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Production and Control of Scatter RadiationProduction and Control of Scatter Radiation
Moderator :Moderator : Mr. Ram SinghMr. Ram SinghLecturerLecturer
Deptt of Radio diagnosis & ImagingDeptt of Radio diagnosis & Imaging
PGIMER, ChandigarhPGIMER, ChandigarhPresenter :RUNISHAPresenter :RUNISHA
BOMRAHBOMRAH
B.Sc.M.T.(XB.Sc.M.T.(X--Ray)Ray)Final Year StudentFinal Year Student
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When photon beam interacts with matter,When photon beam interacts with matter,some of its part get absorbed, some getssome of its part get absorbed, some gets
deflected to a new direction and rest of itsdeflected to a new direction and rest of itspart is transmitted to produce radiographicpart is transmitted to produce radiographicimage.image.
The part which is deflected from itsThe part which is deflected from itsoriginal path to a new direction is known asoriginal path to a new direction is known asscattered radiation.scattered radiation.
IntroductionIntroduction
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DefinitionDefinition
The secondary radiation which makes noThe secondary radiation which makes no
favorable contribution to the formation of imagefavorable contribution to the formation of image
and produce an over all blackness on film thusand produce an over all blackness on film thus
reducing overall radiographic contrastreducing overall radiographic contrastEffects of scatterEffects of scatter1.1. Increase overall density of film which is not useful inIncrease overall density of film which is not useful in
production of image thus produces fogproduction of image thus produces fog
2.2. Reduces contrastReduces contrast
3.3. Reduces light transmitting ability of filmReduces light transmitting ability of film
4.4. Result in formation of noiseResult in formation of noise
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Characteristics of scatterCharacteristics of scatter
More oblique in natureMore oblique in nature
Produced by matter in all directionProduced by matter in all direction
Can travel through longer path in body thanCan travel through longer path in body thanprimary beamprimary beam
Less energy than primary beamLess energy than primary beam
With Increase in energy of primary radiationWith Increase in energy of primary radiation
more scattering in forward directionmore scattering in forward direction Amount of scatter depends upon volume ofAmount of scatter depends upon volume of
tissue exposed, built of pt and Kvp usetissue exposed, built of pt and Kvp use
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Interaction of XInteraction of X--Rays with matterRays with matter
There are five basic ways that an XThere are five basic ways that an X--ray photonray photoncan interact with mattercan interact with matter
Absorption includeAbsorption include PhotoelectricPhotoelectric
Pair productionPair production
Photo disintegrationPhoto disintegration
Scattering includeScattering include Coherent scattering andCoherent scattering and
Compton scatteringCompton scattering
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Coherent ScatteringCoherent Scattering
DefinitionDefinition
ThoseThose interactioninteraction inin whichwhich radiationradiationundergoesundergoes aa changechange inin directiondirection withoutwithout
aa changechange inin wavelengthwavelength.. ItIt isis alsoalso calledcalledunmodifiedunmodified ,classical,classical scatteringscattering
ProcessProcess
LowLow energyenergy radiationradiation encountersencounters thetheelectronselectrons ofof anan atomatom andand setssets themthem intointovibrationvibration atat thethe frequencyfrequency of of thetheradiationsradiations.. AA vibratingvibrating electronelectron emitsemits
radiationsradiations
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Coherent ScatteringCoherent Scatteringcont.cont.
TheThe processprocess maymay bebe envisionedenvisioned asas
absorptionabsorption ofof radiation,radiation, vibrationvibration ofof atomatom
andand emissionemission ofof radiationradiation asas thethe atomatom
returnsreturns toto itsits undisturbedundisturbed statestate..
NoNo energyenergy isis transferredtransferred andand nono
ionizationionization occursoccurs withwith coherentcoherent
scatteringscattering.. TheThe onlyonly effecteffect isis thethe changechange
inin thethe directiondirection ofof incidentincident radiationradiation..
