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digital image characteristics and acquisition

QuestionAnswer
Modulation Transfer Function (MTF) A measure of the imaging system's ability to reproduce the contrast of an object at different spatial frequencies.
Detective Quantum Efficiency (DQE) A metric that describes the efficiency of an imaging system in converting the incident x-ray photons into a useful image.
Signal-to-Noise Ratio (SNR) A measure that compares the level of a desired signal to the level of background noise, indicating image quality.
Contrast-to-Noise Ratio (CNR) A measure that compares the contrast of an object to the noise in the image, influencing the visibility of structures.
Computed Radiography (CR) A digital imaging process that uses a photostimulable phosphor plate to capture and store image data.
Digital Radiography (DR) A digital imaging process that uses flat-panel detectors to directly capture and convert x-ray images into digital data.
Spatial Frequency The level of detail in an image, defined as the number of cycles of a repeating pattern per unit distance.
Spatial Resolution The ability of an imaging system to distinguish small details in an image.
Dynamic Range The range of exposure levels that an imaging system can accurately capture, from the darkest to the brightest areas.
Dose Area Product (DAP) A measure of the total amount of radiation delivered to a patient, calculated as the product of the dose and the area irradiated.
Exposure Latitude The range of exposures that will produce acceptable image quality, indicating the system's tolerance to variations in exposure.
Field of View (FOV) The extent of the observable area that can be captured in an image.
Fill Factor The ratio of the sensitive area of a detector element to the total area of the detector element.
Grayscale A range of shades of gray used to represent the intensity of the image data.
Imaging Plate (IP) A device used in computed radiography to capture and store image data.
Photostimulable Phosphor (PSP) A material that stores x-ray energy and releases it as light when stimulated, used in CR systems.
Pixel Density The number of pixels per unit area in an image, affecting the detail and clarity of the image.
Pixel Pitch The distance between the centers of two adjacent pixels, influencing spatial resolution.
Sampling Frequency The rate at which an analog signal is sampled to convert it into a digital signal.
Scintillator A material that emits light when it absorbs ionizing radiation, used in some digital imaging systems.
Nyquist Frequency The minimum sampling rate required to accurately reconstruct a signal without aliasing.
CR Fading The loss of image data over time in a computed radiography system due to the decay of the stored signal.
Detector Elements (DELS) The individual sensing units in a digital detector that capture x-ray photons.
Kerma Area Product (KAP) A measure of the radiation dose delivered to a specific area, taking into account the energy of the radiation.
Digital image A digital image is recorded as a matrix or combination of rows and columns (array) of small, usually square, 'picture elements' called pixels.
Pixel Smallest component of the matrix; a greater number of smaller pixels improves spatial resolution.
Pixel size Size of a pixel is measured in microns (100 microns = 0.1 mm).
Spatial domain The location of the pixel within the image matrix corresponds to an area within the patient or volume of tissue.
Matrix size A matrix size of 1024 × 1024 has 1,048,576 individual pixels; a matrix size of 2048 x 2048 has 4,194,304 pixels.
Exposure field of view (FOV) Dimensions of an anatomic area displayed on the computer monitor.
Pixel bit depth Number of bits that determines the precision with which the exit radiation is recorded and controls the exact pixel brightness that can be displayed.
Formula for pixel size Pixel size = FOV / Matrix size.
Direct relationship If the FOV displayed on the monitor is increased for a fixed matrix size, then the pixel size is also increased.
Inverse relationship If the matrix size is increased for a fixed FOV, then the pixel size is decreased.
Numerical value assigned to pixels The numerical value assigned to each pixel is determined by the relative attenuation of x-rays passing through the corresponding volume of tissue.
Highly attenuating tissues Pixels representing highly attenuating tissues (increased absorption) such as bone are assigned a different numerical value for higher brightness.
Low x-ray attenuation tissues Pixels representing tissues of low x-ray attenuation (decreased absorption) are assigned a different numerical value for lower brightness.
FOV and pixel size relationship Increasing the FOV displayed for the same matrix size will increase the size of the pixel and decrease spatial resolution.
