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Production and Control of Scatter Radiation

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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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    5454

    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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    8686

    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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    8787

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    8888

    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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    8989

    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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    9090

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    9191

    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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    9292

    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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    9494

    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

    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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    9696

    G id t ffG id t ff

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    9797

    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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    9898

    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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    9999

    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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    100100

    Focus grid upside downFocus grid upside down

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    101101

    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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    102102

    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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    104104

    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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    108108

    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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    110110

    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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    111111

    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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    115115

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    116116

    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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    119119

    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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