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112 Cards in this Set

  • Front
  • Back

Direct Square Law (mAs:SID)

(mAs1/mAs2)=(SID1/SID2)^2




mAs2=mAs1 * (SID2/SID1)^2

Master Formula

mAs2=mAs1 * (kVp1/kVp2) * (RS1/RS2) * (SID2/SID2)^2



SID:SOD Ratio

(SID1/SOD1)= (SID2/SOD2)

Inverse Square Law (Intensity:SID)

(I1/I2)=(SID2/SID1)^2

Define mA

Measure of quantity of electrical current flowing through a circuit.

What does mAs represent?

A rate representing number of electrons passing through a point in the circuit per second.


- Higer mA=more electrons=more x-rays

Explain reciprocity with regards to creating an image.

Light is equal to the product of the intensity of the light and the duration of the exposure.

What is mAs directly related to with regards to image quality?

mAs is directly proportional to radiographic density.

In what ways can mAs be changed to adjust radiographic density?

Either mA (quantity), s (time), or both may be changed.

Define density

The degree of blackness in an area of the image



What does density on a film indicate?

The intensity of the beam of radiation which penetrated the patient and struck the image receptor.

If mAs is doubled, what will the result on density be?

Density will be doubled.

What is the minimum change necessary to see a visible change in radiographic density?

30%

What is the minimum change required to see a visible change in most non-optimal radiographs?

50%

What is the correct term for using low mAs values causing an uneven distribution of the photons resulting in a grainy image?

Quantum Mottle

Define kV

The measurement of electrical force of pressure behind a current of electricity.

Where is kV controlled within the circuit?

kV is controlled by the autotransformer in the high-voltage circuit

What does kV measure?

The quality or energy level of the electrons flowing through the circuit.

True/False: All x-rays produced will have the peak kV energy.

False - The average beam energy will be about 1/3 of the kVp

Does kVp affect quantity, or quality of the beam?

Both because high energy electrons may result in multiple interactions and produce multiple photons.




- Higher kV will affect both, but mAs is the primary factor affecting quantity.

What will a change in penetration cause with regards to the image quality?

A change in penetration will directly affect the gray scale (contrast) of the image.


Note: kVp will directly affect contrast primarily, and as kVp is increasingly raised, it will also affect the blackness (density) of the image.

What determines subject contrast?

The size, shape, and x-ray attenuating characteristics of the subject being examined and the energy of the beam.

What is IR receptor contrast?

Contrast that inherent to the film and influenced by the processing.

Is contrast directly or inversely proportional to gray scale?

Inversely.


- High contrast = Short scale


- Low contrast = Long scale

True/False: Increasing kVp will result in decreased scatter.

False - Higher energy x-rays result in a loss of photoelectric interaciotns, leaving high proportions of Compton interactions, resulting in scattered x-rays.

What is the most important function of kVp?

Provide penetration through the patient's tissue.

Scatter results in what with regards to image quality?

Fog or noise

What changes in mAs and kVp would result in equal changes to radiographic density?

Doubling mAs = 15% increase to kVp

If the radiographic density of an image was sufficient, but the contrast is too low; what change should be made to technique?

Double mAs and cut kVp by 15%

List the layers of single emulsion film in order from bottom to top.

Base, adhesive, emulsion, and supercoat

List the layers of double emulsion film in order from top to bottom.

Supercoat, emulsion, adhesive, base, adhesive, emulsion, and supercoat.

Define latent image.

Invisible change to silver halide crystals in the film emulsion resulting from interaction with light or x-ray photons.

When does the latent image become the manifest image?

During processing

What are the impurities mixed into the silver halide crystals of the emulsion?

Sensitivity specks

How is the latent image formed?

- X-ray or light photons interact with atoms in the crystals.


- Electrons are freed


- The free electrons are attracted to and caught by the sensitivity specks which then have a negative charge, joining positive silver ions to form atomic silver.

What causes the exposure in screen film?

The intensifying screen gives off light photons when struck by x-ray photons

What are the 4 general characteristics of a film?

