Amount of exposure from x-rays and light from the intensifyingscreen
Determine the amount of blackening after image development
Density
General definition of the blackening on the radiograph, result of processing the latent image into a visible image
Densitometer is used to measure density
Lungtissue and gas in the intestinal tract attenuate the beam less, appear as darker areas on the radiograph
Latitude is determined by the range of a given exposure
Density affected when kVp increases
More density produced
Steeper latitude results in higher contrast
When mass density doubles, x-ray interaction chance doubles
RADIOGRAPHIC DENSITY is defined as the blackening on the film
Exposure of film
The phospors side is in front of the x-ray tube. The film after exposure is latent; processing is required
Typical exposure for chest x-ray is usually 8 mAs and 79 kVp based on patient thickness
Presence of density
Makes the image visible
Medical radiography and optical density are most used between 0.25 and 2.5 OD. Above 2.5 is overexposed, below 0.25 is underexposed
Radiograph too dark indicates high OD due to overexposure
LATITUDE is the range of exposure producing densities between 0.25 and 2.0 above the base plus fog density
Bones receive less exposure, hence less radiographic density. Bones appear as light areas on the radiograph
Mass density relates to how tightly atoms are packed
The opacity of the radiograph is described as the blackening of the film
If there is no contrast, the image cannot be visualized. Presence of white, dark, or blackness is necessary for contrast. Density and contrast are not related
Exposure of intensifying screen
More light is emitted, screen converts x-rays into light
AVERAGE GRADIENT is used to describe contrast
Radiographic density is defined as the logarithm (base 10) of the ratio of light hitting the film to the amount of light transmitted through the film
Higher temperature
More density produced
At an OD of 2, only 1% of viewbox light passes through the film
Interaction of x-rays with tissue is proportional to massdensity
MASSDENSITY is the quantity of matter per unit volume, specified in kg/m3 or g/cm3
When x-ray interaction is doubled, it is because twice as many electrons are available for interaction
If the mAs is doubled, the amount of density recorded on the film is doubled
kVp (kilovoltagepeak)
Changes in kilovoltage can significantly affect density on the film
mAs (milliampere-seconds)
The prime factor that controls film density
Attenuation
The total reduction in the number of x-rays remaining in an x-ray beam after penetration through a given thickness of tissue
A 15% increase in kVp, accompanied by a half reduction in mAs, results in the same optical density (OD)
rays originate from the focal spot area and travel in all directions
When only a change in density is required to improve a radiograph, the most effective factor is milliampere-seconds
Even without the Z-relatedphotoelectriceffect
Nearly twice as many x-rays would be absorbed and scattered in bone as in soft tissue
Absorptionprocess
An interaction, such as the photoelectric effect, where the x-ray disappears
The sensitivity specks in the film emulsion will attract more silver ions, resulting in increased blackening on the film
An increase in kilovoltage peak (kVp) will result in an increase in density recorded on the film
When kVp is increased, more scatter radiation is produced, adding density to the film