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Density, Contrast, Distortion &
           Detail
          Lab Test #3
Contrast and the 15% Rule
                   Objective: To
               
                   demonstrate the
                   influence of the 15%
                   rule on contrast
                   1st exposure at
               
                   recommended
                   technique
                   Used as control
               
Contrast and the 15% rule
    Apply the 15% rule

    twice and ↑ kVp ↓ mAs
    accordingly
    All other factors stay the

    same
    The math doesn’t quite

    add up on this one, so I
    think the images are from
    2 different groups
Contrast and the 15% rule
                    Again, this image doesn’t
                
                    match my lab sheet, I
                    believe we lowered the kVp
                    15% and shot another on
                    just for S&G
                    At this point, we should
                
                    compare the 2 images to
                    determine which has the
                    longest scale of contrast
                    See next slide
                
Contrast and the 15% rule
Low kVp=High Contrast= Short scale   High kVp=Low Contrast= Long scale




           More B&W                       More Shades of Gray
Density- Control Image
    Objective: To

    demonstrate the effect
    of select factors on
    density
    Control image of knee

    phantom taken @
    5mAs, 60kVp, & 40”
    SID.
Density- Filter
                      With no change in tech
                  
                      factors, a copper sheet
                      is taped to the face of
                      the collimator
                      Filters have an inverse
                  
                      relationship on density
                      thus:
                      ↑ Filtration ↓ Density
                  
Density- Grid
    Copper filter removed

    No change in technical

    factors
    Grid is introduced to IR

    Result: Adding a grid

    decreases density this
    is an inverse
    relationship
    (+) ↑ Grid ↓Density

Density- SID
                   Grid removed
               
                   No change in technical
               
                   factors
                   SID increased from 40”
               
                   to 60”
Density-Tissue Thickness
    Grid is removed and hand

    phantom is substituted for
    knee
    No change in technical

    factors
    Overall, the hand the tissue

    thickness of the hand is
    much less than that of the
    knee
    ↑ tissue thickness ↓density

Density- Collimation-Control
                    Torso phantom is
                
                    substituted for hand
                    14x17 collimation
                
                    Use technique
                
                    recommended by
                    console + 20 mAs
                    This image will be
                
                    compared with the
                    highly collimated
                    image.
Density- Collimation
    Collimation is

    increased to a 4x4
    square.
    Repeat exposure of

    torso with no change in
    technical factors
    ↑collimation ↓density

Density- Anode Heel Effect
                    Use a foot phantom
                
                    and a 14x17 cassette
                    2 mAs, 60 kVp, 40” SID
                
                    Leave collimation open
                
                    lengthwise to 17”
                    Orient toes over the
                
                    anode side
Density- Anode Heel Effect
    All technical factors remain the

    same
    Foot is moved to opposite end of

    cassette to place toes on
    cathode side
    In practice, the thickest tissue

    should be placed at the cathode
    end of tube
    In theory, placed thicker tissue at

    anode end would effect density
    A visible change in density would

    only be appreciated with
    film/screen
Size Distortion: Control
                    Objective: To
                
                    demonstrate the
                    various types of
                    distortion
                    Control image of hand
                
                    shot at 40” SID
                    Technique: Pre-
                
                    programmed
Size Distortion: 6” OID
    2nd image

    6” OID is created with

    sponges
    All other factors remain

    the same
    Compare with control

    image to note distortion
    (magnification)
Size Distortion: 12” OID
    Image #3

    OID is ↑ to 12”

    Collimation is exactly the

    same
    No other factors have

    been changed
    Note magnified

    appearance of hand
    Such distortion can mask

    pathology
Distortion: OID + SID
                    OID is ↓ to 6”
                
                    SID is ↓ to 20”
                
                    All remaining tech factors
                
                    are unchanged
                    Result: Size distortion
                
                    (magnification in this
                    case) can be caused by
                    OID, SID or both
Shape Distortion: Control
                    Control exposure of
                
                    knee phantom
                    w/recommended tech
                    factors
                    This image will be used
                
                    for comparison with
                    others
Shape Distortion: Angled Tube
    2nd image of knee

    phantom
    Tube is angled

    All tech factors remain

    the same
Shape Distortion: Angled IR
    3rd exposure of knee

    phantom
    IR is angled

    All tech factors are

    unchanged from
    control
    Note closed joint

    spaces
Shape Distortion: Angled Anatomy

                    4th exposure of knee
                
                    phantom
                    All tech factors remain
                
                    constant except…
                    Phantom is angled
                
                    Result: Shape distortion
                
                    can be caused by the
                    angulation of tube, IR or
                    anatomy being imaged.
Density & mAs
                    Objective is to
                
                    demonstrate the effects
                    of overexposure &
                    underexposure on CR
                    images
                    First image is made @
                
