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RT202 – PRINCIPLES OF IMAGING LESSON 1:

LESSON 2: Technical Factors in Radiography “MILLIAMPERES”

Milliamperes (mA)

−

the current flow through the cathode filament during exposure.

−

quantitative factor

−

changes photon quantity

−

factor of choice for controlling film blackening

−

number

 

↑ mA 

= ↑ current flow 

= ↑ temperature of the filament  = ↑ number of electrons released (thermionic emission)

= ↑ number of x-ray photons produced at the anode target = ↑ patient absorption



Effect of ↑mA

− produces a greater number of electrons in the space charge for x-ray production

− purpose is to increase the number of electrons traveling from cathode to anode, thus

producing more x-ray photons

 

mA & Blackening

      −                  film blackening is proportional to mA

 

mA doubled = blackening doubled

mA halved = reduce the blackening by half


− a change of at least 30-35% (minimum) is needed to produce a visible change in blackening

                    x2 & ÷2 (standard)

−    can be adjusted without significant change in scatter radiation

 

Focal Spot “Blooming”

− ↑ tube current (mA) can ↑ actual focal spot size : focal spot blooming

      −          ↑ kVp = slightly ↓ actual focal spot size

 

Focal Spot Size and Radiographic Quality

−

focal spot size is crucial for producing highquality radiographs.

−

blooming caused by high tube currents can adversely affect radiograph quality

−

reducing focal spot blooming:

ü    lower mA

ü    higher kVp



Exposure Time (s)

      −   sets the length of the time for an exposure.

−    combined with mA, determines the exposure rate

formula:       milliamperes x time = milliampereseconds

(mAs)  mA x s = mAs


mA and Time

−

inversely proportional

−

↑mA requires a ↓exposure time to maintain the same exposure value and amount of

blackening on the film

−

mAs is considered a single quantitative factor

−

↑ mA = ↑ amount of x-ray photons

exposing the film


Reciprocity Law

      − Arthur Fuchs

− states that blackening on the film remains constant as long as the total energy exposing the film is constant

− proper calibration of equipment is necessary for dependable results

− fast film-screen systems (e.g., rare earth) affect results  

 

LIMITATIONS

§     screen exposure of less than 10 milliseconds and more than 6 or 7 seconds

§     considered a quantitative factor § short exposure times prevent body motion during exposure

§     longer exposures increase the risk of motion, detrimental to film quality

 

 

Distance

(Focal-Film Distance/FFD/SID)

− represents the length of space from the focal spot to the recording medium

General radiography: 40 to 42 inches

Thoracic cavity radiography: 72 inches

−

intensity of the x-ray beam is affected by changes in FFD

−

similar to visible light, intensity decreases with distance as x-rays spread over a larger area

−

x-rays diverge from the focal spot, so

intensity↓ as distance ↑

SID (Source to Image Distance)

SOD (Source to Object Distance)

OID (Object to Image Distance)

Inverse Square Law                                              

      −    ¼ of its original                                                             

− describes how the intensity of radiation  decreases with increasing distance from the  source

− doubling the distance reduces intensity to ¼  because the same photons spread over four  times the area

 

 

LESSON 3: Technical Factors in Radiography

“RADIOGRAPHIC QUALITY”

 

Quality

− characteristics of an object and indicates the degree of excellence an object may exhibit


High – Quality Radiograph

ü  all factors are at optimum

ü  contains maximum information       for review

ü  demonstrates specific anatomic part with  a sharp image.

ü  appropriate    amount       of blackening

(density) distributed over the film.

ü  excellent subject contrast with sufficient distribution of film blackening

ü  recorded with minimal magnification and distortion of actual size and shape of the anatomic part


Radiographer’s Role

−    evaluate radiograph quality through visual inspection

− “art” of radiography involves working with concepts and characteristics on a finished radiograph to measure excellence


Quality Evaluation Factors  o density o contrast  o definition o distortion

  – controlled by technique selection and use of radiographic accessories

 

Density

−

blackening on the finished radiograph

−

produced by the development of exposed silver halide crystals in the film emulsion

−

mAs (primary controlling factor)

−

kVp (influencing factor)

 

 

 

 

 


 

Contrast

−

represents variation in density levels across the film, making anatomic detail visible

−

distribution of different density values

−

functions to make structural detail visible

−

refers to a range of density levels from very dark (black) to areas with little or no density (clear or white)

−

kVp (primary controlling factor)


↑ contrast = ↑ degree of blackening to the film = ↓scale

 


 

Definition

− refers to the clarity and distinctness of the fine structural lines or borders of anatomic

parts

      − recorded detail

      −    resolution


FACTORS AFFECTING DEFINITION o selection of Focal-Film Distance (FFD) o focal spot size

o        placement and alignment of tube, part, and

film

o        amount of exposure to the film o use of adequate kVp

o        use of accessories to control scatter radiation



Distortion

− misrepresentation or undesired change of the size and/or shape of the anatomic part of interest

−    degree of distortion can vary from great to small


PRIMARY FACTORS

o        placement of the tube o placement of the part

o        placement of the film