Matrix size and pixel size relationship Increasing the matrix size for the same FOV displayed will decrease the pixel size and increase spatial resolution.
Displayed FOV example Displayed FOV = 17 inches (431.8 mm) and matrix size = 1024 results in a pixel size of 0.42 mm.
Decreased FOV example If the FOV displayed was decreased to 12 inches (304.8 mm) for the same matrix size of 1024, the pixel size would be 0.30 mm.
Increased matrix size example If the matrix size was increased to 2048 for the same FOV displayed of 431.8 mm, the pixel size would be 0.21 mm.
Improvement of digital image quality Digital image quality is improved with a larger matrix size that includes a greater number of smaller pixels.
Computer processing time Computer processing time, network transmission time, and digital storage space increase as the matrix size increases.
Bit depth The number of bits that determines the amount of precision in digitizing the analog signal and the number of shades of gray that can be displayed in the image.
Analog-to-digital converter (ADC) An integral component of every digital imaging system that determines the bit depth.
Binary system A system that uses combinations of zeros and ones to process and store information.
Contrast resolution The ability to distinguish among small anatomic areas of interest in an image, improved by a greater number of shades of gray.
Shades of gray The different levels of brightness displayed in a digital image, determined by the bit depth.
12-bit depth Can display 4096 shades of gray.
14-bit depth Can display 16,384 shades of gray.
16-bit depth Can display 65,536 shades of gray.
Resolution test pattern A device used to record and measure line pairs in imaging systems.
Small objects in imaging Have higher spatial frequency.
Large objects in imaging Have lower spatial frequency.
Brightness levels Variations from white to black displayed in radiographic images.
Bits The basic unit of information in a computer, represented as 0 or 1.
Byte Formed by combining 8 bits.
Word Formed by combining 2 bytes.
Improved spatial resolution Achieved by increasing pixel density and decreasing pixel pitch.
Decreased spatial resolution Resulting from decreasing pixel density and increasing pixel pitch.
Digital image composition Composed of discrete information in the form of pixels that display various shades of gray.
Wide dynamic range Digital IRS have a wide dynamic range, meaning a small degree of underexposure or overexposure would still result in diagnostic image quality.
Pixel values During digitization of the image, a numerical value is assigned to the pixel that represents an x-ray intensity based on the attenuation characteristics of that volume of tissue.
14-bit dynamic range If the digital IR can capture more than 16,000 x-ray intensities exiting the patient, the pixel bit depth is 14.
16-bit dynamic range If the digital IR can capture over 65,000 x-ray intensities exiting the patient, the bit depth would be 16.
Image rescaling The image rescaling that occurs during the processing stage can produce images with the appropriate brightness levels.
Line pair A line pair is a high-contrast line separated by an interspace of equal width.
lp/mm Increasing the number of lp/mm resolved by the imaging system results in improved spatial resolution.
Imaging system performance An imaging system that can resolve high spatial frequency has improved spatial resolution.
Diagnostic image quality The ability to produce diagnostic images without insufficient or excessive exposure to the IR is crucial for radiographers.
Automatic exposure control (AEC) AEC may not be available in situations such as mobile radiography, requiring careful selection of exposure techniques.
Radiographic image processing Processing the digital data yields a radiographic image that can be viewed on a display monitor and altered in various ways.
Spatial frequency impact The images of the wrist demonstrate the impact that pixel size has on the spatial resolution visualized in an image.
Underexposure A small degree of underexposure would still result in diagnostic image quality in digital imaging systems.
Overexposure A small degree of overexposure would still result in diagnostic image quality in digital imaging systems.
High spatial frequency It is more difficult to accurately image small anatomic objects (high spatial frequency) than to image large ones (low spatial frequency).
Air kerma Kinetic energy released in matter, specifying the intensity of x-rays at a given point in air at a known distance from the focal spot.
High contrast Anatomic detail best visualized when the brightness level of the object is different than its surrounding tissue.
Low spatial frequency Larger-sized objects that are more easily visualized in a radiographic image.
