WorksheetsComputed and Digital Radiography
Total questions: 80
Worksheet time: 1hrs 1mins
What year was Digital subtraction angiography (DSA) discovered?
1980
1987
1967
1977
1980 is the year where
Charge-coupled device (CCD) slot-scan
direct radiography (DR) is discovered
Use of Amorphous selenium–based image plates
Computed radiography (CR), storage
phosphors is discovered
Dynamic flat-panel detector fluoroscopy–
digital subtraction angiography
Amorphous selenium–based image plates was used during this year
1977
1987
1980
1995
1990 is the birth of
Charge-coupled device (CCD) slot-scan
direct radiography (DR)
Amorphous selenium–based image plates
Selenium drum DR
Dynamic flat-panel detector fluoroscopy–
digital subtraction angiography
In 1994, a drum Direct Radiology (DR) emerged for imaging with ___________ as its main component
Calcium
silicon–cesium iodide
Gadolinium
Selenium
Amorphous silicon–cesium iodide (scintillator)
flat-panel detector was developed in _______________
1995
1985
1994
1997
Use of Gadolinium-based (scintillator) portable
flat-panel detector has emerged during this year
1997
2001
1995
1995
Gadolinium-based (scintillator) flat-panel
detector was used in _______
1995
1990
1997
1994
In 1995, what is the component of the flat panel detector used?
Selenium and Calcium
Gadolinium and Amorphous silicon–cesium iodide (scintillator)
Selenium and Gadolinium
Amorphous silicon–cesium iodide (scintillator) and Selenium
Photostimulable phosphor (PSP) imaging is better known as
Conventional radiography
Computed Radiography (CR)
Direct Digital Radiography
Indirect Digital Radiography
CR system consists of the following except
Photomultiplier tube (PMT), ADC (analoge to digital converter)
Image reader/digitizer/scanner
Image plate (photostimulable phosphor) PSP
X ray or gamma ray source
HIS
The fundamental innovations in the development of CR was by ___________ who conceived the storage of an X ray image in a phosphor screen.
Fuji
Kodak
Agfa
Panasonic
The fundamental innovations in the development of CR was by a Carestream staff ( ___________ in ______) who conceived the storage of an X ray image in a
phosphor screen.
Muckey in 1985
Luckey in 1985
Muckey in 1975
Luckey in 1975
Storage of an X ray image in a
phosphor screen was later used as a significant technical steps and conceptualization of the
application of CR by _______________
Agfa
Carestream
Kodak
Fuji
The main developer of CR in the eighties
Agfa
Fuji
Carestream
Kodak
Kotera et al where the the main developer of CR in _________
1970
1980
1990
20th century
The CR plate or IR has a thin layer of phosphor grains called
Barium Fluorohalide Phosphor
Photostimulable Phosphor (PSP)
Polyester Support Phosphor
Photomultiplier Tube (PMT)
A latent image is created in the form of “stored energy”. Latent image is
visible image
invisible image
manifest image
high quality image
Stimulation with a scanning laser beam releases
protons
electrons
stored energy
neutrons
Typical wavelength of the stimulating laser is
633 mm
623 nm
623 mm
633 nm
Typical wavelength of the emitted light is
390 mm
390 nm
340 nm
340 mm
The emitted light intensity is _______________ to
the original incident X-ray intensity
inversely proportional
directly proportional
no effect
greater
The light is collected by a light guide and transmitted to a highly sensitive analog device known as
Photomultiplier Tube (PMT)
Analog-to-Digital converter (ADC).
focused laser beam
Photostimulable Phosphor (PSP)
During which the trapped electrons absorb the laser energy and they emit _________ light with intensity proportional to the amount of radiation received during the exposure as they return to their ground state.
red
blue
orange
green
Then a specialized machine known as a scanner/digitizer is then used to read out the latent image from the plate by stimulating it with a very finely focused __________
beam.
laser
xray
phosphor
intensifying screen
Before exposing the cassette, the patient
demographic and exam data is stored on the
microchip attached on cassette thru the
Digitizer
Processing Server
Patient ID Station
Laser Camera
2 or more CR casettes can be accommodated for processing using
single loader scanner
multi loader scanner
single patient ID workstation
multi patient ID workstation
In the digitizer, this ____________ light energy is
converted to _______________ which are
then digitized to produce digital images
red - electrons
blue - electrons
blue - electrical signals
red - electrical signals
After exposure and scanning, the phosphor
plate is "erased" by exposing to a ____________ light
exposure within the digitizer
red
blue
orange
bright
Imaging Plates are known to last more
than ___________ Exposure Cycles
5,000
50,000
500,000
1 million
Does CR require X-ray machine replacement?
