Dr. Muhammad bin zulfiqar
PGR-1
SIMS/ SHL.
Basics of Digital
Language
Byte
The basic unit of binary coded information
Kilobyte—210 – 1024 bites
Megabyte—1024 times1024bites

5
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.
Performance Parameters(contd..)
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.
DIGITAL PROJECTION RADIOGRAPHY

COMPUTED RADIOGRAPHY (CR) DIGITAL RADIOGRAPHY (DR)
X-RAYS

CR
CR PLATE
SCANNER

11011101
X-RAYS

DR
DETECTORS

11011101
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)
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
CASETTE CONSTRUCTION
LIGHTWEIGHT ALUMINUM
PLASTIC
STEEL FRAME

FRONT PANEL MADE OF LOW ATTENUATION
CARBON FIBER
PROTECTIVE LAYER
PHOSPHOR LAYER
ANTI-HALO & REFLECTIVE LAYER

BASE

BACKING LAYER
PHOSPHOR LAYER
Ba FX: Eu +2

BASE
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.
SCATTER
REMOTE OPERATOR PANEL
CR Operation
Add module code number and lesson title

29
The principle of PSP
PMT

ADC

CB
Trap

Excitation

Storage
Add module code number and lesson title

Emission
30
-

X-Ray
Photon

Higher E
nergy
Electron
State

P
hoton pumps
electron to
higher energy state

- - - Lower E
nergy - - Electron
- State
- - - -
PSP digitizer

(Images courtesy of AFGA)
Add module code number and lesson title

Casette and PSP

Workstation

36
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
Electron State
Lower Energy
Elect ron
St at e

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-
Reading Imaging Plate
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
Conventional CR Scanning
25% OF STORED

ENERGY

WITHIN 8 HOURS
CR PLATE

CR SCANNER/READER

CR AFTER
EXPOSURE IS
INSERTED INTO
CR SCANNER
CR Exposure & Readout
LASER

PM TUBE
LIGHT
GATE

AMPLIFIER

ADC
LASER 633 nm

PHOTOSTIMULABLE LUMINESCENCE
390-400 nm

PLATE & F-CENTERS
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
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 FILM
LATITTUDE OF CR
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
72
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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Cr & dr
Cr & dr

Cr & dr