Radiation exposure The amount of radiation used during imaging that can affect image quality and patient safety.
Patient overexposure Excessive radiation exposure to a patient that can occur when using higher-than-necessary exposure techniques.
Diagnostic digital image An image produced that is suitable for diagnosis, requiring appropriate exposure selection.
Quality image An image that accurately represents the anatomical structures with sufficient detail and contrast.
X-ray beam area The area of the x-ray beam at the entrance of the patient, relevant for calculating KAP.
Radiographic image An image created through the process of radiography, displaying anatomical structures.
Collimator A device used to narrow the x-ray beam and limit exposure to the patient.
Recording system Any system that captures and reproduces images, including radiography.
Fidelity The accuracy with which a recording system reproduces the original image or sound.
Vinyl record A medium used in the recording industry to capture sound with high fidelity.
Copying system A system designed to reproduce documents or images as closely as possible to the original.
Exposure factors Parameters that influence the amount of radiation exposure during imaging.
Radiation risk The potential harm to patients from exposure to radiation during imaging procedures.
Dose monitoring The process of tracking and managing the amount of radiation exposure a patient receives.
MTF of 1 (100%) Signifies the image of an object that exactly represents its features in terms of contrast and spatial resolution.
100% DQE Indicates that an IR system can convert X-ray exposure into a quality image with no information loss.
Impact of DQE on Radiation Exposure A higher DQE requires less x-ray exposure to produce a quality radiographic image.
Materials Impacting DQE The type of material used in the IR to capture exit radiation affects the DQE value.
Quantum Noise Results when there are too few x-ray photons captured by the IR to create the raw image data.
Electronic Noise Noise that originates from the electronics that capture, process, and display the digital image.
Visibility of Anatomic Tissues Affected by the SNR; increased noise decreases visibility of anatomic details.
Improving Image Quality Increasing the SNR improves the quality of the digital image.
Decreasing SNR Leads to increased noise compared with the strength of the signal, degrading image quality.
Objectionable Noise Noise that interferes with the visibility of anatomic details in a digital image.
High MTF Indicates an imaging system's ability to display anatomic detail with improved visibility.
Low MTF Indicates that most digital imaging systems measure lower than 1.0.
Amorphous Selenium (a-Se) Has a higher DQE at higher kilovoltage peak levels compared to other materials.
Amorphous Silicon (a-Si) Uses cesium iodide (CSI) as a scintillator and has a lower DQE compared to a-Se.
Test Instruments for MTF Used to assess and quantify the MTF of a system by measuring spatial and contrast resolution.
Image Quality and SNR Relationship Increasing SNR increases visibility of anatomic details, while decreasing SNR decreases visibility.
Brightness or signal differences Result from varying exit radiation intensities from the attenuation of the x-ray beam in anatomic tissue (differential absorption).
High-contrast resolution A system with higher-contrast resolution means that anatomic tissues that attenuate the x-ray beam similarly can be better visualized.
Low subject contrast Tissues that attenuate the x-ray beam similarly, which can be poorly visualized if the image has increased noise.
Digital images with higher CNR Increase the visibility of anatomic tissues.
IMPORTANT RELATIONSHIP Increasing the CNR increases the visibility of anatomic details, whereas decreasing the CNR decreases the visibility.
Digital IRS Different types of digital IRS use various methods of transforming the continuous exit radiation intensities into the array of discrete pixel values for image display.
Sampling technique Used by some image receptor systems, such as CR, to capture remnant radiation intensities.
Fixed detector elements (DELS) Used in digital detectors to capture remnant radiation intensities.
Spatial resolution determinants Sampling frequency, pixel size, DEL size, and pixel spacing.
Types of digital IRs Typically include Computed Radiography (CR) and Digital Radiography (DR).
Luminescence The emission of light when stimulated by radiation.
Photostimulable luminescence The phenomenon where the photostimulable phosphor emits visible light when stimulated.
Storage phosphor technology Refers to CR since the photon energy is stored in atomic band gaps in the barium fluorohalide atomic structure.
Cross-section of PSP plate Includes protective layer, phosphor layer, reflective layer, conductive layer, and support layer.
