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IAEA
International Atomic Energy Agency
CHAPTER 6 TABLE OF CONTENTS
6.1 Introduction
6.2 X-Ray Image Formation
6.2.1 Components of an Imaging System
6.2.2 Geometry of Projection Radiography
6.2.3 Effects of Projection Geometry
6.2.4 Magnification Imaging
6.2.5 Contrast Agents
6.2.6 Dual-Energy Imaging
6.2.7 Technique Selection
6.3 Scattered Radiation in Projection Radiography
6.3.1 Origins of Scattered Radiation
6.3.2 Magnitude of Scatter
6.3.3 Effect of Scatter
6.3.4 Methods for Scatter Reduction – Anti Scatter Grids
6.3.5 Other Methods of Scatter Reduction
Bibliography
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 2
6.1 INTRODUCTION
Attenuation Shadows
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 3
6.1 INTRODUCTION
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 4
6.2 X-RAY IMAGE FORMATION
6.2.1 Components of an Imaging System
Components such as
shaped filtration,
compression devices
or restraining devices
may be added for
special cases
Grid and AEC
are optional
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 5
6.2 X-RAY IMAGE FORMATION
6.2.1 Components of an Imaging System
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 6
6.2 X-RAY IMAGE FORMATION
6.2.1 Components of an Imaging System
Contrast, C = ∆B/B
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 8
6.2 X-RAY IMAGE FORMATION
6.2.1 Components of an Imaging System
xd
µd
where: µb
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 9
6.2 X-RAY IMAGE FORMATION
6.2.1 Components of an Imaging System
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 10
6.2 X-RAY IMAGE FORMATION
6.2.1 Components of an Imaging System
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 12
6.2 X-RAY IMAGE FORMATION
6.2.1 Components of an Imaging System
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 14
6.2 X-RAY IMAGE FORMATION
6.2.2 Geometry of Projection Radiography
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 16
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Superposition
Leads to a significant loss of Image Contrast
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 18
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 19
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 21
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 22
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Geometrical Unsharpness
Ideal image Sharpness would be produced by a Point Source
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 24
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Geometrical Unsharpness
Most XRTs also have a Fine focal spot for high resolution
images of small body parts
Typically the fine focal spots are 0.3-1.0 mm, but must use
lower mAs to protect the tube from heating effects
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 25
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Geometrical Unsharpness
The Spatial Resolution depends on the focal spot size and
the image receptor and both need to be considered
Geometrical Unsharpness
Since the Magnification of the object at the image receptor is
given by:
m = dFID/(dFID - dOID)
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 27
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Geometrical Unsharpness
Change in FID
to maintain the same focal spot resolution,
the new focal spot size may be determined
from:
Geometrical Unsharpness
Change in FID The overall unsharpness (U) is given as
Geometrical Unsharpness
For Example, a very small focal spot will provide good spatial
resolution, but only permit a low tube current, therefore
requiring a long exposure time, leading to increased risk of
motion blur
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 30
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Geometrical Unsharpness
This is because the system DQE is affected by the focal spot MTF
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 31
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Geometrical Unsharpness
The Focal Spot MTF may be measured using a pinhole to
determine the PSF or a slit to determine the LSF, and
calculating the normalised modulus of the Fourier Transform of
the spread function
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 32
6.2 X-RAY IMAGE FORMATION
6.2.3 Effects of Projection Geometry
Geometrical Unsharpness
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 33
6.2 X-RAY IMAGE FORMATION
6.2.4 Magnification Imaging
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 34
6.2 X-RAY IMAGE FORMATION
6.2.4 Magnification Imaging
Dose
Spatial Resolution and
SNR
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 36
6.2 X-RAY IMAGE FORMATION
6.2.4 Magnification Imaging
Dose
A number of Effects occur when increasing the OID
Dose
Because of the reduction in scatter fraction, magnification
may usually be performed Without the use of an anti-scatter
grid
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 38
6.2 X-RAY IMAGE FORMATION
6.2.4 Magnification Imaging
Unsharpness
An increase in the OID leads to a reduction in image
sharpness
due to the geometric blur of the focal spot
Significant Reduction
in focal spot size
compared to contact methods
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 39
6.2 X-RAY IMAGE FORMATION
6.2.4 Magnification Imaging
Unsharpness
Improvement in the overall sharpness of the complete system is
generally because of the increase in size of the image
compared to the Unsharpness of the image receptor
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 41
6.2 X-RAY IMAGE FORMATION
6.2.5 Contrast Agents
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 42
6.2 X-RAY IMAGE FORMATION
6.2.5 Contrast Agents
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 43
6.2 X-RAY IMAGE FORMATION
6.2.6 Dual-Energy Imaging
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 44
6.2 X-RAY IMAGE FORMATION
6.2.6 Dual-Energy Imaging
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 46
