This document discusses the techniques of macroradiography and microradiography. It defines macroradiography as producing a magnified image using increased object to film distance. It describes the principles of magnification using fixed focus-film distance or fixed focus-object distance. Unsharpness from movement or geometry is discussed. Applications include skull and wrist radiography. Microradiography uses ultra-fine film and high voltages for small object imaging. Mass miniature radiography was used to screen for tuberculosis using portable fluoroscopic equipment. Distortion can occur if objects are not parallel to the central x-ray beam.
Science and art that deals with the use of binocular vision for the observation of overlapping photographs or other perspective views and the method by which such views are produced
It is the technique used to create the illusion of depth by presenting two slightly different perspective of the same object to the eyes of viewer
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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2. Contents
Macroradiography
Principles
Magnification with fixed FFD
Magnification with fixed FOD
Unsharpness with macroradiography
Applications
Microradiography
Mass miniature radiography
Distortion
References
3. The technique of producing an image by direct
magnification is called macroradiography.
Enables fine anatomical details than the original
and accurate diagnosis.
Macroradiograp
hy
4. Principles
Magnified image can be produced
by increasing the object to film
distance in which the x rays
diverging from the point source
will produce a directly magnified
image.
6. Principles
Magnification (M) can be calculated by the
following formula:
focus to film distance (FFD)
focus to object distance(FOD)
. The focus to object distance (or object to film
distance) is taken from the mid level or part.
M =
7. MAGNIFICATION WITH FIXED
FFD
Magnification is increased by bringing the object
nearer to the x ray tube
FOD = FFD/Magnification.
For eg : With a fixed FFD of 100cm, if a
magnification factor of 1.6 is required then;
FOD = 100/1.6 = 62.5 cm
8.
9. MAGNIFICATION WITH FIXED
FOD
The required magnification is obtained by
moving the film away from the object.
The required OFD for a given magnification is
then calculated from
OFD = FOD(M – 1)
Eg. FOD is fixed at 100cm , given magnification
factor 1.6
OFD = 100(1.6 – 1) = 60cm
12. MOVEMENT UNSHARPNESS
Direct magnification by increased object to
film distance can be carried out if there is
complete immobilization of the patient
Any movement due to lack of immobilization or
involuntary movement will be magnified on the
radiograph due to increased OFD
14. Some steps
Use of immobilization devices, e.g. supports,
binders,sandbags and pads.
Instructions should be given to the patient to
remain still.
15. GEOMETRIC UNSHARPNESS
Occurs because the source of x rays is not a
point source and any distance between the
object and film will cause an image penumbra
in addition to magnifying the image
16. The geometrical unsharpness for given focal
spot size calculated by
Focal Spot Size x Object-Film
Distance
Ug =
Focus-Object Distance
18. How to minimize Ug:-
Focal Spot size:- By reducing Focal Spot
Size.
Object image Distance:- By reducing object
image distence.
Focus object Distance:-By increasing the
Focus object distence.
19. Relationship between focal spot
size and magnification
For a given focal spot size there is a limit to
magnify the image without significant loss of
details.
20. APPLICATIONS
Limited use of macroradiography
Dacrocystography of Skull (Lacrimal ducts after injection
of contrast)
Imaging the carpal bones in cases of suspected fracture
of scaphoid
Localised areas of the lung
Localised areas during angiography eg: cerebral
angiography
22. Microradiography
An imaging technique used to examine
very small objects or minute details, often
with the use of high-voltages, very small
focal spot size, and an ultrafine film
emulsion.
23. Ultrafine Emulsion film
Photo print made by these films performs rich
sharpness, high definition, strong scratch
resistance, as well as long lasting by pigment
24. Microradiography
It is also called as chest fluoroscopy.
The image on a fluorescent screen is
photographed on a small film. Screen and film
are separated and the image is focused on the
film by a camera lens
Miniature radiographs (70mmx70mm or
100mmx100mm roll or cut films were used).
A permanent record is possible.
25. Mass Miniature Radiography(MMR)
In order to control tuberculosis, medical research
council, London appointed their Committee on
Tuberculosis in 1941.
The detection of symptomless or latent pulmonary
tuberculosis by mass radiography had been the
subject of much careful investigation.
An excellent instrument was designed by the
council for this purpose and in 1943 the Ministry of
Health announced that a limited number of mobile
miniature radiography sets.
26. The equipment consist of
Fluorescent screen(emits blue or green light)
A mirror optics system on recording exposure
on film
28. Apparatus for MMR
1.Power unit:- High tension unit
Four valve rectification
An output of from 100 to 400mA
A maximum kilovoltage of 100 kVp and 91 kVp
respectively
29. 2. X-ray Tube
The rotating anode X-ray tube
Dual focus, Focal-spot sizes are 1mm and
2mm square.
An optical centring device.
Adjustable diaphragm
30. 3.Fluorescent Screen and Grid:
16 by 16 inches fluorescent screen
Covered by a sheet of protective lead glass.
Yellow-blue or green type of screen
A stationary grid is also present which
reduces scatter
4.The Camera.:
An electrically operated camera is linked with the
X-ray exposure switch.
Lead glass protection is present on the camera side of
screen
5.The lens: a number of different lenses
31. Developing MMR films
Special tanks meant for roll films on a spiral frame
Development time was 7min at 68 degree F
32.
33. Viewing of MMR FILMS
Projector for viewing miniature radiographs
Magnifying glasses
35. DISTORTION
Misrepresentation of the true size and
shape of an object is called distortion.
Distortion results from unequal
magnification of different parts of the
same object.
36. Foca
l
Spot
Film
•The object AB is
tilted with respect to
the plane of the film.
•The size and shape
of image vary with
the amount of tilting.
Distortion
A
B
A B
37. Distortion of the image of an object will be
different in different parts of the x-ray beam.
38. Distortion of thick object occurs if they are
not directly in the central part of the x-ray
beam.
39. When the part to be imaged does not lay parallel
with the IR (cassette).
If the Central Ray is not perpendicular to the part.
40. Caused by improper alignment object with relation
to tube focus and film .
Distortion of an object will be different in different
part of the x-ray beam.
43. REFERENCES
CHESNEY’S RADIOGRAPHIC IMAGING, 6TH EDITION
JOHN BALL, TONY PRICE HDCR
CLARK’S POSITIONING IN RADIOGRAPHY, 12TH
EDITION
A. Stewart Whitley Charles Sloane Graham Hoadley Adrian D. Moore
Chrissie W. Alsop
.