An x-ray film is a photographic film used to generate a visual x-ray image. X-ray films are rarely used as the only radiation detector. Commonly they are used in conjunction with intensifying screens placed in the film cassette, because high resolution films have a poor sensitivity to x-rays. At direct film exposure, only a small amount of x-ray photons will be absorbed and react with the film emulsion. An intensifying screen contains scintillating materials to convert x-ray radiation into light or lows electromagnetic energies.
X-ray films provide very good spatial resolution and contrast, but need long exposures times and chemical processing.

See also Conventional Radiography and Digital Radiography.

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.

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.

In medical imaging, resolution is the ability to distinguish two adjacent objects and a measurement of image quality. The resolution of tomographic images is a function of slice thickness, field of view (FOV) and matrix size. The resolution in plane is a function of FOV / matrix size.

In nuclear medicine a hot spot describes a strong activity enrichment in one or more ranges of the organ or body part which is examined.
A pinhole collimator may be used if images of a hot spot and the surrounding with very high resolution are necessary. Zoom magnification or a converging collimator also may be used to improve resolution and assign the hot spot.