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Computed radiography &
Digital Radiography
Dr. Muhammad bin zulfiqar
PGR-1
SIMS/ SHL.
Basics of Digital
Language
5
Byte
 The basic unit of binary coded information
 Kilobyte—210 – 1024 bites
 Megabyte—1024 times1024bites
Performance parameters
 Pixel: Smallest complete sample of an image. Has a
varied set of tones in shades of white/ black/grey.
Expressed in binary codes (bits).
 Size of the pixel : Smaller the size , better
resolution.
CR- 50 to 200 microns, DR- 100 to 200 microns, DM- 50
to 100 microns.
 Gray Scale: Shades of Gray in between pure black and
pure white.
 Bit Depth: No of shades to define each pixel ,measured
as no of bits. Larger the depth, incr gray scale and large
file size.
 Spatial Resolution: finer details, diff objects in an
image. Depends on sampling frequency and no of
pixels.
expressed in lp/mm.
 Contrast Resolution: Color or gray scale
differentiation. Indicate the no of shades of grey that
a detector can capture.
 File Size.
Performance Parameters(contd..)
DIGITAL PROJECTION
RADIOGRAPHY
DEPENDS ON COMPUTER
TECHNOLOGY TO PRODUCE
DIGITAL RADIOGRAPHIC IMAGE
DIGITAL PROJECTION RADIOGRAPHY
COMPUTED RADIOGRAPHY (CR) DIGITAL RADIOGRAPHY (DR)
11011101
CR
X-RAYS
CR PLATE
SCANNER
DETECTORS
11011101
DR
X-RAYS
Computed Radiography (CR)
 Been around since 1980-81
 Uses same radiographic equipment
 No change in X-ray machine
 Uses an imaging plate
 Contains a photostimulator phosphor
 Need a cassette reader
 Images can be sent to a PACS
COMPUTED RADIOGRAPHY (CR):
USES PHOTOSTIMULABLE PLATE (IMAGE PLATE)
INSTEAD OF FILM, AS THE IMAGE RECEPTOR.
CR USES CASSETTE THAT LOOKS VERY SIMILAR
TO CONVENTIONAL RADIOGRAPHIC CASSETTE.
Computed Radiography (CR)
 Re-usable metal imaging plates replace
film & cassette
 Uses conventional bucky & x-ray
equipment
CR SYSTEM COMPONENTS
 CASSETTES (phosphor plates)
 ID STATION
 IMAGE PREVIEW STATION
 DIGITIZER
 VIEWING STATION
CR PLATE !!!!!
DOES NOT USE SCREENS OR FILM
(CONVENTIONAL FILM)
CR PLATE
CASETTE CONSTRUCTION
 LIGHTWEIGHT ALUMINUM
 PLASTIC
 STEEL FRAME
FRONT PANEL MADE OF LOW ATTENUATION
CARBON FIBER
CROSS-SECTION OF CR PLATE
PROTECTIVE LAYER
PHOSPHOR LAYER
ANTI-HALO & REFLECTIVE LAYER
BASE
BACKING LAYER
PHOSPHOR LAYER BASE
 Ba FX: Eu +2  PET- POLYETHYLENE
TERAPHTALATE
PROTECTIVE LAYER
FLUORINATED POLYMER MATERIAL
PROTECTS PHOSPHOR LAYER
ANTI-HALO LAYER + REFLECTIVE
LAYER
 PREVENTS LASER FROM PASSING THROUGH.
 REFLECTED LIGHT FROM PHOSPHOR IS
ALLOWED TO PASS.
BACKING LAYER
 PROTECTS THE BASE FROM DAMAGE.
LEAD COATING
SCATTER
CR CASSETTE IS PROTECTING
IMAGE PLATE FROM DAMAGE
+
IS THE STABLE VEHICLE FOR
TRANSPORT AND PLACEMENT
OF THE CASSETTE UNDER THE
PATIENT
BACK PANEL CONTAINS LEAD FOIL
TO PROTECT THE PLATE FROM
BACKSCATTER !!!
