contrast grid Flashcards

1
Q

contrast

A
  • 2nd photographic factors that allows detail to be visible (seen)
  • Difference between adjacent densities (attenuating pattern)
  • most difficult to evaluate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Visibility of detail

A

image is visible to the human eye only because sufficient contrast (and IR exposure/density) exists to permit the structural details to be seen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Contras in CR and DR

digital

A
  • dynamic range

- adjusted by changing window width

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

image contrast

A

Difference between adjacent densities/image receptor exposure levels.
Total amount of contrast from the IR and the anatomic part

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

dynamic range

A
  • range of brightness as display in the monitor

- describes the concept of contrast for digital images

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

terms to describe High contrast

A

Short scale

Short/narrow dynamic range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

term used to describe Low contrast

digital

A

Long scale

Large/wide dynamic range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

High Contrast differences

A
Few Shades of gray
More
Increased
Short Scale
Low kVp*(depends on exam)
Short(narrow) dynamic range
Narrow window width
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Low Contrast (differences)

A
Many shades of gray
Less
Decreased
Long Scale
High kVp* ( depends on exam)
Large (wide) dynamic range
Wide window width
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

good contrast

A
  • fulfil the purpose of the procedure

- should demonstrate all the structural differences that the body part has

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

scale of contrast

A

Number of useful, visible IR exposure values/density levels or shades of gray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Short scale

A

maximal differences between IR exposure values. Minimum number shades of gray
(whale)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Long scale

A

minimal differences between IR exposure values. Maximum number of shades of gray
(dolphin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

manipulating contrast (film)

A

Change in D log E curve of film

Adjustment to kVp (film*)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

manipulating contrast (CR /DR)

A

Adjustment of window width

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Controlling factors (DR)

A
  • Window Width
  • Histogram
  • Look-up-Table (LUT)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Image receptor (film) factors

A
Range of densities film can record
 4 factors:
 Use Intensifying screen
 Film density (overall blackening)
 Slope of D log E curve (density curve)
 Processing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

using intensifying screen

A

contrast increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Slope of D Log E curve (speed or sensitivity)

A

speed or sensitivity : measures the film’s

ability to respond to light or radiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Slope of D Log E curve (latitude)

A

(how much can we mess up)
is the range of log relative exposure
values that will produce densities in the diagnostic range. Determined by the
composition of the film’s emulsion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

diagnostic range

A
  1. 25: anything below too light

2. 5: anything above too dark

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

toe

A

when curve starts going up

minimum density

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

shoulder

A

when curve start getting horizontal, maximum density

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

without Density

A

without proper density/IR exposure contrast cannot be evaluated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Processing

A

increase in time, temperature or replenishment rate will increase chemical fog. fog decreases contrast (decreases slope of the curve)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

eliminate or minimize fog

A

increase contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Correctly exposed film range

A

all densities will fall within the visible range on the d log curve. (0.25 to 2.5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what affects Digital Image Receptor Contrast

A

both Histogram and LUT affect final image

kvp still important

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

use of kVp in digital IR contrast

A
Use of proper kVp still important
_ kVp controls subject contrast because it 
  controls how the beam will be
  attenuated by the anatomy 
- Need differential attenuation through 
  the patient for any given exam
- Produces signal differences to the digital 
  detector
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Subject contrast

A
  • subject means the patient
  • how much radiation transmitted by a body part and how that body part absorbs the radiation that passes through it , giving us characteristics of the tissues and structures making up that body part.
  • how the beam interacts with the body
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Kilovoltage and contrast

A

Inversely related
As kVp increases, contrast decreases (low contrast)
As kVp decreases, contrast increases (high contrast)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

kvp and subject contrast

A

Primary controller of subject contrast
kVp controls energy of photons in the beam
Energy of the photons determines attenuation and the type of interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

As kVp increases what happens?

