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WorksheetsRADR 1313 Ch. 4 Digital Image
Total questions: 140
Worksheet time: 1hrs 14mins
___ is stored digital data and must be processed by a computer for viewing on a display monitor
Latent Image
Luminance
Computed Radiography
Image Matrix
____ is accomplished by using a specialized Image Receptor that can produce a computerized Radiographic Image
Latent Image
Luminance
Radiographic Contrast
Image Matrix
___ 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
Latent Image
Luminance
Radiographic Contrast
Image Matrix
___ is the emission of light when stimulated by Radiation
Luminescence
Contrast
Density
PSP
___ phenomena that emits visible light when stimulated by a high-initensity laser beam
Luminescence
Photostimulable Luminescence
Photostimulable Phosphor
Latent Image
___ is a layer composed of Barium Fluorohalide Crystals doped with Europium
Luminescence
Photostimulable Luminescence
Photostimulable Phosphor
Latent Image
CR Latent Image is acquired in the ___ of the Imaging Plate.
Conduction Band
Valence Band
Photostimulable Layer
Image Receptor
___ 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.
Latent Image
PSP
CR IR
Digital IR
CR require 3 steps for Imaging Acquisitions and results in a longer delay between Image Capture and Image Readout
True
False
DR Images take awhile to process after exposure.
True
False
Digital Radiography Receptors are stronger but more expensive than Computed Radiography Receptors
True
False
___ is a solid-state IR employing a large-area active matrix array of electronic components
Flat-Panel Detectors
Detector Elements
Indirect Conversion Detectors
Direct Conversion Detectors
Which layer of Flat-Panel Detectors houses the Thin-Film-Transister (TFT) Array
First Layer
Second Layer
Third Layer
Fifth Layer
___ contains an x-ray sensitive area representing each Pixel in the Image Matrix
Detector Elements (DEL)
Thin Film Transistor Array
Photostimulable Phosphor
Scintillator
What limits Spatial Resolution for Flat-Panel Detector IRs?
DEL
Scintillator
Glass Substrate
X-Ray Converter
____ uses a Scintillator to convert Exit Radiation into visible light
Flat-Panel Detectors
Detector Elements
Indirect Conversion Detectors
Direct Conversion Detectors
Scintillator is made up of Cesium Iodide (CsI) or Gladolinium Oxysulfide (Gd202S)
True
False
__ will produce light following the absorption of the x-rays.
Scintillator
Thin Film Transistor Array
Photostimulable Phosphor
Latent Image
Scintillator will produce light following the absorption of x-rays and is then converted to Electrical chargers by ___
Photodetectors
Imaging Receptors
Capacitors
Cesium Iodide
Where are eletrical charges temporarily stored, in the TFT array of Indirect Conversion Detectors, before being digitized?
Photodetectors
Imaging Receptors
Capacitors
Cesium Iodide
Structured Scintillator Phosphors are in the form of needles or columns and ___ the spread of visible light and yields images with ___ Spatial Resolution
Increase; Lower
Reduce; Higher
Increase; Higher
Reduce; Lower
(Choose 2) Indirect Conversion Detectors convert x-ray intensities to ___ then to ___
First Visible Light
Second Electrical Charges
First Electrical Charges
Second Visible Light
Converts Exit Radiation to Electrical charges.
Direct Conversion Detectors
Indirect Conversion Detectors
Flat Panel Detectors
Converts Exit Radiation to Visible Light then to Electrical Charges
Direct Conversion Detectors
Indirect Conversion Detectors
Flat Panel Detectors
Constructed with layers in order to receive x-ray photons and convert them to Electrical Charges for storage and readout
Direct Conversion Detectors
Indirect Conversion Detectors
Flat Panel Detectors
___ uses Amorphous Selenium (a-SE) Detectors to convert the Exit Radiation to electrical charges
Indirect Conversion Detectors
Direct Conversion Detectors
Flat-Panel Detector
What is applied across the Selenium Layer to limit Lateral Diffusion of electrons as they migrate toward the Thin-Film Transistor Array?