BACK PANEL ALSO CONTAINS
CHIP TO RECORD PATIENT
DEMOGRAPHIC INFORMATION
REMOTE OPERATOR PANEL
CR Operation
Add module code number and lesson title 29
(Europium Activated Barium FluoroHalide) BaFX:Eu , (X= Cl,
Br, or I)
Add module code number and lesson title 30
The principle of PSP
Excitation Storage Emission
CB
Trap
ADC
PMT
Impurities in the crystal lattice are responsible
for luminescence.
As the concentration of impurity ions increase
the greater the intensity of the luminescence.
CR screens use barium fluorohalides doped with
europium (europium is the impurity in the crystal).
LUMINESCENCE
When phosphors are stimulated with x-ray
photon energy electron pair holes are created.
In effect, europium is raised to an excited state
and upon luminescence it is returned to its ground
Eu2+ state.
This mechanism holds for both spontaneous
luminescence and photostimulated luminescence
LUMINESCENCE
H
igher E
nergy
E
lectron
State
Lower E
nergy
Electron
State
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
X-R
ay
P
hoton
-
P
hoton pumps
electron to
higher energy state
The shifting of europium from its excited state
back to its ground state for both spontaneous and
photostimulated luminescence is about 0.6 - 0.8
microseconds.
With screen-film imaging these crystals
spontaneously luminescence to expose a film, but
with CR imaging the luminescence occurs, then there
is also photoluminescence that occurs when the
screen is stimulated by a narrow beam of infrared
light.
LUMINESCENCE
The holes or vacancies in the lattice are portions
of the lattice normally occupied by halogens (fluoride,
bromide, or iodine).
These vacancies will trap free electrons when
irradiated and are called Farbzentren centers or F-
centers.
When the photostimulable plate is exposed to
high frequency light, usually from a helium laser, the
electrons in these F-centers are liberated and cause
luminescence at readout.
LUMINESCENCE
Add module code number and lesson title 36
(Images courtesy of AFGA)
PSP digitizer Casette and PSP
Workstation
Reading Imaging Plate
 Reader scans plate with
laser
 Laser releases
electrons trapped in
high energy
states
 Electrons fall to low
energy states
 Electrons give up
energy as visible light
Laser Beam
Higher Energy
Elect ron
St at e
Lower Energy
Elect ron
St at e
-
-
-
-
-
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-
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-
-
-
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Lower Energy
Electron State
 Reader scans plate
with laser light using
rotating mirror
 Film pulled through
scanner by rollers
 Light given off by
plate measured by
PM tube &
recorded by
computer
Reading Imaging Plate
Conventional CR Scanning
THE LATENT IMAGE WILL REMAIN
STORED FOR 24 HOURS.
IT WILL FADE THROUGH
PHOSPHORESCENCE
FADING
 25% OF STORED
ENERGY
 WITHIN 8 HOURS
CR PLATE
CR SCANNER/READER
CR AFTER
EXPOSURE IS
INSERTED INTO
CR SCANNER
READOUT
THE SCANNER SCANS THE
IMAGE PLATE WITH LASER
LIGHT AND READS THE LATENT
IMAGE FROM THE PHOSPHOR
CR Exposure & Readout
LASER
HELIUM-NEON (633 nm) LASER
BEAM SWEEPS THE PLATE IN
RASTER FASHION
PM TUBE
AMPLIFIER ADC
LASER
LIGHT
GATE
PLATE & F-CENTERS
LASER 633 nm
PHOTOSTIMULABLE LUMINESCENCE
390-400 nm
LASER SPOT SIZE –
100 MICROMETERS
PIXEL SIZE –
100 MICROMETERS
P.M. TUBE DETECTION
SENSITIVITY MATCHED TO
BLUE-PURPLE PSL
(390-400 nm)
AFTER SCANNING THE CR
PLATE NEED TO BE CLEARED
FROM RESIDUAL SIGNAL
PLATE EXPOSED TO HIGH
INTENSITY SODIUM VAPOR OR
FLUORESCENT LIGHT
 After read-out, plate erased using a bright
light
 Plate can be erased virtually without limit
 Plate life defined not by erasure cycles but by
physical wear
IMAGE DISPLAY
Typical image plate can be
reused thousands of times
CR Resolution
 Small cassettes have better spatial
resolution
 Smaller pixels
 More pixels / mm
