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Imaging Plate
An imaging plate is used in computed radiography (CR) instead of a conventional film cassette.
The imaging plate is coated with photostimulable phosphors. The phosphor layer is doped with special substances to alter the crystalline structure and physical properties. After radiation, the enhanced phosphor material absorbs and stores x-ray energy in gaps of the crystal structure, building a latent image.
Usually, the storage phosphors are stimulated with a low-energy laser to release visible light at each point of x-ray absorption. To read-out the image, the plate is inserted into a computed radiography scanner. The scanning laser beam causes the electrons to relax to lower energy levels, emitting light that is captured by a photo-multiplier tube and converted into an electrical signal. The electronic signal is then converted to digital data and can be displayed on laser-printed films, workstations, transmitted to remote systems, and stored digitally.
The CR units automatically erase the image plate after the complete scan. Phosphor imaging plates, like film, are stored in cassette format and can be re-used very often if they are handled carefully. Existing conventional x-ray equipment, from generators to x-ray tubes and examination systems, can be used with imaging plates.
Conventional Radiography
Conventional (also called analog, plain-film or projectional) radiography is a fundamental diagnostic imaging tool in the detection and diagnosis of diseases. X-rays reveal differences in tissue structures using attenuation or absorption of x-ray photons by materials with high density (like calcium-rich bones).
Basically, a projection or conventional radiograph shows differences between bones, air and sometimes fat, which makes it particularly useful to asses bone conditions and chest pathologies. Low natural contrast between adjacent structures of similar radiographic density requires the use of contrast media to enhance the contrast.
In conventional radiography, the patient is placed between an x-ray tube and a film or detector, sensitive for x-rays. The choice of film and intensifying screen (which indirectly exposes the film) influence the contrast resolution and spatial resolution. Chemicals are needed to process the film and are often the source of errors and retakes. The result is a fixed image that is difficult to manipulate after radiation exposure. The images may be also visualized on fluoroscopic screens, movies or computer monitors.
X-rays emerge as a diverging conical beam from the focal spot of the x-ray tube. For this reason, the radiographic projection produces a variable degree of distortion. This effect decreases with increased source to object distance relative to the object to film distance, and by using a collimator, which let through parallel x-rays only.
Conventional radiography has the disadvantage of a lower contrast resolution. Compared with computed tomography (CT) and magnetic resonance imaging (MRI), it has the advantage of a higher spatial resolution, is inexpensive, easy to use, and widely available. Conventional radiography can give high quality results if the technique selected is proper and adequate. X-ray systems and radioactive isotopes such as Iridium-192 and Cobalt-60 for generating penetrating radiation, are also used in non-destructive testing.

See also Computed Radiography and Digital Radiography.
Filter
Different filter types are used in medical imaging to improve image quality.
Filter materials such as aluminum, iron or copper, located in the primary x-ray beam between tube and collimator, filter out lower energetic x-rays (for example bow-tie filter). Filters partially absorb or attenuate the x-ray beam to prevent radiation overexposure. The sum of filtration consists of inherent and added filters. This filtration affects the beam energy and ability to penetrate materials.
Mathematical filter procedures are used for the convolution of the attenuation profiles and reconstruction of computed tomography (CT) images.
Nuclear Fission
Fissile isotopes such as 233U, 235U or 239Pu get exposed to a thermal neutron beam. The resulting nuclear chain reaction is controlled by moderators such as graphite, Beryllium or heavy water.
For example Mo-99, source for Tc-99m, is produced by fission of highly enriched uranium (HEU) in a few reactors around the world (monitored and controlled by The International Atomic Energy Agency).
Fluoroscopy
Fluoroscopy is used to study moving body structures in real time. A fluoroscope is used to produce a continuous (advanced fluoroscopy machines provide pulsed techniques to lower the amount of radiation) x-ray beam, passing through the body part being examined and transmitted to a monitor so that dynamic images of deep tissue structures can be visualized. Fluoroscopy is primarily used for gastrointestinal exams, genitourinary studies, cardiovascular imaging and for invasive procedures performed by interventional radiologists and angiographers under fluoroscopic guidance. Fluoroscopy can also produce a static record of an image formed on the output phosphor of an image intensifier. The image intensifier is an x-ray image receptor that increases the brightness of a fluoroscopic image by electronic amplification and image minification. Modern fluoroscopy systems combine less radiation with better image quality due to digital image processing and flat-panel technology.
Roentgen's discovery of x-rays related directly to fluoroscopy, because fluorescence on the material in the room draws his attention to the x-ray's properties. In 1896, Thomas A. Edison created the first fluoroscope, consisting of a zinc-cadmium sulfide screen that was placed above the patient's body in the x-ray beam and provides a faint fluorescent image. In first-generation units, the exam room required complete darkness. The users wear red goggles for up to 30 minutes prior to the examination, to adapt the eyes to darkness. After this, the radiologist stared directly at a yellow-green fluorescent image through a sheet of lead to prevent the x-ray beam from striking the eyes.
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