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Dr Saket Jain



Degree of blackening within the image
Defined more accurately when type of
image receptor is considered

1- Photographic film

2- Digital image capture


1)
2)

3)

Difference in density between structures of
interest within the image .
Built up in three main stages
Subject contrast
Radiographic contrast
Subjective contrast


1)
2)
3)

4)

Feature of object (subject) under examination
Factors that influence
The region of body under examination
Contrast media
Pathology
Kilo voltage
Is the difference in optical density on different
parts of the processed film or differences in
computer screen brightness and depends on
1) Subject contrast
2) Scattered radiation reaching the image
receptor
3) Image acquisition device
4) Film fog
5) Exposure
6) Development

The personal appreciation of the contrast in
the image
 Depends on
1) Radiographic contrast
2) The observer
3) Viewing condition
4) Computer screen / monitor





For a given FFD (focus to film distance) the
greater the distance between the object and
the film the greater will be the magnification
of the image .
image size
FFD
Magnification =
=
object size
FOD

FOD – focus to object distance


Distorted image will be produced if not all
parts of the image are magnified by the same
amount .



Beam is right angle to object = distorted
elongated image is produced



Beam is right angle to image receptor than
the foreshortened image is produced
The aim is to produce an image that is as
sharp as possible in order to resolve fine
detail within the image
 Important for looking subtle fractures
 Factor lead to UNSHARPNESS
1) Geometry
2) Movement
3) Absorption
4) Photographic / acquistion factors



Degree increases by increased focal spot size
and increased object to film distance

object to film distance
x focal spot size

object to focus distance


Sharpness can be increased by using a
shorter exposure time (lower mAs with
higher KVp , higher mA or greater tube
loading time) by small object to film distance
& immobilisation .
The choice of factors will depend on the region
being examined .
 Exposure factors to be selected are
1) The mAs
2) The kilovoltage
3) The FFD – focus to film distance






MA = tube current = number of electrons and
quantity of x-rays produced Intensity
X-ray tube current and exposure time (sec)
Density is diectly related
General rule – mA should be as high as
possible with a short time , to reduce the risk
of movement unsharpness






KVP = Energy of x-rays = higher penetrability,
it moves through tissue Density directly but
not linearly related
Contrast depends

Halving or doubling mAs is equivalent to
increasing or decreasing kVp by 10-15%






X-ray tube not to be too closed
Short FFD could give unacceptable geometric
unsharpness
FFD not to be excessive otherwise the large
increase in mAs required would mean high
tube loading
Most radiographic examinations are carried
out at 100 cms
Focus to Film distance :
new dist 2
New mAs
x original mAs
old dist 2




Undesirable fluctuation in optical density of
the image .
If image acquisition device is used , then an
insufficient mAs will manifest as noise or
mottle .


Radiographic variables Density

Contrast

Increase MAS
Decrease MAS
increase KVP
decrease KVP
increase FFD
decrease FFD
increase OID
decrease OID

no change
no change
decrease
increase
no change
no change
increase
decrease

increase
decrease
increase
decrease
decrease
increase
decrease
increase
increase collimation
decrease collimation

decrease
increase

increase
decrease
200 cm

150 cm

100 cm
GEOMETRIC

MOVEMENT

PHOTOGRAPHIC

A

Use fine focus,
standardized(large) FFD

Use short exposure time
with high tube loading

Use fine grained screens,
single sided emulsion

B

Use small OFD , avoid
equipment vibration

Use small OFD ;
Ensure all cassettes
immobilization ; make
maintain good film /
patient comfortable ; give screen contact
clear instructions to
patient about keeping
still

OFD – object to film distance

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Radiographic factor

  • 2.   Degree of blackening within the image Defined more accurately when type of image receptor is considered 1- Photographic film 2- Digital image capture
  • 3.   1) 2) 3) Difference in density between structures of interest within the image . Built up in three main stages Subject contrast Radiographic contrast Subjective contrast
  • 4.   1) 2) 3) 4) Feature of object (subject) under examination Factors that influence The region of body under examination Contrast media Pathology Kilo voltage
  • 5. Is the difference in optical density on different parts of the processed film or differences in computer screen brightness and depends on 1) Subject contrast 2) Scattered radiation reaching the image receptor 3) Image acquisition device 4) Film fog 5) Exposure 6) Development 
  • 6. The personal appreciation of the contrast in the image  Depends on 1) Radiographic contrast 2) The observer 3) Viewing condition 4) Computer screen / monitor 
  • 7.   For a given FFD (focus to film distance) the greater the distance between the object and the film the greater will be the magnification of the image . image size FFD Magnification = = object size FOD FOD – focus to object distance
  • 8.
  • 9.  Distorted image will be produced if not all parts of the image are magnified by the same amount .  Beam is right angle to object = distorted elongated image is produced  Beam is right angle to image receptor than the foreshortened image is produced
  • 10.
  • 11. The aim is to produce an image that is as sharp as possible in order to resolve fine detail within the image  Important for looking subtle fractures  Factor lead to UNSHARPNESS 1) Geometry 2) Movement 3) Absorption 4) Photographic / acquistion factors 
  • 12.  Degree increases by increased focal spot size and increased object to film distance object to film distance x focal spot size object to focus distance
  • 13.
  • 14.  Sharpness can be increased by using a shorter exposure time (lower mAs with higher KVp , higher mA or greater tube loading time) by small object to film distance & immobilisation .
  • 15.
  • 16. The choice of factors will depend on the region being examined .  Exposure factors to be selected are 1) The mAs 2) The kilovoltage 3) The FFD – focus to film distance 
  • 17.     MA = tube current = number of electrons and quantity of x-rays produced Intensity X-ray tube current and exposure time (sec) Density is diectly related General rule – mA should be as high as possible with a short time , to reduce the risk of movement unsharpness
  • 18.    KVP = Energy of x-rays = higher penetrability, it moves through tissue Density directly but not linearly related Contrast depends Halving or doubling mAs is equivalent to increasing or decreasing kVp by 10-15%
  • 19.     X-ray tube not to be too closed Short FFD could give unacceptable geometric unsharpness FFD not to be excessive otherwise the large increase in mAs required would mean high tube loading Most radiographic examinations are carried out at 100 cms
  • 20. Focus to Film distance : new dist 2 New mAs x original mAs old dist 2 
  • 21.   Undesirable fluctuation in optical density of the image . If image acquisition device is used , then an insufficient mAs will manifest as noise or mottle .
  • 22.  Radiographic variables Density Contrast Increase MAS Decrease MAS increase KVP decrease KVP increase FFD decrease FFD increase OID decrease OID no change no change decrease increase no change no change increase decrease increase decrease increase decrease decrease increase decrease increase
  • 25.
  • 26.
  • 27.
  • 28. GEOMETRIC MOVEMENT PHOTOGRAPHIC A Use fine focus, standardized(large) FFD Use short exposure time with high tube loading Use fine grained screens, single sided emulsion B Use small OFD , avoid equipment vibration Use small OFD ; Ensure all cassettes immobilization ; make maintain good film / patient comfortable ; give screen contact clear instructions to patient about keeping still OFD – object to film distance