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digital imaging
imaging acquisition process that produce an electronic image that can be viewed and manipulated on a computer
digital image
a numerical representation of an image via a set of picture elements known as pixels
can be processed and manipulated with softwares
can be stored electronically (soft copies)
can be dictated, reviewed, and transmitted virtually
characteristics of a digital image
a digital image begins as an analog signal
through computer data processing, the image becomes digitized and is sampled multiple times
convert part of analog into digital signals
computer can only read digital data
ADC
analog signal/data
a continuously changing signal
converted into digital data
digital signal/data
recorded as multiple numeric values and are divided into an array of small elements that can be processed in many different ways
begins as an analog signal; represents a sequence of discrete values
ADC
analog-to-digital converter
through computer data processing, the image becomes digitized and is sampled multiple times
DAC
digital to analog converter
image domains
digital images are represented into 2 domains:
spatial location domain
spatial frequency (or frequency) domain
the fourier transformation(FT): or reverse FT (just different directions)
spatial location domain
based on a matrix that has specific locations for each pixel
what radiographers and radiologists see
spatial frequency (or frequency) domain
based on the number of cyclers per unit length (frequency)
what physicists and engineers see to make sure machine is working properly
the fourier transformation(FT): or reverse FT (just different directions)
the mathematical algorithm that is applied to change an image from the spatial location domain to the spatial frequency domain
small object/high contrast
high frequency
large object/low contrast
low frequency
pixel
picture element; the smallest element in a digital image
no contrast in each pixel (uniform)
magnification of a digital picture reveals small squares
features determine spatial resolution and contrast resolution
spatial resolution
detail; sharpness; recorded detail — the degree of geometric sharpness or accuracy of structural lines actually recorded in the image
the ability of the imaging system to demonstrate small details of an object
for better resolution, you want smaller pixels
contrast resolution
the ability of imaging systems to distinguish and display a range of attenuation characteristics from different tissues within the body
how much information is held in pixel
higher the range, more grayscales are displayed, better resolution
refers the the ability of the digital system to display subtle changes in the shades of gray
pixel size
directly affects image spatial resolution
the smaller the pixel, the higher the spatial resolution
is related to the size of matric and size of field of view
matrix
a square arrangement of numbers in columns and rows
in digital imaging, the number corresponds to discrete pixel values
each box within corresponds to:
a specific location in the image
a specific area of the patient’s tissue
the image is digitalized both by position (spatial location) and by intensity (gray level)
the typical number of pixels in one ranges from about 512 × 512 to 1024 × 1024 and can be as large as 2500 × 2500
the size determines the size of the pixels
the larger, the larger the image file size
important to know for archival needs
matrix size
for a given field of view, the larger the matrix size, the greater the number of smaller individual pixels, increasing the number of smaller pixels will improve the quality of the image
field of view (FOV)
synonymous with x-ray field
it is the amount of body part or patient included in the image
the lager, the more area is imaged
changes in the FOV does not affect the size of the matrix
changes in matrix affect pixel size
as the matrix increases and the FOV remains the same, the pixel size must decrease to fit into the matrix
pixel size, matrix size, and FOV
a relationship may exist between the size of the pixel, the size of the matrix, and the field of view
matrix size can be changed without affecting the FOV
the FOV can be changed without affected the matrix size
a change in either the matrix size of the FOV will change the size of the pixels
pixel size =
FOV / matrix size
binary code
machine language of 1s and 0s
processing is performed by a series of transistors, which are switches that are on or off
the computer’s transistors can be switched on and off millions of times in a second
two symbol alphabet
off - 0
on - 1
numbers function on base 2
example (10-based to 2-based)
how much information is stored in each unit location is determined by 2 base system
red: 11111111 00000000 00000000
green: 00000000 11111111 00000000
blue: 00000000 00000000 11111111
on
if the circuit is closed and current passes through, it is assigned a value of 1
off
if the circuit is open and current does not pass through, it is assigned a value of 0
bit
binary digital; a single unit of data
a 1 or 0
byte
made up of 8 bits
the amount of memory needed to store on alphanumeric character
8 bit word — “A” = 01000001
memory is defined by the number of bytes (1024 conversion factor)
kilobyte, megabyte, gigabyte, terabyte
1 =
1
2 =
10
3 =
11
4 =
100
0 =
0
bit depth
the number of bits or pieces of information within each pixel
determines how much information can be stored
8 bits = 1 byte
also determines how many gray tones can be represented in each pixel
calculated by 2 to the power of the bit depth