No but requires software update of the X-ray equipment
It depends on the system
YES, CR does not support existing X-ray equipment
No, CR uses the existing X-ray equipment
Which of the following statement is a FACT?
One CR system can support one x-ray
room
Two CR system can support multiple x-ray
rooms
One CR system can support multiple x-ray
rooms
Two CR system can only support one x-ray
rooms
Which is the correct CR workflow?
Exposure ---> IR ---> Patient ID ---> Digitizer ---> Network
Patient ID ---> IR ---> Exposure ---> Digitizer ---> Network
IR ---> Exposure ---> Patient ID ---> Digitizer ---> Network
Digitizer ---> Network ---> IR ---> Exposure ---> Patient ID
All of the following statement is an advantage of CR except:
Faster image receptor, so lower patient dose is possible.
Post-processing ,manipulation & storage of images.
Repeat examinations are reduced due to wide exposure latitude.
Dose-creep : since , exposure latitude is wide , high exposure technique is
used which increases the patient dose
which is called dose-creep.
Ability to produce consistent high quality images.
What materials does Photostimulable luminescence use?
Barium Fluro cyanide with europium
Barium Fluro halide with euphorium (BaFBr; Eu or BaFI:Eu)
Barium Fluro halide with europium (BaFBr; Eu or BaFI:Eu)
Barium Sulfate with europium (BaS; Eu or BaS:Eu)
Film-screen combination is an image receptor (IR) for
Computed Radiography
Direct Digital Radiography
Traditional Radiography
Indirect Digital Radiography
Darkroom : Conventional Radiography
______________________ : Digital Radiography
Automatic Processor
Digitizer
Digital Imager
Scanner
When using a Screen-Film combination, output is evaluated through a
Processing Server
Patient ID
Negatoscope
Computer with viewing/ analysis software
All of the following are archived using a PACS (Picture archiving and communication system) except:
Direct Digital Radiography
Indirect Digital Radiography
Computed Radiography
Conventional Radiography
For one to access an image in CR or DR, one must have a
user account in HIS
user account in RIS
user account in PACS
super power
Which of the following system has a higher likelihood of getting lost during archiving:
Indirect Digital Radiography
Conventional Radiography
CR
Direct Digital Radiography
To avoid artifacts in films, it must be stored in the right
Temperature
Humidity
Filing System
All except Filing System
Which requires an entire new system during migration, update or change in facility?
Conventional Radiography
Digital Radiography
CR
Traditional Radiography
Which is the cost-efficient system over time?
Conventional Radiography
Indirect Digital Radiography
CR
Direct Digital Radiography
Which is the following system is not penetrated thru hacking?
Computed Radiography
Indirect Digital Radiography
Conventional Radiography
Direct Digital Radiography
Which is the following system has the longest processing time?
Computed Radiography
Indirect Digital Radiography
Conventional Radiography
Direct Digital Radiography
Which Image Receptor (IR) cannot be re-used?
Computed Radiography
Conventional Radiography
Direct DR
Indirect DR
Which is the following system is prone to artifacts?
Computed Radiography
Indirect Digital Radiography
Conventional Radiography
Direct Digital Radiography
Which can be processed manually or thru automatic processor?
Conventional Radiography
Digital Radiography
Computed Radiography
Traditional Radiography
Which requires a bigger facility?
Indirect DR
Direct DR
CR
Traditional Radiography
In PSP or CR cassette, this thin layer of transparent film that
protects the phosphor.
Polyester Support Layer
Protective Layer
Backing Layer
Light reflective Layer
In PSP or CR cassette, this is a closely dispersed
of fine-grained, Photostimulable europium-activated, barium Fluor halide crystals, that store the latent image until released when re-stimulated during processing.
Polyester Support Layer
Protective Layer
Barium Fluor halide Phosphor Layer
Light reflective Layer
In PSP or CR cassette, this layer increases the intensity of
light being emitted from the crystals by reflecting it back
toward the reader, instead of it being absorbed.