                    60kVp, 10mAs w/40”
                    SID
Density & mAs 2
    mAs is ↑ 50

    All other technical factors

    remain the same
    LGM#’s of all images will be

    compared with control
    LGM represents the # of

    photons reaching IR to form
    the latent image
    LGM is proportional to mAs

Density & mAs 3
                      ↑ to 100 mAs
                  
                      No other technical
                  
                      factors are changed
                      At this stage, LGM#’s
                  
                      appear to be ↑ as mAs is
                      ↑ (a direct relationship).
Density & mAs 4
    ↑ to 200 mAs

    Remaining tech factors

    unchanged
    LGM#’s increase with

    each increase in mAs
    mAs is THE controlling

    factor of density
Detail and Distortion: Motion
                    Objective: To demonstrate
                
                    the effect of motion on
                    detail
                    Technical factors: The
                
                    programmed technique for
                    a foot but ↓ mA
                    Decrease in mA is necessary
                
                    to ↑ exposure time
                    (applicable in next image)
                    1st image of top taken on
                
                    10x12 w/no motion
Detail and Distortion: Motion
                    2nd image- top is
                
                    spinning while
                    exposure is taken
                    Technical factors are
                
                    unchanged
                    The lower mA ↑
                
                    exposure time, allowing
                    the motion to be caught
                    on film
Detail and Distortion: Motion
    Additional image of this

    experiment
    Compared to the 1st image

    (stationary), the lead letter
    attached to top is blurred.
    Result: Increased motion

    decreases detail
    Motion↑↓ Detail

    Although motion is generally a

    detriment to good films, it can be
    used to the RT’s advantage
    Ex: Using breathing technique to

    blur ribs
Quantum Mottle
    Definition: a lack of

    sufficient incoming data
    to process an image;
    AKA quantum noise
    No idea what this

    image has to do with
    anything, but that’s
    how it was labeled
    That would be a cool

    name for a band
    though
Contrast- Control Image
                   Objective: To
               
                   demonstrate how
                   selected factors effect
                   contrast
                   66kVp, 10 mAs, 40”
               
                   SID on table top
Contrast 66kv
                    Skull phantom is
                
                    replaced w/step wedge
                    Exposure taken with no
                
                    changes in technical
                    factors
                    Compare this image
                
                    w/second exposure
                    using a higher
                    technique
Contrast: ↑kVp ↓mAs
    ↑ to 86kVp

    Compensate by ↓mAs to

    ¼ of its original value
    All other factors remain

    the same
Contrast- 86kv
    Again, step wedge

    takes the place of skull
    phantom
    No change in technical

    factors
    Compare shades of

    gray in adjacent
    densities
Comparison of Contrast
Low kVp       High kVp
Contrast: +Grid
    3rd image of skull

    Grid is introduced

    mAs ↑ 4x to

    compensate
    All remaining factors

    unchanged
Contrast: Scatter
                    4th image of skull
                
                    Collimation open wide
                
                    to expose IR to scatter
                    All remaining factors
                
                    unchanged
                    Compare this series of
                
                    images to note
                    differences in adjacent
                    densities
Contrast Collimation
    Skull is now positioned

    laterally
    This exposure will use

    bucky instead of table
    top
    100 kVp @ 20mAs

Contrast: Collimation
                    Repeat exposure of
                
                    lateral skull
                    Collimated to 3”x3”
                
                    area
                    All remaining factors
                
                    are unchanged
Short vs Long Scale Contrast: kVp

    Objective: To

    demonstrate short &
    long scale contrast
    Elbow phantom @

    46kVp & 5mAs
Stepwedge 2 Contrast ????
    I think this is supposed

    to be part of a contrast
    lab but I couldn’t match
    it up with anything
    Also, it was posted

    twice in the images
    file…so there’s nothing
    to compare it to as far
    as I can tell
Short vs Long Scale Contrast; kVp