Electric field
mAs
kVp
Layer of Phosphor
Applying an electric field to Direct Conversion Detector maintains excellent spatial resolution
True
False
___ a digital composite of the varying x-ray intensities exiting the patient
Image Matrix
Latent Image
Image Receptor
Photostimulable Phosphor
___ are patterned in the computer to form the Image Matrix.
Pixel
Pixel Depth
Pixel Bit
Digitized Pixel Intensities
Each Pixel has a brightness level to represent ___ of the volume of tissue being imaged.
Contrast
Density
Attenuation Characteristics
Shades of Gray
Once varying x-ray intensities, in Direct Conversion Detectors, are converted to numeric data, the digital image can be electronically be: (choose 4)
Processed
Manipulated
Transported
Stored
re-exposed
Advantages of Digital Imaging: (Choose 3)
Flexibility to alter Brightness and Contrast
Regardless of the Exposure Technique Factors, any anatomic structures can be well visualized
Computers can also provide postprocessing image manipulations to further improve the visibility of the anatomic region
Stronger and Cheaper Image Receptors
Combination of rows and columns of small squares called pixels
Pixel Depth
Pixel Pitch
Pixel Bit
Matrix
Smallest Component of the Matrix
Pixel
Matrix Size
Capacitor
DEL
Each Pixel is recorded as multiple numerical values to represent brightness level on a display monitor.
True
False
Pixels representing highly attenuating tissues means ___
Increased Absorption
Decreased Absorption
Increased Penetration
Increased Density
Pixels representing highly attenuating tissues means ___
Higher Brightness
Decreased Absorption
Lower Brightness
Increased Density
Pixels representing highly attenuating tissues means ___
Assigned a lower value
Decreased Absorption
Lower Brightness
Assigned a higher value
Pixels representing tissue of Low Attenuation means ____.
Increased Absorption
Decreased Absorption
Assigned a lower value
Pixels representing tissue of Low Attenuation means ____.
Increased Absorption
Assigned a Higher value
Increased Penetration
Assigned a lower value
Pixels representing tissue of Low Attenuation means ____.
Higher Brightness
Lower brightness
Decreased Penetration
Assigned a lower value
If Field of View is increased for a Fixed Matrix Size
Pixel Size Increases (direct relationship)
Pixel Size is decreased (inverse relationship)
If Matrix Size is increased for a Fixed FOV:
Pixel Size is Decreased (Inverse Relationship)
Pixel Size is Increased (Direct Relationship)
Pixel Size is inversely related to FOV and directly related to Matrix Size
True
False
Increasing FOV for the SAME Matrix Size: (Choose 2)
Increases Pixel Size
Decreases Spatial Resolution
Decreases Pixel Size
Increases Spatial Resolution
Increasing the Matrix Size (Same FOV): (Choose 2)
Decreases Pixel Size
Increases Spatial Resolution
Increases Pixel Size
Decreases Spatial Resolution
Number of bits that determines the precision with which the Exit Radiation is recorded and controls the exact Pixel Brightness that can be displayed
Pixel Pitch
Density
Contrast
Pixel Bit Depth
Pixel Bit Depth is determined by an Analog to Digital Converter (ADC)
True
False
Larger the Bit Depth > Lower Shades of Gray
True
False
___ is limited to the size of the Pixel
Spatial Resolution
Spatial Frequency
Pixel Bit Depth
Pixel Pitch
___ is defined by the unit of line pairs per millimeter (lp/mm)
Spatial Resolution
Spatial Frequency
Pixel Bit Depth
Pixel Pitch
Smaller Objects have: (Choose 2)
Higher Spatial Frequency
Lower Spatial Frequency
Are easier to accurately Image
Are harder to accurately Image
Larger Objects have: (Choose 2)
Higher Spatial Frequency
Lower Spatial Frequency
Are easier to accurately Image
Are harder to accurately Image
Measurement of the Imaging System's ability to display contrast of Anatomic Objects varying in size
Analog to Digital Converter (ADC)
Modulation Transfer Function (MTF)
Detective Quantum Efficiency
Automatic Exposure Control
MTF of 0 shows __ in brightness levels. MTF of 1.0 shows __ in brightness levels
No difference; maximum difference
Maximum difference; no difference
Determines how often the Analog Signal is reproduced in its discrete digitized form
Sampling Frequency
Sampling Pitch
Quantization
Spatial Resolution
Difference between the Sampling Points
Sampling Frequency
Sampling Pitch
Quantization
Spatial Resolution
Each pixel is assigned to a numerical value during this process
Sampling Frequency
Sampling Pitch
Quantization
Spatial Resolution
To digitize a Digital Signal from the Photomultiplier Tube, it first must be sampled.
