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Spatial Resolution
Resolution is the ability to image two separate objects and visually distinguish one from the other
The ability to image small objects that have high subject contrast
Ex: Bones and soft tissue
Detail or Recorded Detail
Less precise older terms for spatial resolution
These terms refer to the ability to visualize recorded detail when image contrast and optical density are optimized
Geometric Properties of the Image Quality
Spatial Resolution
Distortion
One of the easiest factors to evaluate and adjust
Control detail itself
ARRT Definition of Spatial Resolution
The sharpness of structural edges recorded in the image
The imaging process makes it impossible to produce a radiographic image without some degree of un-sharpness
What determines spatial resolution in digital imaged
Primarily by Pixel Size
Small usually square picture element
Smallest component of the matrix
Then by Matrix Size
A digital image is recorded as a matrix or combination of rows and columns of pixels
Pixel Pitch
The space between two pixels (Smaller pixel pitch = smaller pixels = higher spatial resolution)
Matrix Affect on Spatial Resolution
Matrix size: Larger the matrix = Increased or improved resolution
Pixel Affect on Spatial Resolution
Pixel Size: Small and thinner the pixel = Increased or improved resolution
Pixel Amount: More pixels = Increased/Improved resolution
Geometric Properties Relationship
Distortion and Spatial Resolution
Shares an inverse relationship
Diagnostic quality is achieved by maximizing spatial resolution and minimizing the amount of image distortion
Factors Affecting Spatial Resolution
Motion - Voluntary, Involuntary, Equipment
Distance - OID, SID
Focal Spot - Small, Large
What’s the first approach to a resolution problem
Eliminate motion
What’s the second approach to a resolution problem
Reduce OID
What’s the third approach to a resolution problem
Reduce Focal Spot Size
What’s the fourth approach to a resolution problem
Increase SID
Motion unsharpness or motion blur
Resolution affects the image appearance by demonstrating fine detail structures
When fine details are lacking, the image will often appear blurred
Motion unsharpness is often not perceived by the beginning student because they must leanr to critically examine each image
The assessment of motion is obtaining sufficient clinical experience
What causes Motion Unsharpness
Patient *most common
Voluntary and involuntary
Equipment
Due to grid bucky mechanism (reciprocating grid vibration) table, tube, & image receptor (Not balanced - drift or vibrate)
Very hard to detect
Voluntary Patient Motion
Due to intentional patient movement
Can be controlled by the technologist
Explanation of exam
Short exposure times
Immobilizing devices/positioning sponges
Involuntary Patient Motion
Heart beat
Peristalsis
Can be controlled only by short exposure times
Equipment Motion
Due to grid bucky mechanism (reciprocating grid vibration)
Table, tube, and Image receptor (Not balanced - drift or vibrate)
Very hard to detect
Methods to reduce motion if patient is able to cooperate
Patient communication
Use clear, concise, and understandable instructions
Use positioning aids such as foam pads, angle sponges, and sandbags
Methods to reduce motion if patient is unable to cooperate
A reduction in exposure time with corresponding increase in mA to maintain sufficient mAs and film density/IR exposure
Distance
The distances between the source or focal spot (S), object or part (O), and the image receptor (I) are critical in establishing recorded detail
How to calculate SID
SOD + OID = SID
Object to image receptor distance (OID)
OID is the critical factor
OID is the first distance evaluated
Minimum OID is the goal
Resolution improves when OID is decreased
OID TableTop vs. Bucky Tray
OID can be minimized by considering distance between surface supporting the part and IR
Less OID with tabletop
Need for grid supersedes the resolution that is lost by using a bucky tray
Source to Image Receptor Distance (SID)
Once OID has been minimized, resolution increases when SID Increases
Positioning routines were established to take advantage of this
Ex: Lateral Cervical Spine
Lateral C-Spine 72” and AP C-Spine at 40”
Geometry of beam-beam divergence
It is the most important factor in establishing the level of resolution desired
X-rays come from a small point (Focal Spot), the further the photons move from their source, the further they diverge
Focal Spot Size
When all other factors remain the same - the smaller the focal spot, the sharper the image or the increase in spatial resolution
Inversely proportional
Focal spot size selection is done at the control panel
By doing so, the radiographer is selecting the size of the filament used
What controls the focal spot size
The line focus principle: used to reduce the effective area of the focal spot - This permits the best resolution of detail while permitting as large an actual area as possible
Line Focus Principle
The effective focal spot size is controlled by the size of the actual focal spot (which is controlled by the length of the filament) and the anode target angle
As the actual focal spot increases, the effective focal spot also increases
Umbra
Distinctly sharp area of a shadow or the region of complete shadow
Also know as edge gradient
Penumbra
Imperfect, unsharp shadow surrounding the umbra
Invades the umbra shadow
Umbra will shrink because of increasing penumbra
When penumbra grows, it not only expands ___ but also ___
Outward; Inward
Focal Spot
Major controller of image resolution because it controls penumbra
As focal spot decreases, penumbra decreases therefore increasing resolution
Focal spots are not usually capable of imaging structures smaller than the focal spots themselves
Small focal spot (relative to penumbra)
Produces less penumbra than a large focal spot
Produces a greater resolution
Reducing OID (relative to penumbra)
Reduces penumbra and creates greater recorded detail
Increasing SID (Relative to penumbra)
Reduces penumbra and creates greater recorded detail (SID)
The formula to calculate width of penumbra
P = Focal Spot Size x OID/ SOD
Attenuation or absorption unsharpness
Increases penumbra size
What shape object would have perfectly sharp edge
Trapezoidal (Due to beam divergence)
Line Pairs Per Millimeter (LP/MM)
Unit of resolution is measured using lp/mm
The resolution tool is composed of pairs of lines a set distance from one another
The point at which a viewer can detect the closest pair of lines from each other represent the lp/mm reading
Noise
Image noise is simply background info that the IR receives
Random fluctuation in optical density of the image
Contributes no useful diagnostic information and only detracts from the qualities of the image
Radiographic noise is inherent in the imaging system
Lower noise results in a better radiographic image because it improves resolution
Quantum Noise or Mottle
Refers to the lack of sufficient data for processing
Results in blotchy or mottled image
Also called quantum mottle
The fewer the x-ray photons reaching the image receptor to form the image the greater the visibility of quantum noise
To resolve this increase mAs