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CR (Computed Radiography) is defined by the image receptor having no __ connection to processor - The cassette must be physically _ to and inserted in the reader/processor
Direct, carried
DR (Direct-capture Digital Radiography) doesn’t require the IR to be carried to a processor separate from the exposure unit - Rather, the IR is directly __, either electrically or electromagnetically (by radio waves) to the processor
Connected
For DR, the radiographic table or chest board houses a permanent array of miniature radiation detections. The fixed nature of this receptor system limits flexibility in __
Positioning
What are the 2 main advantages of DR
Its high compatibility with PACS systems and increased departmental efficiency for work flow
The typical size of detector elements for a DR system is about __ microns or _
100 microns or 1/10th a mm (1/10th the size of a pinhead)
DR systems are based upon an __ of microscopic pixel elements each containing its own transistor
Active-matrix array
The term pixel refers to elements of a visual image or picture, and is not appropriate for __ elements that are components of the DR image receptor
Detector
A voxel is a volume element within the
Patient
A __ is a detector element in the IR
Del
A pixel is a __ element in the final image
Picture
To form a digital radiograph, information from different voxels within the patient is collected by the dels of the imaging machine and computer-processed to become the __ of the final image
Pixels
Dels apply to both forms of __ imaging (direct and indirect capture)
DR
Pixels apply to the light image emitted by the __ plate in a CR reader prior to computer processing
Phosphor
What are the 3 components of a DR del
Semiconductor detection surface
Microscopic capacitor
TFT (thin film transistor for electrical gate switching)
An active matrix __ is a panel made up of hundreds of detector elements, each del containing its own thin film transistor (TFT)
Array
Some have come to refer to dels as TFTs, and active-matrix arrays as __ arrays. This is inaccurate nomenclature
TFT
The TFT is but one __ of each del - a “gate” through which electrical charge held by the del is discahrged out into the system upon readout of image data
Componet
The __ detection surface of a del can be primarily sensitive to either xrays (if made of selenium), or light (if made of silicon)
Semiconductor
The efficiency factor for any type of detector element is measured by physicists as its __
Detective quantum efficiency (DQE)
The percentage of a dels square area devoted to the semiconductor detection layer is called the dels __ factor
Fill
A higher fill factor provides (better or worse) contrast resolution and spatial resolution
Better
Because the capacitor and TFT cannot be shrunk, smaller dels have a lower fill factor, which then necessitates an increase in
Radiographic technique
The heart of the del is the microscopic electronic __. The amount of charge stored on it will eventually be represented as the pixel value for each pixel
Capacitor
In each del, a thin film transistor which acts as a switching __ to release the built up electrical charge when the del is read out
Gate
In a direct-conversion DR system, reach xray or light ray penetrating into a dels layer of amorphous selenium will ionize one of its molecules, creating an __ pair
Electron-hole
While the top of electrode in the del attracts freed electrons to drift upward, a negative charge placed on the del electrode below causes the positively charged __ to drift downward
Holes
Positive __ from the lower electrode is accumulated in the capacitor
Charge
In the active matrix array, gate lines are controlled by the __ driver, which controls the order in which the dels are read out
Address
When a bias voltage is applied, the TFT “gates” open up sequentially and cause the stored-up charge from each del in succession to flow out down a __ line to an amplifier, which then sends it to the computer
Data
Indirect conversion DR systems, developed before direct conversion systems, use amorphous __ rather than amorphous selenium, because the dels must absorb light rather than xray photons
Silicon
For indirect conversion DR systems, the active-matrix array is overlaid with a __ screen made of cesium iodide or gadolinium oxysulfide
Phosphor
The indirect conversion DR systems phosphor screen __ or fluoresces when exposed to x-rays, emitting light that will strike the TFT detectors below
Scintillates
Although vertical crystals in the phosphor form light __ that confine with dispersion of the light somewhat, the resolution achieved is still not as good as with the direct conversion system
