Mosby Chapter 4 - Image Production
- Read Mosby chapter 4 - Image Production (save the practice questions)
RTBC Radiographic Image production Section
RTBC Radiographic Image Production - Electrical Physics section
- Watch Series Circuit & Parallel Circuit Lessons - go basic, don’t stress the math. Can you describe the difference between series and parallel circuits?
- Watch Ohm’s law lesson - go basic, know definitions - don’t stress the math
- Define Amperes
- Define Voltage
- Define Resistance
RTBC Radiographic Image Production -X-ray Circuit section X-ray Circuit
- First find an image of the x-ray circuit
- List the components of the primary, secondary and filament circuit
- What does the component do? What is its job?
- Watch 3 lessons first
- Primary Circuit
- Secondary Circuit
- Filament Circuit
- What is the incoming voltage coming into the circuit?
- Which transformer comes first in the circuit?
- What is the role of the autotransformer?
- The autotransformer works on what type of induction?
- What is the role of the step up transformer?
- What is the role of the step down transformer?
- The step up & step down transformers work on what type of induction?
- What is the role of the rectifier?
- What is the difference between direct and alternating current
- What works on alternating current in the circuit?
- What works on direct current in the x-ray circuit?
- What is the rheostat?
- When a technologist increases the mA on the control panel, what factors will also increase?
- The other circuit videos are optional
- Skip transformer math- not needed
RTBC - Image Production - Primary Exposure Factors
- mA
- Define tube current
- How does mA relate to the number x-rays produced?
- How does mA relate to thermionic emission?
- Time (Seconds / milliseconds)
- How is mAs calculated? What is the reciprocity law?
- kVp
- Define Tube Potential
- How does kVp relate to the energy of the electron beam?
- How does kVp relate to beam Quality?
- Can kVp also change the intensity of the beam?
- How does kVp relate to patient dose?
- Can you describe the 15% rule?
- Distance (SID)
- What does SID stand for?
- How does increasing the distance affect the intensity?
- Complete the primary exposure factor assessment
RTBC - Image Production - Advanced Exposure Factors
- Inverse Square Law
- Go basic on this concept! If you move farther away from the source, your dose will decrease!
- Optional Watch MP Inverse square law math video on youtube (math playlist)
- AEC
- Where is the AEC located in the x-ray room?
- Can you describe how it works?
- What does AEC control?
- What is the backup timer used for on AEC?
- What is the minimum response time for AEC?
- When would a technologist use the density controls?
- What is a disadvantage of AEC?
- What is considered a Technologist error when using AEC?
- What are the Density controls used for in AEC?
- How will the following adjustments change the seconds during exposure? (Increase or decrease of seconds)
- Increase kVp
- Increase mA
- Decrease mA
- Increase Density setting by + 1
- Grids
- What is the purpose of a grid?
- Where will you find a moving (oscillating) grid in the x-ray room?
- What type of exams would you use a “stationary” grid?
- What factor should you increase when using a grid?
- How will grids affect patient dose?
- Grid Conversion Math
- What is the Grid Ratio Formula?
- Grid Conversion formula?
- Watch MP Grid math youtube video Grid Math # 1 Grid Math # 2
- Grid Errors
- What is Grid cutoff?
- Can you describe possible grid errors?
- Off level
- Off angle
- Off center
- Off Focus
- Upside Down
- Reciprocity Law
- Know definition
- How can the reciprocity law be used with mA and S settings?
- If you increase seconds, how should mA be adjusted?
- mAs Reciprocity Math
- Direct Square Law
- Watch MP Youtube Direct Square Law Video Direct Square Law # 1 Direct Square Law # 2
- Change in mAs with change in distance
- Farther away? Need more mAs
- 15% Rule
- Watch MP Youtube 15 % rule video 15% rule Radiology problems
- Increasing kVp by 15% = double exposure
- Don’t want to double the exposure? Half your mAs to compensate
- Complete advanced Exposure Factor Module Assessment
RTBC Fundamentals of Digital Radiography
- Computed Radiography (CR)
- Write out the steps of the Computed Radiography imaging process.
- What is the type of phosphor used in CR?
- List the CR plate layers
- What happens in the active/phosphor layer?