True
False
Increasing Sampling Frequency creates a smaller Sampling Pitch
True
False
Increasing the Sampling Frequency: (Choose 3)
Smaller Sampling
Smaller Sampling Pitch
Improves Spatial Resolution
Decreases Spatial Resolution
Larger Sampling Pitch
Manufacturers use Fixed Sampling Frequencies to maintain ___ Spatial Resolution
increased
decreased
fixed
varying
Manufacturers use Varying Sampling Frequency to maintain ___ Matrix Size
Increased
Decreased
Fixed
Varying
If a Matrix Size is fixed, changing the size of the IP would affect the Spatial Resolution.
True
False
For a Fixed Matrix Size a CR System, using a smaller IP for a given FOV would:
Improve Spatial Resolution
Decrease Spatial Resolution
Increasing the size of the IP for a given FOV would:
Increase Spatial Resolution
Decrease Spatial Resolution
What determines Spatial Resolution? (Choose 2)
Pixel Size
Pixel Pitch
Pixel Bit Depth
Shades of Gray
What determines the system's ability to display a range of shades of gray to represent Anatomic Tissues?
Pixel Bit Depth
Pixel Size
Pixel Mitch
MTF
The ability of a detector to accurately capture the range of photon intensities that exit the patient.
Dynamic Range
Spatial Resolution
FOV
Density and Contrast
CR Imaging Receptors have a much higher Dynamic Range.
True
False
An advantage of Digital IR is even with a small degree of underexposure and overexposure would still result in an acceptable Image Quality.
True
False
Even if Optimal Exposure Techniques are not used, what can help during the processing step can produce images with the appropriate brightness levels
Image Rescaling
Electronic Masking
Window Depth
Contrast Enhancement
Lower than necessary x-ray exposures can be detected and processed > Image Quality suffers because there is insufficient exposure and results in ___.
Quantum Noise
Fog
Scatter Radiation
Low Brightness
Computer can process the data resulting from an IR exposed to higher-than-necessary-radiation and produce a quality that results in a(an)___.
Increase pt exposure
Quality Image
Sufficient Spatial Resolution
Increased Sampling Frequency
Digital IR have a Wide Dynamic Range and can accurately capture a narrow range of x-ray intensities exiting the pt
True
False
Measurement of the efficiency of an Image Receptor in converting x-ray exposure it receives to a Quality Radiographic Image.
DQE
MTF
PSP
Pixel Bit Depth
A higher DQE means:
Less x-ray exposure to produce a Quality Radiographic Image
Normal x-ray exposure to produce a Quality Radiographic Image
More x-ray exposure to produce a Quality Radiographic Image
Method of describing the strength of the Radiation Exposure compared with the amount of noise to apparent in the Digital Image.
Contrast to Noise Ratio
Signal to Noise Ratio
Quantization to Signal Ratio
Pixel to Noise Ratio
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?
Signal
Pixel
PSP
Contrast
Density
____ the SNR improves the quality of the Digital Image
Increasing
Decreasing
Disabling
Enabling
____ the SNR means ____ in Noise compared to the Strength of the Signal. (Choose 2)
Increasing; Increasing
Decreasing; Increasing
Decreasing; Decreasing
Increasing; Decreasing
Occurs when there are too few x-ray photons captured by the IR to create a Latent Image.
