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Image analysis Image analysis Image analysis Image analysis
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Image analysis - Analyzing the image includes the traditional image quality factors of density, contrast, recorded detail, and distortion radiographic quality - refers to the fidelity with which the anatomic structure being examined is displayed on the radiograph. high-quality radiography - A radiograph that faithfully reproduces structure and tissues Spatial resolution - -the ability to image small objects that have high subject contrast, such as bone-soft tissue interface, a breast microcalcification, or a calcified lung nodule *** - spatial resolution improves as screen blur decreases, motion blur decreases, and geometric blur decreases Contrast resolution - -Ability to distinguish anatomic structures having similar subject contrast -It is always desired to have maximum spatial and contrast resolution. -The terms 'detail' or 'recorded detail' are sometimes substituted for the term 'resolution'. Artifacts -
Film Graininess - -the distribution in size and space of the silver halide grains in the film emulsion -Inherent in IR-technologist has no control Structure mottle - -Refers to phosphor of the radiographic intensifying screen -Inherent in IR (image receptor)-technologist has no control Quantum mottle - -Refers to the random nature by which x-rays interact with the IR -Is under the control of the radiographer and is the principal contributor to radiographic noise -The use of high mAs, low kVp settings and slower IR's reduces quantum mottle Speed of the IR - -Not apparent on the radiographic image -Influences resolution and noise -Any variation in one of the three characteristics alters the other two (speed, resolution, and noise) Fast image receptors - have high noise and low spatial resolution and contrast resolution *** - High spatial resolution and contrast resolution require low noise and slow image receptors *** - Low noise accompanies slow image receptors with high spatial resolution and contrast resolution Technique Formation - ... To achieve high quality radiographs three interrelated categories of radiographic quality are required - -Film Factors -Geometric Factors -Subject Factors
-Asthenic patient (small, frail, sometimes emaciated and often elderly) Body Thickness - -The thicker the patient the more x-radiation is required to penetrate the patient and expose the IR. *Radiographers should always use calipers to measure body thickness or the part being examined. *Patient thickness should not be guessed Body Composition - The anatomical part may have the same thickness but require a totally different radiographic technique depending on the tissues involved Pathology - -Some pathology is destructive, causing the tissue to be radiolucent -Some pathology can constructively increase mass density causing the tissue to be radiopaque Image quality factors - -Image quality factors are considered the "language" of radiography -Image quality factors refers to the characteristics of the radiographic image and includes optical density, contrast, image detail and distortion four types of technique charts - -Variable kVp charts -Fixed kVp chart -High voltage kVp chart -Automatic exposure charts Variable kVp charts - Uses fixed mAs value and a kVp that varies according to the thickness of the anatomical part being examined Fixed kVp chart - -Used most often -(kVp selected is the optimum required for penetration of the anatomical part High voltage kVp chart - -Used when the kVp selected is greater than 100 kVp -Example: overhead radiographs for procedures in which barium is used
Automatic exposure charts - -Automatic exposure control systems are not completely automatic -Chart is needed for selection of the peak kVp, optical density, collimation and radiation dose-image quality ratio Calibration considerations: - -Total filtration - 2.5 mm Al is the prescribed standard -The type of grid to be used Steps for setting-up a fixed kVp chart -