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Radiographic Technique Parameters

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Distortion

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The misrepresentation of the true size or shape of an object. Factors that affect distortion include the object’s position relative to the X-ray beam and the image receptor, as well as the beam angulation.

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Exposure Index (EI)

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A numeric representation of the exposure the digital image receptor received. It helps assess whether the image was underexposed or overexposed. Manufacturers have proprietary scaling systems.

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Filteration

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The use of materials, usually aluminum, to absorb low-energy X-ray photons from the beam before it reaches the patient, reducing dose and improving beam quality. Total filtration in diagnostic radiology is typically 2.5 mm Al equivalent.

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Inverse Square Law

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Describes how the intensity of radiation is inversely proportional to the square of the distance from the source. Given by

I=I0d2 I = \frac{I_0}{d^2}
where II is the intensity, and dd is the distance.

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Beam Limitation

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The practice of constraining the X-ray beam size to the area of diagnostic interest to minimize radiation exposure and improve image quality. Achieved through collimation and the use of cone or cylinder attachments.

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Photoelectric Effect

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An interaction in which an X-ray photon completely transfers its energy to an inner shell electron, resulting in high contrast images. The likelihood increases with higher atomic number materials and lower photon energies.

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Detector Quantum Efficiency (DQE)

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The measure of how efficiently an imaging system converts the X-ray input signal into a useful output image. High DQE indicates better image quality and possibly reduced dose to achieve sufficient image quality.

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Compton Scatter

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A type of interaction between X-ray photons and matter resulting in a change in the X-ray's direction and a slight loss of energy, contributing to image noise and potentially decreasing image contrast.

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Focal Spot Size

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The size of the area on the anode where X-rays are produced. Typical sizes are small (0.5-1 mm) for fine detail and large (1-2 mm) for body parts with greater thickness.

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Signal-to-Noise Ratio (SNR)

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A measure of the amount of useful information (signal) compared to the amount of background noise. Higher SNR indicates better image quality with less noise.

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Grid

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A device composed of alternating radiopaque and radiolucent materials used to reduce scattered radiation, improving image contrast. They have various ratios, commonly from 6:1 to 16:1.

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Contrast

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The difference in density between adjacent areas on a radiographic image. Influenced by kVp, patient thickness, and tissue composition. High contrast has more black and white, low contrast appears more gray.

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Film-Screen Speed

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The sensitivity of the film-screen system to X-ray exposure. Higher speed systems require less radiation but may have decreased image resolution. Speed ratings range from 50 (detail) to 800 (high speed).

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kVp (Kilovoltage Peak)

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The peak voltage applied to the X-ray tube, affecting beam penetration and image contrast. Typical values range from 50 to 150 kVp.

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mA (Milliamperage)

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The amount of electric current passing through the X-ray tube, influencing the number of X-ray photons produced. Typical settings vary from 50 to 400 mA.

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Collimation

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The act of restricting the size and shape of the X-ray beam to the area of interest to reduce patient exposure and scatter radiation, thereby improving image contrast.

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Automatic Exposure Control (AEC)

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A system that measures the amount of radiation reaching the image receptor and terminates the exposure when the required density is achieved. Settings are adjusted based on patient size and anatomy.

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Resolution

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The ability of an imaging system to distinguish small structures as separate entities. Measured in line pairs per millimeter (lp/mm), typical resolution for diagnostic radiography ranges from 2.5 to 5 lp/mm.

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Density

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The overall blackening of the radiographic image. Controlled by mA, exposure time, and SID. Higher density appears darker, and vice versa.

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Magnification

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The enlargement of the radiographic image compared to the actual size of the object. It is influenced by SID and OID (Object to Image Distance). Less magnification is achieved with a larger SID and a smaller OID.

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Radiographic Noise

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Random fluctuations in the optical density of a radiographic image, which can obscure detail. It can result from the graininess of the imaging receptor, scatter radiation, or insufficient X-ray exposure.

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Exposure Time

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The duration the X-ray beam is on, affecting the total number of X-ray photons emitted. Typical exposure times range from 10 ms to several seconds.

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SID (Source to Image Distance)

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The distance between the focus of the X-ray tube and the image receptor. Common SIDs include 100 cm (40 inches) or 180 cm (72 inches).

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Anode Heel Effect

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A phenomenon where X-ray intensity is greater on the cathode side of the tube, leading to uneven exposure across the radiographic field. More pronounced with larger field sizes and shorter SIDs.

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