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Image Production II
Image Production II
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#radiography #imageproduction #digitalimaging #digitalradiography #pacs
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1
Type of radiography that uses film & intensifying screens in it's image formation process
DR Radiography
Conventional Radiography
CR Radiography
Original Radiography
2
Plate is scanned, image location & then signal size determined, & value is placed on each pixel
Histogram Production
ADC conversion
Image Sampling
PSP reading
3
More light spread will result in ________ MTF.
lower
bad
equal
higher
4
In indirect capture, this gives off light that is detected and turned into an electric signal.
scintillator
film
electrons
laser beam
5
Series of connections, controllers, & chips that creates information highway of the computer
CPU
ports
highways
buses
6
Slow scan (image plate through the reader) is also known as
translation
raster scan
transisting
amplification
7
Noise occurs when the CCD chip operates w/o radiation stimulation
white noise
amplification noise
statistical noise
dark noise
8
Which phosphor produces more lightspread/decreases efficiency when stimulated?
unstructured
structured
9
Who can fix broken latches or hinges?
technologist
radiation safety officer
QC technologist
service personnel
10
Type of motion that will blur the grid lines and eliminate interferance
bouncing
criss cross
pendulum
oscillating
11
System in which images are sent directly to archive server after acquisition
PACS workflow
Quality control
network based system
client/server based system
12
On the LUT, contrast can be increased or decreased by changing what?
bringing the line up
the slope
the left side
the first number
13
Smallest element in a digital image, also known as picture element.
byte
matrix
bit
pixel
14
Reduction of the area of the beam that reaches the patient through the use of lead shutters
cropping
focal spot size
collimation
magnification
15
Systems that are a simply light proof container that protects image plate from light & handling
Film screen
Cassette based PSP
Digital radiography
16
Early CT machines took a few ________ to reconstruct raw data into a recognizable image.
hours
days
weeks
minutes
17
Considered to be the second major milestone in medical imaging
Radiography
Computed Tomography
Magnetic Resonance Imaging
Sonography
18
In direct capture, energy is detected by a ________ that converts it into an electric signal.
look up table
conductive belt
photophosphor
photoconductor
19
True or False: Digital images are formed through multiple samplings of a signal.
True
False
20
Short term memory storage for open programs
netowrk card
Random allocating memory
WAN
Random access memory
21
This layer of the cassette sends the light in a forward direction.
phosphor layer
conductive layer
protective layer
reflective layer
22
Process where x-ray energy is converted directly into an electrical signal.
Moire effect
Direct capture
Indirect capture
Field of view
23
May be used to look up exams for a physician or print copies of images for the patient
QC station
PACS network
image management stations
24
How many people at one time can open a study on client/server based systems?
Multiple
Only two - tech and radiologist
One
25
Network w/centralized computer that controls operations, files, and sometimes programs
component network
peer to peer network
server based network
26
CCD is only included in what process(es)?
Neither
1 & 2
Indirect capture
Direct capture
27
A place where records or documents are preserved
RIS
archive
hard drive
HIS
28
In PSP, the light is picked up by one of these two things then converted to an electric signal?
flashpad
CCD array
FPD
photomultiplier tube
29
True or false: facilities prefer when the tech manipulates images before sending them to PACS
False
True
30
T or F: biggest advantage of CCD relates to demagnification issues and reduced DQE
False
True
31
When insufficient light is produced, image is grainy, a condition known as
quantum mottle/noise
insufficient detail
motion
artifacts
32
Stationary grid can interfere with image and produce lines, known as the:
moire pattern
nyquist effect
grid line factor
zebra phenomenon
33
A networked group of computers, servers, and archives used to manage digital images.
