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Essentials of Radiographic Physics and Imaging - E-Book

Essentials of Radiographic Physics and Imaging - E-Book

James Johnston | Terri L. Fauber

(2015)

Additional Information

Book Details

Abstract

Written by radiographers for radiographers, Essentials of Radiographic Physics and Imaging, 2nd Edition follows the ASRT recommended curriculum and focuses on what the radiographer needs to understand to safely and competently perform radiographic examinations. This comprehensive radiologic physics and imaging text links the two subjects together so that you understand how they relate to each other — and to clinical practice. Prepare for success on the ARRT exam and the job with just the right amount of information on radiation production and characteristics, imaging equipment, film screen image acquisition and processing, digital image acquisition and display, image analysis, and the basic principles of computed tomography.

  • 345 photos and line drawings encourage you to visualize important concepts.
  • Strong pedagogy, including chapter objectives, key terms, outlines, bulleted chapter summaries, and specialty boxes, help you organize information and focus on what is most important in each chapter.
  • Make the Physics Connection and Make the Imaging Connection boxes link physics and imaging concepts so you fully appreciate the importance of both subjects.
  • Educator resources on Evolve, including lesson plans, an image collection, PowerPoint presentations, and a test bank, provide additional resources for instructors to teach the topics presented in the text.
  • Theory to Practice boxes succinctly explain the application of concepts and describe how to use the information in clinical practice.
  • Critical Concept boxes further explain and emphasize key points in the chapters.
  • Math Application boxes use examples to show how mathematical concepts and formulas are applied in the clinical setting.
  • An emphasis on the practical information highlights just what you need to know to ace the ARRT exam and become a competent practitioner.
  • Numerous critique exercises teach you how to evaluate the quality of radiographic images and determine which factors produce poor images.
  • A glossary of key terms serves as a handy reference.