Polyester Support Layer
Protective Layer
Barium Fluor halide Phosphor Layer
Light reflective Layer
In PSP or CR cassette, this light absorbing layer is made up
of conductive needle-like crystals that absorb any unreflected light as well as any electrostatic charges.
Polyester Support Layer
Backing Layer
Conductive Layer
Light reflective Layer
In PSP or CR cassette, this layer is made from a polyester material, this layer gives structural rigidity and a base for the coating of all of the other layers. Polyester is used because of its excellent stabilities well as its durability and flexibility
Polyester Support Layer
Backing Layer
Conductive Layer
Light reflective Layer
In PSP or CR cassette, this layer is made of carbon particle layer that prevents the light from leaking from the rear of the imaging
plate
Polyester Support Layer
Backing Layer
Conductive Layer
Light Shielding Layer
In PSP or CR cassette, this is a protective layer made from a soft polymer that prevents scratching when the plates are stacked during the manufacturing process.
Polyester Support Layer
Backing Layer
Conductive Layer
Light Shielding Layer
In a CR System, when the X-ray is absorbed by the material, absorbed energy excites the europium atoms, causing ionization of Eu atom.
True
False
In a CR system, specialized cassettes should be read out up to _____________ hours after exposure due to the thermal motion the trapped electrons will slowly be liberated
from the traps.
4
6
8
10
In a CR system, a ____________________ useful for light detection of very weak signals, is a photo emissive device in which the absorption of a photon results in the emission of
an electron.
Laser Light
A photomultiplier tube (PMT)
Farbzentren center
Photodiode
In a CR system, Frosting happens if the residual latent image remained so it should be removed by flooding with intense white light.
True
False
CR technology can be considered as the digital replacement of conventional X-ray film.
True
False
In a CR and DR system, repeat examinations are reduced due to wide exposure latitude.
True
False
With the use of specializeed cassette, a CR system there has an increased savings than DR system.
True
False
Since, exposure latitude is wide in a CR system, high exposure technique is used which increases the patient dose which is called dose-creep.
True
False
The following are limitations of conventional radiography except:
One has to choose between good contrast and good latitude
Image cannot be adjusted once taken
Decreased time to acquire images thereby increasing patient throughput in medical diagnosis.
Require space for dark room and film/chemicals storage..
The following are limitations of conventional radiography except:
Films cannot tolerate a wide range in radiation exposure (OD - log E curve)
Global data exchange via a local network and/or the Internet
Films cannot tolerate a wide range in radiation exposure (OD - log E curve)
Require space for dark room and film/chemicals storage..
In computed radiography, the imaging plates are inserted in a radiographic table’s cassette holder and are exposed to X-rays or ____________
Radioactive source
Gamma Rays
Magnetic Field
Ultraviolet rays
The energy of the incoming radiation is stored in a special phosphor layer, electrons in the phosphor plate are excited into a higher energy state, forming a ____________ image.
Manifest
Latent
Visible
Compressed
During which the trapped electrons absorb the laser energy and they emit blue light with intensity proportional to the amount of radiation received during the exposure as they return to their ground state. This happens in a _____________
Direct Digital Radiography
Indirect Digital Radiography
CR
Conventional Radiography
CR system consists of the following except:
Image reader/digitizer/scanner
Photomultiplier tube (PMT), ADC (analoge to digital converter)
Image plate (photostimulable phosphor) PSP
Film
X ray or gamma ray source
Image reader/digitizer/scanner can be Single-plate readers or Multiple-plate readers
True
False
Imaging plates can typically be used up to ______________ times or more depending on the application.
100
10,000
1,000
1,000,000
In a CR system, the digital image is then produced in __________ seconds and downloaded to an image-processing
system, usually a computer workstation, for display and manipulation.
30-90
30-120
60-120
60-150
The CR plates are usually 2 mm thick and are coated with Europium activated fluorohalide compounds in crystalline formation embedded in organic
binding material.
True
False
The purpose of patient ID station
stores image
display image
stores patient demographic and exam data
sends images
The function of digitizer
stores patient data
produces digitized image
bright light is produced and converted to electrical signal
blue light is produced and converted to electrical signal
Film-screen imaging is erasable?
Yes
No
PSP imaging is erasable?
Yes
No
Detector DR imaging is erasable?
Yes
No
