sharpness of the lines of the image. • Distortion is the misrepresantation of of the true size or shape of the image compared to the object. What impacts the recorded detail? • Focal spot size • Object to Image Distance (OID) or Object to Film Distance (OFD) • Source to Image Distance (SID) or Focal Film Distance (FFD) • Screen to Film Contact & Screen Speed • Motion What impacts Distortion? • Object Image Distance (OID) or Object Film Distance (OFD) • Source Image Distance (SID) or Focal Film Distance (FFD) • Object Alignment • Film Alignment • Central Ray Alignment Selecting the Focal Spot • The operator has total control over the focal spot. • The “S” indicates the small focal spot is selected. Selecting the Focal Spot • Selecting “S” will mean the voltage will be applied to the small filament. • Selecting “L” will apply the voltage to the large filament. Focal Spot Size Selection • The x-ray beam is more tightly focused when the small focal spot is selected. • The edge sharpness is improved because of less shadow or penumbra. Small Focal Spot • Advantages – Reduced penumbra – OFD can be increased with minimal loss of detail. • Disadvantages – Lower mA selection due to tube heating – Longer exposure times that can cause patient motion Screen and Film Speed • The type of film and materials used in the screens will determine the speed of the film & screen combination. • Small phosphors in the screens and grain in the film will produce sharper images. Screen and Film Speed • Speed is determined by the system’s RSV or Relative Speed Value. • High RSV needs less radiation but have lower recorded detail. Focal Spot and OFD • When the object is far away from the film more shadows of the edges are produced resulting in a loss of sharpness. – The shadow is greater with the large focal spot. – Using the small focal spot will reduce the unsharpness. Inverse Square Law • The intensity of the beam is inversely proportional to the square of the distance. • This law can be used to compute patient or staff radiation exposure. • If you double your distance from the source, the exposure is reduced 75%. Inverse Square Law • The intensity of the beam is inversely proportional to the square of the distance. • To adjust the mAs for a different SID, the following formula is used. Old mAs x New Distance2 • New mAs = ------------------------ Old distance 2 Inverse Square Law Exercise If 5 mAs was used at a 40” SID, what mAs would be used at 20” SID? Old SID: 40” New SID: 20” Old mAs: 5 New mAs: ? Inverse Square Law 5 mAs x 20” 2 New mAs = ------------------------- 40” 2 5 x 400 mAs = --------------------- = 1.25 mAs
1600 SID and Sharpness
Longer SID = Less Unsharpness
OFD & Focal Spot Exercise • A P-A view of the hand is taken at a 20” SID with the hand resting on the cassette. • Notice how close the tube is to the hand. Would the skin dose be more than at 40” SID? OFD & Focal Spot Exercise • A second exposure is made with the hand raised 3.5” above the film. The SID remains at 20”. • Would the patient exposure be increased or decreased? • Increased!!! OFD & Focal Spot Exercise • What happened when the hand was moved away from the film or the OFD was increased? • The image lost resolution. Unsharpness Factor • Using this formula we can compute the loss of geometric unsharpness caused by focal spot and Object to Film Distance problems. Focal Spot X OID • Unsharpness = ---------------------------- SOD Unsharpness Factor
Image A Small Focal Spot short OID 20” SID
Unsharpness Factor = 1mm x 5 mm /470mm = 0.010
Image B Small Focal Long OID 20” SID
Unsharpness Factor = 1mm x 87mm/390mm =0.223 Unsharpness Factor
Image A Large Focal Spot Short OID 20” SID
Unsharpness Factor = 2mm x 5 mm /470mm = 0.0212
Image B Large Focal Long OID 20” SID
Unsharpness Factor = 2mm x 87mm/390mm =0.4461 Very poor image Impact of SID and OFD on Image Quality • We usually want to get the body part as close to the film as possible to reduce magnification distortion. Impact of SID and OFD on Image Quality • When we can’t get the part close to the film, the SID should be increased. Technique adjustment • If 2 mAs was used at the 34” SID, what mAs would be used at 68”? • New mAs = Old mAs x new distance 2 » Old distance2 • New mAs = 2 x 682 / 342 = 8 • If the distance is doubled, the mAs will be the square of the difference or 4 x 2 = 8 34 “ SID 68” SID Magnification Distortion • 1. Compare the images on films labeled 34 inches and 68 inches. – Evaluate the image size and detail. Are both films the same? Magnification Distortion • 1. The images are not the same. The films taken at 68” are smaller and sharper. • 2. What observations can be made when the image is close to the film and when it is away from the film? Magnification Distortion • 2. The amount of magnification is determined by the Object to Image Distance. • The Source to Image Distance impacts the magnification distortion. Longer SID will produce less magnification. Comparison of Magnified Views Degrees of Magnification • 3. Compare the magnification views for sharpness. • The 68” view has less magnification distortion and is sharper than the 34” view. • Note: When comparing magnification and changes in SID, do so with the magnified view. The shortest SID will have the most magnification usually. Magnification Distortion • If we know the size of the object, the SID and the OID we can compute the magnification factor using this formula Source to Image Distance Magnification =Source to Object Distance 20” SID 68” SID Magnification Distortion • 4. Compare the 68” films to the 20” films. – The films taken at 20” have more magnification distortion. – When we want the least amount of magnification distortion, a 72” SID is used. Magnification Distortion • If a long SID produces the least magnification distortion, why don’t we take all films with a long SID? • Radiation dose and tube limits. At 72” it takes 3.5 times more radiation to produce the same image. This would result in longer exposure times and shorter tube life.