Table of Contents

Section Title Page Action Price
Front cover Cover
Essentials of Radiographic Physics and Imaging iii
Copyright iv
Dedication v
Contributor and reviewers vi
Preface vii
Purpose vii
Unique features vii
Acknowledgments x
Table of contents xi
1 Introduction to the imaging sciences 1
Objectives 1
Key terms 1
Discovery and use of X-rays 1
Dr. roentgen’s discovery 1
Overview of X-ray evolution and use 2
General principles 5
Units of measure 5
Radiographic equipment 8
The fundamentals of radiation protection 10
Summary 13
Critical thinking questions 13
Review questions 13
I Principles of Radiation Physics 15
2 Structure of the atom 16
Objectives 16
Key terms 16
Introduction 16
Basic atomic structure 16
Historical overview 16
Modern theory 18
Classification and bonding 21
Classification 21
Bonding 23
Summary 24
Critical thinking questions 24
Review questions 24
3 Electromagnetic and particulate radiation 25
Objectives 25
Key terms 25
Introduction 25
Electromagnetic radiation 25
Nature and characteristics 25
X-rays and gamma rays 28
The rest of the spectrum 29
Particulate radiation 29
Summary 30
Critical thinking questions 31
Review questions 31
4 The X-ray circuit 32
Objectives 32
Key terms 32
Introduction 32
Nature of electricity 33
Electric potential, current, and resistance 33
Conductors, insulators, and electronic devices 35
Electromagnetism and electromagnetic induction 36
Magnetism 36
Electromagnetism 37
Generators, motors, and transformers 38
General X-ray circuit 40
Primary circuit 40
At the console. 42
Secondary circuit 43
At the console. 45
Filament circuit 45
At the console. 47
Principles of circuit operation 47
Summary 47
Critical thinking questions 48
Review questions 48
5 The X-ray tube 50
Objectives 50
Key terms 50
Introduction 50
General tube construction 50
Housing 50
X-ray tube 51
Anode 52
Cathode 55
Principles of operation 55
Quality control and extending tube life 56
Summary 59
Critical thinking questions 59
Review questions 59
6 X-ray production 61
Objectives 61
Key terms 61
Introduction 61
Photons (target interactions) 61
Heat production 62
Characteristic interactions 62
Bremsstrahlung interactions 63
Properties of the x-ray beam 65
Beam quantity 65
Beam quality 66
Emission spectrum 67
Summary 70
Critical thinking questions 71
Review questions 71
7 X-ray interactions with matter 73
Objectives 73
Key terms 73
Introduction 73
Classical interactions 73
Compton interactions 74
Photoelectric interactions 75
Pair production 77
Photodisintegration 77
Differential absorption 77
Summary 79
Critical thinking questions 80
Review questions 80
II Image Production and Evaluation 81
8 Image production 82
Objectives 82
Key terms 82
Introduction 82
Differential absorption 82
Beam attenuation 83
Absorption 83
Scattering 83
Transmission 85
Factors affecting beam attenuation 86
Tissue thickness. 86
Type of tissue. 86
Tissue density.  87
X-ray beam quality. 87
Imaging effect. 87
Image receptors 88
Digital image receptors 88
Film-screen image receptors 88
Dynamic imaging: Fluoroscopy 89
Image intensification. 89
Brightness gain. 89
Summary 90
Critical thinking questions 91
Review questions 91
9 Image quality and characteristics 92
Objectives 92
Key terms 92
Introduction 93
Image quality 93
Brightness or density 93
Contrast 94
Spatial resolution or recorded detail 96
Distortion 97
Size distortion (magnification). 97
Shape distortion. 97
Scatter 99
Quantum noise 99
Image artifacts 99
Digital image characteristics 101
Brightness 101
Contrast 104
Spatial resolution 105
Image noise 105
Film-screen characteristics 106
Density 107
Optical density. 107
Diagnostic range. 107
Radiographic contrast 108
Sensitometry 109
Sensitometric equipment. 109
Penetrometer. 109
Sensitometer. 109
Log relative exposure. 109
Regions. 109
Toe region. 109
Straight-line region. 109
Shoulder region. 109
Film characteristics. 109
Speed. 109
Speed point. 109
Speed exposure point. 109
Contrast. 109
Average gradient. 109
Exposure latitude. 109
Recorded detail 114
Summary 114
Critical thinking questions 115
Review questions 115
10 Radiographic exposure technique 117
Objectives 117
Key terms 117
Introduction 118
Primary factors 118
Milliamperage and exposure time 118
Kilovoltage 121
Secondary factors 124
Focal spot size 124
Source-to-image receptor distance 125
Object-to-image receptor distance 127
Calculating magnification 127
Central ray alignment 129
Grids 130
Beam restriction 132
Generator output 132
Tube filtration 132
Film-screen relative speed (RS) 132
Compensating filters 133
Patient factors 133
Body habitus 133
Part thickness 133
Pediatric patients 136
Radiation protection review 136
KVp and mAs 136
Beam restriction 136
Grid selection 137
Film-screen speed 137
Excessive radiation exposure and digital imaging 137
