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RADR 1313 Ch. 4 Digital Image

Total questions: 140

Worksheet time: 1hrs 14mins

Name
Class
Date
1.

___ is stored digital data and must be processed by a computer for viewing on a display monitor

a)

Latent Image

b)

Luminance

c)

Computed Radiography

d)

Image Matrix

2.

____ is accomplished by using a specialized Image Receptor that can produce a computerized Radiographic Image

a)

Latent Image

b)

Luminance

c)

Radiographic Contrast

d)

Image Matrix

3.

___ is formed in the PSP when the exit x-ray intensities are absorbed by the Phosphor and the Europium Atoms become ionized by the Photoelectric Effect

a)

Latent Image

b)

Luminance

c)

Radiographic Contrast

d)

Image Matrix

4.

___ is the emission of light when stimulated by Radiation

a)

Luminescence

b)

Contrast

c)

Density

d)

PSP

5.

___ phenomena that emits visible light when stimulated by a high-initensity laser beam

a)

Luminescence

b)

Photostimulable Luminescence

c)

Photostimulable Phosphor

d)

Latent Image

6.

___ is a layer composed of Barium Fluorohalide Crystals doped with Europium

a)

Luminescence

b)

Photostimulable Luminescence

c)

Photostimulable Phosphor

d)

Latent Image

7.

CR Latent Image is acquired in the ___ of the Imaging Plate.

a)

Conduction Band

b)

Valence Band

c)

Photostimulable Layer

d)

Image Receptor

8.

___ have a self scanning readout mechanism that employs an array of x-ray detectors that receive the exit radiation and convert the varying x-ray intensities into proportional electronic signals for digitization.

a)

Latent Image

b)

PSP

c)

CR IR

d)

Digital IR

9.

CR require 3 steps for Imaging Acquisitions and results in a longer delay between Image Capture and Image Readout

a)

True

b)

False

10.

DR Images take awhile to process after exposure.

a)

True

b)

False

11.

Digital Radiography Receptors are stronger but more expensive than Computed Radiography Receptors

a)

True

b)

False

12.

___ is a solid-state IR employing a large-area active matrix array of electronic components

a)

Flat-Panel Detectors

b)

Detector Elements

c)

Indirect Conversion Detectors

d)

Direct Conversion Detectors

13.

Which layer of Flat-Panel Detectors houses the Thin-Film-Transister (TFT) Array

a)

First Layer

b)

Second Layer

c)

Third Layer

d)

Fifth Layer

14.

___ contains an x-ray sensitive area representing each Pixel in the Image Matrix

a)

Detector Elements (DEL)

b)

Thin Film Transistor Array

c)

Photostimulable Phosphor

d)

Scintillator

15.

What limits Spatial Resolution for Flat-Panel Detector IRs?

a)

DEL

b)

Scintillator

c)

Glass Substrate

d)

X-Ray Converter

16.

____ uses a Scintillator to convert Exit Radiation into visible light

a)

Flat-Panel Detectors

b)

Detector Elements

c)

Indirect Conversion Detectors

d)

Direct Conversion Detectors

17.

Scintillator is made up of Cesium Iodide (CsI) or Gladolinium Oxysulfide (Gd202S)

a)

True

b)

False

18.

__ will produce light following the absorption of the x-rays.

a)

Scintillator

b)

Thin Film Transistor Array

c)

Photostimulable Phosphor

d)

Latent Image

19.

Scintillator will produce light following the absorption of x-rays and is then converted to Electrical chargers by ___

a)

Photodetectors

b)

Imaging Receptors

c)

Capacitors

d)

Cesium Iodide

20.

Where are eletrical charges temporarily stored, in the TFT array of Indirect Conversion Detectors, before being digitized?

a)

Photodetectors

b)

Imaging Receptors

c)

Capacitors

d)

Cesium Iodide

21.

Structured Scintillator Phosphors are in the form of needles or columns and ___ the spread of visible light and yields images with ___ Spatial Resolution

a)

Increase; Lower

b)

Reduce; Higher

c)

Increase; Higher

d)

Reduce; Lower

22.

(Choose 2) Indirect Conversion Detectors convert x-ray intensities to ___ then to ___

a)

First Visible Light

b)

Second Electrical Charges

c)

First Electrical Charges

d)

Second Visible Light

23.

