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Intensifying screens amplify x-rays to produce a brighter latent image on radiographic film. They contain a phosphor layer that emits light when struck by x-rays, and a reflective layer that increases the amount of light reaching the film. This lowers the radiation dose needed for an image. While image noise and blurring increase slightly, intensifying screens allow for lower patient doses, greater flexibility in exposure factors, and improved image detail and spatial resolution. Proper use of screens provides numerous advantages over radiography without screens.
Intensifying screens amplify x-rays to produce a brighter latent image on radiographic film. They contain a phosphor layer that emits light when struck by x-rays, and a reflective layer that increases the amount of light reaching the film. This lowers the radiation dose needed for an image. While image noise and blurring increase slightly, intensifying screens allow for lower patient doses, greater flexibility in exposure factors, and improved image detail and spatial resolution. Proper use of screens provides numerous advantages over radiography without screens.
Intensifying screens amplify x-rays to produce a brighter latent image on radiographic film. They contain a phosphor layer that emits light when struck by x-rays, and a reflective layer that increases the amount of light reaching the film. This lowers the radiation dose needed for an image. While image noise and blurring increase slightly, intensifying screens allow for lower patient doses, greater flexibility in exposure factors, and improved image detail and spatial resolution. Proper use of screens provides numerous advantages over radiography without screens.
Screen construction •Less than 1% of the x-rays incident on radiographic film interact with the film and contribute to the latent image. •30% of the x-rays striking a radiographic intensifying screen interacts with the screen. Intensifying screen •The Radiographic Intensifying Screen amplifies the image-forming x-rays that reach the screen-film cassette. •Reflective Layer – Increases the efficiency of the radiographic screen. Doubling the light •Base – Mechanical Support Benefits & Disadvantage •Lowers Patient Dose & Blurs the Image (Not Much) PROTECTIVE COATING •Helps eliminate the build up of static electricity. •Resistant to abrasion and damage by handling •Provides a surface for cleaning without disturbing phosphors phosphor •The Active Layer of the Screen •Emits light by stimulation of x-ray •Calcium Tungstate was used in the past •Rare Earth Materials – Gadolinium, Lanthanum in modern. Intensifying screen req’d Proper Spectral Matching DQE – Detective Quantum Efficiency CE – Conversion Efficiency High Atomic Number, X-ray absorption is High Afterglow Phosphor must not be affected by environmental conditions Isotropic emission •Radiation with equal intensity in all directions luminescence •Any Material that emits light in response to some out side stimulation. Properties of the screen •Rugged and moisture-resistant •Resistant to radiation damage and discoloration •Chemically inert •Flexible •Lacking impurities Screen speed
•It’s a relative number on how fast x-rays
are converted to light •100 (slow) to 1200 (very fast) Intensification factor •IF = exposure required without screen exposure required with screen Entrance skin exposure • A pelvic examination using a 100 speed Intensifying screen is taken at 75 KvP, 50 mAs, results to an ESE of 200 mR. • A similar examination taken without screens would result in an ESE of 6400 mR • What is the approximate IF of screen-film combination? solution •IF = exposure required without screen exposure required with screen •IF = 6400 = 32 200 Properties cannot be controlled •Phosphor composition •Phosphor Thickness •Reflective Layer •Dye •Crystal Size •Concentration of phosphor crystals Image noise •Appears as speckled on a radiograph, salt and pepper appearance •Higher conversion efficiency results in increased noise. Quatum mottle •A prinicipal component of image noise. •Only half as many x-rays are required, and this result in increase. Image detail •Spatial Resolution •Contrast Resolution Advantage of proper use •Increased Flexibility of KvP selection Adjustment of radiographic contrast Capacity of magnification radiography Spatial resolution when using smaller focal spots Advantage of proper use •Decreased •Patient Dose •Occupational Exposure •X-ray tube heat production •X-ray exposure time •X-ray tube mA •Focal Spot size Most common cause to poor screen – film contact •Worn Contact Felt •Loose, bent, or broken hinges and latches •Warped screen caused by excessive moisture •Warped cassette front •Sprung or cracked cassette frame •Foreign matter under the screen