Quantum Noise
High SNR
Low SNR
Decreased Spatial Resolution
Method of describing the Contrast Resolution compared with the amount of Noise apparent in a Digital Image
CNR
SNR
DQE
Quantum Noise
Brightness difference sin the Digital Image are a result of varying Exit Radiation Intensities from the ___ of the x-ray beam.
Attenuation
DEL
PSP
Anode Side
A system with ___ means that Anatomic Tissues that attenuate the x-ray beam with Low Subject Contrast can be better visualized.
Higher Contrast Resolution
Low CNR
High CNR
Lower Contrast Resolution
If the image has increased Noise, the _______ will not be well visualized
Low Subject Contrast Tissue
High Subject Contrast Tissue
___ CNR will increase the visibility of Anatomic Tissues
Higher
Lower
Enabling
Disabling
An Imaging Processing Technique commonly used to identify the edges of an image and assess the Raw Data prior to Image Display.
Histogram Analysis
LUT
Windowing
Rescaling
Histogram Analysis is used for maintaining a consistent Image Brightness despite overexposure and underexposure of the IR.
True
False
Graph of a Histogram represents the ___ VS the ____ (Choose 2)
Number of Digital Pixel Values
Number of Pixels
Relative Prevalence of the Pixel Values
Relative Prevalence of the Pixel Pitch
In Histogram Analysis, a computer analyzes the Histogram using processing algorithms and compares it with ______ specific t the Anatomic Part being imaged.
Pre-established Histogram
Previous exposure's Histogram
Histogram of an Average Patient
Histogram chosen on Control Panel
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 ____
Histogram Analysis Error
Overexposure
Underexposure
Not being able to expose
Provides a numerical value indicating the level of Radiation Exposure to the Digital IR.
Exposure Indicator
Deviation Index
Digital Artifacts
Overexposure/underexposure
S Value of an Exposure Indicator is ____ related to the exposure.
Directly
Inversely
Equal to
Exposure Index is ____ related to the exposure.
Directly
Inversely
Equal to
Value that reflects the difference between the desired and the actual exposure to the IR.
DI
EI
S-Value
Exposure Indicator
DI of 0 indicates:
Increased Exposure to IR
Decreased Exposure to IR
No difference
DI of greater than 0 indicates:
Increased Exposure to IR
Decreased Exposure to IR
No difference
DI of less than 0 indicates:
Increased Exposure to IR
Decreased Exposure to IR
No difference
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.
during; prior; during
prior; during; during
during; during; during
during prior; prior
IP Stains, Particulates, Scratches, Cracks, and Fogging are examples of ____.
CR Detector Related Artifacts
ADC Related Artifacts
Post-processing Related Artifacts
DQE Malfunction
On CR Systems, what causes issues related with the Laser Optics, Transport Mechanisms, Light Guide, and Laser Sampling and Stationary Grid Frequencies?
Artifacts occurring during Data Extraction
Artifacts occurring prior to Data Extraction
What refers to the display of the Digital Image at a Computer Workstation as opposed to viewing Images on Film or another physical Medium?
Hard Copy Viewing
Soft Copy Viewing
Latent Image Viewing
Post-Processing Viewing
The quality of a Digital Image is not affected by important features of the Display Monitor.
True
False
Luminance, Resolution, and Viewing Conditions (such as Ambient Lighting and Monitor Placement) are important factors in Computed Radiography.
True
False
Which type of Display Monitor creates an image by Accelerating and Focusing electrons to strike the Faceplate of a Fluorescent Screen?
CRT
LCD
HDTV
HDMI
A Display Monitor where an Image is scanned on the screen in lines. The number of lines affects the quality of the Displayed Image.
CRT
LCD
HDTV
HDMI
A display monitor that recommends that it can scan at least 525 lines per 1/30th of a second.
CRT
LCD
HDTV
HDMI
A display monitor that passes light through Crystals to display the Image on the Faceplate.
CRT
LCD
HDTV
HDMI
A display monitor that uses: Source for the electrical signals, light waveforms, and polarizing filters.