Converts Exit Radiation to Electrical charges.

a)

Direct Conversion Detectors

b)

Indirect Conversion Detectors

c)

Flat Panel Detectors

24.

Converts Exit Radiation to Visible Light then to Electrical Charges

a)

Direct Conversion Detectors

b)

Indirect Conversion Detectors

c)

Flat Panel Detectors

25.

Constructed with layers in order to receive x-ray photons and convert them to Electrical Charges for storage and readout

a)

Direct Conversion Detectors

b)

Indirect Conversion Detectors

c)

Flat Panel Detectors

26.

___ uses Amorphous Selenium (a-SE) Detectors to convert the Exit Radiation to electrical charges

a)

Indirect Conversion Detectors

b)

Direct Conversion Detectors

c)

Flat-Panel Detector

27.

What is applied across the Selenium Layer to limit Lateral Diffusion of electrons as they migrate toward the Thin-Film Transistor Array?

a)

Electric field

b)

mAs

c)

kVp

d)

Layer of Phosphor

28.

Applying an electric field to Direct Conversion Detector maintains excellent spatial resolution

a)

True

b)

False

29.

___ a digital composite of the varying x-ray intensities exiting the patient

a)

Image Matrix

b)

Latent Image

c)

Image Receptor

d)

Photostimulable Phosphor

30.

___ are patterned in the computer to form the Image Matrix.

a)

Pixel

b)

Pixel Depth

c)

Pixel Bit

d)

Digitized Pixel Intensities

31.

Each Pixel has a brightness level to represent ___ of the volume of tissue being imaged.

a)

Contrast

b)

Density

c)

Attenuation Characteristics

d)

Shades of Gray

32.

Once varying x-ray intensities, in Direct Conversion Detectors, are converted to numeric data, the digital image can be electronically be: (choose 4)

a)

Processed

b)

Manipulated

c)

Transported

d)

Stored

e)

re-exposed

33.

Advantages of Digital Imaging: (Choose 3)

a)

Flexibility to alter Brightness and Contrast

b)

Regardless of the Exposure Technique Factors, any anatomic structures can be well visualized

c)

Computers can also provide postprocessing image manipulations to further improve the visibility of the anatomic region

d)

Stronger and Cheaper Image Receptors

34.

Combination of rows and columns of small squares called pixels

a)

Pixel Depth

b)

Pixel Pitch

c)

Pixel Bit

d)

Matrix

35.

Smallest Component of the Matrix

a)

Pixel

b)

Matrix Size

c)

Capacitor

d)

DEL

36.

Each Pixel is recorded as multiple numerical values to represent brightness level on a display monitor.

a)

True

b)

False

37.

Pixels representing highly attenuating tissues means ___

a)

Increased Absorption

b)

Decreased Absorption

c)

Increased Penetration

d)

Increased Density

38.

Pixels representing highly attenuating tissues means ___

a)

Higher Brightness

b)

Decreased Absorption

c)

Lower Brightness

d)

Increased Density

39.

Pixels representing highly attenuating tissues means ___

a)

Assigned a lower value

b)

Decreased Absorption

c)

Lower Brightness

d)

Assigned a higher value

40.

Pixels representing tissue of Low Attenuation means ____.

a)

Increased Absorption

b)

Decreased Absorption

c)

Assigned a lower value

41.

Pixels representing tissue of Low Attenuation means ____.

a)

Increased Absorption

b)

Assigned a Higher value

c)

Increased Penetration

d)

Assigned a lower value

42.

Pixels representing tissue of Low Attenuation means ____.

a)

Higher Brightness

b)

Lower brightness

c)

Decreased Penetration

d)

Assigned a lower value

43.

If Field of View is increased for a Fixed Matrix Size

a)

Pixel Size Increases (direct relationship)

b)

Pixel Size is decreased (inverse relationship)

44.

If Matrix Size is increased for a Fixed FOV:

a)

Pixel Size is Decreased (Inverse Relationship)

b)

Pixel Size is Increased (Direct Relationship)

45.

Pixel Size is inversely related to FOV and directly related to Matrix Size

a)

True

b)

False

46.

Increasing FOV for the SAME Matrix Size: (Choose 2)

a)

Increases Pixel Size

b)

Decreases Spatial Resolution

c)

Decreases Pixel Size

d)

Increases Spatial Resolution

47.

