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What are the two systems of digital radiography?
Computed radiography (CR)
Digital radiography (DR)
Computed radiography uses?
Photostimulable storage phosphor imaging plate (PSP or IP)
Where is CR located?
Inside the cassette
Once the ____ is exposed, cassette taken to reader to process image and then it is erased
PSP
For digital radiography, image is acquired and sent ____ to display monitor for radiographer
Directly
What does DR include?
detector and reader as permanent part of table or wall
can be moved around
some wireless
very expensive
very fragile
Indirect conversion is ___ scintillator
With
Indirect conversions two part process:
1) uses scintillator (converts incoming x-ray photons to light)
2) photodetector (converts light into electronic signal)
Indirect conversion is used in:
PSP
Charged coupled device (CCD)
Amorphous silicon with a thin film transistor (TFT)
Direct conversion is ___ scintillator
Without
Direct conversion directly converts incoming x-ray photons to _______
electric signal
Direct conversion uses ____ and a _____
Amorphous selenium and thin film transistor (TFT)
A digital image is one that has been converted into _____ for transmission or processing
numerical values
ADC=
analog-to-digital converter
What is sampling?
Analog values measured at chosen sampling frequency
What is quantification?
Sample piece of analog data is computed and assigned a value
Analog values converted to binary digit=
Bit
8-byte word=
1 byte
What is a matrix?
Series of boxes laid out in rows and columns that gives form to the image (Ex. 4 × 4)
What is a pixel?
Each box of the matrix
A pixel has its own ___determined by its address
location
Pixel is capable of representing a wide range of different shades of gray (_____ —> ____)
pure white, total black
Each pixel represents a _____ known as a volume element a _____
3D data point, voxel
What is field of view (FOV)?
Overall matrix, determined by the size of the detector
As matrix size _____, the pixels get ____, and the ____ the image
Increases, small, sharper
The greater the matrix size for the same FOV, the ____ the spatial resolution
Better
What is spatial resolution?
Image sharpness
Spatial resolution is a critical image quality factor determined by ____
pixel size
Spatial resolution is measured in?
Line pairs per millimeter (lp/mm)
What is grayscale bit depth?
Determines that number of shades of gray in one pixel
Grayscale bit depth ranges from ____ bits to ____ bits
8-32
Grayscale bit depth of 12 produces ___ gray levels
2^12
How many different shades of gray in one pixel/voxel?
4096
What are the 3 processes a computer goes through after an exposure?
1) point processing
2) local processing
3) geometric processing
What is point processing?
Happens from when the image receptor sends its input image signal to when the output image is viewed on the monitor by you
Point processing operations is the _____ processing operations in DR
Most common
Grayscale processing allows for adjusting image ____ and _____
Brightness and contrast
Grayscale processing creates:
1) histogram
2) look up table (LUT)
3) windowing
Histogram is generated from image data, allows system to find ____
useful signal
For histograms the scanned are is divided into pixels and _____ for each pixel is determined
signal intensity
Histogram locates ____ and _____ signal within the anatomical regions of interest in the image
minimum and maximum
____ of the histogram corresponds to specific anatomy
Shape
Histogram analysis is performed within computer to determine _____
1) values of interest (VOI)
2) exposure indicator (EI)
____ is what locates min/max exposure for the body part
VOI
if the VOI are over/underexposed, the computer will correct the image on its own= ____ or histogram modification
Rescaling
What is reference histogram?
Each body part has a reference histogram that was obtained using the correct exposure factors
Wide histogram=
Higher contrast
Narrow histogram=
Lower contrast
After the histogram, the next step during point processing operation is to adjust ___ with the LUT
Contrast
Without LUT applied, the image would display as a ___ contrast image
Low
LUT is applied to the data which has the standard ___ for the exam
Contrast
LUT gives ___ image contrast on the display
Desired
Selecting proper LUT= proper ____, regardless of variations in kVp and mAs
Grayscale
Windowing changes ___ and ___ of the image on the monitor
Contrast and brightness
What is window width (WW)?
Range of densities that will be displayed
Narrow window width =
Few shades of gray, high contrast
Large window width=
Many shades of gray, low contrast
What is window level (WL)?
Center of WW and controls brightness of image
Low window level=
lighter
High window level=
darker
The more the original image is changed by the radiographer before sending to PACS, the ____ information the radiologist has to work with
Less
What is local processing operations?
Mathematical calculations are applied to only a small group of pixels at a time, eventually covering all pixels
What is a kernel?
Processing code that is mandatory and common in computers
What is spatial frequency filtering?
Used to sharpen, smooth, blur, reduce noise, or pull elements of interest from image
What is high pass filtering also known as?
Edge Enhancement
Highpass filtering removed or suppresses ____ spatial frequency to produce a ___ output image
Low, sharper
Highpass filtering results in greatly ___ contrast
Increased
With highpass filtering, ____ edges are enhanced as well
Undesirable
Lowpass filtering is also known as?
Smoothing
Lowpass filtering intentionally ____ the image
Blurs
Lowpass filtering reduces ___ and the displayed brightness level of pixels
Noise
Lowpass filtering ___ image detail
Decreases
What is unsharp masking?
‘blurring’ subtracts a low-pass filtered image from the original, producing a new subtracted and sharper image
What us geometric processing operations?
Used to change position or orientation of pixels in image
Geometric processing operations allow radiographer to:
rotate
magnify
flip horizontally
flip vertically
What makes up digital image quality?
resolution
noise
detective quantum efficiency (DQE)
artifacts
Spatial resolution is controlled by the ____ and how many ____ can be displayed by the monitor
Matrix size and pixels
Matrix size ___ and pixel size goes down= ____ in spatial resolution
Increases, increase
____ is part of bit depth; the greater the bit depth= better density resolution
Density resolution
What is contrast resolution?
Ability of a detecter to resolve different energy differences striking it, and transferring this energy into signal values
Noise is classified as either:
system noise
ambient noise
quantum mottle noise
System noise an ambient noise are random ____ information that is detected
background
System noise and ambient noise does ____ contribute to image quality
not
System noise and ambient noise are measured in _____
signal-to-noise-ratio (SNR)
____ SNR indicates ____ noise in the image
High, little
Increase in noise= ____ in contrast
Decrease
Decrease in noise= ____ in contrast
Increase
Quantum mottle noise results from an _____ of photons from an improperly set exposure factors (mAs and kVp)
Insufficient quantity
Quantum mottle noise produces ____ image
Grainy
Only way to correct the noise made from quantum mottle noise is to repeat with ___ technical factors
Increased
What is detective quantum efficiency (DQE)?
A measure of the sensitivity and accuracy by which the IR converts the incoming data to the output viewing device
A device with 100% efficiency has DQE= ____ meaning ____ of information
1, no loss
DR systems have DQEs of ___ - ___
.3-.7 (30-70%)
DQE is affected by _____
SNR, noise, detector material
DR processing systems use ____ to provide information regarding the Exposure to the IR
exposure indicators
EI indirectly determines the quantity of ____ striking the detector
photons
If number/readout is within “acceptable range” of EI value =_____
best image quality
Fuji relationship to exposure
Inverse
Konica relationship to exposure
Inverse
Philips relationship to exposure
Inverse