Radiographic image quality

Image quality depends on

Geometric factors

Subject factors

Image receptor factors

Geometric factors

Magnification

Distortion

Unsharpness/ penumbra (shaded region)

All images are magnified in radiography

SID/SOD to calculate magnification

Preferred- large SID and have the object as close to the image receptor as possible

If object is off axis and flat then magnification does not change the object (distort it)

Occurs due to unequal magnification to different parts of object- depends on the shape and position of the object

focal spot not in point source

focal spot blur= effective focal spot x OID/SOD

Geometric unsharpness- loss of image quality (definition) due to geometric factors (magnification/ distortion)

2 types of unsharpness: motion and absorption. Motion unsharpness: movement of the patient (respiration). Absorption unsharpness: blurring due to change in x-ray absorption across the edge of the object (insignificant)

preferred: angled anode, width of penumbra greater on anode side of tube, max sharpness towards the anode side of the tube

Subject Factors

Tissue density

Patient thickness

Kvp

Effective atomic number

Object shape (minor factor)

Subject contrast- contrast reduces with higher Kvp as linear attenuation coefficient is energy dependent

Subject Contrast

Contrast reduces with higher Kvp since the linear attenuation coefficient is energy dependent

if we lower Kvp- patient dose must be increased and reduces penetration of x-ray beam