Fiapa 3 4
Fiapa 3 4
Overexposure and Blurring Intensifying screens are attached inside when used
in film-screen radiography.
❑ Early x-ray procedures often require exposure times of
15-30minutes. Function of the cassette
❑ Such prolonged exposure time results to image blur,
❑ Protect the film from exposure to outside light.
reducing the detail of the image.
❑ Protect the film from bending or scratching during
❑ Ignorance of the hazardous effects of radiation lead to
use.
increase radiation dose of clueless patients.
❑ Maintain the film in close contact to the
Today’s Patient Dose Radiography intensifying screen during exposure.
❑ Poor screen-film contact will result to blurring
❑ Patient dose is now controlled in all radiologic
in the affected area.
procedures.
❑ Dose management is a fundamental part of radiologic Parts of the Cassette
technology and is always considered in every position
❑ Cassette Front: made up of radiolucent material to
done during imaging, fulfilled thru:
allow east penetration of x-rays.
❑ Radiologic technology as a refined profession.
❑ Cassette Backing: maintain proper screen-film
❑ Better imaging equipment and device
contact and prevent backscatter.
❑ Safe imaging techniques.
❑ Locks: maintain proper closure of cassette.
Accessory Device for Imaging were Introduced ❑ Hinges: allows easy opening and closing.
❑ Function: serve as primary support for the sensitive ❑ Spectral Matching: specific color that the phosphorus
phosphor layer; the portion attached to the cassette. emits must match with the spectral sensitivity of the
❑ Composition: Hi-grade cardboard or polyester film.
❑ Thickness: 1000μm (1mm); the thickest portion ❑ Maximum light emission of proper wavelength
of the screen. that matches the sensitivity of the film.
❑ The screen base material must… ❑ Afterglow/Lag: insignificant in radiography, but
❑ Be chemically inert (nonreactive) and does not importance in fluoroscopy.
interact with the phosphor layer. ❑ Minimum persistence of light emission after
❑ Be rugged and moisture resistant. exposure.
❑ Be flexible and doesn’t discolor with age.
Phosphor Materials
❑ Not suffer from radiation damage.
❑ Not contain impurities. ❑ Different phosphor materials can be used in the
manufacture of intensifying screen most common are
Reflective Layer
the following:
❑ Function: intercept light photons a headed to other ❑ Calcium Tungstate
directions and redirect them to the film. ❑ Barium Lead sulfate
❑ Composition: Magnesium oxide or Titanium ❑ Zinc Sulfide
dioxide ❑ Rare Earth
❑ Thickness: 25μm
Types of Rare Earth Phosphors
❑ Increases screen efficiency.
❑ 2x screen speed = 2x image density = ½ mAs ❑ Gadolinium/ Lanthanum Oxysulfide: green-light
required emission
❑ May produce crossover effect by 30%. ❑ Oxysulfide: the cause of green-light emission.
❑ Lanthanum Oxybromide: Blue-light emission
Phosphor Layer
❑ Yttrium Tantalite: ultraviolet, violet, blue, green
❑ Function: the active layer of the screen emits visible emission.
light during exposure to x-rays. ❑ Also emits green light, but with other colors.
❑ Composition: CaWO4 (blue) or Rare Earth (blue, ❑ Although it doesn’t contain Oxysulfide, it is also
green) capable of green light emission.
❑ Thickness: 50 μm – 300 μm or 60mg/cm2
Protective Coating
❑ Individual Crystal Size: 5-15 μm
❑ Fluorescence: emitted within 10-8 second ❑ Function: protect the screen (phosphor layer) from
(radiography) friction and damage during use and transportation.
❑ Phosphorescence: after 10-8 second ❑ Composition: Cellulose
(fluoroscopy) ❑ Thickness: 10 μm - 20 μm
❑ Provides a surface which can be handled and cleaned
Characteristics of a Preferred Phosphor Layer
without damaging the phosphor.
❑ Detective Quantum Efficiency (DQE): the ability of the ❑ Prevents static build up.
phosphor to interact with X-rays.
Selection of Radiographic Imaging System
❑ Maximum DQE (x-ray energy absorption)
❑ Atomic number = DQE= energy absorbed ❑ Spectral Sensitivity: refers to the color of light to
❑ Conversion Efficiency (CE): the ability of the phosphor which a particular film is most sensitive.
to convert X-ray energy into visible light. ❑ Spectral emission: the color of light produced by the
phosphor of a particular intensifying screen.
❑ Spectral Matching: the matching of the sensitivity of ❑ Screens should be cleaned on a regular basis
the film to the color of emission of intensifying screen. (monthly) with manufacturer's cleaner and anti-static
compounds.
Screen Characteristics
FILTER
❑ Screen Speed: the relative speed of light emission
(expressed numerically). Beam Filtration
❑ Image Noise: the speckled appearance that reduce
❑ Filtration: the process of removing low-energy x-rays,
image contrast; caused by the usage of fast screens
making the primary beam more monoenergetic.
and high kVp technique.
❑ Increases quality by increasing the average X-
❑ Spatial Resolution: the ability to produce accurate and
ray energy output of the beam.
clear images; measured by minimum line spacing that
❑ Decreases beam intensity.
can be detected and imaged (lp/mm).
Types of Filters
Use of Faster Screen Speed
❑ Filter: a device used to remove low energy photons
❑ Reduces the patient dose and prolongs tube life.
from the primary. Common examples can be
❑ Reduces image detail, due to increased image noise
categorized as the following:
(light blurring surrounding the image)
❑ Inherent filter
❑ An increased screen speed produces an
❑ Added filter
increase in image noise and decreased
❑ Compensating filter
resolution.