CRT
LCD
HDTV
HDMI
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)?
Decreased Image Quality
Resized Image Quality
No display
Increased Image Quality
Varying brightness levels emitted from the Monitor affects the quality of the Display Image.
True
False
Luminance is expressed in Units of Candela per Square Meter
True
False
Primary Monitors should be in the range of ____ Candela Per Square Meter
100-300
200-300
300-500
500-1000
What determines Contrast Resolution of a Digital Image?
Pixel BIt Depth
Pixel Size and Pitch
DEL
Monitor
A Digital Imaging System capable of displaying 16,384 shades of gray (14 bit) requires a Monitor capable of displaying a Large Grayscale Range.
True
False
___ refers to a computer software available to the Radiographer and Radiologist that allow Manual Manipulation of the Displayed Image.
Post-Processing
ADC
Rescaling
Subtraction
___ is when an Image is processed, regions viewed on the image can be altered further.
Electronic Masking
Rescaling
Equalization
Edge Enhancement
Another name for Shuttering
Electronic Masking
Rescaling
Equalization
Edge Enhancement
Altering the numerical data (brightness level displayed on the computer) to alter and better visualize the range of the recorded anatomic structures describes what?
Electronic Masking
Windowing
Rescaling
Equalization
What sets the midpoint of the Range of Brightness visible in the image?
Window Level
ADC
Photomultiplier Tube
IR
as Window Level increases, Image Brightness ____.
Increases
Decreases
How would you decrease Image Brightness using the numerical data displayed on the computer monitor in post processing?
Decreasing Window Level
Collimate
kVp
mAs
Full range of Digital Image Brightness Levels:
0-2048
0-1024
14 bit
8 bit
High Pixel Value of 1078 > Volume of Tissue attenuates ___ x-ray photons and is displayed as ___ Brightness Level
Fewer; Decreased
Fewer; Increased
More; Decreased
More; Increased
Low Pixel Value of 350 > Volume of Tissue attenuates ___ x-ray photons and is displayed as ___ Brightness Level
Fewer; Decreased
Fewer; Increased
More; Decreased
More; Increased
Number of different Shades of Gray that can be stored and displayed by a Computer System
Grayscale
Contrast Resolution
Spatial Resolution
Window Depth
Ability of the Imaging System to distinguish between objects that exhibits similar Densities because they Attenuate the x-ray beam similarly.
Grayscale
Contrast Resolution
Spatial Resolution
Window Depth
A control that adjusts the Radiographic Contrast
Grayscale
Contrast Resolution
Spatial Resolution
Window Depth
Contrast resolution is determined by ____. (Choose 2)
Bit Depth
Number of Shades of Gray Available for Image Display
FOV
Matrix Size
Decreasing the Contrast Resolution, when Optimally Windowed, increases the visibility of very subtle Anatomic Features.
True
False
Wide Window Width: (Choose 2)
Lower Contrast
Higher Contrast
Lower Brightness Level
Higher Brightness Level
Narrow Window Width: (Choose 2)
Lower Contrast
Higher Contrast
Lower Brightness Level
Higher Brightness Level
Technique that can remove superimposed structures so that the anatomic area of interest become more visible
Subtraction
Contrast Enhancement
Edge Enhancement
Inversion
Smoothing
Postprocessing technique that alters the Pixel Values to increase Image Contrast.
Subtraction
Contrast Enhancement
Edge Enhancement
Inversion
Smoothing
Improves visibility of small,high contrast structures; but increases noise
Subtraction
Contrast Enhancement
Edge Enhancement
Inversion
Smoothing
Reverses the grayscale from the Original Radiograph
Subtraction
Contrast Enhancement
Edge Enhancement
Inversion
Smoothing
suppresses Image Noise; Spatial Resolution degrades
Subtraction
Contrast Enhancement
Edge Enhancement
Inversion
Smoothing
Underexposed areas (light areas) are made Darker and Overexposed areas (Dark Areas) are made lighter
Equalization
Contrast Enhancement
Edge Enhancement
Inversion
Smoothing