Turbid phosphor A phosphor layer with a random distribution of phosphor crystals, usable with both CR and DR IRS.
Structured phosphor layer A phosphor layer with columnar phosphor crystals resembling needles, packed together.
Reflective layer A layer that reflects light released during the reading phase toward the photodetector.
Conductive layer A layer that reduces and conducts away static electricity.
Support layer A sturdy material that provides rigidity to the plate.
Soft backing layer A layer that protects the back of the plate and prevents backscatter from fogging the phosphor layer.
Image capture in the IP The first step in CR imaging where raw image data are formed in the PSP by absorbing exit x-ray intensities.
Image readout The second step in CR imaging where the acquired raw image data are extracted and processed.
Photoelectric effect The process by which europium atoms become ionized when x-ray intensities are absorbed by the phosphor.
Conduction band An energy level just beyond the valence band where trapped electrons are stored.
Valence band The outermost energy band of an atom.
Stored energy loss Nearly 25% of the stored energy in the CR PSP is lost after 8 hours.
Reader unit A device that converts analog data from the exposed IP into an electronic data set for computer processing.
Drive mechanism A component of the reader unit that moves the IP through the scanning process.
Optical system Includes the laser, beam-shaping optics, collecting optics, and optical filters in a reader unit.
Photodetector A device, such as a photomultiplier tube (PMT), that detects light in the reader unit.
ADC Analog-to-digital converter, a component that digitizes the data in the reader unit.
Scanning The first stage in digitizing CR raw data where the IP is scanned.
Sampling The second stage in digitizing CR raw data where the data is sampled.
Quantization The third stage in digitizing CR raw data where the sampled data is quantized.
Stacker A device used to arrange and organize imaging plates.
Erasure The process of removing stored image data from an imaging plate.
Unit A component or device that performs a specific function in a system.
Laser A device that emits light through a process of optical amplification based on the stimulated emission of electromagnetic radiation.
Image reader A device that reads and converts raw image data from an imaging plate into an electronic data set.
Laser scanner A device that uses a laser beam to scan an imaging plate and convert the stored energy into a visible digital image.
Computed Radiography (CR) reader unit A unit that releases stored raw image data from an imaging plate and converts it into an electronic data set.
Photomultiplier tube A device that collects, amplifies, and converts light into an electrical signal.
Aliasing An improper waveform that results from low sampling frequency, considered an image artifact.
Amplitude The height of a wave, representing the strength of the signal.
Analog signal A continuous signal that represents physical measurements.
Sampling pitch The distance between sampling points in the process of digitizing an analog signal.
Motor A device that provides mechanical movement in the reader unit.
Light guide A component that directs light from the imaging plate to the photodetector.
Optical scanner A device that scans an image using light to convert it into a digital format.
Laser beam A concentrated beam of light produced by a laser.
Image matrix size The number of pixels in an image, which is proportional to the imaging plate (IP) size when spatial resolution is fixed.
Fixed sampling frequency A method where the sampling frequency is constant to maintain a fixed spatial resolution.
Fixed matrix size A method where the matrix size remains constant, affecting the sampling frequency based on the IP size.
CR system Computed Radiography system that uses imaging plates to capture and store images for later readout.
PSP Photostimulable Phosphor, a type of imaging plate used in CR systems that can be reused.
Self-scanning readout mechanism A feature of DR systems that uses x-ray detectors to convert radiation into electronic signals for digitization.
Exposure FOV Field of View during exposure, which affects the spatial resolution based on the size of the imaging plate.
Residual energy Energy left in the imaging plate after exposure, which can affect future image captures.
Life of PSP Estimated to be 10,000 readings before requiring replacement.
Advancements in CR Improvements in PSP material, laser technology, and dual-sided scanning that enhance CR image acquisition.
Two-step image acquisition process The method used in CR that involves capturing an image and then reading it, resulting in a delay.
Larger pixel size Results from increasing the imaging plate size in a fixed matrix size system, leading to decreased spatial resolution.
