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Cassettes serve 3 important functions: 
1. Protect film from exposure to light 
2. Protect film from bending and 
scratching during use. 
3. Contain intensifying screens, keeps film 
in close contact to screen during 
exposure.
 The CASSETTE is 
used to hold the 
film during 
examinations. It 
consist of front and 
back intensifying 
screens, and has a 
lead (Pb) backing. 
The cassette is light 
tight
 Exposure side of 
cassette is the 
“front”. 
 Made of radiolucent 
material – easily 
penetrated by x-rays, 
lightweight 
metal alloy or plastic 
material made of 
resin. 
 Intensifying screen 
mounted to inside of 
front.
 Back made of metal or plastic 
 Inside back is a layer of lead foil – 
prevents backscatter that could fog the 
film 
 Inside foil layer is a layer of padding – 
maintains good film/screen contact 
 Back intensifying screen mounted on 
padding 
 Has the ID blocker (patient identification)
 1% of xray photons that leave patient 
 Interact with phosphors of intensifying 
screens 
 100’s of light photons created to make 
image on film 
 Light photons expose silver halide crystals 
in the film emulsion 
 Turn black metallic silver after procession
 Flat surface coated 
with fluorescent 
crystals called 
phosphors 
 that glow, giving off 
light when exposed to 
x-rays.
 RARE EARTH – (emits green light) 
 Developed in 1980’s 
 Most efficient – most common in use 
today 
 CALCIUM TUNGSTATE (blue light) 
 Not as efficient
Gadolinium 
Lanthanum 
Yttrium 
Found in low 
abundance in 
nature
Direct x-ray exposure to film required 
 25 to 400 times more radiation to create an 
image on the film 
 BETTER DETAIL THAN FILM SCREEN (NO 
BLURRING OF IMAGE FROM LIGHT) 
 ALL EXPOSURE MADE FROM X-RAY PHOTONS 
 BIG DOSE TO THE PATEINT
DISADVANTAGES: 
 less detail than direct exposure 
 (detail better with rare earth than 
 calcuim tungstate screens) 
ADVANTAGES: 
1. Reduce patient exposure 
2. Increase x-ray tube life
 Polyester plastic base – support layer 
 Phosphor layer – active layer 
 Reflective layer – increases screen 
efficiency by redirecting light headed in 
other directions 
 Protective coating
Active layer – x-ray photons 
converted to light photons 
*Photoelectric Effect
 A relative number that describes how 
efficiently x-rays are converted into 
usable light 
 Ranges from 100 (slow) to 1200 (fast)
 Greater efficiency = less exposure = 
faster 
-Standard screen speed class of 100 
-200 screen speed is twice as fast 
 Speeds for routine work: 200 – 800 
 Speeds for high detail: 50 – 100 
 Increasing speed also increases image 
noise
 FASTER SPEED – REDUCES PATIENT 
EXPOSURE 
 FASTER SPEED - REDUCES IMAGE DETAIL 
INCREASES NOISE (LIGHT BLURING 
AROUND IMAGE)
 Relative Speed = Film speed & Screen 
speed 
 mAs 1 = RS 2 
 mAs 2 RS 1 
 They are inversely related
 Speckled background on the image 
 Caused when fast screens and high kVp 
techniques are used. Noise reduces 
image contrast 
 The percentage of x-rays absorbed by 
the screen is the detective quantum 
efficiency (DQE) 
 The amount of light emitted for each x-ray 
absorbed is the conversion efficiency 
(CE)
 Quantum Mottle causing a grainy, 
mottled or splotch image 
 Often results of using very fast-speed 
screen-film systems
 The light photons generated in the 
intensifying screen are emitted by 
phosphor crystals. 
 These crystals are significantly larger 
than the silver halide crystals in the 
film 
 use of a screen reduces image 
sharpness somewhat 
 Some examinations requiring 
extremely fine detail use screens with 
small crystals.
 Have higher DQE (detective quantum 
efficiency). Higher x-ray absorption 
abilities. 
 Have higher CE (conversion efficiency). 
More light emitted per x-ray absorbed by 
the screen.
 The use of intensifying screens lowers 
spatial resolution compared with direct-exposure 
radiographs. 
 Spatial resolution 
expressed by the 
number of line pairs 
per millimeter 
(lp/mm)
 Very fast screens = 7 lp/mm 
 Fine-detail screens= 15 lp/mm 
 Direct-exposure screens = 50 lp/mm
 Warped cassette 
–poor contact
 Image artifacts can appear if screens 
are modified 
 Small scratches can leave artifacts 
 Dirty screens can leave artifacts 
 Screens should be cleaned once each 
month with manufacturer’s cleaner with 
antistatic compounds
Intensifying Screen (x-ray)

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Intensifying Screen (x-ray)

  • 1.
