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image quality
the degree or exactness of the anatomy under investigation and how it is rendered on the image receptor
high-quality image
a medical image that faithfully reproduces structure and tissues
resolution
the ability to image 2 separate objects and visually distinguish one from the other
spatial resolution
the ability to image small objects that have high subject contrast
spatial resolution improves with
small pixel size
spatial resolution is influenced by
focal spot size
contrast resolution
the ability to distinguish anatomical structures of similar subject contrast
contrast improves with
lower kVp
MRI is considered
the best contrast resolution
radiographic noise is
the random fluctuation of xray interaction on the image receptor
the goal of noise =
low noise
the IR will have
inherent electronic noise
quantum mottle
principal contributor to image noise
quantum mottle is random nature by which
xrays interact with the IR
smaller quantity of xrays=
more quantum mottle
faster IR=
more quantum mottle
what helps to improve quantum mottle
high mAs, low kVp, and slower image receptors
fast IR =
high noise, low contrast resolution
low noise =
slow IR, high contrast
spatial resolution is limited to
pixel size
what are the 3 geometric factors
-magnification
-distortion
-focal spot blur
MF =
image size/object size
SID/SOD
what 2 factors affect MF
SID and OID
object thickness
-santa claus
-thick objects are more than thin
object position
more irregular objects off CR show more distortion, such as the human body
object shape
foreshortening, elognation
distortion is
unequal magnification of different portions of the same object
spatial distortion
misrepresentation of an object
xrays are not emitted or made from a specific point,
but an area
the focal spot is not a point, but
more of a rectangular area
focal spot blur is
undesireable
focal spot blur =
(effective focal spot) X (OID/SOD)
focal spot blur equations
SOD/OID = effective focal spot/focal spot blur
or
focal spot blur = (effective focal spot) OID / SOD
to minimize small focal spots
position patient so anatomical part is close to IR, large SID
the focal spot you choose is determined by
anode heat capacity than spatial resolution
heel effect
radiation intensity across the xray field in the anode-cathode direction
heel effect is caused by
attenuation of the xrays in the heel of anode
focal spot blur is larger on the
cathode side of the tube
subject contrast includes what 5 things
-subject thickness
-patient thickness
-tissue mass density
-effective atomic number
-object shape
image receptor contrast is selectable with post processing and
depends on bit depth and window/level selection by technologist
post processing is more important for
radiographic contrast
the degree of subject contrast is directly related to
the number of xrays leaving the body
the effect on subject contrast is a direct result in
the differences in attenuation in the body
different sections of the body can have equal thickness and
they can have different mass densities
when effective atomic number is different of adjacent tissues
the subject contrast is high
structures that coincide with xray beam have
maximum contrast
other anatomical structures have
reduced subject contrast
motion blur
movement of patient of xray equipment during an exposure
-voluntary vs involuntary
how to improve image quality with patient positioning
-anatomical structures being investigated as close to the IR as you can
-CR on center of structure
-reduce motion blur
how to improve image quality using the IR
-extremity and soft tissue, small pixel size (higher dose)
-larger pixel size (lower patient dose)
how to improve image quality with selection of technique factors
-shortest time as possible
-best generator possible
-high kVp, lower patient dose (allows to reduce mA), more xrays to IR, loss of contrast
increase in patient thickness
-increase patient dose
-increase magnification
-increase focal spot blur
-increase motion blur
-increase absorption blur
-decrease image contrast
increase in field size
-increase patient dose
-no change in magnification
-no change in focal spot blur
-no change in motion blur
-no change in absorption blur
-decrease image contrast
increase in use of contrast media
-no change in patient dose
-no change in magnification
-no change in focal spot blur
-no change in motion blur
-no change in absorption blur
-increase in image contrast
increase in focal spot size
-no change in patient dose
-no change in magnification
-increase in focal spot blur
-no change in motion blur
-no change in absorption blur
-no change in image contrast
increase in SID
-decrease patient dose
-decrease magnification
-decrease focal spot blur