PACS
Network system
WAN
Archive
34
In PSP systems, a _____________ scanned over the plate releases the latent image.
focused laser light
focused LED bulb
heated beam
fluroescent beam
35
RAM takes data from the _______ so it can handle processing needs of running programs
computed discs
CPU
hard drive
buses
36
In general projection radiography PSP imaging, resolution is approximately:
1-2 lp/mm
1.5-3.5 lp/mm
2.55-5 lp/mm
3-5 lp/mm
37
MRI was introduced in what decade?
1960's
1980's
2000's
1990's
38
Allows tech to match image information with patient information.
barcode label
MRN number
PACS
ascession number
39
X-ray photons are absorbed by coating material & immediately converted into electrical signal
indirect conversion
direct conversion
40
Referred to as the image's appearance on the display monitor of the computer.
Gray tones
Contrast scale
Window level/window width
Brightness
41
A line of TFT switches allows electrical charge info to discharge when switches are _______.
Closed
Open
42
True or False: PSP systems are less sensitive to low levels of radiation.
False
True
43
Type of OS used to control specific machinery, such as digital x-ray consoles
single user, multi task
single user, single task
multiuser
real time
44
Window level represents
quality
shades of gray
detail
brightness
45
Digital images are recorded as multiple _________ and divided into array of small elements.
image sequences
layers
numeric values
colors
46
Functions primarily used radiologist to increase size of an image area are all of these except:
zoom
magnify
pan
crop
47
T or F: info can never be misrepresented or lost even if there's defects in operation of device
True
False
48
Network that spans large area, used to connect computers that aren't physically attached
server based network
wide area network
local area network
peer area network
49
Adding a black background around the original collimation edges, this is known as:
shuttering
blackening
bordering
post processing
50
T or F: In client/based systems, if the archive goes down, the entire system is still operable.
False
True
51
Changes to images before PACS reduces the amount of manipulation the ________ can do.
nurse
other technologist
radiologist
PACS admin
52
Simplest device that can be used to connect several pieces of equipment together
network medium
network switch
interface card
network hub
53
Cheapest form of storage:
USB
Blue-ray
DVD
CD
54
Noise that occurs when some pixels in the chip don't work at all, common in digital
statistical noise
white noise
dark noise
amplification noise
55
In digital x-ray, density is controlled by what?
noise
LUT
image processing algorithms
mAs
56
When signal is reproduced, frequencies above the Nyquist frequency will cause:
aliasing
nyquist theory
rescaling
noise
57
This layer traps electrons during exposure, commonly made of barium fluorohalide.
phosphor layer
backing layer
reflective layer
conductive layer
58
T or F: The first
T
hin
F
ilm
T
ransistors were made of amorphous silicon and amorphous selenium
true
false
59
In conventional x-ray, exposure latitude is based on....
the thickness of the cassette
how large or small the film is
the characteristic response of the film
how old the piece of film is
60
Storage phosphor plates are similar to...
digital flashpads
film
intensifying screens
buckies
61
Indirect conversion uses a phosphor such as ___________ to absorb x-rays and produce light
gadolinium oxysulphide
gadolnium formaldehyde
barium fluorohalide
barium sulfate
62
Maps the image grayscale values into visible output intensity on a monitor or printed film.
Scintillator
Window level
Look up table
ADC
63
T or F: the two types of film digitizers are laser digitizers and CCD digitizers
False
True
64
Reject analysis is performed how often
annually
monthly
daily
weekly
65
Amount of electrons produced relative to the incident light from the scintillator
noise control
quantum mottle
DQE
quantum efficiency
66
Network with multiple pathways interconnecting devices and networks
bus topology
mesh topology
ring topology
star topology
67
Used to move through images, series, studies, and patients
web based systems
image storage
post processing functions
navigation functions
68
ADC stands for...
