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Saturday, 18 May 2024
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Digital Radiography
(DR) Digital radiography uses a special electronic x-ray detector, which converts the radiographic image into a digital picture for review on a computer monitor. The digital image is then stored and can be post processed by changing the magnification, orientation, brightness, and contrast. Digital radiography (also called direct radiography) is a progressive development of computed radiography (CR).
These advantages can lead to fewer 'recalls' (repeated x-ray images) including a lower radiation dose than analog or conventional radiography. DR and CR systems use no chemicals to process the x-ray images and the hazardous materials and waste associated with film development are eliminated.

Advantages of digital radiography compared with conventional radiography:
saves time and costs due to more effective imaging process and workflow;
improved diagnostic quality images also in cases of x-ray under exposition or over exposition;
lower repeat rate;
films and developing chemicals are omitted;
reduction of hazardous chemical waste.
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Dose
In radiology dose is the term for radiation related to the amount of energy absorbed in matter (for example absorbed dose, acute dose, effective dose, external dose, personal dose and committed dose equivalent). The SI standard unit of radiation dose is the gray.
Dose refers also to the amount of medication, radiopharmaceutical or contrast medium used in diagnostic imaging.

See also Deep Dose Equivalent, Critical Organ, Eye Dose Equivalent, Collective Effective Dose, Medical Internal Radiation Dose Committee, and Chronic Dose.
Filter Grid
Filter grids are used to reduce scattered noise and increase contrast in x-ray images. Primary radiation passing through an object gets scattered caused by the various density of different materials. Scatter radiation produces noise (radiographic fog) on the film or detector, which degrades the diagnostic quality. Anti-scatter grids act as filters between patient and film (or receiver) to remove scatter radiation. The use of a grid is recommended with body parts thicker than 10 cm and kVp values about 60 kV.
X-ray filter grids are available with focused or parallel strips. These two types are produced with linear or crossed grid configurations. The septa of filter grids consist of high radiation absorbing materials (e.g. lead) separated by permeable parts. During radiation exposure, movement of the grid blurs a projection of the septa.
If the image receptor and x-ray tube (with the focal spot) are in a fixed position relative to one another the grid is automatically aligned. In mobile radiography, the position of the focal spot and the image receptor is variable. Additionally cassettes incorporating anti-scatter grids are also available.
Filtration
X-rays contain a range of energies (polychromatic photons), the higher energies pass through the patient, the lower energies are absorbed or scattered by the body. Ideally, the x-ray beam should be monochromatic or composed of photons having the same energy. Strong filtration of the beam results in more uniformity. The more uniform the beam, the more accurate the attenuation values or CT numbers are for the scanned anatomical region.
There are two types of filtration utilized in CT:
Inherent tube filtration and filters made of aluminum or Teflon are utilized to shape the beam intensity by filtering out the undesirable x-rays with low energy. Filtration of the x-ray beam is usually done by the manufacturer prior to installation. The half value layer provides information about the energy characteristics of the x-ray beam. Too much filtration produces a loss of contrast in the x-ray image.
A mathematical filter such as a bone or soft tissue algorithm is included into the CT reconstruction process to enhance resolution of a particular anatomical region of interest.
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