosimetry of Radiation Effects
  • Fluoroscopy
  • Image Production
  • Radiation Protection
18
Q

Radiation Dose

A
  • Energy absorbed through the ionisation process can have detrimental biological effects on the patient (could potentially break strands of DNA)
  • Should be recorded at each imaging session
  • Record image acquisition parameters (e.g., kV, mA, exposure time, field size, FOD, FRD
19
Q

Radiation Dose: Exposure Types

A

Diagnostic Medical Exposure – representative absorbed doses are required to be determined for patients of a typical size

Therapeutic Exposure – individual absorbed dose values are required to be determined (calculation or direct measurement) representative for the target volume and relevant organs of the patient

20
Q

Human Perception

A
  • Two practitioners may view images differently

- Differences may be small or large and can be a result of experience and skill of the practitioner