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