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Contrast, Detail, Distortion

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An image with few densities but many differences between them has ___ Contrast?   High Contrast (Short Scale)  
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An image with many Blacks and Whites, with few grays?   High Contrast  
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An image with many densities but little difference between them has ___ Contrast?   Low Contrast (Long Scale)  
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An image with many shades of Gray?   Low Contrast  
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#1 Controlling Factor of Contrast?   kVp  
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How is Digital Contrast controlled?   kVp, but altered by Computer  
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↑ kVp = __ Transmission   ↑ Transmission  
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↑ kVp = __ Compton Interactions   ↑ Scatter  
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↑ kVp = __ Photoelectric Effect   ↓ Absorption  
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↑ kVp = __ Fog   ↑ Fog  
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↑ kVp = __ Contrast   ↑ kvp = ↓ Contrast  
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Low kVp has more of what type of Interactions?   Low kVp = ↑ Photoelectric Absorption  
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Contrast Influencing Factors   Grids, Collimation, OID, Anatomic Part, Filtration  
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↑ kVp = __ Scatter   ↑ kVp = ↑ Scatter  
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↑ Grid Ratio = __ Scatter = __ Contrast   ↑ Grid = ↓ Scatter = ↑ Contrast  
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↑ Collimation = __ Tissue Exposure = __ Contrast   ↑ Collimation = ↓ Tissue Exposure = ↑ Contrast  
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↑ OID = __ Scatter = __ Contrast   ↑ OID = ↓ Scatter = ↑ Contrast  
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Do we adjust OID for contrast? Why or why not?   No, ↑ Contrast but also ↑ Distortion  
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How does increasing OID increase Contrast?   "air gap" of OID allows Scatter to Miss the IR (↓ Scatter = ↑ Contrast)  
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↑ Tissue Thickness = __ Scatter = __ Contrast   ↑ Tissue = ↑ Scatter = ↓ Contrast  
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↑ Tube Filtration = __ Scatter = __ Contrast   ↑ Filtration = ↑ Scatter = ↓ Contrast  
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How does Tube Filtration decrease Contrast?   Filtration absorbs low energy photons that increase beam intensity and in turn Scatter (↑ Scatter = ↓ Contrast)  
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Result of kvp and absorption characteristics of anatomic tissue?   Subject Contrast  
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Result of manufacturing properties and processing conditions?   Film Contrast  
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_____ changes Absorption Characteristics of tissue by ↑ or ↓ Beam ____ ?   Contrast Medium, Attenuation  
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(-/+) Contrast Agents increase beam attenuation and produce less film density?   + Contrast Agent = More Absorption/Increased Brightness  
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(-/+) Contrast Agents increase transmission?   Negative Contrast Agents (Air)  
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(+/-) Contrast Agents require increase in exposure factors?   Positive Contrast Agents (Barium)  
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Film Processing temperatures outside Normal will ↑ or ↓ Contrast?   ↓ Contrast  
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kVp changes for ages below 6?   -15% kVp  
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Minimum kVp for Premies   50 kVp  
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Minimum kVp for Infants   55 kVp  
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Minimum kVp for Child   60 kVp  
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mAs adjustment for ages 0-5?   25% (75% less)  
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mAs adjustment for ages 6-12?   50% mAs of adult  
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What types of casts do not require technique changes?   Fiberglass  
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Dry vs Wet theory for technique adjustment with Plaster Cast?   Dry = 2x mAs Wet = 3x mAs  
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Alternate theory for technique adjustment with Plaster Cast?   Treat cast as increase in Part Thickness  
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____ Diseases increase absorption characteristics of part, making it more difficult to penetrate?   Additive Diseases  
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Examples of Additive Diseases   Ascites, Cirrhosis, CHF, Pleural Effusion  
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____ Diseases decrease absorption characteristics of part, making penetration easier?   Subtractive Diseases  
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Examples of Subtractive Diseases   Bowel Obstruction, Free Air, Emphysema  
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Which type of diseases may need an increase in kVp?   Additive Diseases  
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When would you visualize soft tissue on an image?   Foreign body, Croup, Obstruction  
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Which exposure factor do you change when soft tissue needs less Density to visualize the area of interest?   ↓ mAs = ↓ Density  
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Which exposure factor do you change when soft tissue needs a change in Contrast to visualize the area of interest?   ↑ or ↓ kVp  
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Geometric Properties control ____ ?   Sharpness  
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____ is the distinctness or sharpness of the structural lines that make up the recorded image?   Recorded Detail  
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3 Factors of Geometric Unsharpness   OID, SID, Focal Spot Size  
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Another term for Geometric Unsharpness   Penumbra  
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Penumbra   Area of unsharpness or blurred margin  
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Focal Spot Size only affects ____ ?   Recorded Detail  
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Small focal spot size   .5-.6 mm  
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Large focal spot size   1-1.2 mm  
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↑ SID = __ Unsharpness = __ Recorded Detail   ↑ SID = ↓ Unsharpness = ↑ Recorded Detail  
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How does increasing SID increase Recorded Detail?   Xray photons more perpendicular to IR/Object with greater SID  
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↑ OID = __ Unsharpness = __ Recorded Detail   ↑ OID = ↑ Unsharpness = ↓ Recorded Detail  
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Factor with #1 impact on Unsharpness?   OID  
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Optimal recorded detail when OID is ___ ?   zero  
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How do you compensate for unavoidable OID?   ↑ SID sligthly  
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Calculating Distance Formula   SID = OID + SOD  
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Geometric Unsharpness Formula   Geometric Unsharpness = (Focal Spot Size x OID)/SOD  
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Better recorded detail with (High/Low) Unsharpness value?   Lowest # is Better Detail  
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↑ Film Speed = __ Recorded Detail = __ Unsharpness   ↑ Film Speed = ↓ Recorded Detail = ↑ Unsharpnes  
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High film speed reduces radiation required but at the expense of __ ?   Less dose but Lower Recorded Detail  
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Unsharpness caused by patient motion?   Motion Unsharpness (Blur)  
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Ways to control motion...   1. Short exposure 2. Clear Communication 3. Immobilize  
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____ is the imaging system's ability to distinguish btwn two adjacent structures?   Resolution  
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____ is the smallest detail detected on the image?   Spatial Resolution  
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____ is the imaging system's ability to distinguish btwn small objects with similar subject contrast?   Contrast Resolution  
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Resolution is expressed in what unit of measure?   Line pairs per millimeter (Lp/mm)  
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Define Line Pair   One metal line + space = Line Pair  
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___ is the misrepresentation of size or shape?   Distortion  
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Shape Distortion where the part is misaligned?   Foreshortening  
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Shape Distortion where the CR or IR is misaligned?   Elongation  
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Another term for Size Distortion?   Magnification  
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___ has the greatest effect on Size Distortion?   OID  
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↑ OID = __ Size Distortion   ↑ OID = ↑ Magnification  
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Parts Closest to the IR will have more size distortion (T/F)?   False - Further Away more Distortion  
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↑ SID = __ Size Distortion   ↑SID = ↓ Mag/Size Distortion  
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___ indicates how much Size Distortion is on an image?   Magnification Factor  
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Magnification Factor Formula (Size)   MF = Image Size / Object Size  
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Magnification Factor Formula (Distance)   MF = SID / SOD  
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% of Magnification Formula   % Mag = {(Image Size-Object Size)/Object Size} x100  
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To calculate Image/Object Size, 1st Calculate ___ ?   Magnification Factor (MF)  
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Image/Object Size Formula   Object Size = Image Size/MF  
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