A
we have a wider range of photon energy 
Greater penetrability
Greater range of exposures
Greater amount of scatter
Longer scale of contrast
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Increase in thickness and field size

A
  • Increase scatter

- Longer scale of contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Tissue density

A

refers to how tightly the atoms of a substance are packed together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

High atomic number and tissue density

A

Greater attenuation—high contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Large difference in atomic number and tissue density of adjacent tissues

A

high contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Increase in thickness and field size

A

Increase scatter

Longer scale of contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Any factor that increases the production of scatter/fog

A

decrease contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

As kVp↑

A

fog/scatter↑ contrast↓

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

↓ Collimation/Beam Restriction

A

↓contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

↓Grid Ratio

A

↓contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Digital Image Receptors

A
  • dynamic range describes contrast as it is displayed on a monitor for digital images
  • range of brightness on the display monitor
  • number of density values displayed on image on monitor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

window width

A

describes digital processing the produces changes in brightness
- how many shades of gray we able to see in image

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Grayscale bit depth

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Digital Imaging steps

A
  • Image data is acquired from the exposure
  • Data is electrical signal (analog)
  • Electrical signal sent to ADC and converted into digital or numerical data
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Digital image is recorded as

A

a matrix of small picture elements (pixels)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Each pixel is recorded as

A

a single numerical value, represented as a single brightness level on the monitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Location of the pixel in an image

A

an area within the patient or a volume of tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Matrix

A

Made up of pixels and voxels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Field of view (FOV)

A

what we looking at

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Image quality in digital is improved with

digital

A

larger matrix size which will result in greater number of pixels and smaller pixels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Numerical value assigned to each pixel is determined by

A

the way the body part attenuates the x-ray beam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

If the photons are highly attenuated or absorbed would result
(digital)

A

in pixels being assigned a low numerical value = higher brightness on monitor (lighter or less density)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Photons passing through tissue with low attenuation

A

would be assigned a higher numerical value, resulting in less brightness on the monitor (darker or more density)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Each pixel also has

A

a bit depth, or number of bits

57
Q

Number of bits determine

A

by the ADC (analog to digital conversion)

-the accuracy of the digitized analog signal so controls the exact pixel brightness level or gray level

58
Q

Larger bit depth allows

A

more shades of gray to be displayed on the computer monitor

59
Q

A 12 bit system would be capable of displaying

A

4096 shades of gray

60
Q

Increase number of shades of gray available

A

improves contrast resolution

61
Q

pixel bit depth

A
  • Determines number of density values
  • Affects density and contrast
  • Controlled by ADC
62
Q

bit systems

A

-10 bit (210 = 1024)
-12 bit (212 = 4096)* standard for diagnostic
radiography
-16 bit (216 = 65,536)

63
Q

Histogram

A

-A data set in a graphical form
-Graph of the pixel digital values versus those
values in the image
-used to eliminate unnecessary information
outside the collimated field
-compared to LUT

64
Q

Pixel values on

A

x axis

65
Q

number of pixels with that brightness value on

A

y-axis

66
Q

Far left of graph represents

A

minimum useful signal (metal, bone)

67
Q

Far right represents

A

maximum useful signal (skin line, air/gas)

68
Q

Soft tissues are recorded (histogram)

A

near center

69
Q

Look up table data

A

-“Ideal” histogram or reference histogram

stored in computer

70
Q

LUT

A

-final step in imaging processing
-Controls the visible contrast of the image on
the display monitor
-is the primary factor affecting contrast in
digital imaging

71
Q

why kvp still affects histogram

A

-controls subject contrast
-Proper kVp assures the desired differential
attenuation through the patient (subject
contrast)

72
Q

Contrast resolution

digital

A

to distinguish between small objects that attenuate the beam in a similar way

73
Q

Changing Window width

digital

A

can adjust the contrast of the image

74
Q
Wide window 
(digital)
A

more grays or lower contrast

75
Q
Narrow window
(digital)
A

fewer grays or higher contrast

76
Q

Avoid using above 80 kVp for non-grid exams

digital

A

higher kVp produces excessive scatter and digital image receptors are more sensitive to scatter

77
Q

Advantage of digital imaging

A

wide dynamic range response (more latitude)

78
Q

beam restriction/collimation increase

A

decrease scatter

increase contrast

79
Q

Increase grid ratio

A

Increase contrast

80
Q

SID

A

*

81
Q

increase OID

A

increase contrast

82
Q

decrease OID

A

decrease contrast

83
Q

increase mAs

decrease mAs

A

*

84
Q

increase filtration

A

decrease contrast

85
Q

decrease filtration

A

increase contrast

86
Q

Chemical fog

A

Decreases slope of the D log E curve

87
Q

evaluating contrast

A

-Appropriate range of densities/image receptor
exposures present
-Anatomical structures of interest present