- What is the color of the laser?
- What pattern does the laser scan in?
- What color light is emitted?
- Compare Latent vs. Manifest image
- What is the role of the photomultiplier?
- What does the analog to digital converter (ADC) do?
- How is the CR plate erased?
- What is a ghost error on a CR plate?
- How long can the latent image last on the CR plate?
- How often should you erase the CR plates?
- What is a Moire pattern?
RTBC Fundamentals of Digital Radiography
- Direct and indirect capture Lesson
- Write out the steps of indirect vs. direct capture or draw it out!
- Separate the capture methods into columns to visualize
- Indirect TFT method
- Indirect CCD/CMOS method
- Direct Capture method
- Identify the parts:
- Does it have a scintillator?
- Does it have a photodiode?
- Does it skip the scintillator?
- What is the job of each part? Does it convert something? Does it collect something?
- Which one uses amorphous silicon?
- Which one uses amorphous selenium?
- What is the fill factor?
- Complete Digital Radiography Module Assessment
RTBC Digital Radiography Section
- DEL’s and Image receptor matrix
- What does DEL stand for?
- Where are DEL’s located?
- Pixels & Matrix
- What does Pixel stand for?
- The number of pixels depends on the size of the?
- What is a common matrix size in radiography?
- Do we want a small matrix or a large matrix? Think Big Screen TV!
- If the matrix size gets larger, how will that change the size of pixels?
- Would large or small pixels improve spatial resolution?
- Don’t stress the pixel size math equation
- Dynamic range & Exposure Latitude
- Define Dynamic Range
- Define Exposure Latitude
- Define the term mottle
- How will the image appear?
- Define the term Saturation
- How will the image appear?
- Bit depth & Quantization
- Define Bit Depth
- When does Quantization take place?
- Define the Quantization process
- Increasing Bit depth will have an affect on which factors?
- Histogram
- Define Histogram
- What is displayed on the X- axis? What is displayed on the Y-axis?
- Describe Histogram Analysis Value of Interest (VOI)
- Define Rescaling
- Define Look-up Table (LUT)
- Does correct collimation have any affect on Histogram analysis?
- Is it important to process the image under the correct anatomy selection on the control panel? Ex. Should you process a chest under a foot setting?
- Pre & Post Processing terms
- Know Definitions (not on RTBC)
- Annotation
- Cropping/masking
- Stitching
- Region of interest (ROI)
- Flat Fielding
- Edge Enhancement
- Smoothing
- MIMPS (AKA PACS) Introduction
- What does PACS stand for?
- Define DICOM
- Define EMR, What is an EHR? How is this different from an EMR?
- Skip Pacs 2
- Not found on RTBC- go to another resource (Mosby)
- What does HIS stand for?
- What does RIS stand for? R = specific to Radiology! “Modality Worklist”
- What is Teleradiology?
- Describe Archiving of radiographic images
- Complete the Digital Radiography module assessment
RTBC radiographic Image Evaluation & Quality Control Section
- Image Quality Factors - Contrast
- Define Radiographic Contrast
- What does the term “Gray Scale” mean?
- Describe High contrast image appearance
- Describe Low contrast image appearance
- How would a “short scale” contrast appear?
- How would a “long scale” contrast appear?
- Contrast (kVp)
- Define Differential Attenuation
- Can you describe what attenuation of the beam means?
- Why does the beam attenuate differently with different areas of the body?
- Will low kVp have a high or low attenuation?
- Will high kVp have a higher or lower attenuation?
- How does attenuation relate to contrast?
- How can the 15% kVp rule adjust the contrast on a low contrast image?
- Contrast (procedural factors)
- List the procedural factors that affect contrast
- How does an increase in OID affect contrast?
- Describe the air gap technique
- Use in place of a grid!
- What is the primary purpose of using a grid?
- Why does using a grid improve contrast?
- Would using a higher grid ratio (12:1) increase contrast more than a lower grid ratio (5:1)?
- Contrast (Subject Contrast) = Patient Variables
- Describe the process of absorption
- Will the lungs have high or low absorption?
- Will the bone (vertebrae) have high or low absorption?
- Does the size of the patient affect contrast?
- How will a KUB radiograph on a larger patient appear?