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Types of coherent scatteringTypes of coherent scattering--TwoTwo
ThomsonThomson && RayleighRayleigh ScatteringScattering
ThomsonThomson waswas ableable toto determinedetermine thethe
amountamount ofof energyenergy scattedscatted byby freefree electronelectron
AA singlesingle electronelectron isis evolvedevolved
RayleighRayleigh resultsresults fromfrom coco--operativeoperative
interactioninteraction ofof allall thethe electronelectron ofof thethe atomatom
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Compton ScatteringCompton Scattering
AllAll mostmost allall thethe scatterscatter radiationradiation thatthat wewe encounterencounter inin
DiagnosticDiagnostic RadiologyRadiology comecome fromfrom ComptonCompton scatteringscattering..
ProcedureProcedure
WhenWhen anan incidentincident photonphoton withwith relativelyrelatively highhigh energyenergystrikesstrikes aa freefree outerouter shellshell electron,electron, itit givesgives somesome ofof itsits
energyenergy toto thethe electronelectron ,, ejectingejecting itit fromfrom itsits orbitorbit.. TheThe
photonphoton itselfitself getsgets deflecteddeflected inin newnew directiondirection retainingretaining restrest
partpart ofof itsits originaloriginal energyenergy..
ComptonCompton processprocess cancan bebe analysedanalysed inin termsterms ofof collisionscollisions
b/wb/w aa photonphoton andand anan electronelectron..
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Dependence of Compton EffectDependence of Compton Effect
60kev60kev--90kev PE+CE and 200kev90kev PE+CE and 200kev--2Mevonly CE2Mevonly CE
Independent of atomic no.Independent of atomic no.
It depends upon electron density of atom.It depends upon electron density of atom.
It gradually decreases as photon energy increases.It gradually decreases as photon energy increases.SummarySummary
Involves photon and free electron interactionInvolves photon and free electron interaction
In each collision some energy is absorbed and restIn each collision some energy is absorbed and rest
deflected depending upon angle of collisiondeflected depending upon angle of collision
KE of incident photon =KE of recoil electron+KE of deflectedKE of incident photon =KE of recoil electron+KE of deflected
photonphoton
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Two factors determine amount ofTwo factors determine amount of
energy retained by deflectedenergy retained by deflectedphotonphoton1.Initial energy and1.Initial energy and
2.angle of deflection2.angle of deflection
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Sources of Scatter RadiationSources of Scatter Radiation
Glass walls of XGlass walls of X--ray tuberay tube
Patient himselfPatient himself
Table topTable top
CassetteCassette
Back scatter from floorBack scatter from floor
Back scatter from wallBack scatter from wall
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Factors affecting quantity of scatterFactors affecting quantity of scatter
radiationradiation
Size of fieldSize of field
Shape of fieldShape of field
Thickness of body PartThickness of body Part
KV usedKV used
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Methods of PreventionMethods of Prevention
Prevent the production of scatter radiation by usingPrevent the production of scatter radiation by using
following devicesfollowing devices
Beam limiting devicesBeam limiting devices
Compression bandsCompression bands
Prevent the already formed scatter radiation reaching thePrevent the already formed scatter radiation reaching the
film by using secondary radiation grids.film by using secondary radiation grids. GridsGrids
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Beam limiting DevicesBeam limiting Devices
These are devices which regulate the shape andThese are devices which regulate the shape and
size of beam.These aresize of beam.These are
Cones and CylindersCones and Cylinders
Aperture DiaphragmsAperture Diaphragms
CollimatorsCollimators
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CONESCONES
Tapered metal structure which can be fitted toTapered metal structure which can be fitted toxx--ray tube at the beam exit port.ray tube at the beam exit port.
Made up of Brass or Steel,open at both ends.Made up of Brass or Steel,open at both ends.
Cones come in variety of sizes and shape.Cones come in variety of sizes and shape.
Field Size from a particular cone depends onField Size from a particular cone depends on
Anode film Distance(A)Anode film Distance(A)
Length of cone (L)Length of cone (L)
Distance b/w narrow end of cone and focalDistance b/w narrow end of cone and focalspot (f)spot (f)
Diameter of cone(D)Diameter of cone(D)
Field size =(A/L+f)DField size =(A/L+f)D
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PrecautionsPrecautions
PersonPerson shouldshould bebe wellwell awareaware ofof thethe fieldfield
sizesize irradiatedirradiated byby aa particularparticular conecone..
ProperProper calculationscalculations shouldshould bebe mademade toto
findfind outout thethe conecone toto bebe usedused..