Speed


Contrast


Latitude


Recorded Detail

What is film speed?

How fast blackening occurs during exposure.

How does crystal size affect speed?

Larger crystals = Faster speed


- Produce larger black area on radiograph

How does film speed affect image quality?

Higher speed = Lower quality (more quantum mottle)

Radiographic Contrast Relationship

Radiographic Contrast = Subject Contrast + Film Contrast

What is the difference between high and low-contrast films?

High - Relatively even grain size


Low - Range of grain sizes.

What is film latitude?

The range of exposure that can be used with film to produce diagnostically useful densities.

What is the difference between wide and narrow latitude?

Wide - Exposed over a variety of mAs values and display more shades of gray.


Narrow - Smaller range of mAs may be used. Differentiate between differences in tissue densities better. Higher contrast and fewer shades of gray.

What is recorded detail?

The extent to which small anatomical differences can be recorded on film.

What is another way to describe an image with good recorded detail?

Better sharpness, or higher resolution

What about crystals affect image sharpness?

Smaller crystals = smaller image grain = more detail can be seen

True/False: Film speed is directly related to recorded detail.

False. They are inversely related.


Higher speed = Lower recorded detail

What are the two primary types of film intensifying screens? What type of light do they emit?

Calcium Tungstate - Blue and blue-violet


Rare Earth - UV, blue, green and red

All silver halide films respond to what type of light?

Blue and violet.


Note: Dyes are added to sensitize it to other colors of light.

Outside of technique factors, what is the primary cause of poor-quality film images?

Improper storage or handling of film and/or film cassettes

What percentage of x-rays interact with film to produce the latent image?

<1%

How do intensifying screens create an image?

X-ray photons are converted to light photons which expose the film.

Intensifying screens have what result on patient dose?

Lower patient dose.

Intensifying screens have what effect on image quality?

Higher speed = Lower quality

What is a luminescent material?

Any material that emits light in response to outside stimulation.

What is luminescence?

Emitted visible light.

What are the 3 primary characteristics of radiographic intensifying screens?

Screen Speed


Image Noise


Spatial Resolution

What is screen speed?

Relative number that describes how efficient x-rays are converted to usable light.

What type of screens are used as a basis for comparison of all other screens? What is the value assigned to them?

Par speed calcium tungstate.


100

What is an intensification factor?

The ratio of the exposure required to produce the same OD with a screen in comparison to that required to produce the same OD w/o a screen.

What are the steps in the processing sequence?

Wetting


Developing


Stop Bath


Fixing


Washing


Drying

What type of chemicals are Phenidone and Hydroquinone?

Developers

What type of chemical is Glutaraldehyde?

Hardener

What does the fixing stage do?

Stops development and permanently fixes the image to the film.

What type of chemical is Acetic Acid and which stage is it used in?

Activator


- Neutralizes the developer and stops the action.

What type of chemical is Ammonium Thiosulfate?

Fixer

What are the systems within an automatic processor?

Transport


Temperature-Control


Circulation


Replenishment


Dryer


Electrical

What is sensitometry?

The study of the relationship between intensity of exposure of the film and the blackness after processing.

What are the two primary measurements involved in sensitometry?

- Exposure of the film


- Percentage of the light transmitted through the processed film

What do the measurements used in sensitometry describe?

The relationship between Optical Density and radiation exposure.

How are the OD and radiation exposure expressed graphically?

As a characteristic curve.


AKA:


- D log E curve


- Sensitometric Curve


- H&D Curve (Hurter and Driffield)

What are the parts of the characteristic curve and what do they represent with regards to exposure levels?

Toe - Low levels


Straight-Line Portion - Intermediate levels


Shoulder - High levels

True/False: At the Toe and Shoulder portions of the characteristic curve, large variations in exposure result in large variations in OD.

False

What is base density?

Inherent OD in the film

What is fog density?

Density resulting in inadvertent exposure of the film during storage, improper processing or chemical contamination

What is the useful range of OD?

0.25 - 2.5

Radiographic contrast is the result of which two separate factors?