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
provided that the contrast range does not exceed the dynamic
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 48
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
For CR
these correspond approximately to screen-film system speeds
of 100, 200 and 400 respectively
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 52
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 53
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 54
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 55
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
Exposure Creep
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 56
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 62
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
a reduction of 5% in kV
to a reduction in mAs by 30%
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 63
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
The Principle is to
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 66
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 68
6.2 X-RAY IMAGE FORMATION
6.2.7 Technique Selection
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 69
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 70
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
Calculated using:
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 71
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.1 Origins of Scattered Radiation
For Example
for a 10 cm patient thickness and a 20 x 20 cm2 X ray field
only 19% of the Scatter Fraction is due to coherent scatter
at 50 kV
and 9% at 120 kV
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 72
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 74
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
Dependence of scatter
fraction on beam area for
four phantom thicknesses
at 80 kV
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 75
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
Dependence on Thickness
The Scatter Fraction increases rapidly with patient thickness,
but tends to saturate for very large patients
Dependence of scatter
fraction on phantom
thickness for four X ray
field sizes at 80 kV
Whilst the Scatter Fraction (at the image receptor) has been
considered so far, it is also important to quantify the scattered
radiation in all directions from the patient, as this affects the
dose to Personnel
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 77
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 78
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
Forward-Scatter
affecting mainly the Image Receptor
and
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 79
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 81
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 82
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 83
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
Dependence on Energy
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 84
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
Dependence on Energy
Conversely, the energy of the scattered photons increases as
the energy increases
Dependence on Energy
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 86
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.2 The Magnitude of Scatter
Dependence on Energy
This is because the primary beam is incident approximately
Perpendicular to the receptor, so the path length is similar to
the phosphor thickness
Dependence on Energy
Scatter Fractions for Kodak Lanex Regular and a CaWO4 par-
speed screen from 50-120 kV:
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 88
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.3 The Effect of Scatter
Contrast Reduction
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 89
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.3 The Effect of Scatter
Noise
The Quantum Noise in the image arises from both primary and
scattered photons
Grid Construction
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 93
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
Construction and
principle of
operation of a
focused anti-scatter
grid (not to scale)
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 94
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
The number of lead strip lines per cm is known as the Strip
Frequency
The ratio of the height of the lead strips to the width of the
interspace material is known as the Grid Ratio, which is
therefore given by:
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 95
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
Scattered photons whose angle of incidence is less than tan-1 r
will hit a lead strip, so that scatter rejection will increase with
increasing grid ratio
If the Lead Strips are too thin, they can be penetrated by the
scattered X-ray photons and if they are too thick, they will stop
too many primary photons
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 96
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 97
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 98
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
If a grid is used at the Wrong distance the tilt of the lead strips
will not match the angle of divergence of the primary beam
This is termed
Grid Cut-Off
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 99
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
Parallel Grids have parallel strips
Grid Construction
The grid Interspace Material is plastic, carbon fibre or other
low atomic number material
Older grids used aluminium
Since the interactions of the X rays with the lead strips will
mainly be photoelectric, for photons of energy above the K-
edge of 88 keV the emission of K-Fluorescent X Rays must
be considered in grid design
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 101
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
TYPICAL CONSTRUCTION DATA FOR THREE ANTI-SCATTER GRIDS
Strip Freq.