DisadvantagesDisadvantages
ProblemProblem ofof changingchanging thethe conecone dependingdepending
onon thethe typetype ofof examexam..
ProblemProblem ofof fittingfitting circularcircular fieldfield ofof radiationradiation
toto nonnon circularcircular ptspts andand filmfilm..
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CylinderCylinder
SometimesSometimes aa radiographicradiographic conecone isis aa steelsteel
cylindercylinder whichwhich maymay bebe extensibleextensible inin lengthlength..
ItIt cancan bebe equippedequipped withwith extensionextension toto givegive betterbetter
beambeam restrictionrestriction
CylinderCylinder isis betterbetter beambeam restrictorrestrictor thanthan aa conecone
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Aperture DiaphragmAperture Diaphragm
TheThe problemproblem ofof fittingfitting thethe circularcircular fieldfield ofof
radiationradiation.. isis overover comecome byby usingusing thisthis..
ThisThis isis simplesimple tablettablet ofof heavyheavy metalmetal andand
hashas centralcentral apertureaperture forfor xx--rayray beambeam.. ItIt cancan bebe slottedslotted intointo aa fittingfitting onon thethe tubetube
partpart inin aa similarsimilar mannermanner toto conecone..
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Advantages:
Simple.
Lead being soft can be altered
to any desired shape
Disadvantage:
Produces a large penumbra at
periphery of x-ray beam
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CollimatorsCollimators
TheseThese areare twotwo pairspairs ofof movablemovable leavesleaves ofof metalmetal
usuallyusually mademade upup ofof leadlead situatedsituated inin xx--rayray beambeam..
TheseThese pairspairs movemove atat rightright angleangle toto eacheach otherothertoto clearclear penumbrapenumbra
EachEach pairpair isis operatedoperated independentindependent ofof otherother byby
meansmeans ofof aa controlcontrol knobknob.. XX--rayray fieldfield cancan bebe seenseen withwith helphelp ofof lightlight bulbbulb inin
thethe unitunit..
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AdvantagesAdvantages
ProvidesProvides infiniteinfinite varietyvariety of of squaresquare andand
rectangularrectangular fieldsfields..
AlreadyAlready fittedfitted intointo thethe beambeam soso nono needneed of of
puttingputting oror removingremoving againagain andand againagain soso savessaves
timetime..
SameSame collimatorcollimator cancan bebe usedused forfor differentdifferent fieldfield
sizesize..
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Compression bandsCompression bands
It reduces the amount of scatter by diminishingIt reduces the amount of scatter by diminishing
the volume of tissue through which xthe volume of tissue through which x--ray beamray beam
passespasses
It displaces the adipose tissue side ways thusIt displaces the adipose tissue side ways thus
reducing the volume of part to be Xreducing the volume of part to be X--rayed andrayed and
lowers the kilovoltage to be used .lowers the kilovoltage to be used .
AdvantagesAdvantagesIt acts as immobilizing device. Helps in reductionIt acts as immobilizing device. Helps in reduction
of scatter thus improving contrastof scatter thus improving contrast ..
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Secondary Radiation GridSecondary Radiation Grid
HistoryHistory :: RapidRapid adoptionadoption ofof newnew techniquetechnique
andand devicedevice DrDr.. GustaveGustave BuckyBucky inin 19131913
demonstrateddemonstrated scatterscatter radiationradiation andand itsitsremedyremedy byby usingusing grids,grids, workingworking inin fieldfield ofof
RadiologyRadiology..
IntroductionIntroduction:: itit isis aa radiographicradiographicaccessoryaccessory whichwhich isis designeddesigned toto minimizeminimize
thethe effecteffect ofof scatterscatter radiationradiation reachingreaching thethe
filmfilm..
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StructureStructure
GridGrid isis composedcomposed ofof thinthin stripsstrips ofof leadleadwhichwhich areare separatedseparated fromfrom eacheach otherother bybyinterinter spacespace materialmaterial whichwhich isis penetrablepenetrable bybyprimaryprimary radiationradiation..