Increasing the Matrix Size (Same FOV): (Choose 2)

a)

Decreases Pixel Size

b)

Increases Spatial Resolution

c)

Increases Pixel Size

d)

Decreases Spatial Resolution

48.

Number of bits that determines the precision with which the Exit Radiation is recorded and controls the exact Pixel Brightness that can be displayed

a)

Pixel Pitch

b)

Density

c)

Contrast

d)

Pixel Bit Depth

49.

Pixel Bit Depth is determined by an Analog to Digital Converter (ADC)

a)

True

b)

False

50.

Larger the Bit Depth > Lower Shades of Gray

a)

True

b)

False

51.

___ is limited to the size of the Pixel

a)

Spatial Resolution

b)

Spatial Frequency

c)

Pixel Bit Depth

d)

Pixel Pitch

52.

___ is defined by the unit of line pairs per millimeter (lp/mm)

a)

Spatial Resolution

b)

Spatial Frequency

c)

Pixel Bit Depth

d)

Pixel Pitch

53.

Smaller Objects have: (Choose 2)

a)

Higher Spatial Frequency

b)

Lower Spatial Frequency

c)

Are easier to accurately Image

d)

Are harder to accurately Image

54.

Larger Objects have: (Choose 2)

a)

Higher Spatial Frequency

b)

Lower Spatial Frequency

c)

Are easier to accurately Image

d)

Are harder to accurately Image

55.

Measurement of the Imaging System's ability to display contrast of Anatomic Objects varying in size

a)

Analog to Digital Converter (ADC)

b)

Modulation Transfer Function (MTF)

c)

Detective Quantum Efficiency

d)

Automatic Exposure Control

56.

MTF of 0 shows __ in brightness levels. MTF of 1.0 shows __ in brightness levels

a)

No difference; maximum difference

b)

Maximum difference; no difference

57.

Determines how often the Analog Signal is reproduced in its discrete digitized form

a)

Sampling Frequency

b)

Sampling Pitch

c)

Quantization

d)

Spatial Resolution

58.

Difference between the Sampling Points

a)

Sampling Frequency

b)

Sampling Pitch

c)

Quantization

d)

Spatial Resolution

59.

Each pixel is assigned to a numerical value during this process

a)

Sampling Frequency

b)

Sampling Pitch

c)

Quantization

d)

Spatial Resolution

60.

To digitize a Digital Signal from the Photomultiplier Tube, it first must be sampled.

a)

True

b)

False

61.

Increasing Sampling Frequency creates a smaller Sampling Pitch

a)

True

b)

False

62.

Increasing the Sampling Frequency: (Choose 3)

a)

Smaller Sampling

b)

Smaller Sampling Pitch

c)

Improves Spatial Resolution

d)

Decreases Spatial Resolution

e)

Larger Sampling Pitch

63.

Manufacturers use Fixed Sampling Frequencies to maintain ___ Spatial Resolution

a)

increased

b)

decreased

c)

fixed

d)

varying

64.

Manufacturers use Varying Sampling Frequency to maintain ___ Matrix Size

a)

Increased

b)

Decreased

c)

Fixed

d)

Varying

65.

If a Matrix Size is fixed, changing the size of the IP would affect the Spatial Resolution.

a)

True

b)

False

66.

For a Fixed Matrix Size a CR System, using a smaller IP for a given FOV would:

a)

Improve Spatial Resolution

b)

Decrease Spatial Resolution

67.

Increasing the size of the IP for a given FOV would:

a)

Increase Spatial Resolution

b)

Decrease Spatial Resolution

68.

What determines Spatial Resolution? (Choose 2)

a)

Pixel Size

b)

Pixel Pitch

c)

Pixel Bit Depth

d)

Shades of Gray

69.

What determines the system's ability to display a range of shades of gray to represent Anatomic Tissues?

a)

Pixel Bit Depth

b)

Pixel Size

c)

Pixel Mitch

d)

MTF

70.

The ability of a detector to accurately capture the range of photon intensities that exit the patient.

a)

Dynamic Range

b)

Spatial Resolution

c)

FOV

d)

Density and Contrast

71.

CR Imaging Receptors have a much higher Dynamic Range.

a)

True

b)

False

72.