Channels
Amorphous or non-crystalline forms of silicon and selenium are used for the TFT detectors because they can be coated onto the active-matrix array in finely controlled __
Thickness
In comparing the two approaches, we find that the direct conversion system produces higher __ in the image but the indirect system results in less _
Spatial resolution, patient dose
The CR cassette is designed in most respects to be used just as screen __ were used for film-based radiography and has a somewhat similar construction
Cassettes
The active phosphor later of CR imaging plate is supported by a firm base, usually made of __
Aluminum
An anti-halo layer added to the phosphor prevents the particular color of light used by the laser beam scanning the plate from __ through to the reflective layer while allowing light emitted by the phosphor itself to pass through
Penetrating
Both the front and back panels of the CR cassette are lined with what material that minimizes the build-up of static electricity and cushions the plate from minor jolts
Felt
For most CR systems, the phosphor plate housed in the cassette has only one single emulsion surface and must be placed facing __ in the cassetee
Forward
CR phosphors use one of a small number of barium-fluorohalide compounds which possess a unique property called __ phosphorescence
Stimulated
A latent image is stored by the CR phosphor plate in the form of electrons that are trapped in __ centers of barium flurohalide crystals doped with europium
F
Electrons trapped in F centers are freed from their atoms during an exposure when xrays __ the atoms
Ionize
The photostimulable plate actually glows __ times: When do those happen?
2 times
1st during xray exposure as some electrons immediately fall back into an atomic shell
2nd when re-stimulated by the laser beam in the CR reader (processor)
The immediate emission of light under stimulation is called
Fluorescence
The delayed emission of light sometime after initial stimulation is called
Phosphorescence
Only a very small percentage of the electrons becomes trapped in F centers, and the glow of the phosphor under laser stimulation is very __ and must be amplified by the electronics in the CR reader
Dim
An electron trap or F center is actually an additional __ band added between the valence band and the conduction band of atoms in certain molecules
Energy
Technically, while the conduction band is considered to be “outside” the atom, this new band is a metastable energy state that resides __ the atom. This is the F center
Within
The CR reader (processor) uses suction cups to remove the exposed phosphor plate from its cassette, then moves it by a series of __ through the different sections in the processor
Rollers
Unlike the elements of a DR detector plate, the laser beam of the CR reader is __ in shape, so the laser spot must overlap pixels that are being recorded as the plate is read
Circular
As the phosphor plate moves through the CR reader, the crosswise direction in which the laser beam scans across the plate is called
Fast scan direction
The direction that the phosphor plate itself is moving through the CR reader is called the
Subscan or slow-scan direction
Light emitted by the phosphor plate is changed into an electronic signal by a __ tube
Photomultiplier
The PM tube is a __ plate attached to an electronic amplifier
Photocathode
The photocathode is a layer of material which releases electrons when light strikes it, through the __ effect
Photoelectric
The amplifier section of a PM tube consists of a series of __ plates, which can be switched back and forth between positive and negative charge to continuously accelerate and multiply the electron stream
Dynode
The PM tube avoids picking up reflected light from the laser beam in 2 ways: First, the tube is sensitive to a different __ of light (blue-violet) and second, the PM tube is positioned at a different angle than any reflection of the laser beam
Color
The wavelengths of the red laser beam and the emitted blue phosphor light are far enough apart that there is effectively an optical __ between them, preventing the PM tube from detecting reflected laser light as noise
Barrier
After scanning, the phosphor plate moves into the __ section of the processor, where bright white light is used to completely remove any residual image
Eraser
Each exposure made on a CR phosphor plate must be identified with the appropriate __ information before the image is read in the processor
Patient