Automatic to Direct Converter
Automatic Divergence Conversion
Analog to Digital Converter
Analog to Digital Charge
69
Organization that sets standards that are used in most health care applications, btwn HIS & RIS
HL-7
PACS
DICOM
HIS
70
Early PACS systems moved images from __________ to established hospitals.
clinics
battlefields
foreign countries
naval ships
71
Data within a collimated area produces a graphic representation of optical densities called a?
histogram
image history
level scale
salpingogram
72
In indirect conversion, signals are first converted to _______ and then to an electrical signal
phosphor
sound
light
photo
73
The first commercial CT scanners imaged only the...
abdomen
chest
head
spine
74
T or F: 3 types of compression are lossless, lossy, and no compression
false
true
75
True or false: changes in the matrix size will not affect pixel size.
False
True
76
Cassettes contain ______ to protect against static electricity, dust and mechanical damage.
plastic backing
lead strips
anti-static material
protective housing
77
Cassettes are backed by a thin sheet of aluminum that absorbs what?
useful beam
backscatter radiation
primary radiation
extra photons
78
T or F: image is digitized by both position (spatial location) and intensity (gray level)
False
True
79
Following are all techniques to reduce possibility of image lag, except:
Increase amount of time btwn exposures
Set appropriate technical factors
Wait the appropriate 60 minutes before using the same plate
Reduce unattenuated beam by increasing collimation
80
In conventional radiography, contrast is primarily controlled by what?
field size
mAs
lookup table
kVp
81
Number of bits within a pixel is known as?
bit depth
bytes
matrix size
pixel area
82
In indirect conversion, the phosphor layer is also known as the ________ layer
scintillation
absorption
translation
light reflective
83
QC technologists perform testing how often
annually
daily
weekly
monthly
84
Comprehensive set of activities designed to monitor & maintain systems that produce a product
quality control
quality assurance
85
The internet is based on what kind of network topology?
bus topology
mesh topology
star topology
ring topology
86
Moire effect happens because the grid lines and the scanning laser are:
level with eachother
parallel
on top of one another
perpendicular
87
Grid lines will be finer/less interfering when the grid frequency is:
an even number
spread out
higher
lower
88
Amount of detail present in any image is known as it's:
noise quality
positioning latitude
contrast resolution
spatial resolution
89
Most popular type of amorphous silicon detecter uses a ______ scintillator.
CDL
Csl
Gd2O2s
phosphor
90
A device/system that captures or measures a continuously changing signal.
analog
photostimulator
digital
CCD
91
Thinner plates result in ______ image sharpness bc of reduced amount of light spreading.
lesser
even
unchanged
greater
92
TJC (formerly JCAHO) accreditiation necessary for all the following except:
funding for new equipment
malpractice insurance
reimbursements from insurance companies
medicaid funding
93
Window width represents
brightness
detail
shades of gray
quality
94
Acquisition modalities send images to designated reading stations in what type of system?
CT systems
client/based systems
network systems
distributed systems
95
In direct conv., each pixel contains a ____ that absorbs electrons & generates electric charges
scintillator
cat
photodiode
photomultiplier
96
If image is taken prior to detector releasing signal from previous image, what can happen?
faint image of previous exposure (image lag)
two separate images will show on the screen
the new image erases the old image
97
True or False: Quality can be considered a service or a product.
false
true
98
Gadolinium oxysulphide is considered to be a(n):
structured phosphor
unstructured phosphor
99
On most digital systems, kVp values range from:
70-120
30-130
55-110
45-120
100
Ultimate focus in health care is:
have the quickest times possible while getting a good review
improvate patient care & provide high quality service
101
Which is most inexpensive, easier to repair, and more simple? TFT or CCD
TFT
CCD
102
In digital x-ray, images will appear on the monitor in what amount of time?
2 seconds
4 seconds
3-5 seconds
2-3 seconds
103
T or F: background signal is unimportant therefore imaging plates don't need to be erased
False
True
104
Uncommonly, malfunctions in the detector can cause:
noise
nothing
image artifacts
channeling
105
DICOM stands for Digital Imaging Communication ____________________
in marketing
in medicine
in modalities
106
One of the first uses of digital imaging was in...