PrinciplePrinciple TheThe scatteredscattered radiationradiation movemove obliquelyobliquely soso
thesethese obliqueoblique raysrays areare absorbedabsorbed byby thethe
leadlead stripsstrips whilewhile thethe primaryprimary radiationradiationwhichwhich movemove inin forwardforward directiondirection willwill passpassthroughthrough interspaceinterspace andand reachreach thethe filmfilm..
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Grid functionGrid function
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Ideal GridIdeal Grid It is the one which absorbs all the scatterIt is the one which absorbs all the scatter
radiation and allows the primary radiation toradiation and allows the primary radiation to
pass through, but no grid is ideal.pass through, but no grid is ideal.
UsesUses AbdomenAbdomen
SkullSkull
SpineSpine
PelvisPelvis
Penetrating chest viewPenetrating chest view
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Parameters of GridParameters of Grid
Grid ratioGrid ratio
Grid latticeGrid lattice
Nature of inter space materialNature of inter space material
Lead contentsLead contents
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Grid ratio = h/D =2/.25
=8:1
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SignificanceSignificance
ItIt isis thethe parameterparameter whichwhich determinesdeterminesthethe abilityability ofof aa gridgrid toto removeremove scatterscatter
radiationradiation.. ItIt measuresmeasures thethe narrownessnarrowness ofof thethe
slitsslits..
ItIt determinesdetermines thethe extentextent toto whichwhichobliquelyobliquely movingmoving scatterscatter radiationradiation isisabsorbedabsorbed..
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Grid LatticeGrid Lattice
Number of pb strips per inch in a grid.Number of pb strips per inch in a grid.
No. of lines per inc=25.4/D+dNo. of lines per inc=25.4/D+d
D= thickness of inter spaceD= thickness of inter spacematerialmaterial
d=thickness of pb stripsd=thickness of pb strips
A grid with large no.of lines per inch orA grid with large no.of lines per inch orwith a high ratio is preferred for betterwith a high ratio is preferred for betterquality radiographsquality radiographs..
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Inter space materialInter space material
Holds the lead strips apartHolds the lead strips apart
Must be rigid enough to maintain thinMust be rigid enough to maintain thinstrips in position but should notstrips in position but should notabsorb primary radiation.absorb primary radiation.
Material usedMaterial used
MetalMetal --:AI:AI
Organic materialOrganic material--: Plastic and wood: Plastic and wood
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Lead contentLead content
It is the amount of lead per unit surfaceIt is the amount of lead per unit surface
area.area.
It is expressed as gram per cmIt is expressed as gram per cm22
SignificanceSignificance
Amount of lead in a grid is a goodAmount of lead in a grid is a good
indicator of its ability to absorbindicator of its ability to absorbscattered radiation provided grid is wellscattered radiation provided grid is well
designed.designed.
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Types of gridsTypes of grids
Linear gridLinear grid
Crossed gridCrossed grid
Parallel gridParallel grid
Focused gridFocused grid
Pseudo focussed gridPseudo focussed grid
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Linear gridLinear grid
LeadLead stripsstrips areare parallelparallel toto eacheach otherother inin
theirtheir longitudinallongitudinal axisaxis.. AdvantageAdvantage--:: AllowAllow usus toto angleangle thethe xx--rayray
tubetube alongalong thethe lengthlength thethe lengthlength ofof thethe
gridgrid withoutwithout thethe lossloss of of primaryprimary
radiationradiation..
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Crossed gridCrossed grid
MadeMade upup of of twotwo superimposedsuperimposed linearlinear
gridsgrids..
GridGrid ratioratio == sumsum of of gridgrid ratioratio ofof twotwo
linearlinear gridsgrids..
CannotCannot bebe usedused inin thethe techniquestechniques
requiringrequiring tubetube angulationsangulations
UsedUsed inin BiplaneBiplane AngiographyAngiography
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Parallel gridParallel grid
Pb strips are parallel when view inPb strips are parallel when view in
cross sectioncross section
These strips are focused at infinityThese strips are focused at infinity
Uses : Flouro and spot film device.Uses : Flouro and spot film device.
Advantages:Advantages:
Simple in structureSimple in structure
Any side of grid can face the xAny side of grid can face the x--ray tuberay tube
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DisadvantagesDisadvantages
Geometrical cut offGeometrical cut off--Allow central ray toAllow central ray to
pass but peripheral rays get absorbedpass but peripheral rays get absorbed
which is oblique in naturewhich is oblique in nature It results in loss of density alongIt results in loss of density along
edges.edges.