IMAGE CHECK-INDEX
IMAGE MANIPULATION-WINDOWING
PICTURE DESTINATION -PACS
PACS
CR CHARACTERISTIC CURVE
 VERY WIDE LATITUDE
CR SYSTEMS
 LESS RADIOGRAPH REPEATS
 Much greater latitude
than screen/film
 Plate responds to many
decades of input
exposure
 under / overexposures unlikely
 Computer scale inputs
exposure to viewable
densities
 Unlike film, receptor separate
from viewer
CHARACTERISTIC CURVE
LATITTUDE OF CR
LATITTUDE OF FILM
IMAGE CAN BE SALVAGED WITH CR
 500% OVEREXPOSURE
 80% UNDEREXPOSURE
USE ADEQUATE KVP
HARD COPY GENERATED IN LASER
PRINTER
CR SYSTEM EFFICIENCY CHARACTERISTIC
QDE- QUANTUM DETECTION EFFICIENCY
NO NEED FOR SCREENS
QDE:
THE MEASURE OF THE EFFICIENCY OF CR SYSTEM TO
CONVERT REMNANT X-RAYS TO USEFUL IMAGE
SIGNAL
QDE PATIENT DOSE
Receptor provides direct digital output
No processor / reader required
Images available in < 15 seconds
Much less work for technologist
69
Amorphous Selenium Detector
72
CCD Based Detection System
PACS and DICOM
 THE ROLE OF PACS :
A Picture Archiving and Communication System (PACS) aims to replace
conventional analogue film and paper clinical request forms and reports with
a completely computerized electronic network whereby digital images are
viewed on monitors in conjunction with the clinical details of the patient and
the associated radiological report displayed in electronic format.
 The ROLE OF DICOM:
Digital Imaging and Communications in Medicine (DICOM) is a standard for
handling, storing, printing, and transmitting information in medical imaging. It
includes a file format definition and a network communications protocol.
DICOM enables the integration of scanners, servers, workstations, printers,
and network hardware from multiple manufacturers into a picture archiving
and communication system (PACS). The different devices come with DICOM
conformance statements which clearly state the DICOM classes they
support. DICOM has been widely adopted by hospitals .
?
CR_and_DR.ppt  veterinary medicine and surgery
CR_and_DR.ppt  veterinary medicine and surgery

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CR_and_DR.ppt veterinary medicine and surgery

  • 1. Computed radiography & Digital Radiography Dr. Muhammad bin zulfiqar PGR-1 SIMS/ SHL.
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  • 5. 5 Byte  The basic unit of binary coded information  Kilobyte—210 – 1024 bites  Megabyte—1024 times1024bites
  • 6. Performance parameters  Pixel: Smallest complete sample of an image. Has a varied set of tones in shades of white/ black/grey. Expressed in binary codes (bits).  Size of the pixel : Smaller the size , better resolution. CR- 50 to 200 microns, DR- 100 to 200 microns, DM- 50 to 100 microns.  Gray Scale: Shades of Gray in between pure black and pure white.  Bit Depth: No of shades to define each pixel ,measured as no of bits. Larger the depth, incr gray scale and large file size.
  • 7.  Spatial Resolution: finer details, diff objects in an image. Depends on sampling frequency and no of pixels. expressed in lp/mm.  Contrast Resolution: Color or gray scale differentiation. Indicate the no of shades of grey that a detector can capture.  File Size. Performance Parameters(contd..)
  • 8. DIGITAL PROJECTION RADIOGRAPHY DEPENDS ON COMPUTER TECHNOLOGY TO PRODUCE DIGITAL RADIOGRAPHIC IMAGE
  • 9. DIGITAL PROJECTION RADIOGRAPHY COMPUTED RADIOGRAPHY (CR) DIGITAL RADIOGRAPHY (DR)
  • 12. Computed Radiography (CR)  Been around since 1980-81  Uses same radiographic equipment  No change in X-ray machine  Uses an imaging plate  Contains a photostimulator phosphor  Need a cassette reader  Images can be sent to a PACS
  • 13. COMPUTED RADIOGRAPHY (CR): USES PHOTOSTIMULABLE PLATE (IMAGE PLATE) INSTEAD OF FILM, AS THE IMAGE RECEPTOR. CR USES CASSETTE THAT LOOKS VERY SIMILAR TO CONVENTIONAL RADIOGRAPHIC CASSETTE.