Grid Ratio h (mm) d (mm) t (mm)
(cm-1)
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 102
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Construction
IAEA
Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 104
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
IAEA
Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 105
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 106
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Selection
BF AND CIF AT THE CENTRE OF THE IMAGE RECEPTOR FOR A SELECTION OF
RADIOGRAPHIC GRIDS, USING A 25.4 CM X 25.4 CM X RAY FIELD WITH THE LUCAL
CHEST PATIENT EQUIVALENT PHANTOM - 120 KV
Grid Selection
BF AND CIF AT THE CENTRE OF THE IMAGE RECEPTOR FOR A SELECTION OF
RADIOGRAPHIC GRIDS, USING A 25.4 CM X 25.4 CM X RAY FIELD WITH THE LUCAL
ABDOMEN PATIENT EQUIVALENT PHANTOM (SOFT TISSUE REGION) - 70 KV
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 109
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Selection
BF AND CIF AT THE CENTRE OF THE IMAGE RECEPTOR FOR A SELECTION OF
RADIOGRAPHIC GRIDS, USING A 25.4 CM X 25.4 CM X RAY FIELD WITH THE LUCAL
ABDOMEN PATIENT EQUIVALENT PHANTOM (SPINE REGION) - 70 KV
IAEA
Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 110
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
Grid Selection
From the data in the Tables, it is clear that for each
radiographic projection there is an optimum grid ratio that will
provide adequate scatter projection, with acceptable increase
in dose to the patient
For Example, chest and abdomen projections on adults would
require ratios of 10:1 or 12:1
IAEA
Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 112
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.4 Methods for Scatter Reduction - Anti Scatter Grids
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 114
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.5 Other Methods for Scatter Reduction
Collimation
Collimation
This requires
• Good Knowledge of anatomy and
• Good Judgment of the wide variety of patients
by Radiographers
Compression
Scatter Fraction increases with Patient Thickness
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 117
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.5 Other Methods for Scatter Reduction
Compression
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 118
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.5 Other Methods for Scatter Reduction
Air Gap
The use of an increased OID, or Air Gap, results in:
Magnification and a
Reduction in scatter fraction
IAEA
Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 119
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.5 Other Methods for Scatter Reduction
Air Gap
Effect of the OID
on Scatter Fraction:
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 120
6.3 SCATTERED RADIATION IN PROJECTION RADIOGRAPHY
6.3.5 Other Methods for Scatter Reduction
Scanning Slit
Scatter Fraction depends on the X ray Field Size
Scanning Slit
For Digital systems the area detector may be replaced by
silicon or similar strip detectors
Scanning Slit
Basic principle:
These systems are capable of good
scatter rejection without the
necessity for a grid, but require
Smooth and precise movement of
the collimator systems and Stable X
ray generator performance
BUSHBERG, J.T., SEIBERT, J.A., LEIDHOLDT, E.M.J., BOONE, J.M., The Essential
Physics of Medical Imaging, 2nd Ed edn, Williams and Wilkins. (2002)
DOI, K. et al., Physical and clinical evaluation of new high-strip-density radiographic
grids, Radiology 147 (1983) 575-582
EUROPEAN COMMISSION, European Guidelines on Quality Criteria for Diagnostic
Radiographic Images, European Commission Rep. EUR 16260 EN, Luxembourg
(1996)
FETTERLY, K.A., SCHUELER, B.A., Experimental evaluation of fiber-interspaced
antiscatter grids for large patient imaging with digital X ray systems, Physics in
Medicine and Biology 52 (2007) 4863-4880
INTERNATIONAL ELECTROTECHNICAL COMMISSION, Diagnostic X-ray Imaging
Equipment – Characteristics of general purpose and mammographic anti-scatter
grids, IEC-60627, IEC, Geneva (2001)
MILNE, E.N.C., "The role and performance of minute focal spots in roentgenology
with special reference to magnification", CRC Critical Reviews in Radiological
Sciences, CRC Press, Cleveland, (1971) 269-310
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Diagnostic Radiology Physics: a Handbook for Teachers and Students – chapter 6, 124