Projection of pb strips wider than theyProjection of pb strips wider than theyare.are.
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Malposition of GridMalposition of Grid
TiltingTilting ofof gridgrid resultsresults inin lossloss ofof densitydensity
alongalong centralcentral bandband andand oneone sideside ofof thethe
filmfilm..
IncorrectIncorrect centeringcentering producesproduces underunder
exposedexposed radiographsradiographs atat thethe edgeedge awayaway
fromfrom tubestubes displacementdisplacement ..
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Focused GridFocused Grid
PbPb stripsstrips areare arrangedarranged toto formform radiiradii ofof
circlecircle toto whichwhich xx--rayray tubetube isis centeredcentered
meansmeans pbpb stripsstrips areare slightlyslightly angledangled soso
thatthat theythey focusedfocused inin spacespace..
ItIt reducesreduces geometricgeometric cutcut offoff inin thethe areasareas
awayaway fromfrom beambeam centercenter
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DisadvantagesDisadvantages
RangesRanges ofof FFDFFD inin whichwhich itit cancan bebe usedused
AnodeAnode filmfilm distancedistance shouldshould notnot bebe tootoolonglong oror tootoo shortshort..
ManufacturingManufacturing isis difficultdifficult
HighHigh ratioratio gridsgrids soso highhigh KvKv requiredrequired..
OnlyOnly oneone aspectaspect whichwhich facesfaces thethe tubetube..
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Pseudo focused gridPseudo focused grid
PbPb stripsstrips areare arrangedarranged inin parallelparallelfashionfashion andand atat thethe samesame timetime isisdesigneddesigned toto produceproduce effecteffect ofof focusfocusgridgrid ..
HenceHence thethe namename pseudopseudo meansmeans falsefalse..
DesignDesign
HeightHeight of of pbpb stripsstrips decreasesdecreases fromfrom
centercenter towardstowards peripheryperiphery ..ThusThusreducingreducing thethe gridgrid ratioratio fromfrom centercenter totoperipheryperiphery andand givinggiving thethe advantageadvantage ofoffocusfocus asas wellwell linearlinear gridgrid..
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Primary TransmissionPrimary Transmission
Measurement of percentage of primaryMeasurement of percentage of primary
radiation transmitted through grid.radiation transmitted through grid.
TTpp=(I=(Igg/I/Igg00)100)100
IIgg=Intensity with grid=Intensity with grid
IIgg00=Intensity without grid=Intensity without grid
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Bucky FactorBucky Factor
ItIt isis thethe ratioratio of of incidentincident radiationradiation
fallingfalling onon thethe gridgrid toto thethe transmittedtransmitted
radiationradiation passingpassing throughthrough thethe gridgrid..
B=IncidentB=Incident radiationradiation /Transmitted/Transmittedradiationradiation
TransmittedTransmitted radiationradiation areare measuredmeasured
withwith gridgrid andand incidentincident photonsphotons arearemeasuredmeasured withoutwithout gridgrid..
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Cont.Cont.
AdvantageAdvantage--Higher the bucky factorHigher the bucky factor
better the quality of image.better the quality of image.
DisadvantageDisadvantage--Higher the bucky factorHigher the bucky factor
more exposure to ptmore exposure to pt
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Factors affecting BFFactors affecting BF
Grid RatioGrid Ratio--Higher the grid ratio higherHigher the grid ratio higher
the bucky factor.the bucky factor.
BeamBeam energyenergy--higher the Beam energyhigher the Beam energy
greater the bucky factorgreater the bucky factor
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Contrast improvement factor (k)Contrast improvement factor (k)
K= Contrast with grid / contrast withoutK= Contrast with grid / contrast without
gridgrid
Depends upon : Field size, thickness ofDepends upon : Field size, thickness ofphantom and Kv.phantom and Kv.
K factor measures grids ability to improveK factor measures grids ability to improve
contrast.contrast. It is related to lead content and grid ratioIt is related to lead content and grid ratio
so higher the grid ratio higher the k.so higher the grid ratio higher the k.