  • 14. Computed Radiography (CR)  Re-usable metal imaging plates replace film & cassette  Uses conventional bucky & x-ray equipment
  • 15. CR SYSTEM COMPONENTS  CASSETTES (phosphor plates)  ID STATION  IMAGE PREVIEW STATION  DIGITIZER  VIEWING STATION
  • 16. CR PLATE !!!!! DOES NOT USE SCREENS OR FILM (CONVENTIONAL FILM)
  • 18. CASETTE CONSTRUCTION  LIGHTWEIGHT ALUMINUM  PLASTIC  STEEL FRAME FRONT PANEL MADE OF LOW ATTENUATION CARBON FIBER
  • 19. CROSS-SECTION OF CR PLATE PROTECTIVE LAYER PHOSPHOR LAYER ANTI-HALO & REFLECTIVE LAYER BASE BACKING LAYER
  • 20. PHOSPHOR LAYER BASE  Ba FX: Eu +2  PET- POLYETHYLENE TERAPHTALATE PROTECTIVE LAYER FLUORINATED POLYMER MATERIAL PROTECTS PHOSPHOR LAYER
  • 21. ANTI-HALO LAYER + REFLECTIVE LAYER  PREVENTS LASER FROM PASSING THROUGH.  REFLECTED LIGHT FROM PHOSPHOR IS ALLOWED TO PASS. BACKING LAYER  PROTECTS THE BASE FROM DAMAGE.
  • 23. CR CASSETTE IS PROTECTING IMAGE PLATE FROM DAMAGE + IS THE STABLE VEHICLE FOR TRANSPORT AND PLACEMENT OF THE CASSETTE UNDER THE PATIENT
  • 24. BACK PANEL CONTAINS LEAD FOIL TO PROTECT THE PLATE FROM BACKSCATTER !!! BACK PANEL ALSO CONTAINS CHIP TO RECORD PATIENT DEMOGRAPHIC INFORMATION
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  • 29. Add module code number and lesson title 29 (Europium Activated Barium FluoroHalide) BaFX:Eu , (X= Cl, Br, or I)
  • 30. Add module code number and lesson title 30 The principle of PSP Excitation Storage Emission CB Trap ADC PMT
  • 31. Impurities in the crystal lattice are responsible for luminescence. As the concentration of impurity ions increase the greater the intensity of the luminescence. CR screens use barium fluorohalides doped with europium (europium is the impurity in the crystal). LUMINESCENCE
  • 32. When phosphors are stimulated with x-ray photon energy electron pair holes are created. In effect, europium is raised to an excited state and upon luminescence it is returned to its ground Eu2+ state. This mechanism holds for both spontaneous luminescence and photostimulated luminescence LUMINESCENCE
  • 34. The shifting of europium from its excited state back to its ground state for both spontaneous and photostimulated luminescence is about 0.6 - 0.8 microseconds. With screen-film imaging these crystals spontaneously luminescence to expose a film, but with CR imaging the luminescence occurs, then there is also photoluminescence that occurs when the screen is stimulated by a narrow beam of infrared light. LUMINESCENCE
  • 35. The holes or vacancies in the lattice are portions of the lattice normally occupied by halogens (fluoride, bromide, or iodine). These vacancies will trap free electrons when irradiated and are called Farbzentren centers or F- centers. When the photostimulable plate is exposed to high frequency light, usually from a helium laser, the electrons in these F-centers are liberated and cause luminescence at readout. LUMINESCENCE
  • 36. Add module code number and lesson title 36 (Images courtesy of AFGA) PSP digitizer Casette and PSP Workstation
  • 37. Reading Imaging Plate  Reader scans plate with laser  Laser releases electrons trapped in high energy states  Electrons fall to low energy states  Electrons give up energy as visible light Laser Beam Higher Energy Elect ron St at e Lower Energy Elect ron St at e - - - - - - - - - - - - - - - - - - - - - - - - - - - - Lower Energy Electron State