An advantage of Digital IR is even with a small degree of underexposure and overexposure would still result in an acceptable Image Quality.

a)

True

b)

False

73.

Even if Optimal Exposure Techniques are not used, what can help during the processing step can produce images with the appropriate brightness levels

a)

Image Rescaling

b)

Electronic Masking

c)

Window Depth

d)

Contrast Enhancement

74.

Lower than necessary x-ray exposures can be detected and processed > Image Quality suffers because there is insufficient exposure and results in ___.

a)

Quantum Noise

b)

Fog

c)

Scatter Radiation

d)

Low Brightness

75.

Computer can process the data resulting from an IR exposed to higher-than-necessary-radiation and produce a quality that results in a(an)___.

a)

Increase pt exposure

b)

Quality Image

c)

Sufficient Spatial Resolution

d)

Increased Sampling Frequency

76.

Digital IR have a Wide Dynamic Range and can accurately capture a narrow range of x-ray intensities exiting the pt

a)

True

b)

False

77.

Measurement of the efficiency of an Image Receptor in converting x-ray exposure it receives to a Quality Radiographic Image.

a)

DQE

b)

MTF

c)

PSP

d)

Pixel Bit Depth

78.

A higher DQE means:

a)

Less x-ray exposure to produce a Quality Radiographic Image

b)

Normal x-ray exposure to produce a Quality Radiographic Image

c)

More x-ray exposure to produce a Quality Radiographic Image

79.

Method of describing the strength of the Radiation Exposure compared with the amount of noise to apparent in the Digital Image.

a)

Contrast to Noise Ratio

b)

Signal to Noise Ratio

c)

Quantization to Signal Ratio

d)

Pixel to Noise Ratio

80.

Because the Photon Intensities are converted to an Electronic Signal that is Digitized by the ADC, what term refers to the strength or amount of Radiation Exposure captured by the IR to create an Image?

a)

Signal

b)

Pixel

c)

PSP

d)

Contrast

e)

Density

81.

____ the SNR improves the quality of the Digital Image

a)

Increasing

b)

Decreasing

c)

Disabling

d)

Enabling

82.

____ the SNR means ____ in Noise compared to the Strength of the Signal. (Choose 2)

a)

Increasing; Increasing

b)

Decreasing; Increasing

c)

Decreasing; Decreasing

d)

Increasing; Decreasing

83.

Occurs when there are too few x-ray photons captured by the IR to create a Latent Image.

a)

Quantum Noise

b)

High SNR

c)

Low SNR

d)

Decreased Spatial Resolution

84.

Method of describing the Contrast Resolution compared with the amount of Noise apparent in a Digital Image

a)

CNR

b)

SNR

c)

DQE

d)

Quantum Noise

85.

Brightness difference sin the Digital Image are a result of varying Exit Radiation Intensities from the ___ of the x-ray beam.

a)

Attenuation

b)

DEL

c)

PSP

d)

Anode Side

86.

A system with ___ means that Anatomic Tissues that attenuate the x-ray beam with Low Subject Contrast can be better visualized.

a)

Higher Contrast Resolution

b)

Low CNR

c)

High CNR

d)

Lower Contrast Resolution

87.

If the image has increased Noise, the _______ will not be well visualized

a)

Low Subject Contrast Tissue

b)

High Subject Contrast Tissue

88.

___ CNR will increase the visibility of Anatomic Tissues

a)

Higher

b)

Lower

c)

Enabling

d)

Disabling

89.

An Imaging Processing Technique commonly used to identify the edges of an image and assess the Raw Data prior to Image Display.

a)

Histogram Analysis

b)

LUT

c)

Windowing

d)

Rescaling

90.

Histogram Analysis is used for maintaining a consistent Image Brightness despite overexposure and underexposure of the IR.

a)

True

b)

False

91.

Graph of a Histogram represents the ___ VS the ____ (Choose 2)

a)

Number of Digital Pixel Values

b)

Number of Pixels

c)

Relative Prevalence of the Pixel Values

d)

Relative Prevalence of the Pixel Pitch

92.

In Histogram Analysis, a computer analyzes the Histogram using processing algorithms and compares it with ______ specific t the Anatomic Part being imaged.

a)

Pre-established Histogram

b)

Previous exposure's Histogram

c)

Histogram of an Average Patient

d)

Histogram chosen on Control Panel

93.