- High contrast or low contrast?
- Can you explain why?
- When there is more scatter, will there be a lower contrast image appearance?
- Contrast (Digital Factors)
- What does the term “raw image” mean?
- What is the LUT?
- What does the LUT do?
- How important is it to use the correct protocol for processing images?
- Define the post processing application Windowing
- What does Window Width change?
- Describe an image with Wide Window Width
- Describe an image with narrow window width
- What does Window Level Change?
- Signal to Noise Ratio (SNR)
- Describe the Signal to Noise Ratio (SNR)
- What is on top of the SNR ratio? Signal or noise?
- Detective Quantum Efficiency (DQE)
- What is the Detective Quantum Efficiency (DQE)?
RTBC radiographic Image Evaluation & Quality Control Section
- Image Quality Factors - Receptor Exposure
- Can you define Receptor Exposure?
- Define Quantum Mottle or Quantum Noise
- Will noise occur at low or high mAs?
- Define Saturation
- Is Saturation going to occur at a high or low exposure?
- What does the term gross exposure error mean?
- What is the Exposure Indicator?
- What does the EI tell us?
- Do all manufacturers use the same EI indicator?
- How does mAs relate to the number of x-ray photons in the x-ray beam (Quantity)?
- How does mAs affect the Receptor Exposure?
- Will increasing kVp affect the Receptor Exposure?
- Will increasing the kVp increase the beam energy?
- Will increasing the kVp increase the beam penetrability?
- Will using the 15% rule affect receptor exposure?
- How does SID affect receptor exposure?
- Will increasing SID decrease receptor exposure?
- How will increasing the SID affect the beam intensity?
- When increasing collimation, how is that changing the field size?
- How will increasing the collimation affect receptor exposure?
- Does the anode angle change the amount of radiation exiting the x-ray beam?
- Will decreasing the anode angle increase the anode heel effect?
- Why will a small anode angle decrease the intensity of the x-ray beam?
- Why will a small anode angle decrease the receptor exposure?
- What does beam filtration do?
- Will increasing filtration decrease the total receptor exposure?
- Will increasing filtration decrease the beam quantity?
- Will adding on a grid reduce receptor exposure?
- Why?
- Will a higher grid ratio (12:1) decrease the receptor exposure more than a lower grid ratio (6:1)?
- Does patient size affect receptor exposure?
- Why will a larger patient decrease receptor exposure?
- Why?
- What type of pathology will increase receptor exposure?
RTBC radiographic Image Evaluation & Quality Control Section
- Image Quality Factors - Spatial Resolution
- Define Spatial Resolution
- Describe a high spatial resolution image
- What type of resolution will have blur?
- Will it have high visibility?
- Will the lines be sharp?
- How is spatial resolution measured?
- How will OID affect spatial resolution?
- Will decreasing OID improve spatial resolution?
- Can you describe what the term beam divergence means?
- How will SID affect spatial resolution?
- Will Increasing SID improve spatial resolution?
- Will the small or large focal spot improve spatial resolution?
- What is meant by a “narrow focal spot”
- What is the focal spot size affected by?
- Will motion result in decreased spatial resolution?
- Can you list the factors that DO NOT affect spatial resolution?
- What is a DEL?
- How does the size of the DEL affect spatial resolution?
- What is the DEL pitch?
- What size pixels would improve the spatial resolution?
- What is the Pixel Pitch?
- What size matrix would improve the spatial resolution?
- We want a large Matrix (think large screen TV!)
- Modulator Transfer Function
- What does the MTF evaluate?
- What is the perfect or ideal MTF?
- What is the sampling frequency in CR and how does it relate to spatial resolution?
RTBC radiographic Image Evaluation & Quality Control Section
- Image Quality Factors - Distortion
- Define the term distortion
- Define the term Magnification or Size Distortion
- What are the 3 controlling factors of Size Distortion (magnification)
- Will decreasing SID increase or decrease magnification?
- Can you explain OID?
- If you decrease OID, will that increase or decrease magnification?
- Can you explain what SOD is?
- How does the anatomical position within our body have an effect on magnification?
- Will larger patients have an effect on magnification?
- What is the magnification factor equation?
