The signal to noise ratio is a ratio of the signal strength to the noise level (the standard deviation of the signal).

Image quality is an important value of all radiographic imaging procedures. Accurate measures of both image quality and patient radiation risk are needed for effective optimization of diagnostic imaging. Images are acquired for specific purposes, and the result depends on how well this task is performed. The imaging performance is mainly influenced by the imaging procedure, examined object, contrast agents, imaging system, electronic data processing, display, maintenance and the operator. Spatial resolution (sharpness), contrast resolution and sensitivity, artifacts and noise are indicators of image quality.
A high image contrast provides the discrimination between tissues of different densities.
The image resolution states the distinct visibility of linear structures, masses and calcifications.
Noise and artifacts degrade the image quality. In computed tomography (CT), high spatial resolution improves the visibility of small details, but results in increased noise. Increased noise reduces the low contrast detectability. Noise can be reduced by the use of large voxels, increased radiation dose, or an additional smoothing filter, but this type of filter increases blurring.
An image acquisition technique taking these facts into account maximizes the received information content and minimizes the radiation risk or keeps it at a low level.

See also As Low As Reasonably Achievable.

(LCR) The low contrast resolution describes the ability to discriminate between tissues with slightly differences in attenuation properties. The LCR depends on the stochastic noise.
The low contrast resolution is usually expressed as the minimum detectable size of an image structure, for a fixed percentage difference in contrast relative to the adjacent background.
A strength of computed tomography (CT) is its ability to visualize structures of low contrast in an object, a task that is limited by noise and is closely associated with the radiation dose. For example, a reduction of the dose at constant spatial resolution affects the visibility of structures with low contrast (e.g. vessels in the liver), due to increased noise. The visibility of these low contrast structures can partly be improved by decreasing the spatial resolution, while keeping the dose constant.

See also CT Number, Image Quality and Low Contrast Detectability.

Contrast is the relative difference of intensities in two adjacent regions of an image. When referring to computed tomography (CT), contrast is defined as a difference in Hounsfield units between structures. The measurement of contrast resolution in CT imaging involves determining how easy it is to differentiate tissues whose CT density is similar to that of their surroundings. An image lacks contrast when there are no sharp differences between black and white. Brightness refers to the overall lightness or darkness of an image.
The contrast between air, soft tissue, and bones in x-ray and CT images is based on their different absorption of x-rays. Differences in tissue density, thickness and changes of the x-ray spectrum have consequences for image contrast, image noise as well as patient dose.
Optimized tube current, collimation, pitch and image reconstruction improves the contrast. Higher image contrast is produced by increased slice thickness, smaller matrix, and large field of view which results in large voxel size; high mAs to reduce noise; low pass filter.

See also Contrast Enhanced Computed Tomography.

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.