                     2nd image of elbow
                 
                     phantom
                     ↑ to 70kVp
                 
                     ↓to 3mAs
                 
Density Chart
Variables           Effects      Density              Relationship
                    ↑↓           ↓↑
Filtration                                            Inverse
                    ↑↓           ↓↑
Grid                                                  Inverse
                    ↑↓           ↓↑
Tissue Thickness                                      Inverse
                    ↑↓           ↓↑
SID                                                   Inverse
                    ↑↓           ↓↑
Collimation                                           Inverse
                    Cathode: ↑
Anode Heel Effect                *In theory the       N/A unless film
                    Anode: ↓     anode heel effect    screen technology
                                 does cause a         is involved
                                 change in density
                                 but this is not
                                 evident in digital
                                 imaging
Contrast Chart
Variable           Effect            Contrast   Relationship
                   ↑↓                ↓↑
kVp                                             inverse
                   Ø                 Ø
mAs                                             none
                   Ø                 Ø
SID                                             none
                   ↑↓                ↑↓
OID                                             direct
                   ↑↓                ↓↑
Filtration                                      inverse
                   ↑↓                ↑↓
Collimation                                     direct
                   ↑↓                ↓↑
Tissue Thickness                                inverse
                                     ↑
Contrast Media     +                            direct
                   ↑↓                ↑↓
Grid ratio                                      direct
                   Ø                 Ø
Focal spot size                                 none
                                     ↓          Always ↓ contrast
Film Processing    *+/- developing
                   time and temp
                   beyond optimal
Detail Chart
Variable           Effect   Detail   Relationship
                   ↑↓       ↑↓
SID                                  direct
                   ↑↓       ↓↑
OID                                  inverse
                   ↑↓       ↓↑
Tissue Thickness                     inverse
                   ↑↓       ↓↑
Focal Spot Size                      inverse
                   ↑↓       ↓↑
Motion                               inverse