- Image Quality Distortion - Shape Distortion
- What are the two types of shape distortion?
- What are the 3 factors involved in shape distortion?
- When does foreshortening occur?
- What causes elongation of the part?
- Tube / IR alignment
- Hint TIRE = Tube, IR, = Elongated
- Can you give any examples of how technologists would use shape distortion to demonstrate areas of anatomy?
- Take Image Quality Module Assessment
RTBC Fundamentals of Fluoroscopy Section
- Are you familiar with both the Image Intensifier and the newer version, flat panel detectors? If not, watch the intro!
- Watch the Fluoroscopy Image Intensifier lesson
- Also Watch MP Youtube video on Image Intensifier Hint XLELM
- Image Intensifier tips!
- Next = arts and crafts!
- Draw out image intensifier yourself
- Label the parts
- Can you put them in order? If you had to drag and drop them in order could you?
- What is the job of each part?
- Convert x-rays to light etc.
- What are the Input & output phosphors made of?
- Can you describe Brightness gain, minification gain and flux gain?
RTBC Fundamentals of Fluoroscopy 2023 Section
- Image Intensifier
- Draw out image intensifier yourself
- Label the parts
- Can you put them in order?
- If you had to drag and drop them in order could you?
- What is the job of each part?
- Convert x-rays to light etc.
- What is the Input phosphor made of?
- What is the photocathode made of?
- What is the output phosphor made of?
- Fluoroscopic grids
- Why are lower grid ratios used in fluoroscopic imaging?
- Brightness gain
- Can you describe Brightness gain?
- What is the formula for Brightness gain?
- Describe minification gain
- What is the formula for minification gain?
- Describe flux gain
- What is the formula for flux gain?
- Automatic Brightness control (ABC)
- Describe how Automatic Brightness control works
- What are other names for ABC?
- Fluoroscopic image quality
- Describe Vignetting
- Describe pincushion artifact
- Flat Panel Detector (FPD)
- What kind of digital conversion is used in FPD’s in fluoro? Indirect or direct?
- What are some benefits of FPD’s over II’s?
- Put the components in order
- Can you describe the process in order?
- Pulsed Fluoroscopy & Frame Averaging
- Can you describe how pulsed fluoroscopy is different from continuous fluoroscopy?
- How is pulsed fluoroscopy different from intermittent fluoroscopy?
- How can pulsed fluoro be used to reduce patient dose?
- Spot Imaging & LIH
- What is a spot image?
- Can you describe the difference in patient dose between using a Last Image Hold (LIH) and a spot image?
RTBC radiographic Image Evaluation & Quality Control Section
- Image Evaluation Module - Errors
- Exposure Errors
- Can you define receptor exposure?
- Can you list factors that affect receptor exposure?
- Will mottle be present in an underexposed image or an overexposed image?
- What is an exposure indicator?
- Exposure indicators are what type of systems?
- Fuji system (CR equipment) uses what as the Exposure indicator?
- What is the ideal EI for Fuji CR?
- If the S number is low will that indicate over exposure?
- Processing Errors
- What is the Histogram definition?
- What is on the x-axis?
- What is on the y- axis?
- What is histogram analysis? Values of Interest (VOI)
- Describe the rescaling process
- What does rescaling compensate for?
- What does the LUT do to the raw image?
- Is the LUT a mathematical formula?
- What happens if the technologist processes the part on the incorrect histogram?
- Receptor Errors
- Can you describe receptor damage?
- What does “hyperdense” artifact look like?
- Describe a pixel malfunction or dead pixel
- How can a technologist decipher between a dead pixel or an artifact within the patient?
- What is a Ghost Image?
- Positioning Errors
- What factors can influence positioning errors?
- Pay attention to the lateral knee rotation!
- Identification Errors
- What information does the radiograph have to include?
- Complete Module Assessment
RTBC radiographic Image Evaluation & Quality Control Section
- Quality Control (QC)
- Don’t stress any of this math!
- Centering, distance, collimation
- Centering must be within what percentage?
- Distance (SID) must be within what percentage?
- Collimation must be within +/- what %?
- Timer & AEC
- Exposure timer must be within +/- what percentage?