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Types of Grid MovementsTypes of Grid Movements
Single strokeSingle stroke
ReciprocatingReciprocating
OscillatingOscillating
CatapultCatapult
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Single StrokeSingle Stroke
GridGrid movesmoves continuouslycontinuously acrossacross thethe filmfilm..
UsuallyUsually itit isis springspring loadedloaded andand requiresrequires
manualmanual cockingcocking priorprior toto eacheach exposureexposure.. TotalTotal gridgrid movementmovement isis usuallyusually 22..55 toto 55cmcm..
PitfallsPitfalls::
DifficultDifficult toto useuse asas theythey requirerequire cockingcockingbeforebefore eacheach exposureexposure..
SeldomSeldom usedused inin modernmodern equipmentequipment..
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ReciprocatingReciprocating
GridGrid isis drivendriven continuouslycontinuously tootoo andand frofro fromfrom oneone
sideside ofof thethe tabletable toto anotheranother duringduring exposureexposure..
GridGrid isis propelledpropelled inin oneone directiondirection byby thethe
combinationcombination ofof twotwo springssprings andand speedspeed isis keptkeptconstantconstant withwith anan oiloil dashpotdashpot..
Function of oil dashpotFunction of oil dashpot::
ToTo controlcontrol andand smoothsmooth thethe speedspeed ofof gridgrid.. ToTo enableenable adjustmentsadjustments ofof thisthis speedspeed toto bebe mademade
fromfrom timetime toto timetime..
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OscillatingOscillating
CanCan bebe obtainedobtained byby movingmoving thethe gridgrid onon
springspring atat eacheach cornercorner andand givinggiving itit
pushpush fromfrom timetime toto time,time, causingcausing itit toto
vibratevibrate uponupon springssprings..
AtAt firstfirst gridgrid movesmoves rapidlyrapidly afterafter thatthat itit
slowsslows downdown andand eventuallyeventually stopsstops..
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Catapult grid MovementCatapult grid Movement
GridGrid makesmakes oneone movementmovement acrossacross filmfilm.. ItsIts
initialinitial speedspeed isis highhigh thanthan itit slowsslows downdown inin anan
exponentialexponential fashionfashion.. TheThe exposureexposure isis initiatedinitiated shortlyshortly afterafter thethe
gridgrid beganbegan toto movemove..
ShortShort exposureexposure whilewhile gridgrid movingmoving veryvery fastfastandand longerlonger exposureexposure extendsextends intointo timetime whenwhen
gridgrid movingmoving veryvery slowlyslowly..
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Catapult grid Movement cont.Catapult grid Movement cont.
This type of movement ensuresThis type of movement ensures
whether the exp is short or longwhether the exp is short or long
It is motor drivenIt is motor driven
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Disadvantages of moving gridsDisadvantages of moving grids
CostlyCostly
Subject to failureSubject to failure May vibrate the xMay vibrate the x--ray tableray table
Put a minimum limit on exposure timePut a minimum limit on exposure time
Increase patient dose 15% in compareIncrease patient dose 15% in compare
to stationary grid.to stationary grid.
Mammography GridMammography Grid
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g p yg p y
TheThe xx--rayray beambeam thatthat existexist thethe breastbreastcontaincontain scatteredscattered radiationradiation..
TheThe amountamount ofof scatteredscattered increasesincreases withwiththicknessthickness andand densitydensity ofof breastbreast..
SoSo focusedfocused gridgrid areare usedused toto absorbabsorb scatterscatterradiationradiation andand toto improveimprove qualityquality ofof imageimage..
UseUse of of gridgrid allowsallows greatergreater visualizationvisualization ofofbreastbreast structurestructure micromicro calcificationcalcification inin
densedense breastbreast.. GenerallyGenerally 44::11 toto 55::11 focusedfocused gridgrid ratioratio withwith
3030 toto 5050 lineslines /cm/cm usedused..
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AdvancementAdvancement
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AdvancementAdvancement
HTCHTC (high(high transmissiontransmission cellularcellular
gridgrid))::
ToTo overcomeovercome thethe problemproblem ofof absorptionabsorption ofofthethe primaryprimary radiationradiation byby interspaceinterspace
materialmaterial thethe LORADLORAD companycompany ofof medicalmedical
equipmentequipment introducedintroduced HTCHTC gridgrid for formammographymammography..
