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how is raw data stored
as electronic data set
what happens to electronic data set
processed by computer for viewing
what does computer processing alter in an electronic data set
brightness and contrast
what is advantage of automatic processing through computer
any anatomic structure can be well visualized
how is a digital image recorded
as a matrix or combination of rows and columns of pixels
what is a pixel
small, usually square, ‘picture element’
how is the size of a pixel measured
in microns
100 microns = .1mm
how is each pixel recorded
as a single numerical value represented as a single brightness and shade of gray
what does the location of a pixel in an image matrix correspond to
an area within patient or volume of tissue
what is a spatial domain of an image matrix
when the location of a pixel within a matrix corresponds to ana area within patient or volume of tissue
what happens when a data point is reconstructed
placed in precise spatial position, representing anatomy
what is the field of view (FOV)
anatomic area of interest
what is field of view made of
matrix
what effect does matrix size have on digital image
larger matrix = greater number of pixels = improved quality
what is negative effect of larger matrix
increased computer processing time, network transmission time, digital storage space
what is the formula for relationship between pixel size, FOV, and matrix
pixel size = FOV / matrix size
what happens to pixel size, matrix, or FOV is either is increased
increased FOV for fixed matrix = increased pixel size (directly related)
increased matrix size for fixed FOV = decreased pixel size (inverse relationship)
how is the numerical value assigned to each pixel determined
by relative attenuation of x-rays passing through corresponding volume of tissue
how does assigned numerical change for pixels representing higher attenuation
different value assigned for higher brightness
what does pixel bit depth determine
amount of precision in digitalizing analog signal and number of gray that can be display in image
what is bit depth determined by
analog-to-digital converter (ADC)
how is bit depth expressed
2 to the power of n or number of bits (2n)
what does larger bit depth allow
greater number of shades of gray to be displayed
what kind of system has better contrast resolution
one that can digitize and display greater number of shades of gray
what does increased contrast resolution do to an image
increase visibility of anatomic details and ability to distinguish among small anatomic area of interest
relationship between pixel amount and size
inverse relation
what is pixel density
number of pixels per unit area
what does large pixel density improve
spatial resolution
what factors determine pixel pitch
pixel size, spacing, or distance from center of a pixel to adjacent pixel
what do smaller-sized pixels have
decreased pitch
increased spatial resolution
what is spatial frequency
unit of line pairs per millimeter (lp/mm)
what is a resolution test pattern
device used to record and measure line pairs
how does spatial frequency change with object size
smaller objects have higher
larger objects have lower
how does changing lp/mm affect spatial resoslution
increasing lp/mm increases spatial frequency
what is spatial resolution range for DR
3.5 - 5.5 lp/mm
what is directly impacted by pixel size in digital imaging systems
ability to resolve or demonstrate specific spatial frequency
what does dynamic range on an imaging system refer to
ability of an IR to accurately capture range of photon intensities that exit the patient
how does wise IR range affect under or over exposure
allows for image to still be diagnostic
what is exposure latitude
range of exposure that should be used to produce a diagnostic image
how many intensities can digital IR capture
16,000 - 65,000 intensities of exit radiation depending on bit depth
what does air kerma do
specifies intensity of x-rays at a given point in air at a known distance from focal spot/x-ray source
what is dose area product (DAP)
measure of exposure in air used by DR systems
what happens after DAP is measured
computation occurs to measure patient dose
where is DAP located
embedded in collimator
what does DAP value depend on
exposure factors and field size
what does DAP reflect
patient exposure
total volume of tissue being irradiated
what is kerma area product (KAP)
product of total air kerma and area of x-ray beam at entrance of patient
how are KAP and DAP unites expressed
in micro, milli, and centigray per area squared
what do KAP and DAP provide indication of
patient risk
what is modulation transfer function (MTF)
measure of imaging system’s ability to display contrast and spatial resolution of anatomic objects varying in size
what to MTF values mean
0 = no difference in brightness levels/
