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Conventional Radiography
Cassette / film
wet processing with chemicals
intensifying screen that emits light
film exposed to light
narrow exposure latitude
CT Scanning
1971
head only
digital technology, not f/s
1975
Whole body scanner
Photostimulable Phosphor Equipment used in
CR
PSP Equipment
backed by aluminum sheet / lead
absorbs backscatter x-ray photons
Antistatic Material
usually âfeltâ material - protect against static electricity build up, dust collection, and mechanical damage
PPCSLB
Layers of CR Imaging Plate Construction
Thin, tough, clear plastic that protects the active phosphor layer
made of carbon fiber or magnesium
no image producing capabilities
Protective Layer
Layer of Photo-Stimulable Phosphor (PSP) composed of
Barium Fluorohalides
Europium Activators
A. Ability to store and release energy
B. Responsible for storing âlatentâ image/creating latent image from transmitted x-ray photons exiting the patient
Phosphor or Active Layer
Layer of material that grounds the IP from electrostatic charge
Increases spatial resolution by absorbing light
reduces static electricity
Conductive layer (A.K.A. Antistatic Layer)
Semi-rigid material that gives the imaging sheet some strength
Support Layer
Sends light in a forward direction when released in the reader
prevent unwanted light from affecting the unexposed latent image
Light Shield (Reflective Layer)
Soft Polymer that protects the back of the cassette
prevent unwanted background radiation from affecting the unexposed latent image
Backing Layer
How long will the trapped signal remain in PSP?
hours, even days but begins to deteriorate almost immediately
Signal Loss (image fading) becomes apparent
approx. 8 hours
but trapped signal is never completely lost
CR imaging plates should be processed
as soon as possible after exposure to prevent loss of latent image
Two important factors considered when selecting the PSP imaging cassette
Type
Size
The two types of imaging plates (PSP)
Standard Resolution
High Resolution
Imaging plates containing a thinner phosphor layer
High Resolution
To acquire and form the image in CR, the remnant beam interacts with electrons in
barium fluorohalide crystals within the imaging plate
stimulates / gives energy to electrons in the crystals
Stimulated electrons within the crystals are now trapped in an area of the crystal known as
color or phosphor center
Two types of CR readers
Point Scan (older)
Line Scan
Scanner that has
scans one pixel at a time
photomultiplier (collect and multiply the light photons and convert them into electrons)
ADC (changes energy to a digital format)
slower
Point Scan
Scanner that has
simultaneous stimulation of the imaging plate one line at a time
acquisition of the photo-stimulated luminescence (PSL) occurs with a charge-coupled device (CCD) linear array photodetector
faster
Line Scan
When being scanned, a red laser hits the imaging plate releasing a
blue, visible light
The released blue, visible light is captured by the
photomultiplier tube to create the manifest image (visible image)
After acquiring the image from the IP, it is
erased with a bright white (strong fluorescent) light and returned to cassette
The two scan directions
Fast Scan
Slow Scan
the movement of the laser across the imaging plate
(also known as the âscan)
Fast Scan direction
the movement of the imaging plate through the reader
(also known as the âtranslationâ or âsubscan directionâ)
Slow Scan direction
Once an exposure has been taken using an imaging plate
cassette is fed into a reader that
removes the imaging plate
scans it with a laser to release stored electrons
The imaging plate must be processed to release the
latent (invisible) image from the radiation detector IP
the CR laser reader uses a
red helium neon laser light to scan info from the IP
( Red Ruby Laser )
The IP travels through ______ inside the CR reader
rollers
In a fast scan direction, the red laser light scans in a
raster pattern at 2 eV
Because PSPs are sensitive to scatter,
the erasure process should be repeated at least once a week
CR Plate Erasure Error
Ghosting Erros
double image
second image partially outside collimated field
Remnants of lead marker
caused by incomplete erasure of imaging plate
Phosphor layer thickness and pixel size determine
Resolution in PSP
Raw Data (Pre-Processing) is
converted into digital data using the ADC
Quantization assigns
each pixel a number
each number has an assigned gray scale value
Bit Depth
number of gray shades that can be used to define each pixel
Grayscale
digital term for âscale of contrastâ
Moire Pattern
wavy artifact lines caused by grid lines running parallel to laser scanning motion
The relationship between the height of the lead strips and the space between the lead strips
Ratio H/D
The higher the ratio, the more critical the positioning is, so
a high grid ratio is not an appropriate choice for mobile radiography
Shuttering
removes background or distracting light surrounding an image
postexposure image manipulation
black background can be added (to screen image)
The CR processing system uses a âstitching applicationâ to
connect the two images into 1 for the radiologist to view
Image Inversion
changes the image contrast from negative to positive
swap white/black
bones black
used often for visualizing tubes or lines
Image Subtraction
technique used in interventional radiology to clearly visualize blood vessels in a bony or dense soft tissue environment
removes bones to look for blockages or obstructions
Any undesirable objects on the processed image other than those caused by scatter and fog
Artifact
If an unused PSP has been stored for 48 hours
it should be erased prior to use to avoid image fog
occurs when image darkens due to sources other than primary x-ray beam interactions
fog
four common types of artifacts
imaging plate
plate reader
imaging processing
printer
cracks in imaging plate appear as lucent areas
if static exists because of low humidity, hair can cling to IP
Imaging plate artifacts
White lines that are parallel to the direction of plate travel are caused by dirt, dust, or scratches on the light guide
Plate Reader Artifacts
Tiny increased brightness artifacts
dirt/dust