If at least 3 edges are not identified, during an exposure, all data including raw exposure or scatter outside the field, may be included in the histogram, resulting in ____

a)

Histogram Analysis Error

b)

Overexposure

c)

Underexposure

d)

Not being able to expose

94.

Provides a numerical value indicating the level of Radiation Exposure to the Digital IR.

a)

Exposure Indicator

b)

Deviation Index

c)

Digital Artifacts

d)

Overexposure/underexposure

95.

S Value of an Exposure Indicator is ____ related to the exposure.

a)

Directly

b)

Inversely

c)

Equal to

96.

Exposure Index is ____ related to the exposure.

a)

Directly

b)

Inversely

c)

Equal to

97.

Value that reflects the difference between the desired and the actual exposure to the IR.

a)

DI

b)

EI

c)

S-Value

d)

Exposure Indicator

98.

DI of 0 indicates:

a)

Increased Exposure to IR

b)

Decreased Exposure to IR

c)

No difference

99.

DI of greater than 0 indicates:

a)

Increased Exposure to IR

b)

Decreased Exposure to IR

c)

No difference

100.

DI of less than 0 indicates:

a)

Increased Exposure to IR

b)

Decreased Exposure to IR

c)

No difference

101.

Digital Artifacts usually occurs ___ Image Data Extraction ___ to the ADC or ____ the ADC Process and subsequent Signal Processing performed by the computer up to the point of Image Display.

a)

during; prior; during

b)

prior; during; during

c)

during; during; during

d)

during prior; prior

102.

IP Stains, Particulates, Scratches, Cracks, and Fogging are examples of ____.

a)

CR Detector Related Artifacts

b)

ADC Related Artifacts

c)

Post-processing Related Artifacts

d)

DQE Malfunction

103.

On CR Systems, what causes issues related with the Laser Optics, Transport Mechanisms, Light Guide, and Laser Sampling and Stationary Grid Frequencies?

a)

Artifacts occurring during Data Extraction

b)

Artifacts occurring prior to Data Extraction

104.

What refers to the display of the Digital Image at a Computer Workstation as opposed to viewing Images on Film or another physical Medium?

a)

Hard Copy Viewing

b)

Soft Copy Viewing

c)

Latent Image Viewing

d)

Post-Processing Viewing

105.

The quality of a Digital Image is not affected by important features of the Display Monitor.

a)

True

b)

False

106.

Luminance, Resolution, and Viewing Conditions (such as Ambient Lighting and Monitor Placement) are important factors in Computed Radiography.

a)

True

b)

False

107.

Which type of Display Monitor creates an image by Accelerating and Focusing electrons to strike the Faceplate of a Fluorescent Screen?

a)

CRT

b)

LCD

c)

HDTV

d)

HDMI

108.

A Display Monitor where an Image is scanned on the screen in lines. The number of lines affects the quality of the Displayed Image.

a)

CRT

b)

LCD

c)

HDTV

d)

HDMI

109.

A display monitor that recommends that it can scan at least 525 lines per 1/30th of a second.

a)

CRT

b)

LCD

c)

HDTV

d)

HDMI

110.

A display monitor that passes light through Crystals to display the Image on the Faceplate.

a)

CRT

b)

LCD

c)

HDTV

d)

HDMI

111.

A display monitor that uses: Source for the electrical signals, light waveforms, and polarizing filters.

a)

CRT

b)

LCD

c)

HDTV

d)

HDMI

112.

What happens if you use a Display Monitor for viewing a Digital Image that cannot display a Matrix of that size (too few display pixels)?

a)

Decreased Image Quality

b)

Resized Image Quality

c)

No display

d)

Increased Image Quality

113.

Varying brightness levels emitted from the Monitor affects the quality of the Display Image.

a)

True

b)

False

114.

Luminance is expressed in Units of Candela per Square Meter

a)

True

b)

False

115.

Primary Monitors should be in the range of ____ Candela Per Square Meter

a)

100-300

b)

200-300

c)

300-500

d)

500-1000

116.

What determines Contrast Resolution of a Digital Image?

a)

Pixel BIt Depth

b)

Pixel Size and Pitch

c)

DEL

d)

Monitor

117.

A Digital Imaging System capable of displaying 16,384 shades of gray (14 bit) requires a Monitor capable of displaying a Large Grayscale Range.

a)

True

b)

False

118.