CR plates are approximately __ times more sensitive than the older film/screen cassettes to scatter and background radiation accumulated during storage
10
Radiographers should be careful to erase any cassette prior to use if there is any chance it has been in storage for __ days or more
2
Although digital processing has a remarkable ability to clean up fog densities caused during exposure, it is not able to correct fog densities caused __ to exposure during storage
Prior
“Pre-fogging” a cassette prior to use adds to the overall total amount of __ the computer must deal with, which can cause rescaling or graduation errors if it becomes overwhelming
Noise
Fog densities between fields from placing multiple exposures on one plate can lead to processing errors due to __ failure
Segmentation
In the bin of a mobile xray machine, care must be taken to regularly __ the cassettes
Rotate
In a CR reader, the only way to increase the sampling frequency (the number of samples taken per line) is to reduce the __ between them
Distance
For DR systems, this image sampling frequency depends only upon the del __, defined as the distance from the center of one del to the center of an adjacent del
Pitch
Del pitch is approximately equal to __ size
Del
Pixel pitch is approximately equal to __ size
Pixel
The __ the del or pixel size, the higher the spatial resolution
Smaller
Technically, for DR detectors, the del pitch includes any __ between dels
Spaces
The simplest definition for an image detail is the __ between two pixels with different values (ex. white and black)
Edge
It takes a maximum if __ pixels (with different values) to make a “detail”
2
The number of resolvable details is __ the number of available pixels
1/2
To measure sharpness, we use the unit of spatial frequency: Line pairs per millimeter, abbreviated __
LP/mm
With a pixel width of 0.1 mm, the spatial frequency is __ LP/mm - This is 5 details per millimeter for each row of pixels
5
The maximum spatial frequency is expressed by this formula
SR = 1/ 2 P
Since del pitch is essentially the same as the width of each del, the maximum spatial frequency is also inversely proportional to a doubling of the __ of the dels in millimeters
Width
A del pitch of 0.05 mm would yield __ LP/mm maximum spatial frequency
10
What is the spatial frequency for an imaging system with a del pitch of 0.03 mm
17
There are several different types of matrices:
The __ matrix of dels in a DR detector
The _ image matrix created by a CR reader that is sampling a PSP plate
The _ matrix array of hardware pixels (dots) in a display monitor
The _matrix of the displayed image itself
Hardware, light, hardware, light
The size of the matrix and the field of view can affect sharpness only is they alter the size of the actual __ or _
Pixels, dels
For any hardware matrix, the size of the dels or hardware pixels is fixed and therefore not subject to __. Therefore, the spatial resolution for these devices is also _ and does not change
Change, fixed
DR detector elements do not change in size regardless of detector plate __ or _ of the field
Size, collimation
DR dels range in size from __ microns
100-200
A 100 micron del produces a SF of about __ LP/mm
5
For a DR detector, the inherent spatial resolution is __
Consistent
In an LCD display monitor, each hardware pixel is composed of the intersection of 2 flat, transparent __ that conduct electricity
Wires
For a particular manufacturer and model, the __ of these pixels is fixed
Size
The hardware pixel size sets the __ resolution with which any image can be displayed on that brand of monitor
Maximum
For a particular brand, a larger monitor will have more pixels, but the size of the pixels is the __
Same
Sharpness is therefore __ with different size monitors
Consistent
For a DR detector, collimation of the xray beam results in a __ anatomical area being recorded on the detector plate. This results in a restricted (although magnified) _ displayed on the monitor
Smaller, field of view
Nonetheless, the inherent sharpness of DR is not changed by collimation, because __ size is unchanged
Del
For a display monitor, magnification of the image results in a __ anatomical area being displayed. Again, this is a restricted FOV displayed on the monitor
Smaller
Nonetheless, the inherent sharpness of the display monitor itself is not changed, because __ pixel size is unchanged
Hardware
To summarize, the hardware elements in DR detectors and display monitors have a fixed size, so these devices have consistent inherent spatial resolution regardless of changes to __ size or _
Matrix, FOV
A __ matrix is a matrix that can be changed within the physical area of the display
Soft