CR A two-step image acquisition process that results in a longer delay between image capture and image readout.
DR Digital radiography that combines image acquisition and readout processes, resulting in almost instant image availability after exposure.
DR receptors More fragile and expensive than CR IRS.
Electronic detectors for DR Composed of an x-ray converter, a thin-film transistor (TFT) array, and a glass substrate.
TFT array Divided into square detector elements (DELS), each with a capacitor to store electrical charges and a switching transistor for readout.
DEL Detector element that is a charge-collection device with a fixed dimension, expressed in microns.
DEL size Ranges from 200 microns to as small as 60 microns (100 microns = 0.1 mm).
Radiographic table A system that can integrate the detector for imaging.
Upright unit A system that can integrate the detector for imaging.
Stand-alone cassette Referred to as a panel in the context of digital radiography.
X-ray sensitive area Represents each pixel in the image matrix.
Digital images Sent to a computer workstation after exposure.
Advancements in FPD technology Include increasing the fill factor to more than 95% and improved detector materials.
External disturbances Can distort the original signal values, impacting the analog electronic signal.
Detector system Can be integrated into various radiographic systems or used as a stand-alone device.
X-ray tube Part of the digital radiography system that generates x-rays.
Signal storage Integrated into the flat-panel device for efficient readout.
Signal readout Part of the process in digital radiography that allows for image capture.
Detector materials Improved materials that generally require less radiation exposure for optimum image quality.
Flat-panel digital detectors Mobile IRS that can be removed from the table and used on the tabletop or a stretcher.
Digital image availability The digital image is available within seconds on a viewing monitor after exposure.
Image processing No separate reader unit is involved for image processing.
Dose efficiency Flat-panel systems are highly dose efficient and provide quicker access to images compared with CR.
Pixel detector A pixel detector built into the DR flat-panel IR determines the size and pitch of the pixel by the fixed DEL dimension.
Indirect conversion detectors Use a scintillator such as CSI or gadolinium oxysulfide (Gd2O2S) to convert remnant radiation into visible light.
Photodetectors Convert visible light, in proportion to the x-ray exposure, into electrical charges.
Tiling A process in which several CCD detectors adjoin to create one larger detector.
Flat-field correction Computer preprocessing correction software that averages pixel values along seams to make seams disappear.
Structured scintillator Phosphors in the form of needles or columns that reduce the spread of visible light.
Unstructured scintillator Phosphors that do not have a structured form and typically yield lower spatial resolution images.
Charge-coupled device (CCD) A light-sensitive device that can respond to very low light intensities and has a wide dynamic range.
CMOS Serves a similar purpose as the CCD in capturing light and converting it to an electronic signal.
CsI A hygroscopic material that must be hermetically sealed to avoid moisture absorption.
Fiberoptic bundle Used to couple the CSI phosphor plate to the CCD.
Optical lens system Another method to couple the CSI phosphor plate to the CCD.
CMOS devices Signal-collection devices that use scintillators in a crystalline silicon matrix.
Light sensitivity CMOS devices do not have quite the light sensitivity or resolution of CCDs.
Power consumption CMOS devices use a fraction of the power to run compared to CCDs.
Cost of manufacture CMOS devices are very inexpensive to manufacture.
Image acquisition times The newest versions of CMOS devices have very fast image acquisition times due to random pixel access capabilities.
AEC functions CMOS devices can achieve AEC functions that are not as easy to achieve with CCDs.
Limitations of CMOS detectors The creation of CMOS detectors of large enough size for general radiography has been a limitation.
Advances in CMOS technology Recent advances include the creation of crystal light tubes that prevent light spread and methods for increasing their size.
Scintillator-type material Used to absorb x-ray energy, emit light in response, and convert light to electrical signals.
Flat-panel TFT detectors Common in digital radiography, but CCD and CMOS indirect conversion detectors are also used.
Direct conversion detectors Use an amorphous selenium (a-Se) detector to directly convert remnant radiation to electrical charges.
Electrical field in a-Se Applied across the selenium layer to limit the lateral diffusion of electrons.
