In: Physics
given a diagnostic radiograph, describe how the exposure technique would be adjusted for individual changes in mAs or exposure time, kVp, grid ratio, beam collimation, SID, film-screen RS, and patient thickness
Diagnostic Radiography produces high-quality images for diagnosis of injury or disease.
1.There is a directly proportional relationship between mAs and
quantity of radiation; if the mAs is doubled, the amount of
radiation is doubled.
2.Increasing kVp more photons produces with greater energy (more
penetrating). Although increasing kVp increases density of photons,
the effect changes (is not proportional) throughout the range of
kilovoltage used in diagnostic imaging. Low kVp produced a greater
variation of x-ray intensities, producing a high or short-scale
contrast image. Low kVp produces higher radiographic contrast, and
high kVp produces lower radiographic contrast.
3.The grid is the device which is used to absorb scatter radiation
in the radiation, leaving the patient before it reaches the image
receptor. Using the formula, mAs1/mAs2 = grid conversion factor1/
grid conversion factor2.
4.Increasing collimation less scatter produced, leading to fewer
photons reaching the IR (less density) and higher contrast.
Although the effect is minimal, but when increased tube filtration
results in a beam with higher energy photons, producing a
lower-contrast image.
5.When SID is increased, the beam intensity and radiation that is
reaching the IR is decreased. To maintaining the original exposure
to the IR, the mAs must be increased.
mAs1/mAs2 = (SID1)2/(SID2)2 This formula describing the
relationship between the mAs and SID. The mAs/distance compensation
formula describes the relationship between SID and mAs needed to
compensate for changes in SID. When the SID is increased from 36
inches SID to 72 inches SID, the mAs must be increased to maintain
exposure to the IR (but not by a factor of 2). Decreasing the SID
by a factor of 2 requires a decrease in mAs by a factor of 4.