1 = maximum difference between brightness levels / exact representation of feature in terms of contrast and spatial resolution
what is MTF a numerical expression of
recording systems ability recreate an image with optimum contrast and spatial resolution
what is detective quantum efficiency (DQE)
measurement of efficiency of IR in converting x-ray exposure into a usable electronic signal that can be converted to a quality radiographic image
what does high DQE indicate about radiation exposure
less required to produce quality image
what is DQE value impacted by
type of material used in IR to capture exit radiation (greater for DR)
energy of x-ray beam (higher for amorphous selenium)
spatial frequency
MTF (directly proportional)
what is signal-to-noise (SNR) ratio
method of describing the strength of the radiation exposure in comparison to the amount of noise apparent in a digital image
what does increasing SNR cause
improves digital image quality (high signal strength compared to noise)
how does quantum noise occur
too few x-ray photons captured by IR to create raw image data
what are sources of image noise
electronics that capture, process, and display image
how is electronic noise minimized
with special design of circuit components
what is contrast-to-noise ratio (CNR)
method of describing the contrast resolution compared with the amount of noise apparent in a digital imahe
what does noise affect
SNR
anatomic visibility
contrast of digital image
what factors determine spatial resolution
sampling frequency (CR only)
pixel size
pixel density
pixel spacing
detector element (DEL) size (DR only)
how do DR receive and convert exit radiation into electronic signals
self-scanning readout mechanism with an array of x-ray detectors
how are DR images available quicker
combine image capture and readout
what are flat-panel detectors (FPD)
solid state IR that use a large-area active matrix array of electronic components
FPD size range
43 × 35 cm to 43 × 43 cm
what is the purpose of FPD layers
receive and convert x-ray photons to electrical charges for storage and readout
what features are integrated in a FPD
signal storage
signal readout
digitizing electronics integrated into the FPD
what are the FPD layers composed of
top layer = x-ray converter
second layer = houses thin-film transistor (TFT) array
third layer = glass substrate
what is the TFT array divided into
square detector elements
what is each TFT array detector element have
capacitator to store electrical charges
switching transistor for readout
where is the electrical signal send for digitzation
ADC
what does a smaller DEL size do
increase spatial resolution
what is DEL size range
200 - 60 micron
how can an accurate signal be created in DEL technology
digitizing electronic signal within DEL
what can affect original digital signal
magnetic disturbances from surrounding
radiofrequency (R/F) disturbances from surrounding
what does the DEL x-ray sensitive (sensing) area represent
each pixel in image matrix
why can a pixel only capture a percentage of x-rays
it is smaller than DEL
what is fill factor
percentage of x-ray capture (80% - 95%)
what does a scintillator is indirect conversion detector do
convert remnant radiation into visible
scintillator exampnes
CsI
gadolinium oxysulfide (Gd2O2S)
what does the phosphorous-type material in scintillators do
produces light following absorption of x-rays
what happens to visible light by photodetectors
converted into electrical charges
how are the electrical charges temporarily stored
by capacitors in TFT array
what happens after electrical charges are stored
digitized by ADC and processed in computer
what is a scintillator
material that absorbs x-ray energy and emits light in response
what are the two ways a design of scintillator can be
structured
unstructured
what do structured scintillator phosphors reduce
spread of visible light
what type of scintillator design produces images with higher spatial resolution
structured
what type of scintillator design uses less radiation to produce quality image
structured
examples of other DR indirect conversion devices
charge-coupled devices (CCD)
complementary metal oxide semiconductor (CMOS)
how does CCD react to light
light sensitive
can respond to low light intensities and wide range
what is scintillator for CCD
CsI phosphor plate
what is CsI
highly efficient hygroscopic material (absorbs moisture) that must be hermitically sealed to avoid water absorption and prevent rapid degeneration
what can CsI be paired with and how
CCD
using fiberoptic bundle or optical lens system
how does x-ray work in CCD devices
light energy transmitted to device → converted to electrical signal → sent to computer workstatsion for procession and display
why could an x-ray receptor have array of closely spaced CCD
due to technical limits of the size of CCD devices
what is tiling
process where seveal CCD detectors adjoin to create a larger detector
what can tiling cause
seams with unequal response