___ refers to a computer software available to the Radiographer and Radiologist that allow Manual Manipulation of the Displayed Image.

a)

Post-Processing

b)

ADC

c)

Rescaling

d)

Subtraction

119.

___ is when an Image is processed, regions viewed on the image can be altered further.

a)

Electronic Masking

b)

Rescaling

c)

Equalization

d)

Edge Enhancement

120.

Another name for Shuttering

a)

Electronic Masking

b)

Rescaling

c)

Equalization

d)

Edge Enhancement

121.

Altering the numerical data (brightness level displayed on the computer) to alter and better visualize the range of the recorded anatomic structures describes what?

a)

Electronic Masking

b)

Windowing

c)

Rescaling

d)

Equalization

122.

What sets the midpoint of the Range of Brightness visible in the image?

a)

Window Level

b)

ADC

c)

Photomultiplier Tube

d)

IR

123.

as Window Level increases, Image Brightness ____.

a)

Increases

b)

Decreases

124.

How would you decrease Image Brightness using the numerical data displayed on the computer monitor in post processing?

a)

Decreasing Window Level

b)

Collimate

c)

kVp

d)

mAs

125.

Full range of Digital Image Brightness Levels:

a)

0-2048

b)

0-1024

c)

14 bit

d)

8 bit

126.

High Pixel Value of 1078 > Volume of Tissue attenuates ___ x-ray photons and is displayed as ___ Brightness Level

a)

Fewer; Decreased

b)

Fewer; Increased

c)

More; Decreased

d)

More; Increased

127.

Low Pixel Value of 350 > Volume of Tissue attenuates ___ x-ray photons and is displayed as ___ Brightness Level

a)

Fewer; Decreased

b)

Fewer; Increased

c)

More; Decreased

d)

More; Increased

128.

Number of different Shades of Gray that can be stored and displayed by a Computer System

a)

Grayscale

b)

Contrast Resolution

c)

Spatial Resolution

d)

Window Depth

129.

Ability of the Imaging System to distinguish between objects that exhibits similar Densities because they Attenuate the x-ray beam similarly.

a)

Grayscale

b)

Contrast Resolution

c)

Spatial Resolution

d)

Window Depth

130.

A control that adjusts the Radiographic Contrast

a)

Grayscale

b)

Contrast Resolution

c)

Spatial Resolution

d)

Window Depth

131.

Contrast resolution is determined by ____. (Choose 2)

a)

Bit Depth

b)

Number of Shades of Gray Available for Image Display

c)

FOV

d)

Matrix Size

132.

Decreasing the Contrast Resolution, when Optimally Windowed, increases the visibility of very subtle Anatomic Features.

a)

True

b)

False

133.

Wide Window Width: (Choose 2)

a)

Lower Contrast

b)

Higher Contrast

c)

Lower Brightness Level

d)

Higher Brightness Level

134.

Narrow Window Width: (Choose 2)

a)

Lower Contrast

b)

Higher Contrast

c)

Lower Brightness Level

d)

Higher Brightness Level

135.

Technique that can remove superimposed structures so that the anatomic area of interest become more visible

a)

Subtraction

b)

Contrast Enhancement

c)

Edge Enhancement

d)

Inversion

e)

Smoothing

136.

Postprocessing technique that alters the Pixel Values to increase Image Contrast.

a)

Subtraction

b)

Contrast Enhancement

c)

Edge Enhancement

d)

Inversion

e)

Smoothing

137.

Improves visibility of small,high contrast structures; but increases noise

a)

Subtraction

b)

Contrast Enhancement

c)

Edge Enhancement

d)

Inversion

e)

Smoothing

138.

Reverses the grayscale from the Original Radiograph

a)

Subtraction

b)

Contrast Enhancement

c)

Edge Enhancement

d)

Inversion

e)

Smoothing

139.

suppresses Image Noise; Spatial Resolution degrades

a)

Subtraction

b)

Contrast Enhancement

c)

Edge Enhancement

d)

Inversion

e)

Smoothing

140.

Underexposed areas (light areas) are made Darker and Overexposed areas (Dark Areas) are made lighter

a)

Equalization

b)

Contrast Enhancement

c)

Edge Enhancement

d)

Inversion

e)

Smoothing