Week 4 Flashcards

1
Q

When and by whom was Computed Radiography (CR) developed?

A

CR was developed in the early 1980s by the Fuji Corporation.

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2
Q

What are the advantages of CR over film-based radiography?

A

Eliminates expensive film and chemical processing.
Requires 5-50% less exposure than film.
Uses existing radiographic equipment with specialized receptors.

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3
Q

What are the key components of a CR system?

A

CR cassette with a photostimulable phosphor (PSP) plate.
CR reader to process the latent image.
Computer system for image processing and display.

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4
Q

What is a latent image in CR?

A

The invisible stored image created when X-ray photons excite the photostimulable phosphors (PSP) in the imaging plate.

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5
Q

What happens during the Expose step in CR?

A

The CR cassette stores energy from X-ray photons in the PSP plate, forming a latent image.

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6
Q

What happens during the Stimulate step in CR?

A

A laser scans the imaging plate in the CR reader, releasing stored energy as photostimulable luminescence (PSL).

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7
Q

What happens during the Read step in CR?

A

The emitted light is detected, converted into an electrical signal, and processed into a digital image.

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8
Q

What happens during the Erase step in CR?

A

The imaging plate is exposed to intense light to remove any retained energy, making it ready for reuse.

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9
Q

What is the primary function of the CR cassette?

A

To protect the imaging plate (IP) from mechanical damage, dust, and static electricity.

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10
Q

What materials make up the CR cassette?

A

Front (tube side): Radiolucent carbon fiber
Back: Thin aluminum sheet to absorb excess X-rays
Antistatic material to prevent dust buildup and mechanical damage.

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11
Q

Why must the CR cassette be used correctly?

A

The back of the cassette contains brackets and hinges that can appear on images if used backward.

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12
Q

How does the barcode on the CR imaging plate help with patient identification?

A

It links the scanned image to the patient’s electronic medical record (RIS system).

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13
Q

What material in the imaging plate stores X-ray energy?

A

Photostimulable phosphors (PSP) such as barium fluorohalide or cesium bromide crystals.

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14
Q

What element in the PSP layer allows energy storage?

A

Europium (Eu), which enables the imaging plate to retain energy before processing.

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15
Q

Why must the CR plate be processed soon after exposure?

A

PSPs gradually release stored energy over time, reducing image quality if processing is delayed.

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16
Q

What is the function of the Protective Layer?

A

Topmost layer, made of thin, clear plastic. Protects the phosphor layer from mechanical wear and cleaning solutions. Helps improve signal-to-noise ratio.

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17
Q

What is the function of the Phosphor Layer?

A

Active layer that stores energy from X-ray photons. Releases photostimulated luminescence (PSL) when scanned by a laser. Composed of barium fluorohalide or cesium bromide crystals.

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18
Q

What is the function of the Light Reflective Layer?

A

Reflects light back toward the detector during plate reading. Prevents loss of signal and reduces light spread.

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19
Q

What is the function of the Conductive Layer?

A

Absorbs static electricity to prevent image artifacts. Reduces unwanted light emission that could cause false images.

20
Q

What is the function of the Support Layer?

A

Made of polymethylene terephthalate (PET). Provides structural strength and stability for other layers.

21
Q

What is the function of the Colour or Anti-Halation Layer?

A

Absorbs unwanted stimulating laser light to prevent reflections. Contains a blue-tinted dye to prevent false images.

22
Q

What is the function of the Backing Layer?

A

Soft polymer layer that protects the imaging plate from damage. Contains the barcode for patient-image matching.

23
Q

What is the first step a technologist takes at the workstation before processing a CR image?

A

Locate the patient on the worklist and select the exam type (e.g., hand, chest, etc.).

24
Q

Why must the CR cassette be scanned at the workstation before processing?

A

Scanning the cassette matches the imaging plate to the correct patient and exam type.

25
What happens after the CR imaging plate is processed?
The digital image appears on the workstation for viewing, editing, and sending to PACS.
26
What is PACS, and why is it important?
Picture Archiving and Communication System (PACS) stores and allows retrieval of radiographic images for radiologist reporting.
27
What is the role of the CR reader?
The CR reader processes the imaging plate, extracts the stored image, and sends it to the workstation for review.
28
How is the CR reader connected to the imaging workflow?
It is linked to the technologist workstation, where patient images are scanned, processed, and reviewed.
29
How does Direct Radiography (DR) improve upon Computed Radiography (CR)?
DR eliminates cassettes and reduces image processing steps, resulting in faster workflow, lower exposure values, and improved image quality.
30
What are the two types of DR detector systems?
Direct detectors (use a photoconductor) and Indirect detectors (use a scintillator material).
31
Where are DR detectors located?
Integrated into the wall Bucky and table Bucky. Portable wireless detectors exist for mobile and tabletop imaging.
32
How do DR detectors communicate with the workstation?
They are directly connected, allowing for immediate image display and processing.
33
What is a major advantage of DR compared to CR?
DR enables instant image viewing, eliminating the need for cassette-based processing.
34
Why is this type of DR system called indirect?
Because it first converts X-rays into light using a scintillator before converting the light into a digital signal.
35
What material is commonly used as the scintillator in Indirect DR detectors?
Cesium iodide (CsI), which converts X-ray photon energy into light.
36
What happens after X-rays are converted to light in an Indirect DR system?
The light is detected and converted into an electrical signal, which is sent to the computer for processing.
37
What are the two methods used to convert light into a digital signal in Indirect DR?
Charge-Coupled Device (CCD) and Thin-Film Transistor (TFT).
38
How does a CCD-based Indirect DR system work?
CsI scintillator produces light. Light is transmitted via fiber optics to the CCD. The CCD converts light into an electrical signal for processing.
39
How does a TFT-based Indirect DR system work?
CsI pixels are fused to amorphous silicon photodiodes. The photodiodes detect and measure light emission from X-ray exposure. A TFT array converts the light signal into a digital image.
40
What is a major advantage of Indirect DR?
The high sensitivity of CsI allows for significant dose reduction, lowering patient exposure.
41
How does a Direct DR detector differ from an Indirect DR detector?
Direct DR does not use a scintillation layer or light-emitting process. Instead, it directly converts X-ray photon energy into electrical energy.
42
What material is used in Direct DR detectors to convert X-rays into an electrical signal?
Amorphous selenium (a-Se), which acts as both the capture element and the coupling element.
43
Why does Direct DR have no light conversion step?
Because amorphous selenium (a-Se) absorbs X-rays and directly produces electrical charges, eliminating the need for a scintillator.
44
What is post-processing in digital radiography?
Post-processing refers to any alteration or manipulation of an image after acquisition, typically to optimize image appearance for better diagnosis.
45
What is the role of the technologist in image quality control (QC)?
The technologist performs image critique and applies post-processing techniques if needed to improve image quality.
46
How is post-processing in digital radiography similar to digital photography?
Both allow image adjustments such as brightness, contrast, and enhancement to improve visual quality and interpretation.
47
Why is post-processing important in digital radiography?
It helps to enhance image clarity, adjust for exposure variations, and highlight important details for a more accurate diagnosis.