Lecture 5 - Radiographs Flashcards

1
Q

What crystal is chemically altered when stuck by an X-ray photon AND what does it create?

A

Silver halide

Latent image

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2
Q

The raised dot goes towards or away from tube head?

A

Towards

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3
Q

The larger the crystals of silver halide the ______ the film speed.

A

FASTER

C is slowest

D - ASA ~100

F - Fastest

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4
Q

Tell me about cassettes.

A

Contain intensifying screens

*Require less radiation to expose film

Decreased definition

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5
Q

Radiographic density is influenced by what?

A

mA

kVp

Exposure time

Focal spot to film distance

Subject density

Subject thickness

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6
Q

What is radiographic density?

A

Determined by how many photons strike the film emulsion
-This converts silver halide crystals to metallic silver
—This blocks the transmission of light thru the film

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7
Q

What do grids do?

A

Reduces scatter radiation

-Reduces scatter and fog on a radiograph

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8
Q

What is the developing process for in dark film processing?

A

Developer

Wash

Fixer

Wash

Drying

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9
Q

What do you have to do to keep darkroom hygiene?

A

Safelight

Light leakage

Chemical contamination

Infection control

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10
Q

For every 10 degrees Celsius in an increase, the rate of the rxn __________.

A

Doubles

68 F develops in 5 minutes

80 F develops in 2.5 minutes

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11
Q

What processing is the most time consuming, but produces best radiographs?

A

Manual

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12
Q

What is the most efficient film processing?

A

Auto processors

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13
Q

What are three waste products of film?

A

Chemicals

Lead

Paper

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14
Q

What are some advantages to digital radiology?

A

Lower pt exposure (usually)
-Less photons required to expose sensor
—However, temptation for more retakes
—Sensor size may need more exposures to capture all information

Faster radiographs
-No processing time

More eco friendly

  • No chemicals
  • No film
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15
Q

How much less exposure for digital compared to film?

A

E/F Speed film ~50-60%

PSP - 60-80%

Charge couple device - 80-88%

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16
Q

Other advantages of digital?

A

Easy storage

Easy sending

Easy retrieval

Easy to show pts

Enlarge and vary density

17
Q

What are some disadvantages of digital?

A

COST ($10k)

Damage

Uncomfortable

Loss of image w/o back up

Film gives a better image

18
Q

There are two types of digital systems. Name them.

A

Direct
-Sensor connects direct to a computer and provides immediate images

Indirect
-Phosphor plate is used instead of film
—Image scanned in a scanner
—Stored and read on a computer

19
Q

What 4 things should you consider when selecting a sensor?

A

Number of pixels

Placement of cord (unless cordless)

Comfort

Cost

20
Q

What part in the sensor reduces the radiation amount?

A

High sensitivity CSI scintillator

21
Q

How are medical images sent digitally?

A

Sent with DICOM
-Digital Image and Communication in Medicine

*This is the standard language for the electronic communication of digital images

22
Q

What is contrast resolution?

A

Ability to distinguish different densities in an image

Humans can only detect about 60 shades of gray ideally

23
Q

What is spatial resolution?

A

Ability to distinguish fine detail in an image.

Humans can only detect down to 6 lp/mm - technology can do much better than that.

24
Q

What is sensor latitude?

A

Ability to capture a range of exposures

-Ability to capture subtle differences in tissue density from gingiva to enamel

25
What is sensor sensitivity?
Ability to respond to small amts of radiation *F speed film as less sensitivity
26
How does a sensor work?
X-ray phontons are converted to visible light as they hit the scintillator - light is channeled via the fiber optic taper to the CCD
27
Overexposure of a sensor leads to what?
Blooming
28
High res vs high contrast?
Average grayscale value of 4 adj pixels in a high res image is assigned to create one pixel in a high contrast image
29
Digital radiography filters are a combination of 4 things.
Optimizing grayscale Eliminating noise thru smoothing Sharpening image detail Extracting features (Information)
30
A decrease in brightness means what?
Grayscale value of all pixels is decreased equally
31
How does a grayscale work?
By moving the sliders away from the opposite ends of the spectrum, dark pixels are reassigned to solid black and light pixels are reassigned as pure white
32
What are three ways to look at a digital radiograph?
Original Inverted Embossed
33
Infection control procedures?
Wear gloves during all radiographic procedures Cover all non-disposable items Sterilize non disposable items Disinfect surfaces