  • 2. Cassettes serve 3 important functions: 1. Protect film from exposure to light 2. Protect film from bending and scratching during use. 3. Contain intensifying screens, keeps film in close contact to screen during exposure.
  • 3.  The CASSETTE is used to hold the film during examinations. It consist of front and back intensifying screens, and has a lead (Pb) backing. The cassette is light tight
  • 4.  Exposure side of cassette is the “front”.  Made of radiolucent material – easily penetrated by x-rays, lightweight metal alloy or plastic material made of resin.  Intensifying screen mounted to inside of front.
  • 5.  Back made of metal or plastic  Inside back is a layer of lead foil – prevents backscatter that could fog the film  Inside foil layer is a layer of padding – maintains good film/screen contact  Back intensifying screen mounted on padding  Has the ID blocker (patient identification)
  • 6.  1% of xray photons that leave patient  Interact with phosphors of intensifying screens  100’s of light photons created to make image on film  Light photons expose silver halide crystals in the film emulsion  Turn black metallic silver after procession
  • 7.  Flat surface coated with fluorescent crystals called phosphors  that glow, giving off light when exposed to x-rays.
  • 8.  RARE EARTH – (emits green light)  Developed in 1980’s  Most efficient – most common in use today  CALCIUM TUNGSTATE (blue light)  Not as efficient
  • 9. Gadolinium Lanthanum Yttrium Found in low abundance in nature
  • 10. Direct x-ray exposure to film required  25 to 400 times more radiation to create an image on the film  BETTER DETAIL THAN FILM SCREEN (NO BLURRING OF IMAGE FROM LIGHT)  ALL EXPOSURE MADE FROM X-RAY PHOTONS  BIG DOSE TO THE PATEINT
  • 11. DISADVANTAGES:  less detail than direct exposure  (detail better with rare earth than  calcuim tungstate screens) ADVANTAGES: 1. Reduce patient exposure 2. Increase x-ray tube life
  • 12.  Polyester plastic base – support layer  Phosphor layer – active layer  Reflective layer – increases screen efficiency by redirecting light headed in other directions  Protective coating
  • 13.
  • 14. Active layer – x-ray photons converted to light photons *Photoelectric Effect
  • 15.  A relative number that describes how efficiently x-rays are converted into usable light  Ranges from 100 (slow) to 1200 (fast)
  • 16.  Greater efficiency = less exposure = faster -Standard screen speed class of 100 -200 screen speed is twice as fast  Speeds for routine work: 200 – 800  Speeds for high detail: 50 – 100  Increasing speed also increases image noise
  • 17.  FASTER SPEED – REDUCES PATIENT EXPOSURE  FASTER SPEED - REDUCES IMAGE DETAIL INCREASES NOISE (LIGHT BLURING AROUND IMAGE)
  • 18.  Relative Speed = Film speed & Screen speed  mAs 1 = RS 2  mAs 2 RS 1  They are inversely related
  • 19.  Speckled background on the image  Caused when fast screens and high kVp techniques are used. Noise reduces image contrast  The percentage of x-rays absorbed by the screen is the detective quantum efficiency (DQE)  The amount of light emitted for each x-ray absorbed is the conversion efficiency (CE)
  • 20.  Quantum Mottle causing a grainy, mottled or splotch image  Often results of using very fast-speed screen-film systems
  • 21.  The light photons generated in the intensifying screen are emitted by phosphor crystals.  These crystals are significantly larger than the silver halide crystals in the film  use of a screen reduces image sharpness somewhat  Some examinations requiring extremely fine detail use screens with small crystals.
  • 22.
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  • 29.  Have higher DQE (detective quantum efficiency). Higher x-ray absorption abilities.  Have higher CE (conversion efficiency). More light emitted per x-ray absorbed by the screen.
  • 30.  The use of intensifying screens lowers spatial resolution compared with direct-exposure radiographs.  Spatial resolution expressed by the number of line pairs per millimeter (lp/mm)
  • 31.  Very fast screens = 7 lp/mm  Fine-detail screens= 15 lp/mm  Direct-exposure screens = 50 lp/mm
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  • 35.  Warped cassette –poor contact
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  • 37.  Image artifacts can appear if screens are modified  Small scratches can leave artifacts  Dirty screens can leave artifacts  Screens should be cleaned once each month with manufacturer’s cleaner with antistatic compounds