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Img Prod - RADT465

ARRT Registry Review covering for Image Production content area

QuestionAnswer
What is the Moiré effect? Also known as Aliasing artifact, it has the appearance of somewhat wavy linear lines and can occur in computed radiography when using stationary grids.
What is the relationship between OID and magnification? Inversely related. OID +, magnification -
How is the anode heel effect more prominent? Using short SIDs, large IRs, small anode angles, and imaging parts having uneven tissue densities.
What is the function of the back up timer? Protect the patient from overexposure and the x-ray tube from excessive heat load.
Technical factor that regulates receptor exposure: mAs
How can SID compensate OID? An increase of 7 inch SID compensates for every inch of OID
How are lp/mm and LSP measure? Line pairs per millimeter (lp/mm) measure using a resolution test pattern. Line-spread function (LSP) measure using 10mm x-ray beam
MTF Modulation transfer function: measures the amount of information lost between the object and the IR
Loss of signal at the lateral edges can mean : SID is above or below the recommend focusing distance, the useful beam will not coincide with the angled lead strips at the lateral edges. Grid cutoff.
kVp adjustments for increase in patient thickness for each centimeter of increase in thickness, 2 kV is added to the exposure
Additive pathologies Ascites Rheumatoid arthritis Paget's disease Pneumonia Atelectasis Congestive heart failure Edematous tissue
Destructive Pathologies Osteoporosis Osteomalacia Pneumoperitoneum Emphysema Degenerative arthritis Atrophic and necrotic conditions
PSP Layers Protective layer Phosphor layer Electroconductive/conductor Support layer Light shield/Reflective layer Protective (Backing) layer
Bit depth the number of bits required to describe the gray level that each pixel can take on
As matrix size increases (fixed FOV) pixel size is smaller and better image resolution results
As FOV increases (fixed matrix size) the size of each pixel increases and spatial resolution decreases
What produces the most receptor exposure? The combination of highest milliampere seconds value and shortest SID
How is image resolution improved? Small DEL size and large fill factor
Window level associated with image brightness changes
Window width changes in image contrast
Reproducibility consistency in exposure output during repeated exposures at a particular setting
Linearity Quality assurance term use to describe consistency in exposure at adjacent mA station
When increasing SID The effect of excessive OID decreases. However, increased SID usually requires a significant increase in exposure factors.
Types of grids Parallel/non-focused grids Angled/focused grids Moving grids Stationary grids
Types of grid error (grid cutoff) Upside-down focused grid Off-focus grid Off level/angulation error Off center/lateral decentering
Parallel/Non-focused grid Lead strips in the grid are parallel Used in fluoro and mobile radiography
Angled/focused grid lead strips in the grid are angled to match the divergence of the x-ray beam allows more photons to pass through
Moving grids Vibrate during the exposure to blur the grid lines. Requires a connection to the imaging equipment and source of electricity. Used only in table or wall mounted Bucky's.
Stationary grids Used in tabletop or mobile radiography where there is no connection of the IR to the system.
Upside-down focused grid error Occurs with focused grids only. Grid lines are opposite of the beam's divergence. Results in a loss of exposure along edges of image.
Off-focus/focus-grid distance decentering error grid Occurs when using an SID that is outside the manufacturers range for a focused grid. Loss of exposure on the outside or one side of the image. Also called focus-grid decentering.
Off level/Angulation error Result of the beam being angled against the gridlines. Caused by the tube or the IR not being aligned to each other. Occurs with focused or non-focused grids. Results in loss of exposure across entire image.
Off center/Lateral decentering grid error Beam is not aligned to the center of the focused grid. Beam divergence doesn't match the angle of the lead strips. Results in overall loss of exposure.
Preprocessing (Acquisition processing) functions flat-field corrections, correction for noise reduction as a result of DEL dropout, rescaling, exposure field recognition, segmentation recognition, and histogram analysis
Equalization (dynamic range control) DRC - postprocessing function compresses the contrast scale, remove densities that obscure image details
HVL the amount of material necessary to decrease the intensity of the beam to one-half its original value, thereby effecting a change in both beam quality and quantity.
Absorption when an x-ray photon interacts with matter and disappears (photelectric effect)
Scattering when there is partial transfer of energy to matter (Compton effect)
Attenuation the reduction in the intensity of an x-ray beam as it passes through matter (in the form of absorption and scattering)
Scatter absorption is improved by having High grid ratio, low grid frequency (the number of lead strips per inch)
How do we produce short scale image contrast? The lower the kilovoltage, the less penetration, and shorter the scale contrast.
X-ray beam off-center and off-off focus below the focusing distance the image below the focus will show increased receptor exposure
X-ray beam off-center and off-focus above the focusing distance the image below will show decreased receptor exposure
Reciprocity Law A particular milliampere seconds value, regardless of the combination of milliamperes and time, will reproduce the same receptor exposure.
Nyquist theorem the sampling frequency must be greater than twice the frequency of the input signal so that the reconstruction of the original image can be close to the original signal
Maximal spatial resolution in digital imaging is equal to the Nyquist frequency, 1/2 x pixel pitch (mm)
Histogram graphic representation of pixel value distribution
Factors that affect histogram Positioning, centering, collimation, selection of the correct processing algorithm, changes in scatter, SID, OID (anything that affects scatter or dose)
Exposure latitude The range of exposure diagnostic image values the image detector is able to produce. Dependent on image detector = +dynamic range of detector, +values are detected
LUT look-up table used as a reference to evaluate the raw information and correct the luminance values. a characteristic curve that best matches the anatomic part being imaged.
Attenuation: the higher the kilovoltage the less is the attenuation
Attenuation: the greater the effective atomic number of the tissues the greater the beam attenuation
Attenuation: the greater the volume tissue (subject density and thickness) the greater beam attenuation
Primary or Low-Voltage Circuit Devices AC supply (main power supply) main power switch Circuit braker Autotransformer fuses line voltage compensator line voltage meter kV selector exposure switch exposure timer primary side of step-up transformer (V)
Secondary Circuit Secondary side step-up transformer (kV)-secondary coil of high voltage transformer mA meter rectifiers x-ray tube
Filament Circuit Rheostat/mA selector step down transformer cathode filament focal spot selector
Primary Circuit is Low Voltage (V)
Secondary Circuit is High Voltage (kV)
Filament circuit is High Amperage (mA)
References Saia, D.A. (2022). Image Production. In S. Barnes, C. M. Thomas (Eds.), Lange Q & A: Radiography Examination (12th ed., pp. 189-211,). Chicago, IL: McGraw-Hill Education.
References Schmuck, H. (2023). RADT465 Unit 2 Image Production Worksheet (Unpublished course reference). University of Southern Indiana, Evansville, IN.
Created by: hmalmanzag
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