Compensating Filters
Film- Screen Contact
❑ Compensating Filters: filters to compensate for
❑ The film and the intensifying screen must be in
differences in subject radiopacity.
complete contact across the entire surface to achieve
❑ Helps in producing uniform intensity varying
maximum image sharpness.
greatly in thickness or tissue composition; can
❑ Wire Mesh Test: performed to determine the quality
be made up of aluminum or plastic.
of screen film contact.
❑ Wedge filter: used during radiography of a body
❑ Exposure: 150kVp, 100mA, 50ms, 36in SID
part (e.g., foot) varying considerably in
❑ Areas with blurring indicates poor film-screen
thickness.
contact.
BEAM RESTRICTORS
Causes of Poor Film-Screen Contact
Beam Restriction
❑ Worn contact felt.
❑ Loose, bent, or broken latches (locks) and/or hinges. ❑ The most effective method for reducing the amount
❑ Warped screen caused by excessive moisture. of scatter, which limits patient exposure.
❑ Warped cassette front. ❑ Purpose: to limit the size of the primary beam,
❑ Sprung or cracked cassette frame. by directly controlling the field size
❑ Foreign matter under the screen (most common) ❑ Field Size: the size and shape of primary beam
❑ Air trapping: more obvious in the serial changing film extending to the size and shape of the image
cassette, a curved cassette will prevent air trapping. receptor.
❑ Approx. 1% of the x-rays incident on the patient
Care for the Screens
reaches the image receptor.
❑ Care must be taken to avoid abrasions or scratches on
the surface while loading the screen with film. Types of Beam Restrictors
❑ Regular visual examination must be made to ❑ Aperture Diaphragm: simple flat sheets of lead with a
reveal any dirt, speck, or stain, usually via UV fixed hole in the middle; a poor beam restrictor.
light. ❑ Cone/Cylinder: metal devices attached to the
❑ Small scratches and dirt on the screens can housing.
produce image artifacts.
❑ 8-19 inches in length; flared, rectangular, RADIOGRAPHY DARKROOM
cylindrical.
Processing Room
❑ Cylinder cone: the most effective.
❑ Collimator ❑ AKA Dark Room, a location where the exposed film is
processed to make it visible and available for
Collimator
interpretation.
❑ Box-like structure attached to the port of the housing. ❑ Minimizes the amount of visible light in the
❑ Useful and (best) accepted type of beam restrictor. environment to avoid corruption of the captured
❑ Has two sets of shutters the upper and lower shutters: image.
❑ Upper/entrance: fixed shutters, nearest to the ❑ “Where radiography starts and ends”.
port
When Entering the Darkroom
❑ Lower: adjust the longitudinal and transverse
borders of the primary beam. ❑ Avoid as much as possible turning on the white light.
❑ Mirror: resting 45 degrees along the beam, reflects ❑ The Occupational Safety & Health Administration
light to the open shutters. requires the technologist to wear face mask in the
darkroom as the fumes are carcinogenic.
❑ Darkroom Disease: hypersensitivity to the
PROTECTIVE APPAREL
chemical fumes present in the darkroom.
Protective Apparel ❑ Don’t forget to keep the door closed.
❑ Lead fabricated gowns, gloves, goggles designed to Follows a Very Strict Guideline in Design
protect the wearer from scatter radiation.
❑ The radiographic film is very delicate, it is sensitive to
❑ Primarily made for the technologists.
temperature, pressure, visible light, chemicals, and
Lesson 4: Designing the Processing Room friction.
❑ The darkroom should be designed to protect the film
Film-Based to Filmless
form being exposed from these sensitives to avoid the
❑ Images are stored in films through processing after production of artifacts in the latent image.
being exposed to x-rays along with the body part ❑ These requirements include...
being examined. ❑ Location
❑ Processing involves a systematic step-by-step ❑ Size
procedure, done with caution and care. ❑ Protection (vs Radiation)
❑ Technological advancement eliminates processing, ❑ Ventilation
able to view the image immediately after exposure ❑ Air Movement
through a monitor. ❑ Cleanliness
❑ Entrance
Films Require a Processing Room ❑ Illumination
❑ If radiographic films are used as image receptors in ❑ Wall color
the Radiology department, a processing room is ❑ Electric wiring
necessary to reveal the image after exposure. AREA OF SPECIFICATIONS
❑ Films are very much sensitive to light;
therefore, it need venue to be processed Room Location
without the elements that might affect the
❑ Must be in proximity (near) to the exposure room.
integrity of the captured image.
❑ A few steps are only required to reach the
entrance.
❑ Placed where it is easily accessible.
Room Size Cleanliness
❑ Required: 15feet x 9.5 feet (4.5m x 2.9m) ❑ A darkroom’s efficiency also pertains to its
❑ Minimum for darkrooms that process 200 cleanliness.
radiographs per day. ❑ Dust, or other settling particles, is controlled.
❑ Dry & wet Section ❑ Fungal infestation is controlled.
❑ Must be 4 feet away from each other to prevent ❑ Water and drainage pipes are lek-proof.
contamination of the dry section. ❑ Chemical splashes are minimal.
❑ A negatoscope can be on the wet section.
Light-Tight Entrance
Protection Against Radiation
❑ Prevent the entering of visible light to the dark room
❑ The walls should be dense (thick) enough to block while being closed.
radiation that might penetrate through the room. ❑ Light leaks from the side and corners of the
❑ Materials that can be used include: entrance must be addressed ASAP.
❑ Hollow blocks: hollow filled with cement. ❑ Must not be open while film processing is
❑ Concrete: minimum of 6inches thickness. ongoing, unless a film processor is available.
❑ Wood: should be coated with Lead (Pb). ❑ TYPES: Single d., double d., maze, revolving door