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46 Cards in this Set

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Image receptor (IR) exposure

One of the 2 photographic properties that comprise visibility of detail. In digital imaging it is the critical quality factor to assess and comparable to density in the film / screen environment

Brightness

The concept of density as it is displayed on a softcopy monitor for digital imagesNot the same as density


images



imagesNot the same as density


Not the same as density

Window level

The digital processing that produces changes in density / brightness



Describes digital post-processing that produces changes in brightness, so it is appropriate to use when controlling the display of an image

IR exposure and contrast

What are the two photographic properties that allow detail to be seen on radiographic images

IR exposure

The term density was replaced when using digital with the term _____, because film is no longer the primary image receptor

Exposure Indicator (EI) values

With digital imaging, the key to a visible image is having the correct IR exposure, which is best evaluated using the

Overexposed image

The IRS has received too many photons and, as a result, has recorded too much information



Black

Underexposed image

Has not received the information and is not capable of being manipulated to reveal details that were never recorded using digital post processing



White

Digital post processing

Can eliminate the excess information of an overexposed image and reveal details within the range of human visual ability, producing a visually acceptable image

Quantum mottle/noise

In radiography, a speckled, snowy looking, non-uniform ___ caused by an insignificant number of X-ray photons striking the radiographic image receptor during an exposure. The _____ is corrected by increasing mAs

Quantum noise

A lack of significant incoming data to process an image. Also known as quantum mottle



Can be corrected by increasing mAs

System noise

Electronic components within the digital image receptor can also add noise to the image, known as

Ambient noise

background radiation also contributes to image noise and results in

Film screen systems

With ______, mAs was considered to be the controlling factor for IR exposure. With digital systems, this is no longer true

Influencing factors affecting IR exposure

Linear, non-linear

Digital receptor have a ___ response to exposure while film has a ____

30%

Minimum percent change in mAs for Visible density change

Doubles or halfs

The general rule of thumb for mAs changes is to make adjustments in increments of

A repeated image that is underexposed at 10 mAs should be repeated at 20, 40, or 80 mAs, depending on the circumstances

Repeating

Less than 30% change in mAs seldom justifies..

KVp

Controls average energy of X-ray photons at anode Target



Affects production of scatter radiation

IR exposure and film density

Both the quantity and quality of the X-ray beam will vary significantly with changes in kVp. As a result, kVp has a tremendous impact on

15% rule

is used as a guide to maintain the same IR exposure when kilovoltage changes.This increase in kilovoltage causes a doubling of exposure to the IR.





This increase in kilovoltage causes a doubling of exposure to the IR.


This increase in kilovoltage causes a doubling of exposure to the IR.

15% rule

A radiograph of the elbow is produced using a 4 mAs at 60 kVp. What kVp would be required to halve the exposure to the IR?

kVp

Can influence the shape of the histogram

KVp change

_______ is not recommended to control image noise

4-5% , 10-12%

A change in IR exposure can usually be detected with a




__ to __% change in kvp in lower ranges (30-50 kVp)



and




__ to __% change in higher ranges (90-130 kvp)

Contrast

Significant changes in kVp can impact

mAs

Primary influencing factor to IR exposure

Total exposure to the image receptor

Image quality is a function of

Quantum noise

Is the largest contributor to total noise

mAs

Is Primary IR exposure controlling factor




Directly proportional to exposure




Marginal noise on image generally requires a 30% increase in exposure

Focal spot size

Larger _____ utilize a greater incident electron stream then smaller ones.




Will not affect density / IR exposure in properly calibrated equipment.



Blooming results from high mAs selection.



Proper calibration on a regular basis keeps focal spot issues controlled.



Calibrated systems with continued blooming, may warrant x-ray Tube replacement

Anode heel effect

Alters the intensity of radiation, and therefore the IR exposure, between the anode and cathode ends of the X-ray tube.

Anode heel effect

Alters intensity of beam across cathode anode access.



IR exposure up to 45% greater at cathode side of beam



Always place thicker side of body part on cathode side

Anode Heel Effect

More pronounced with wider collimation.



This effect is minimized by collimating the beam and eliminating as much of the intensity difference at the periphery as possible

Exposure maintenance formula (distance)



To maintain IR exposure, mAs (or an influencer) must be changed to compensate for the exposure changeThis formula is used because mAs must increase when distance increases, and vice versa in order to maintain ion exposure


This formula is used because mAs must increase when distance increases, and vice versa in order to maintain ion exposure


This formula is used because mAs must increase when distance increases, and vice versa in order to maintain ion exposure


This formula is used because mAs must increase when distance increases, and vice versa in order to maintain ion exposure


This formula is used because mAs must increase when distance increases, and vice versa in order to maintain ion exposure


This formula is used because mAs must increase when distance increases, and vice versa in order to maintain ion exposure

Inverse Square law (Distance)

SID altars the intensity of the beam reaching the IR, according to this law.




The law states that the intensity exposure varies inversely with the square of the distance.




For example, as distance increases, radiation intensity and IR exposure decrease

OID (distance)

Has an effect on IR exposure.



The air gap technique uses an increased OID to prevent scatter radiation from reaching the IR.




By increasing OID using the air gap technique, scatter that would normally strike the IR will miss the receptor, causing a decrease in IR exposure

Filtration

Has the ability to alter beam intensity affect IR exposure.



IR exposure decreases when this increases



Increased _____ increases average energy of beam but reduces intensity of beam (quantity)

Beam restriction (collimation)

Reducing the primary beam field size reduces the total number of photons available.



This reduces the amount of scatter radiation and therefore reduces the overall IR exposure



Reduces scatter and secondary radiation (remnant) striking IR



Dramatic changes in this require mAs compensation

Decreases IR exposure

Increased beam restriction does what to IR exposure

Anatomical part

The amount of attenuation is dependent on the thickness and type of the tissue being imaged.



Tissue type is affected by the atomic number and density of tissue



The use of contrast media will alter the atomic number and affect IR exposure.



Pathologically can alter tissue thickness and or type, affecting IR exposure



Inverse relationship between IR exposure and part thickness tissue density



As tissue thickness, average atomic number of the tissue, and / or tissue density increases, IR exposure decreases


Pathology

Can have either an additive or destructive effect.



Additive conditions (radioplaque) decrease IR exposure.



Destructive conditions (radiolucent) increase IR exposure

Grids

_____ absorb scatter, which would otherwise be exposure to the IR and density to the film.



The more efficient the ______, the less will be the IR exposure.




_____ with high ratios, low frequencies, and dense interspace material, moving grids, and improperly used grids, all reduce IR exposure


_____ with high ratios, low frequencies, and dense interspace material, moving grids, and improperly used grids, all reduce IR exposure

Image receptors

Brightness

Is the proper term for the Luminous intensity (measured in candela) of the display monitors light emission