1990's
1970's
1960's
1980's
107
Surpressing frequencies, also known as ________ can result in loss of small details.
ghosting
masking
processing
edging
108
Amount of exposure received by the image receptor.
detail
penetration
scatter absorption
exposure index
109
Process where x-rays are absorbed, converted to light which is converted to an electric signal
Indirect Capture
Direct Capture
Moire effect
Grid cleanup
110
Plan for the systematic observation & assessment of diff. aspects to make sure standards met
quality assurance
quality control
111
Software that controls computer hardware & acts as a bridge btwn applications & hardware
CRT monitor
operating system (OS)
server based network
central processing unit
112
Film is inside a cassette that contains an intensifying screen in ________ radiography?
conventional
computed
diagnostic
digital
113
Imagers that use heat to process latent image that is etched into the silver emulsion by laser
heat imager
chemical imager
dry imager
wet imager
114
How long does it take between exposures for the plate to erase the old image?
60 minutes
3-5 seconds
2 minutes
25 seconds
115
Common measurements functions include all of the following except:
distance measurement
angle measurement
region of interest
extremity measurement
116
Network in which the devices are connected in a circle.
ring topology
star topology
bus topology
117
Network which all devices are physically attached to & listen for communication on single wire
star topology
bus topology
ring topology
bus
118
How efficiently a system converts x-ray input signal into a useful image.
Detail Quadratic Equation
Deficient Quantum Element
Detective Quavo Element
Detective Quantum Efficiency
119
Most storage phosphor plates are made of what?
lead strips
halide flurobromine
barium fluorohalide
barium formaldehyde
120
Early PACs systems were developed by...
Homeland Security
NASA
US Military
Insurance Companies
121
Edge enhancement is also known as
shuttering
window leveling
high pass filtering
low pass filtering
122
Any undesirable densities on the processed image other than those caused by scatter or fog
noise
artifacts
low mAs
low contrast
123
Image acquisition, display workstations, & archive servers are 3 fundamental parts of:
RIS
HL-7
DICOM
PACS
124
PSP plates record a _______ range of exposures, so only the optimal density range is processed.
random
wide
rough
small
125
On a histogram, values on the left represent ______ areas.
dark
light
medium
unexposed
126
Gadolinium oxysulphide material is made from small crystals in an unstructured or ______ layer
turbine
photodiode
turbid
composite
127
Which is not a following type of noise associated with CCD technology
dark noise
amplification noise
statistical noise
white noise
128
Cracks in the plate appearing as radioluscency on the image are known as
plate reader artifacts
image processing artifacts
imaging plate artifacts
129
CT units took several ________ to acquire a single slice of information
days
seconds
minutes
hours
130
High resolution image plates contain a _______ phosphor layer compared to the standard plates.
thicker
thinner
shorter
longer
131
If an image has a bit depth of 8, how many shades of gray are in the image?
2
50
256
16
132
Occurs when fewer pixels in the nieghborhood are included in the signal average.
image manipulation
collimation cutoff
image aliasing
edge enhancement
133
CMOS was developed by what company?
MAGA
NASA
FDA
USDA
134
Any computer that a health care worker uses to view a digital image
PACS processing screen
display workstation
LCD monitor
archive server station
135
The ability to respond to varying levels of exposure that allows seeing more tissue densities
dynamic range
spatial resolution
kVp penetration
noise
136
The ________, or microprocessor, is a small chip found on the mother board.
microchip
Central processing unit (CPU)
network card
CMOS
137
T or F: two types of scinitillation layers are structured and unstructured
False
True
138
A cassette's phosphor layer is also known as it's
conductive layer
light shielding layer
support layer
active layer
139
PSP reader that has optical stage, scanning laser beam, photomuliplier, & ADC converter.
direct scan
line scan
round scan
point scan
140
Constant measure to be monitored is to make sure all images make it to ______.
PACS
DICOM
HIS
RIS
141
Will changes in the field of view affect the size of the pixel matrix?
