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62 Cards in this Set

  • Front
  • Back
*What is spatial resolution?
Image detail, the ability to distinguish 2 things of the same opacity as different
-Determined using line pairs per mm
*What is contrast resolution?
Ability to distinguish 2 things as different opacity that are in close proximity
What 5 factors affect image detail?
1) Motion
2) Speed of film/screen combination
3) Focal spot size
4) Focal spot-film and object-film distance
5) Grid
What are 2 ways to prevent motion when taking a radiograph?
1) mAs
-use a short exposure length and increase the mA so get same amount of photons but less time for motion
2) Sedation
When buying films, what is one thing you must check to make sure it is compatible with your x-ray machine?
The color of the film must match the color of the screen on cassette
How is detail related to film/screen speed?
Speed & detail=Inversely proportional
What is the film?
Size and thickness of silver halide crystals
What is the screen?
Size and thickness of phosphor crystals
*What are the effects of bigger crystals in the screen?
Bigger crystals=faster speed=lower detail
-More light diffusion and blur w/ faster speed
*What are the advantages of intensifying screens?
Decrease x-rays needed to make a radiograph
-Less radiation dose to patient & personnel
-Allows use of shorter exposure times=less motion
-Can use low output x-ray machines for large body parts
What are the disadvantages of intensifying screens?
Loss of detail bc of light diffusion
What are non-screen radiographs used for?
Superior detail so used for dental radiography
How does the technique differ for non-screen radiographs?
Requires much higher mAs values
-very long exposure so anesthesia required and have to leave room
What determines the focal spot size?
Filament size in cathode
What is the advantage of a small focal spot? What is it used for? Disadvantages?
Better detail so use for small things like a chihuahua carpus
-Have to use lower mA values because its a smaller coil so more prone to catch fire
*What's the advantage of a large focal spot? disadvantages?
Higher mA values are possible so used for example for a horse carpus.
-Poorer detail
How can the focal spot be manipulated?
Changing the angle of anode and size of cathode
What is penumbra?
A region of geometric unsharpness at the edge of the film
How is the size of the focal spot related to penumbra?
Smaller focal spot=smaller penumbra
True or false. You can tell what size of focal spot was used by the penumbra.
True
*How does focal spot-film distance affect the image detail?
Long FFD=decreased penumbra=high detail
How does the technique need to be adjusted for a long focal spot-film distance?
Requires higher mAs
*What is the equation that determines the mAs required for a certain focal spot-film distance?
mAs1/mAs2=D2^2/ D1^2
-Inverse square law
*What happens to the penumbra when there's a long object film distance? Detail?
Increases the penumbra
-Decreases detail
True or false. A long object film distance magnifies the object, increasing detail.
False, it magnifies the object but decreases detail
What is the function of the grid?
Grid absorbs scatter therefore increasing the detail
-Scatter decreases detail
How does the technique have to be altered if using a grid?
Absorbs some of primary beam so have to increase exposure
What are 2 types of grids?
Potter-bucky=moving grid
Stationery grid
What are grids composed of?
A rectangular plate that has alternating lead and aluminum strips
What is the advantage of a potter-bucky grid?
Moves grid during exposure so don't see grid lines
What is the bucky (grid) factor?
The ratio of radiation falling on the grid: radiation passing through grid
What does the bucky factor measure?
Measures ability of grid to absorb scatter
*What is the application of the bucky factor?
Indicates how much increase in technique is needed when changing from non-grid to a grid technique
What is contrast?
Difference in film blackness across an image
*Contrast depends on what 3 factors?
1) Subject contrast
2) Film contrast
3) Fog and scatter
*What 4 characters of tissue affect the subject's contrast?
1) Thickness
2) Tissue composition (fat VS soft tissue)
3) Atomic number
4) kVp
*Do high or low kVp x-rays produce more contrast?
Low kVP=higher contrast
Do more x-rays pass through the subject with a high or low kVp?
High kVp becasue they are more powerful rays so more pass through without being absorbed, this results in a lower contrast.
*How do you get the same exposure after increasing the mAs?
Decrease the KvP
True or false. With a high kVp a lower contrast results so the soft tissue and trabecular pattern of bone is less apparent.
False, soft tissue is more apparent with a higher kVp
What happens to the film of a radiograph when only the mAs is increased?
Increase the blackness
(more x-rays are being produced so more hit film)
*What are the 3 settings that could result in a technique using 4 mAs?
100 mA @ 0.04 s
400 mA @ 0.01 s
1000 mA @ 0.004 s
What is the issue with using a mAs of 4 with 100 mA @ 0.04 s VS using 400 mA @ 0.01 s?
Increased time=increased risk of motion
Would you want high contrast (low kVp) for a thoracic radiograph or abdominal radiograph?
Abdomen because it has low contrast, whereas the thorax is inherently contrasted with lots of air and soft tissue so can use high kVp with low contrast.
*What do you do if a radiograph has insufficient contrast but is properly exposed?
Decrease kVp by 15% and double the mAs.
**What alters film contrast? What alters film blackness?
kVp=contrast
mAs=blackness
**How does kVp affect the # of x-rays? mAs?
kVp=proportion of electrons accelerated from cathode to anode
mAs=size of e- cloud produced at cathode
What determines the film contrast?
Inherent property of film, cannot be varied for a given film
-usually use mid range contrast film
What determines the film contrast with computed radiography or digital radiography?
Inherent property of detector(s)
What 4 things can cause fog?
1) Exposure of film to pressure or high temperature
2) Exposure of film to light
-Darkroom safelight
-Bad seal on door of darkroom
3) Outdated film
4) Scatter
*True or false. The primary beam is a typical source of personnel radiation exposure.
False, scatter radiation is the major source of personnel exposure (Compton scatter mainly)
What is the primary beam?
X-rays that originate from the anode
*What is scatter radiation?
X-rays that have been deflected by interaction with the patient fly in all directions
*What happens to the scatter radiation (where does it go)?
Hits the "wrong" location on the film
How does scatter radiation effect the radiographic image?
Causes random low-level exposure over the entire film
-Darkens image
-Reduces contrast
-Lose detail
*How can you minimize scatter radiation when taking a x-ray?
1) Collimate-narrow primary beam
2) Use high kVp exposures
3) Use a grid
Why do we use collimation? What does collimation change?
Because it minimizes the volume or tissue radiated
-minimizes scatter radiation
Changes the size of the primary beam
*What does collimation decrease? (2)
Scatter radiation
Penumbra
What technique has the most scatter radiation? least?
Highest=low kVp, high mAs
Lowest=high kVp, low mAs
*Remember high kVp=less contrast so its a trade off!
What rays does a grid block? Why is this important?
The grid blocks the scatter radiation but also part of the primary beam so the technique needs to be increased
Is there more scatter radiation with a thick or thin patient?
Thick patient-more opportunity for x-rays to interact and scatter
*When should a grid be used when taking a radiograph?
When tissue thickness is more than 10 cm, less than 10 cm and a grid should not be used!