-decrease motion blur
-no change in absorption blur
-no change in image contrast
increase in OID
-no change in patient dose
-increase in magnification
-increase in focal spot blur
-increase in motion blur
-no change in absorption blur
-increase image contrast
increase in mAs
-increase patient dose
-no change in radiographic magnification
-no change in focal spot blur
-no change in motion blur
-no change in absorption blur
-may increase or decrease image contrast
increase in time
-increase patient dose
-no change in magnification
-no change in focal spot blur
-increase in motion blur
-no change in absorption blur
-may increase or decrease image contrast
increase in kVp
-increase patient dose
-no change in magnification
-no change in focal spot blur
-no change in motion blur
-no change in absorption blur
-decrease in image contrast
increase voltage ripple
-increase patient dose
-no change in magnification
-no change in focal spot blur
-increase in motion blur
-no change in absorption blur
-increase image contrast
increase total filtration
-decrease patient dose
-no change in magnification
-no change in focal spot blur
-no change in motion blur
-no change in absorption blur
-decrease image contrast
spatial resolution improves with
smaller pixel size
radiographic noise is
the random fluctuation of xray interaction on the image receptor
the use of high mAs, low kVp, and slower image receptors
reduce quantum mottle
digital image quality rules
-fast image receptors have high noise and low contrast resolution
-low noise accompanies slow image receptors and high contrast resolution
-spatial resolution is limited to pixel size
sharpness in this shadow context is
spatial resolution
magnification factor 1
MF= image size/object size
magnification factor 2
MF = SID/SOD
magnification factor 3
MF = image size/object size = SID/SOD
object size = image size x (SID/SOD)
two factors affect image magnification
SID and OID
minimizing magnification
-large SID
-small OID: place object as close to IR as possible
magnification is
the ratio of image size to object size of SID to SOD
magnification of an object positioned off the CR is
the same as that of an object on the CR if the objects are in the same plane
IR factors that affect digital image quality
-pixel size
-dynamic range
-intensity response
-signal to noise
-postprocessing
geometric factors that affect digital image quality
-distortion
-magnification
-blur
subject factors that affect digital image quality
*contrast
-thickness
-density
-atomic number
*motion
unequal magnification of different portions of the same object is called
distortion
distortion can interfere with
diagnosis
three conditions contribute to image distortion
-object thickness
-object position
-object shape
what objects are more distorted
thick objects are more distorted than thin objects
when can distortion occur
when the object plane and the image plane are not parallel
focal spot blur occurs because
the focal spot is not a point
Focal-spot blur is relatively unimportant for determining spatial resolution.
pixel size is most important
focal spot blur equation
SOD/OID = effective focal spot/focal spot blur
or
focal spot blur = (effective focal spot) OID / SOD
Focal-spot blur is _______ on the anode side and _______ on the cathode side of the image receptor
small; large
subject contrast equation
radiographic contrast = IR contrast x subject contrast
what is usually the cause of motion blur
patient motion
keep exposure time
as short as possible
define contrast resolution
The ability to distinguish between and to image similar tissues.
define superimposition
The placement of one thing above or on top of another.
define image distortion
Unequal magnification of different portions of the same object is called distortion.
define focal spot blur
An undesirable loss of spatial resolution that is caused by a large effective focal spot, a short SID, and a long OID; the most important factor in determining spatial resolution.
define magnification radiography
When magnification is desirable and carefully planned into the radiographic examination.
define geometric factors
Factors that apply to the production of high-quality images.
define motion blur
Loss of spatial resolution that is the result of movement of the patient, the x-ray tube, or the image receptor.
define image noise
A grainy or uneven appearance of an image caused by an insufficient number of primary x-rays
define quantum mottle
The random nature in which x-rays interact with the image receptor; too few photons to cover the image receptor uniformly
define spatial resolution
Ability to image small objects that have high subject contrast
what principally determines radiographic spatial resolution?
focal spot size