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95
StructureStructure::
CellularCellular gridgrid isis aa honeyhoney combcomb shapedshaped gridgrid..ItIt hashas aa sqsq.. porepore withwith coppercopper septasepta andand airairinterinter spacespace..
ItIt hashas aa rigidrigid kindkind ofof thatthat isis selfself supportingsupportingsoso nono needneed ofof interinter spacespace materialmaterial..
SoSo nono primaryprimary radiationradiation absorptionabsorption takestakesplaceplace byby interinter spacespace..
TheThe HTCHTC gridgrid hashas coppercopper asas gridgrid stripstrip
materialmaterial PhysicalPhysical dimensiondimension resultsresults inin aa 33..88::11 gridgrid
ratioratio
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G id t ffG id t ff
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Grid cut offGrid cut off
ItIt isis thethe proportionproportion ofof primaryprimary beambeam
whichwhich thethe leadlead stripsstrips ofof gridgrid absorbabsorb.. ItIt
isis affectedaffected byby thicknessthickness ofof leadlead strips,strips,
heightheight andand spacingspacing..
MoreMore withwith highhigh ratioratio gridgrid andand shortshort gridgrid
focusfocus distancedistance
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Grid cut offGrid cut offCont..Cont..
ThereThere areare fivefive differentdifferent situationsituation thatthatproduceproduce gridgrid cutoffcutoff::
1.1. FocusedFocused gridgrid upsideupside downdown2.2. LateralLateral decenteringdecentering
3.3. FocusFocus gridgrid distancedistance decenteringdecentering
4.4.C
ombinedC
ombined laterallateral andand focusfocus gridgriddistancedistance decenteringdecentering
5.5. Off Off levellevel errorerror
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Focused Grid upside DownFocused Grid upside Down
AllAll focusedfocused gridsgrids havehave tubetube sideside whichwhich
isis thethe sideside ofof focusfocus ofof pbpb stripsstrips..
WhenWhen itit isis upsideupside downdown therethere isis severesevere
peripheralperipheral cutcut offoff withwith aa darkdark bandband ofof
exposureexposure inin thethe centercenter ofof thethe filmfilm andand
nono exposureexposure inin thethe peripheralperipheral..
Focus grid upside downFocus grid upside down
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Focus grid upside downFocus grid upside down
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Lateral DecenteringLateral Decentering
ResultsResults fromfrom xx--rayray tubetube beingbeing
positionedpositioned laterallateral toto convergentconvergent lineline
butbut atat thethe correctcorrect focalfocal distancedistance.. SoSo therethere isis uniformuniform lossloss of of radiationradiation
overover entireentire surfacesurface ofof gridsgrids ,producing,producing
uniformlyuniformly lightlight radiographsradiographs.. ThisThis isis commoncommon typetype ofof gridsgrids cutoffcutoff..
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Lateral DecenteringLateral Decentering cont.cont.
There are three Factors which affect itThere are three Factors which affect it
1.1. Grid ratioGrid ratio
2.2. Focal DistanceFocal Distance3.3. Amount of decentiringAmount of decentiring
L=(rb)x100/fL=(rb)x100/foo
where L=Loss of primary radiation%where L=Loss of primary radiation%r=grid ratior=grid ratio
f=focal distancef=focal distance
b=Lateral decentiring distanceb=Lateral decentiring distance
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F d id di tF d id di t
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Focused grid distanceFocused grid distance
discenteringdiscentering InIn thisthis targettarget ofof xx--rayray tubetube isis correctlycorrectly
centeredcentered toto gridgrid butbut itit isis positionedpositioned
aboveabove oror belowbelow thethe convergentconvergent lineline.. IfIf targettarget isis aboveabove convergentconvergent lineline itit isis
calledcalled Far Far focusfocus gridgrid distancedistancedecenteringdecentering..
IfIf itit belowbelow thanthan itit isis calledcalled nearnear focusfocusgridgrid distancedistance decenteringdecentering..
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Off level errorOff level error
GridGrid mustmust lielie inin aa planeplane perpendicularperpendicular
toto thethe centralcentral axisaxis ofof beambeam..