DR panel Requires an electrical charge to be placed upon their photoconductive surfaces prior to x-ray exposure.
Rechargeable battery in DR panels Provides a small charge to the TFTs once activated by the radiographer before exposure.
DR interface Direct communication with the x-ray generator, typically a wireless, radio frequency (R/F) signal communication.
Ready light Displayed once the communication is linked, indicating that the panel is properly charged and awaiting x-ray exposure.
ADC process Amplifies and converts charge values collected during x-ray exposure.
Image matrix A digital composite of varying x-ray intensities exiting the patient.
Pixel brightness level Represents the attenuation characteristic of the volume of tissue imaged.
Quality control (QC) Ensures the digital equipment is performing as expected.
Equipment acceptance testing Performed by qualified medical physicists or vendor service personnel.
Routine QC activities Daily, weekly, and monthly checks performed by the radiographer.
Visual inspection of IRs Checks for potential image artifacts caused by scratches, blood, contrast media, dirt, and damage.
Routine cleaning Performed according to the manufacturer to identify potential problems impacting radiographic quality.
DR panels Expensive digital radiography panels that can cost tens of thousands of dollars.
Technological sophistication of DR panels Represents a high level of complexity and requires professional care.
Panel autopsy Inspection of a damaged DR panel by the manufacturer to determine the cause of damage.
Warranties and service contract coverage May be voided if damage is due to operator abuse and negligence.
Common QC activities Basic universal procedures for computed radiography (CR) and digital radiography (DR) image receptors.
Flat-panel detector (FPD) Another type of imaging system evaluated through QC procedures.
Digital imaging systems Require specific QC procedures developed by manufacturers.
Exposure sequence The process where the x-ray generator and DR panel must communicate before, during, and after x-ray exposure.
Digital image processing Involves manipulation, transportation, or storage of the digital image after conversion.
TFT Each has its own unique spatial address in the digital imaging system.
X-ray generator Must communicate with the DR panel to avoid preventing x-ray exposure.
Current computer technology Allows the entire imaging process to take only a few seconds before image display.
IRs Image receptors that need to be visually inspected for dirt, blood, contrast media, or scratches that could result in image artifacts.
FPD Flat panel detector that should be evaluated to confirm that no charges remain from the previous exposure.
Shading or uniformity Evaluates brightness consistency throughout the image.
Linearity Evaluated by proportionally increasing and decreasing the radiation exposure to the IR and validating the exposure indicator response.
Laser beam performance Evaluated by imaging an opaque straight-edged object and visually checking for jitter along the edges.
Imaging plate (IP) erasure function Evaluated by performing a secondary erasure on the IP and checking for any residual exposure (ghosting).
Digital image quality Improved with a larger matrix and smaller-sized pixels.
Exposure techniques Should be selected within the exposure latitude of the digital imaging system and departmental standards.
MTF Measure of an imaging system's ability to display contrast and spatial resolution, ranging from 0 (no difference) to 1.0 (maximum difference).
DQE Measurement of the efficiency of an IR in converting x-ray exposure to a quality radiographic image.
SNR Describes the strength of radiation exposure compared with the amount of noise in a digital image.
CNR Describes the contrast resolution compared with the amount of noise in a digital image.
Sampling frequency in CR Determines how often the analog signal is reproduced in its discrete digitized form.
CR IPS Computed radiography imaging plates that must be erased by exposure to intense white light to release residual energy before reuse.
DR IRS Digital radiography image receptors that combine image capture and readout.
Communication interface Required between the x-ray generator and computer for exposure initiation and data readout and reconstruction in DR IRS.
Quality control checks Routine checks on the digital imaging system performed by the radiographer.
Digital detectors Require a two-stage process to acquire and digitize the raw image data.
Image artifacts Can be caused by dirty CR IPS and low sampling frequency.
DEL dimensions Smaller dimensions in microns demonstrate a greater number of lp/mm of spatial resolution.
DR detector preparation The IP plate must be erased prior to the x-ray exposure.
Mobile DR panels Generally use a wireless communication link with the x-ray system or a rechargeable battery for the TFT.
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