  • 38.  Reader scans plate with laser light using rotating mirror  Film pulled through scanner by rollers  Light given off by plate measured by PM tube & recorded by computer Reading Imaging Plate
  • 40. THE LATENT IMAGE WILL REMAIN STORED FOR 24 HOURS. IT WILL FADE THROUGH PHOSPHORESCENCE FADING  25% OF STORED ENERGY  WITHIN 8 HOURS
  • 41. CR PLATE CR SCANNER/READER CR AFTER EXPOSURE IS INSERTED INTO CR SCANNER
  • 42. READOUT THE SCANNER SCANS THE IMAGE PLATE WITH LASER LIGHT AND READS THE LATENT IMAGE FROM THE PHOSPHOR
  • 43. CR Exposure & Readout
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  • 45. LASER HELIUM-NEON (633 nm) LASER BEAM SWEEPS THE PLATE IN RASTER FASHION
  • 47. PLATE & F-CENTERS LASER 633 nm PHOTOSTIMULABLE LUMINESCENCE 390-400 nm
  • 48. LASER SPOT SIZE – 100 MICROMETERS PIXEL SIZE – 100 MICROMETERS
  • 49. P.M. TUBE DETECTION SENSITIVITY MATCHED TO BLUE-PURPLE PSL (390-400 nm)
  • 50. AFTER SCANNING THE CR PLATE NEED TO BE CLEARED FROM RESIDUAL SIGNAL PLATE EXPOSED TO HIGH INTENSITY SODIUM VAPOR OR FLUORESCENT LIGHT
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  • 52.  After read-out, plate erased using a bright light  Plate can be erased virtually without limit  Plate life defined not by erasure cycles but by physical wear
  • 53. IMAGE DISPLAY Typical image plate can be reused thousands of times
  • 54. CR Resolution  Small cassettes have better spatial resolution  Smaller pixels  More pixels / mm
  • 58. PACS
  • 59. CR CHARACTERISTIC CURVE  VERY WIDE LATITUDE CR SYSTEMS  LESS RADIOGRAPH REPEATS
  • 60.  Much greater latitude than screen/film  Plate responds to many decades of input exposure  under / overexposures unlikely  Computer scale inputs exposure to viewable densities  Unlike film, receptor separate from viewer
  • 61. CHARACTERISTIC CURVE LATITTUDE OF CR LATITTUDE OF FILM
  • 62. IMAGE CAN BE SALVAGED WITH CR  500% OVEREXPOSURE  80% UNDEREXPOSURE USE ADEQUATE KVP
  • 63. HARD COPY GENERATED IN LASER PRINTER
  • 64. CR SYSTEM EFFICIENCY CHARACTERISTIC QDE- QUANTUM DETECTION EFFICIENCY NO NEED FOR SCREENS QDE: THE MEASURE OF THE EFFICIENCY OF CR SYSTEM TO CONVERT REMNANT X-RAYS TO USEFUL IMAGE SIGNAL QDE PATIENT DOSE
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  • 66. Receptor provides direct digital output No processor / reader required Images available in < 15 seconds Much less work for technologist
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  • 77. PACS and DICOM  THE ROLE OF PACS : A Picture Archiving and Communication System (PACS) aims to replace conventional analogue film and paper clinical request forms and reports with a completely computerized electronic network whereby digital images are viewed on monitors in conjunction with the clinical details of the patient and the associated radiological report displayed in electronic format.  The ROLE OF DICOM: Digital Imaging and Communications in Medicine (DICOM) is a standard for handling, storing, printing, and transmitting information in medical imaging. It includes a file format definition and a network communications protocol. DICOM enables the integration of scanners, servers, workstations, printers, and network hardware from multiple manufacturers into a picture archiving and communication system (PACS). The different devices come with DICOM conformance statements which clearly state the DICOM classes they support. DICOM has been widely adopted by hospitals .
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