Yes
No
Not sure
Sometimes
142
Each pixel or ____ contains 3 electrodes that hold the electrons in an electric potential well.
thin film transistor (tft)
detector element (del)
charged coupled device (ccd)
detective quantum element (dqe)
143
A perfect system would have an MTF of ______?
1 or 100%
0
10 or 100%
100
144
An appropriate grid for portables is 6:1, where as an appropriate grid for the department is:
10:1
4:1
12:1
8:1
145
Movement of the laser across the imaging plate.
fast scan direction
fast pace reading
slow scan direction
raster scanning
146
Two or more objects sharing resources/info; devices interconnected by communication channels
network (including LAN and WAN)
hospital information system
bus
network hub
147
Similar to a hub but sends data only to those devices in which the data are directed.
network bridge
network switch
network router
148
Who will need to clean or replace the light guide on a damaged plate reader?
technologist
QC technologist
radiation safety officer
service personnel
149
Refers to the number of grid lines per centimeter or lines per inch
grid frequency
line pattern
grid ratio
grid focus
150
Image management station is also known as:
navigation station
physician workstation
qc workstation
file room workstation
151
Imagers that use chemicals to process film that has been exposed to the laser
digitizing imagers
chemical imagers
dry imagers
wet imagers
152
More pixels = _______ image resolution
greater
less
153
Initial digital image appears linear when graphed bc all gray shades are visible, resulting in:
low resolution
wide latitude
high resolution
narrow latitude
154
Moving images via telephone lines to & from remote locations is referred to as...
CR radiography
phonoradiography
teletomography
teleradiography
155
With PSP and FPD, radiographic contrast is controlled by what?
kVp (kilovolt peak)
LUT (look up table)
mAs (milliamperage per sec)
mA (milliamperage)
156
The ability of a digital system to display subtle changes in the shade of gray.
Detail
Spatial resolution
Contrast resolution
Latitude
157
On the LUT, _________ is increased and decreased by moving the line up or down the y-axis.
brightness (density)
spatial resolution
noise
visible contrast
158
Ability of imaging system to demonstrate small details of an object.
Primary detail
Look up table
Spatial resolution
Contrast resolution
159
Modulation transfer function (MTF) is the ability of the system to record available __________.
light
noise variances
shades of gray
spatial frequencies
160
Noise created by the lack of light photons from the scintillator
statistical noise
white noise
dark noise
amplification noise
161
Number of gray tones a pixel can produce is _____ to the power of the bit depth.
8
2
zero
256
162
When images are produced with uniform density and contrast, regardless of exposure amount.
automatic rescaling
sampling
contrast regulation
nyquist theorem
163
Indirect conversion detectors are similar to direct because they use _________
CCD arrays
TFT technology
on and off switches
164
Scans the analog film and produces numeric signals for each part of the scanned film
film digitizer
phosphor plate reader
scintillator
image producer
165
Small area networked w/series of cables or wireless access points; devices on same network
hospital network
wide area network
peer to peer network
local area network
166
In conventional x-ray, optical density is primarily controlled by what?
LUT
brightness
kVp
mAs
167
Movement of the image plate through the reader.
slow scan direction
scan system
fast scan direction
raster scanning
168
PACS can accept any image that is in ________ format.
Digital
Analog
DICOM
Compressed
169
Function that allows the QC tech to select one or more local computers to recieve images.
manual reciept
location preferencing
manual send
direct messaging
170
This digital acquisition modality uses storage phosphor plates to produce projection images.
CMOS
PACS
DR
PSP
171
The two ways to measure detector performance (select two):
performing exams on cadavers to get real time numbers
observation of low-contrast objects in a phantom
recording dead pixels on each live patient
numerical measurement of spatial resolution & DQE
172
Should be monitored from modality to PACS & from archive to workstation
workstation speed
data speed
image transfer speed
173
Each pixel contains pieces of information called _______.
Point
Byte
Pix
Bit
174
Line scan readers use a ________ linear array photodetector.