- AEC goal = appropriate receptor exposure even when the size and pathology of the patient are changing
- How is AEC tested?
- kVp reproducibility and linearity
- kVp needs to be within +/- what percentage?
- Note Bushong says +/- 10% for kVp (memorize 10% or 5%)
- What does Exposure Reproducibility mean?
- It must be within +/- what percentage?
- How does linearity differ from reproducibility?
- Linearity must be within +/- what percentage?
- Image Receptor
- Detector Calibration should be calibrated to produce?
- Why are CR readers calibrated?
- Can you describe the erasure thoroughness?
- Describe Plate Uniformity evaluation
- What is the spatial resolution test of the image receptor system?
- Display System
- What is a monitor calibration?
- What are the 4 factors for monitor evaluation?
- What is the test pattern used?
- Find Mosby Quality Control section
- Optional - MP youtube video on QC Other items better explained in Corectec Lessons & Mosby Textbook
Technique Charts - not found on RTBC
- Can you describe the Automatic Programmed Technique (APR) equipment?
- Anatomically Programmed Radiography
- What technical factor varies on a Fixed kVp chart?
- What technical factor is not adjusted on a variable kVp chart?
- Why would age require an adjustment in technical factors?
- Pediatric adjustment example?
- Geriatric adjustment example?
- Do you know what BMI stands for?
- How would you adjust your technical factors to compensate for a patient with a large BMI?
- Why does contrast media require a technical factor adjustment?
- What kVp is recommended for iodinated contrast material?
- What kVp is recommended for Barium Sulfate?
Display Monitors
- How is the radiographic image best viewed?
- Viewing angle - 90 degree angle to the monitor
- Ambient lighting
- Think radiologist sitting in a dark room with low lighting.
- SMPTE test pattern
- Importance of luminance levels - how is luminance tested?
Lead Apron testing for QC
- Performed annually using fluoroscopy
- Cracks in lead aprons are from folding the lead
Technologists role in the recognition and reporting of malfunctions
- Evaluate images
- Report errors immediately
- Reach out to engineering for assistance when required
- Documentation!
Corectec Lessons 8,9, & 10
Complete Mosby Image production questions Chapter 5
Go back to the content specs - did you cover all the areas?
Start By reading Mosby Chapter 3 Safety and/or Corectec Safety Lessons
RTBC x-ray production and safety section
RTBC Image Production Section
- X-ray Beam Lesson
- Properties of the beam
- Can you list several properties of the beam?
- How does the x-ray beam travel?
- Speed?
- Does the x-ray beam have a mass?
- Does it have a charge?
- Wavelength vs. Frequency
- Can you define both terms?
- How is wavelength measured?
- How does increasing energy affect frequency & wavelength?
- Beam Quantity 1 & Beam Quantity 2
- What is the main controlling factor?
- Can kVp also be an influencing factor for quality?
- Beam Quality 1 & Beam Quality 2
- What is the main controlling factor?
- Complete the X-ray beam Assessment
RTBC x-ray production and safety section
RTBC X-ray production and Safety Section
RTBC x-ray production and safety section
Radiation units of measurement module
* Radiation measurements overview
* Air Kerma & Exposure
* Absorbed dose
* Equivalent dose
* What is the weighting factor for x-rays?
* Effective dose
* Hint: The A’s have Grays (Gy), The E’s Have V’s ( Sievert Sv), If there is a Q it multiplies 2 (Equivalent dose)
- Complete the module assessment
RTBC x-ray production and safety section
RTBC x-ray production and safety section
RTBC x-ray production and safety section
RTBC x-ray production and safety section
- Radiation detection devices module
- Occupational Dosimetry Lesson
- Know your numbers! Whole body yearly for technologist = 50 mSv
- Lens of the eye = 150 mSv
- Skin & Extremities = 500 mSv
- Fetus total = 5 mSv, Fetus monthly = 0.5 mSv (pregnancy is 10 months)
*How to Read Your Dosimetry Report from LANDAUER
* Where should the fetal dosimeter be worn?
- What does “M” stand for on a Dosimeter report?
RTBC X-ray production and Safety Section
- Radiation Protection Lesson
*Cardinal Rules - how can a technologist protect themselves?
Skip gonadal shielding part