88
Q

focal spot size

A

*

89
Q

anode heel effect

A

*

90
Q

Steeper the slope

A

greater the contrast

91
Q

increasing amount of irradiated tissue

A

decrease contrast

92
Q

decreasing amount of irradiated tissue

A

increase contrast

93
Q

increasing the differences between the atomic number of the tissues

A

increase contrast

94
Q

decreasing the differences between the atomic number of the tissues

A

decrease contrast

95
Q

increasing density of tissues

A

decrease contrast

96
Q

decreasing density of tissues

A

increase contrast

97
Q

using contrast media

A

increase contrast

98
Q

additive pathological conditions

A

decrease contrast

99
Q

destructive pathological conditions

A

increase contrast

100
Q

increasing grid ratio

A

increase contrast

101
Q

decreasing grid ratio

A

decrease contrast

102
Q

use of intensifying screen

A

increase contrast

103
Q

Enters body, 1 of 3 things can happen to the photons:

A
  • Pass through unaffected
  • Be absorbed by the patient
  • Interact and change directions (scatter)
104
Q

In the diagnostic range of 30-140 kVp

A

30 - 140 kvp

105
Q

the scatter generated is produced by

A

Compton interaction and characteristic radiation

106
Q

Characteristic photons

A

low energy and are absorbed

107
Q

Compton

A

energy nearly equal to primary beam

108
Q

As kVp increases

A

the percentage of Compton interaction also increases

109
Q

Scatter↑ when kVp↑

A

contrast↓

110
Q

Compton photons are able to

A

pass through the body and approach the IR from many directions

111
Q

Scatter increases with the following factors:

A

Increase in size of the field and thickness of the body part

Increased kVp

As tissue density increases

Atomic number of tissues decreases

112
Q

Purpose of the grid

A

-Improves the radiographic contrast of the image

-Absorbs scattered radiation before it reaches the
image receptor

113
Q

grids invented by

A

-Dr.gustav bucky 1913
- crosshatched, wide lead strips 2cm apart and running
in 2 directions

114
Q

Dr. Hollis Potter made

A

-improvements to the use of grids
-Realigned lead strips to run in one direction
-Moved grid during exposure to make lines invisible on
image

115
Q

grid use when

A
  • body part is more than 10 cm
  • kvp>60
  • in digital kvp>80
116
Q

Basic grid construction

A

-Radiopaque lead strips
-Separated by radiolucent interspace material
-Typically aluminum
Thin and flat

117
Q

disadvantages of grid use

A

Grid lines on film

Increased patient dose

118
Q

grid Design

A
linear (most common)
or crosshatch(rare)
119
Q

grid Type

A
parallel ( they never meet)
or focused (match xray beam divergence)
120
Q

grid ratio

A

-height/distance
-height of lead strips divided by the distance between -
lead strips
-higher the ratio the more efficient

121
Q

grid Frequency

A

of lead strips per inch

  • Stationary (portable)
  • or moving
122
Q

grid cut-off

A

grid improperly absorbs the primary beam

123
Q

convergence point

A

defines grid radius

where x-ray beam and lead strips come together

124
Q

grid radius

A

sid that has to be used with certain focused grid

125
Q

Higher grid ratio

A

More efficient in removing scatter

Less latitude in positioning the grid

126
Q

Frequency range

A

60-200 lines/in
25-80 lines/cm
Most commonly 85 to 103 lines/inch

127
Q

grid frequency

A
  • # of lead strips per cm

- higher frequency grids have thinner lead strips

128
Q

higher frequency grids have thinner lead strips

A

-have thinner lead strips
-Increases the chances of scattered photons passing
through the strips and reaching the film especially at
high kVp

129
Q

Very high-frequency grids #

A

103-200 lines/in

41-80 lines/cm

130
Q

Recommended for use with digital systems

A

178-200

131
Q

Lead content

A

Most important factor in grid’s efficiency
Measured in mass per unit area
g/cm2

132
Q

High ratio, low frequency grids

A

Tend to have highest lead content

133
Q

Reciprocating

A

Motor drives grid back and forth during exposure

134
Q

Oscillating

A

Electromagnet pulls grid to one side

Releases it during exposure

135
Q

Whenever a grid is placed in the beam to remove scatter

A

Density of radiograph will go down
Exposure factors must be increased to compensate for lack of density
Patient dose increases

136
Q

GCF

A

mAs with grid/mAs without grid

Used when going from non-grid technique to
a grid ex. Knee TT or Bucky

137
Q

moire effect

A

When grid lines are
parallel to scan lines in
the plate reader
-Occurs with stationary grids (port)

138
Q

off-level error

A

when the tube in angle across the long axis of the grid strips.

139
Q

off-focus

A

wrong SID