ADC
transformer
charged coupled device (CCD)
FPD
175
T or F: a field effect transistor or silocon TFT reacts like a switch (in direct conversion)
True
False
176
Reading of pixel values could be off because of all of the following, except:
unexpected body part in image
gonadal shielding or prosthesis in image
motion of patient
system fails to recognize collimated border
177
True or False: In client/server based systems, any exam sent to PACS is available anywhere
False
True
178
Range of exposure diagnostic image values the image detector is able to produce.
Resolution
Detail
Scale of contrast
Latitude
179
Relationship between the height of the lead strips and the space between the lead strips
grid ratio
grid cleanup factor
grid focus
grid frequency
180
In direct conversion, more than __________ pixels can be read & converted to image in 1 second
two billion
one million
three hundred
ten thousand
181
Aliasing (also called foldover/biasing) causes mirroring of the signal at _____ the frequency.
1/2
double
half
1/4
182
When do you erase cassettes if you are unsure of the last erasure?
Before use
after 24 hours
after 48 hours
183
Post processing is performed by who?
Supervisor
Technologist
QA Employee
Radiologist
184
DICOM is standards that allows PACS and __________ to communicate in the same language.
networks
imaging modalities
patients and families
other hospitals' PACS
185
Indirect capture is similar to PSP because x-ray energy stimulates a.....
conversion tube
photomultiplier
thin film transistor
scintillator
186
Anything that interferes with the formation of the image.
Noise
Motion
Artifacts
Loudness
187
Who introduced the CT scanner?
Clarence Daly
Godfrey Hounsfield
William Roentgen
Thomas Edison
188
What are the two types of PSP readers?
line scan & round scan
line scan & point scan
indirect & direct scan
direct scan & point scan
189
Universally accepted standard for exchanging medical images
DICOM
WAN
PACS
190
T or F: RIS holds patient's full medical info, HIS holds all radiology specific data
False
True
191
White lines parallel to the direction of plate travel caused by dust or scratches are known as
plate reader artifacts
image processing artifacts
imaging plate artifacts
192
Important phase in establishing parameters that determine collimation & histogram function
collimation angle phase
post processing elemental phase
data phase
image recognition phase
193
Used to blacken out the white collimation borders, effectively eliminating veil glare.
automatic shuttering
blackening
cropping
filtering
194
Many PACS reading stations also have what capability?
image e-mailing
radiologist duties
image processing
diagnosing
195
In client/based servers, archive server is handling many requests at once and can become:
bottlenecked
repetitive
crashed
frozen
196
Used to review images after acquisitions but before sending them to the radiologist.
diagnostic main computer
tech quality control stations
physician review station
technologist viewing stations
197
RAID stands for:
redundant array of independent disks
redundant array of imaging documents
relocation aquisition of inexpensive disks
198
Direct capture uses __________ as an x-ray absorber.
pixel matrix
intensifying screens
scintillator
photoconductor
199
These systems use an x-ray absorber material coupled to a TFT or CCD to form images.
Matrix systems
Grid factors
Photostimulable phosphor (PSP)
Flat panel detector (FPD)
200
T or F: matrix size change will affect FOV, but FOV or matrix change won't affects pixel size.
True
False
201
In digital x-ray, mAs has more influence on _______ than on density.
detail
image noise
subject contrast
penetration
202
Traditionally kVp was chosen for _________.
contrast
penetration
quantity
brightness
203
Which of the following is not a major OS in use today?
Unix/Linux
Dell Hardware
Macintosh OS
Microsoft Windows
204
Converting digital input data to an image w/appropriate brightness & contrast is referred to as
spatial frequency
processing
contrast manipulation
brightness adjustment
205
Typical grid frequency is between ____ and _____ lines per inch
80 and 152
110 and 180
10 and 50
52 and 180
206
True or False? PACS provides image access to multiple users at the same time.
False
Red
True
Blue