Radiography: Image Formation & Digital Imaging
Topic 2: Image Formation and Radiographic Quality
Topic 2: Image Formation and Radiographic Quality
1. Image Formation Process:
- X-rays interact with the patient's body and are absorbed or transmitted to the image receptor.
- Differential absorption: bones absorb more (white), air transmits more (black).
2. Beam Attenuation:
- Attenuation: reduction in x-ray beam intensity.
- Photoelectric Effect: complete absorption.
- Compton Scattering: x-rays are scattered, reducing image quality.
3. Factors Affecting Attenuation:
- Increased tissue thickness, atomic number, and density increase attenuation.
- Higher kVp increases transmission (less absorption).
4. Radiographic Image Attributes:
- Brightness: Level of lightness on digital display.
- Contrast: Difference in brightness between areas.
- Spatial Resolution: Ability to visualize fine details.
- Distortion: Size (magnification) or shape (foreshortening/elongation) misrepresentation.
- Noise: Random fluctuations due to low x-ray photon counts.
- Artifacts: Unwanted structures due to motion, grid misalignment, or processing errors.
5. Latent vs Manifest Image:
- Latent Image: Invisible image captured on the IR.
- Manifest Image: Visible image after processing.
Topic 3: Digital Imaging
Topic 3: Digital Imaging
1. Digital Imaging Systems:
- Computed Radiography (CR): Uses photostimulable phosphor plates; image read by laser scanner.
- Direct Radiography (DR): Uses flat-panel detectors; can be indirect (scintillator + photodiode) or direct (amorphous
selenium).
2. Image Characteristics:
- Matrix: Rows and columns of pixels (e.g., 1024x1024).
- Pixel: Smallest image unit; smaller pixels = higher resolution.
- Bit Depth: Number of gray levels (2^bit depth); more bits = better contrast resolution.
- Dynamic Range: The detector's ability to handle wide exposure differences.
3. Quality Metrics:
- SNR: Signal-to-noise ratio; higher = better image.
- CNR: Contrast-to-noise ratio; distinguishes low contrast areas.
Radiography: Image Formation & Digital Imaging
- DQE: Efficiency of converting x-ray signal to image.
4. Preprocessing:
- Histogram Analysis: Evaluates pixel value distribution.
- Automatic Rescaling: Ensures image brightness/contrast is consistent.
- LUT (Lookup Table): Adjusts contrast based on anatomy.
5. Postprocessing:
- Window Level: Adjusts brightness.
- Window Width: Adjusts contrast.
- Additional tools: Edge enhancement, smoothing, masking, subtraction.
6. Communication:
- DICOM: Standard format for image files.
- PACS: Stores, retrieves, and manages radiographic images.
- HL7: Integrates health data exchange with RIS and HIS.