IR contrast and Subject contrast

Film contrast is related to the slope of which portion of the characteristic curve?

Straight-line portion

What is speed with regards to OD?

The ability of an IR to respond to a low-x-ray exposure

How does latitude relate to OD?

As the range of exposures over which the IR responds OD's in the diagnostically useful range

How do latitude and contrast relate proportionally?

Wide Latitude = Long Scale = Low Contrast


Narrow Latitude = Short Scale = High Contrast

What is gray scale?

The range or number of different densities present in the image.

What is noise?

Any unwanted, useless info recorded which obscures the visibility of the desired image

What is contrast?

The ration of differences between two adjacent densities on the image

What is fog?

A form of noise.


- A veil of useless density covering portions of the desired image

What is recorded detail?

The abruptness with which the edges of an image stop.


- The lack of penumbra in an image

What is blur?

Lack of sharpness, or the presence of penumbra in an image

What is penumbra?

A partial shadow at the edges of an image, causing the transition into the adjacent density to be gradual rather than abrupt

What is magnification?

The difference in size of a real object and the size of its umbral quality on the radiograph

What is distortion?

Difference between the shape of a real object and the shape of its image on the radiography.


- Can be elongation or foreshortening

What is resolution?

Ability to distinguish adjacent details as being separate from each other.

True/False: Resolution is controlled by both visible and geometric factors

True

How is resolution measured?

Line pair per millimeter (lp/mm)

How does focal spot size relate to the sharpness of the recorded detail?

Smaller Focal Spot = Sharper Recorded Detail


- Inversely proportional

How does focal spot size relate to image blur and penumbra?

Smaller Focal Spot = Less blur or penumbra


- Directly proportional

Describe Anode Heel Effect

Intensity of beam is greater towards cathode end of tube.



How does anode heel effect relate to positioning of PT?

Anatomical position of greater tissue density should be placed at cathode end of tube.

Where is SID measured from?

From focal spot to the film or IR

How does SID relate to sharpness?

Sharpness of recorded detail increases as SID increases.


- Directly proportional

How does OID affect magnification?

Increased OID = Increased magnification

How does SID affect magnification?

Increased SID = Decreased magnification

What is the primary reason for doing a chest x-ray at 72" instead of 40"?

To decrease magnification of the heart resulting from heart-to-IR OID.

True/False: Improper SID will result in distortion of an object.

False. SID will only affect magnification.


Note: Other factors may cause distortion

Changes in SID affect image quality in what way? What formula is used to measure this relationship?

Increased SID = Reduced image density.


Inverse Square Law


(I1/I2)=(SID2/SID1)^2

How should changes in SID be made to density?

By a directly proportionate change in mAs.


- Changes in SID alter intensity, not penetrability of the x-ray beam

What formula is used to adjust mAs for a change in SID?

Density Maintenance Formula or Direct Square Law


(mAs1/mAs2) = (SID1/SID2)^2

What is the full formula for missing factor problems?

mAs2 = mAs1 * (New Distance/Old Distance)^2 * (New Grid/Old Grid) *(Old kVp Factor/New kVp Factor) * (Old F/S Speed/New F/S Speed

How will increasing OID affect image quality?

- Increased penumbra


- Increased magnification


- Increased distortion if the part is misaligned.


- Decreased density (scatter radiation produced w/i PT diverges more and loses intensity before reaching film.)


- Increased contrast (Scatter radiation reaching film is reduced. Primary rays remain at same intensity. Air Gap Technique)

Adjusting what ratio is the primary control over image magnification?

SID:OID Ratio


- Magnification and sharpness are both dependent on this ratio.


- As long as ratio stays the same, there is no change in part magnification.

How is magnification factor found?

MF = (Image Size/Object Size) * (SOD/SID)




Object Size = Image Size * (SOD/SID)

How does motion affect an image?

- Decreased sharpness due to expanding penumbra at image edges. Most destructive effect.


- Decreased contrast by superimposition of various densities


- No direct relation to overall image density, shape distortion or magnification.