Digital Image Display, Assessment, and PACS

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HIS (Hospital Information System)

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Description and Tags

Radiographic Exposure

39 Terms

1

HIS (Hospital Information System)

Contains patient medical records (EMR) & sends radiology orders to RIS

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2

RIS (Radiology Information System)

Creates worklist and merges patient data with radiology exam fields

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3

PACS stands for:

Picture Archiving and Communication System

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4

PACS is a computer system used to _____, _____, and _____ images from digital modalities.

acquire

display

transmit and score

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5

Functions of PACS (3 things):

  1. integrates medical record on HIS with RIS

  2. displays acquired images through hospital network

  3. allows images to be accessed over the internet

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6

Exposure indicator is what and indicates what?

A number indicating the average radiation exposure to the IR in order to form a CR image.

May indicate under or over-exposure.

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7

DICOM stands for what?

Digital Imaging and Communication in Medicine

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8

What is DICOM?

A STANDARD that establishes RULES for the exchange, display, and storage of medicine images and text.

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9

RAID stands for what?

redundant array of independent disks

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10

What is RAID?

A group of hard disks that provides data protection and improves data acquisition speed.

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11

minimum scale bit depth for dicom

2.5 mm/lp

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12

What is Moire Pattern?

Appearance of grid lines caused by the scan frequency and direction matching that of grid.

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13

Exposure number means? — what +3 or -3 means — and what to do with kvp and mas

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14

DQE stands for what?

Detective Quantum Efficiency

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15

What is DQE?

The ability of a detector to convert x-ray to a useable signal based on measurement of the combined effects of CONTRAST and NOISE on the imaging system.

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16

DQE values will always range from:

0 to 1

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17

Advantages of CRT monitor (2 things):

  1. Less expensive than LCD

  2. Can see image at sharp angles to monitor

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18

Disadvantages of CRT (4 things):

  1. blooming

  2. soft copy veil glare

  3. glare

  4. luminance

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19

Advantages of LCD (Liquid Crystal Display) 6 advantages:

  1. higher luminance than CRT’s

  2. produce less heat

  3. no veil glare

  4. less reflection glare

  5. less maintenance

  6. less power consumption

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20

Disadvantages of LCD (2 disadvantages):

  1. more expensive than CRT’s

  2. limited field of view from extreme angles

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21

Dynamic range — how its read out

Gray scale bit depth

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22

What is dynamic range?

the number of shades of gray that can be displayed on an imaging system.

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23

More on dynamic range (2 things):

  1. response is linear

  2. all digital images have a wide dynamic range

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24

How much file storage space is needed for DR images if there are 10 images and the matrix size is 1,000 X 1,000 with a 12 bit depth?

1,000 X 1,000 = 1,000,000

1, 000,000 X 12/8 = 1,500,000

1,500,000 X 10 images = 15 Mb

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25

ACR requires a minimum spatial resolution of at least:

  1. 5 lp/mm

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26

What is KERMA?

Kinetic energy released in matter is used to express radiation concentration delivered to a point by radiographic and fluoroscopic equipment.

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27

KERMA is formally defined by the amount of energy released per kilogram of _____ in _____.

air
Gya

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28

When KERMA is written to express absorbed dose in _____ it is denoted as _____.

tissue
Gyt

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29

What is KAP?

Kerma Area Product

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30

____ is defined as contrast seen in the image divided by the amount of noise existing in the image

CNR (contrast-noise ratio)

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31

Where should the IR plate be read out?

The middle — center points

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32

Three types of monitors:

  1. Consumer grade monitors

  2. Medical displays

  3. View boxes

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33

Consumer grade monitor range:

250 — 300  (cd/m2)

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34

Medical displays

300 — 500 (cd/m2) or 170 nits

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35

Viewboxes: low intensity, high tensity, and average

Low: 1000 — 2000 nits

High: 2000 — 3000 nits

Avg: 1700 nits

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36

What is HL7 (Health Level - 7)?

An international organization that develops standards related to exchanging information between medical applications.

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37

What does HL7 aim to improve?

“interoperability” of healthcare information along with improving workflow, decrease ambiguity and share information between providers of healthcare

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38

Lossless compression ( 2 things):

No loss of image fidelity between original and decoded image

Typically 2:1 or 3:1 compression

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39

Lossley compression

Higher compression that may lose image detail after being decoded

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