WhenWhen linear linear gridgrid isis tiltedtilted asas itit
frequentlyfrequently happenhappen inin casecase ofof portableportable
radiographyradiography therethere isis uniformuniform lossloss of of
primaryprimary radiationradiation acrossacross entireentire surfacesurface
ofof filmfilm..
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Grid SelectionGrid Selection
Selection of Grids depends onSelection of Grids depends on
interrelated Factors like:interrelated Factors like:
Types of exam performedTypes of exam performed
KvKv
Pt. dosePt. dose
Grids should be selected so that goodGrids should be selected so that good
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Grids should be selected so that goodGrids should be selected so that goodquality radiograph obtain keeping ptquality radiograph obtain keeping pt
dose low eg.dose low eg. In mammography Breast dose with andIn mammography Breast dose with and
without gridwithout grid
Generally for 50%grandular and 50%Generally for 50%grandular and 50%adipose tissue with average thicknessadipose tissue with average thicknessof breast of 4.2 cmof breast of 4.2 cm
Without grid dose isWithout grid dose is
1 to 1.5mGy(100 to 150mrad)per film1 to 1.5mGy(100 to 150mrad)per filmWith gridWith grid
3mGy (300mrad) per film3mGy (300mrad) per film
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Cont.Cont.
TheThe dosedose seemsseems toto bebe doubledouble ,yes,yes thethe
concernconcern aboutabout exposureexposure toto ptpt isis
importantimportant.. ButBut simultaneouslysimultaneously gridgrid selectionselection
howeverhowever shouldshould notnot bebe compromisedcompromised
soso far far thatthat thethe lossloss of of contrastcontrastenhancementenhancement interferesinterferes withwith diagnosticdiagnostic
InterpretationInterpretation..
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Air Gap TechAir Gap Tech
ItIt isis anan alternativealternative techniquetechnique toto reducereduce
thethe scatterscatter radiationradiation byby leavingleaving thethe gapgap
b/wb/w thethe patientpatient andand filmfilm duringduring
radiographyradiography andand enhancingenhancing
radiographicradiographic contrastcontrast..
AimAim :: ToTo reducereduce affectaffect of of scatter scatter
radiationradiation onon thethe filmfilm..
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Advantage Over gridAdvantage Over grid
AsAs nono absorptionabsorption ofof primaryprimary radiationradiation
takestakes placeplace soso nono needneed ofof increasingincreasingthethe exposureexposure..
DisadvantageDisadvantage
DueDue toto gapgap betweenbetween patientpatient andand filmfilm
sharpnesssharpness ofof thethe imageimage decreasesdecreases..
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Lead foil screensLead foil screens
These can be incorporated at the back of the xThese can be incorporated at the back of the x--rayray
cassette holder for the purpose of protecting thecassette holder for the purpose of protecting the
film from back scatter from the walls and floor.film from back scatter from the walls and floor.
Lead sheetLead sheet
To avoid the back scatter reaching to film pbTo avoid the back scatter reaching to film pb
sheet are also fitted at the back of the cassettes.sheet are also fitted at the back of the cassettes.
ConclusionConclusion
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ConclusionConclusion
AlmostAlmost allall thethe scatteredscattered radiationradiation inindiagnosticdiagnostic radiationradiation comescomes fromfrom thethe
comptoncompton processprocess..
ThereThere isis nono methodmethod toto stopstop thetheproductionproduction ofof scatteredscattered radiationradiation butbut
wewe cancan reducereduce thethe formationformation ofof scatterscatter
andand alsoalso wewe cancan preventprevent themthem toto reachreach
thethe filmfilm..
SecondarySecondary radiationradiation gridgrid isis consideredconsidered
effectiveeffective wayway toto controlcontrol itit..
Conclusion contd.Conclusion contd.
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Conclusion contd.Conclusion contd.
ThereThere isis nono simplesimple rulerule toto choosechoose gridgrid
butbut somesome compromisecompromise alwaysalways involvedinvolved
SoSo betterbetter qualityquality radiographradiograph shouldshould bebe
obtainobtain withwith moralmoral obligationobligation toto keepkeep
ptspts dosedose minimumminimum asas muchmuch asaspossiblepossible..
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