bit depth range for digital systems is 10-16 or 210, 212, or 216 shades of gray (1024 - 65,536)
each pixel can have a gray level between 1 (20) and 65,536 (216)
exposure indicators (EI)
numeric value that provides feedback on the amount of radiation that reached the digital image receptor (not the patient)
a quality control tool used to:
verify appropriate exposure
reduce repeat imaging
optimize radiation dose
deviation index
abbreviated as DI
simply, the difference between the actual exposure (KIND) and the target exposure (KTGT)
expressed in a logarithmic fashion
DI = 10 x log10[KIND/KTGT(b,v)]
technologists must evaluate images, and if they are unsure of its quality, they should consult with a radiologist
radiologists have a higher quality display than what is normally used for technologist workstations
a perfect image according to the DI has a DI value of 0.0
this ± 1 changes the KIND by +25% or -20%
+1 is ~125% of the intended exposure
-1 is 80% of the intended exposure
several variances could cause the reading of the pixel values (Q) to be off:
a protheses within the image
gonadal shielding within the image
failure of the system to recognize the collimated border
an unexpected body part in the image
any of the above can cause the DI to fluctuate
technologists should consult with the radiologist regarding the above image variances
technologists should continue to use image noise as the true determining factor of image acceptance
these standard values should be used as a guide
signal to noise ration
air kerma
kerma is kinetic energy released per unit mass [of air]
the measurement of radiation energy (joules or J) absorbed in a unit of air (kg)
most often expressed as J/kg or gray (Gy)
indicated equivalent air kerma
abbreviated as KIND
the measurement of the radiation that was incident on the IR for that particular exposure
simply stated, KIND is the amount of exposure on the IR
target equivalent air kerma value
abbreviated as KTGT
a set of specific values that represents an optimal exposure for each body part and view
values are set by the manufacturer or system user
these values are listed in a table in the system by body part (b) and view (v), KTGT (b, v)
if the DI is negative
the image is underexposed
to raise the DI +1, increase technique by 25%
if the DI is positive
the image has been overexposed
to decrease DI -1, decrease technique by 20%
image quality characteristics
brightness, contrast resolution, spatial resolution
brightness
refers to the appearance of the image on a display monitor
no technical adjustment during image acquisition will change the brightness of the image; it is strictly a display quality
modulation transfer function (MTF)
the ability of a system to record available spatial frequencies
quantifies the contribution of each system component to the overall efficiency of the entire system (overall resolution)
measures the accuracy of an image compared to the original object on a scale of 0-1 or 0 to 100%
measures the trueness: fidelity
the sum of the overall contribution from every component can not be greater than the system as a whole
it is a ratio of the image to the object so that a perfect system would have an MTF of 1 or 100%
if anything interferes with the performance of the whole system, the MTF decreases. Such as light spreading, artificial hip, pathology, Unfiltered or corrected noise, etc.
in digital detectors when an x-ray photon energy excites a phosphor/scintillation layer:
the phosphor produces light
spreading out of the light will always occur
light spread reduces system efficiency
the more light spread, the lower the MTF
in this imaging system, it images large structure more accurately (truthgully)
however, it is difficult to image small structures
noise
anything that interferes with the formation of the image
radiographic noise occurs during the acquisition of the image
equipment noise is caused by detector elements or nonuniform detector responses
quantum noise — results in quantum mottle
signal-to-noise ratio
contrast-to-noise ration
signal-to-noise ratio (SNR)
a measurement of the image signal in a given region to the background noise
as SNR increases, noise decreases, but exposure increases to the patient
how much noise can be tolerated by the radiologist
contrast-to-noise (CNR)
a measurement of the contrast between tissue of interest and the background noise
dynamic range
the range of exposure IR is able to detect
exposure latitude
the exposure range produces the diagnostic image
linear in digital system; S in film system
wider dynamic range, also wider exposure latitude in digital imaging system
depends on the imaging detector
the higher the dynamic range of the detector, the more values can be detected
detective quantum efficiency (DQE)
describes how efficiently a system converts the x-ray input signal into a useful output image
is a measurement of the percentage of x-rays that is absorbed when they hit the detector
systems with higher quantum efficiency can produce higher quality images at a lower dose
amorphous selenium, amorphous silicon TFT, charge-coupled device (CCD), and complementary metal oxide semiconductor detector technology have increased DQE over PSP
amorphous selenium detectors have the highest DQE because they do not have the light conversion step
no light spread, no light to blur the recorded signal output, higher quality images are produced
disadvantage: such as more expensive than others
comparing others:
the higher fill factor, the more radiation can be detected, and the greater the signal generated, the higher the DQE