Summary 137
Critical thinking questions 137
Review questions 137
11 Scatter control 139
Objectives 139
Key terms 139
Introduction 139
Beam restriction 140
Beam restriction and scatter radiation 140
Collimation and contrast 141
Compensating for collimation 141
Types of beam-restricting devices 142
Aperture diaphragms. 142
Cones and cylinders. 142
Collimators. 142
Automatic collimators. 142
Radiographic grids 145
Grid construction 145
Grid pattern. 145
Grid focus. 145
Types of grids 148
Stationary and reciprocating grids. 148
Long- versus short-dimension grids. 148
Grid performance 148
Grid cutoff 150
Upside-down focused. 150
Off-level. 150
Off-center. 150
Off-focus. 150
Moiré effect 150
Grid usage 151
Radiation protection 153
The air gap technique 153
Shielding accessories 154
Summary 154
Critical thinking questions 155
Review questions 155
12 Image receptors 156
Objectives 156
Key terms 156
Introduction 157
Digital receptors 157
Detector types 157
Computed radiography systems. 157
Direct radiography systems. 157
Image acquisition, extraction and processing, and display 161
Acquisition 161
Extraction and processing 161
Display 162
Using digital receptors 164
Quality assurance and quality control 168
Daily 168
Monthly or quarterly 168
Picture archiving and communication systems 169
Radiographic film 172
Film construction 172
Latent image formation 172
Film characteristics 173
Film speed. 173
Film contrast and film latitude. 173
Spectral sensitivity. 173
Intensifying screen characteristics 173
Screen speed. 173
Screen maintenance. 173
Automatic film processing 177
Components 177
Developing. 177
Fixing. 177
Washing. 177
Drying. 177
Systems 178
Quality control 180
Silver recovery 182
Summary 182
Critical thinking questions 184
Review questions 184
13 Exposure technique selection 186
Objectives 186
Key terms 186
Introduction 187
Radiation detectors 187
Phototimers 187
Ionization chamber systems 188
Milliamperage/second readout 189
Kilovoltage peak and milliamperage/second selection 189
Minimum response time 189
Backup time 190
Density adjustment 190
Alignment and positioning considerations 190
Detector selection 190
Patient centering 191
Detector size 192
Compensating issues 192
Patient considerations 192
Collimation 193
Image receptor variations 193
Anatomically programmed radiography 193
Quality control 194
Calibration 194
Quality control testing 194
Exposure technique charts 195
Conditions 196
Design characteristics 197
Types of technique charts 197
Variable kvp–fixed mas technique chart. 197
Fixed kvp–variable mas technique chart. 197
Exposure technique chart development 199
Special considerations 199
Projections and positions. 199
Casts and splints. 199
Casts. 199
Splints. 199
Pathologic conditions. 199
Soft tissue. 199
Contrast media. 199
Summary 202
Critical thinking questions 202
Review questions 202
III Specialized Radiographic Equipment 204
14 Image-intensified fluoroscopy 204
Objectives 205
Key terms 205
Introduction 205
Construction 206
Intensification principles 207
Viewing and recording systems 209
Viewing systems 209
Camera tube. 209
Charge-coupled device. 209
Coupling of devices to the image intensifier. 209
Television monitor. 209
Liquid crystal display monitors. 209
Plasma monitors. 209
Recording systems 209
Cassette spot film. 209
Film cameras. 209
Digital fluoroscopy 213
Fluoroscopic controls and settings 214
Quality control 215
Summary 217
Critical thinking questions 218
Review questions 218
15 Additional equipment 219
Objectives 219
Key terms 219
Introduction 219
Mobile equipment 219
Radiographic units 219
Fluoroscopic units 220
Dedicated units 221
Chest 221
Panoramic X-ray 221
Bone densitometry 221
Mammography 222
Unique features. 222
Linear tomography 223
Tomographic angle 224
Fulcrum 224
Focal plane 224
Exposure technique 225
Summary 225
Critical thinking questions 225
Review questions 225
16 Computed tomography 227
Objectives 227
Key terms 227
Introduction 228
Development 228
Generations 229
Additional advancements 230
Image data production 231
Image reconstruction 234
Computed tomography image characteristics 234
Reconstruction process 234
Imaging controls and data storage 235
Equipment 235
Protocols 236
Postprocessing 236
Multiple options 236
Windowing 236
Image quality 238
Noise 239
Spatial resolution 240
Contrast resolution 240
Artifacts 240
Quality control 242
Radiation protection 242
Dose notification and alerts 244
Summary 246
Critical thinking questions 246
Review questions 247
Appendix A answers to review questions 249
Glossary 250
Index 257
A 257
B 257
C 258
D 259
E 260
F 261
G 262
H 262
I 263
J 264
K 264
L 264
M 264
N 265
O 265
P 265
Q 266
R 266
S 267
T 268
U 269
V 269
W 269
X 269
Z 269
Endsheet 1
Endsheet 1
Inside front cover ibc