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Lab Test 3

  • 1. Density, Contrast, Distortion & Detail Lab Test #3
  • 2. Contrast and the 15% Rule Objective: To  demonstrate the influence of the 15% rule on contrast 1st exposure at  recommended technique Used as control 
  • 3. Contrast and the 15% rule Apply the 15% rule  twice and ↑ kVp ↓ mAs accordingly All other factors stay the  same The math doesn’t quite  add up on this one, so I think the images are from 2 different groups
  • 4. Contrast and the 15% rule Again, this image doesn’t  match my lab sheet, I believe we lowered the kVp 15% and shot another on just for S&G At this point, we should  compare the 2 images to determine which has the longest scale of contrast See next slide 
  • 5. Contrast and the 15% rule Low kVp=High Contrast= Short scale High kVp=Low Contrast= Long scale More B&W More Shades of Gray
  • 6. Density- Control Image Objective: To  demonstrate the effect of select factors on density Control image of knee  phantom taken @ 5mAs, 60kVp, & 40” SID.
  • 7. Density- Filter With no change in tech  factors, a copper sheet is taped to the face of the collimator Filters have an inverse  relationship on density thus: ↑ Filtration ↓ Density 
  • 8. Density- Grid Copper filter removed  No change in technical  factors Grid is introduced to IR  Result: Adding a grid  decreases density this is an inverse relationship (+) ↑ Grid ↓Density 
  • 9. Density- SID Grid removed  No change in technical  factors SID increased from 40”  to 60”
  • 10. Density-Tissue Thickness Grid is removed and hand  phantom is substituted for knee No change in technical  factors Overall, the hand the tissue  thickness of the hand is much less than that of the knee ↑ tissue thickness ↓density 
  • 11. Density- Collimation-Control Torso phantom is  substituted for hand 14x17 collimation  Use technique  recommended by console + 20 mAs This image will be  compared with the highly collimated image.
  • 12. Density- Collimation Collimation is  increased to a 4x4 square. Repeat exposure of  torso with no change in technical factors ↑collimation ↓density 
  • 13. Density- Anode Heel Effect Use a foot phantom  and a 14x17 cassette 2 mAs, 60 kVp, 40” SID  Leave collimation open  lengthwise to 17” Orient toes over the  anode side
  • 14. Density- Anode Heel Effect All technical factors remain the  same Foot is moved to opposite end of  cassette to place toes on cathode side In practice, the thickest tissue  should be placed at the cathode end of tube In theory, placed thicker tissue at  anode end would effect density A visible change in density would  only be appreciated with film/screen
  • 15. Size Distortion: Control Objective: To  demonstrate the various types of distortion Control image of hand  shot at 40” SID Technique: Pre-  programmed
  • 16. Size Distortion: 6” OID 2nd image  6” OID is created with  sponges All other factors remain  the same Compare with control  image to note distortion (magnification)
  • 17. Size Distortion: 12” OID Image #3  OID is ↑ to 12”  Collimation is exactly the  same No other factors have  been changed Note magnified  appearance of hand Such distortion can mask  pathology
  • 18. Distortion: OID + SID OID is ↓ to 6”  SID is ↓ to 20”  All remaining tech factors  are unchanged Result: Size distortion  (magnification in this case) can be caused by OID, SID or both
  • 19. Shape Distortion: Control Control exposure of  knee phantom w/recommended tech factors This image will be used  for comparison with others
  • 20. Shape Distortion: Angled Tube 2nd image of knee  phantom Tube is angled  All tech factors remain  the same
  • 21. Shape Distortion: Angled IR 3rd exposure of knee  phantom IR is angled  All tech factors are  unchanged from control Note closed joint  spaces
  • 22. Shape Distortion: Angled Anatomy 4th exposure of knee  phantom All tech factors remain  constant except… Phantom is angled  Result: Shape distortion  can be caused by the angulation of tube, IR or anatomy being imaged.
  • 23. Density & mAs Objective is to  demonstrate the effects of overexposure & underexposure on CR images First image is made @  60kVp, 10mAs w/40” SID
  • 24. Density & mAs 2 mAs is ↑ 50  All other technical factors  remain the same LGM#’s of all images will be  compared with control LGM represents the # of  photons reaching IR to form the latent image LGM is proportional to mAs 
  • 25. Density & mAs 3 ↑ to 100 mAs  No other technical  factors are changed At this stage, LGM#’s  appear to be ↑ as mAs is ↑ (a direct relationship).
  • 26. Density & mAs 4 ↑ to 200 mAs  Remaining tech factors  unchanged LGM#’s increase with  each increase in mAs mAs is THE controlling  factor of density
  • 27. Detail and Distortion: Motion Objective: To demonstrate  the effect of motion on detail Technical factors: The  programmed technique for a foot but ↓ mA Decrease in mA is necessary  to ↑ exposure time (applicable in next image) 1st image of top taken on  10x12 w/no motion
  • 28. Detail and Distortion: Motion 2nd image- top is  spinning while exposure is taken Technical factors are  unchanged The lower mA ↑  exposure time, allowing the motion to be caught on film
  • 29. Detail and Distortion: Motion Additional image of this  experiment Compared to the 1st image  (stationary), the lead letter attached to top is blurred. Result: Increased motion  decreases detail Motion↑↓ Detail  Although motion is generally a  detriment to good films, it can be used to the RT’s advantage Ex: Using breathing technique to  blur ribs
  • 30. Quantum Mottle Definition: a lack of  sufficient incoming data to process an image; AKA quantum noise No idea what this  image has to do with anything, but that’s how it was labeled That would be a cool  name for a band though
  • 31. Contrast- Control Image Objective: To  demonstrate how selected factors effect contrast 66kVp, 10 mAs, 40”  SID on table top
  • 32. Contrast 66kv Skull phantom is  replaced w/step wedge Exposure taken with no  changes in technical factors Compare this image  w/second exposure using a higher technique
  • 33. Contrast: ↑kVp ↓mAs ↑ to 86kVp  Compensate by ↓mAs to  ¼ of its original value All other factors remain  the same
  • 34. Contrast- 86kv Again, step wedge  takes the place of skull phantom No change in technical  factors Compare shades of  gray in adjacent densities
  • 36. Contrast: +Grid 3rd image of skull  Grid is introduced  mAs ↑ 4x to  compensate All remaining factors  unchanged
  • 37. Contrast: Scatter 4th image of skull  Collimation open wide  to expose IR to scatter All remaining factors  unchanged Compare this series of  images to note differences in adjacent densities
  • 38. Contrast Collimation Skull is now positioned  laterally This exposure will use  bucky instead of table top 100 kVp @ 20mAs 
  • 39. Contrast: Collimation Repeat exposure of  lateral skull Collimated to 3”x3”  area All remaining factors  are unchanged
  • 40. Short vs Long Scale Contrast: kVp Objective: To  demonstrate short & long scale contrast Elbow phantom @  46kVp & 5mAs
  • 41. Stepwedge 2 Contrast ???? I think this is supposed  to be part of a contrast lab but I couldn’t match it up with anything Also, it was posted  twice in the images file…so there’s nothing to compare it to as far as I can tell
  • 42. Short vs Long Scale Contrast; kVp 2nd image of elbow  phantom ↑ to 70kVp  ↓to 3mAs 
  • 43. Density Chart Variables Effects Density Relationship ↑↓ ↓↑ Filtration Inverse ↑↓ ↓↑ Grid Inverse ↑↓ ↓↑ Tissue Thickness Inverse ↑↓ ↓↑ SID Inverse ↑↓ ↓↑ Collimation Inverse Cathode: ↑ Anode Heel Effect *In theory the N/A unless film Anode: ↓ anode heel effect screen technology does cause a is involved change in density but this is not evident in digital imaging
  • 44. Contrast Chart Variable Effect Contrast Relationship ↑↓ ↓↑ kVp inverse Ø Ø mAs none Ø Ø SID none ↑↓ ↑↓ OID direct ↑↓ ↓↑ Filtration inverse ↑↓ ↑↓ Collimation direct ↑↓ ↓↑ Tissue Thickness inverse ↑ Contrast Media + direct ↑↓ ↑↓ Grid ratio direct Ø Ø Focal spot size none ↓ Always ↓ contrast Film Processing *+/- developing time and temp beyond optimal
  • 45. Detail Chart Variable Effect Detail Relationship ↑↓ ↑↓ SID direct ↑↓ ↓↑ OID inverse ↑↓ ↓↑ Tissue Thickness inverse ↑↓ ↓↑ Focal Spot Size inverse ↑↓ ↓↑ Motion inverse