PROCESSING OF X RAY FILMS Dr Mohd Malik Format 1. Latent Image Formation 2. Dark Room 3. Processing Solution Developer Fixer Latent Image Formation Film emulsion largely constitutes Silver Halide Crystals Free Interstitial Silver Ions Sulphur compounds – Sensitivity Site Sensitivity site begin the process of image formation by trapping electrons Latent Image Formation X ray Photons Silver Halide crystals 1. Compton Effect 2. Photoelectric Effect Latent Image Formation Removal of an e- from bromide ions Bromide ion Bromine Free eSensitivity Site Here e- imparts –ve charge Silver ion+sensitivity site Neutral Metallic Atom Latent Image Formation Metallic silver at each latent image site renders the crystals sensitive to development and image formation Larger the aggregate of metallic silver More sensitive is the film Developer metallic silver latent image Metallic silver grains Fixer removes unexposed, underdeveloped silver halide crystals Processing Solution 1. Developer Solution 2. Water Bath 3. Fixer Solution 4. Water Bath Developer Solution Silver halide Metallic silver Reduces Neutral silver ions Electrons crystalline silver catalyzer ions This is how the reaction process is – Developer + film No reaction (initially) Developer + film density increases rapidly Then again the reaction slows down. Composition Of Developer Developer 1. Pyrazolone Derivatives(1 – Phenyl 3 Pyrazolidine) Hydroquinine – it provides an e- to reduce oxidized Phenidone to its original form. Function/use – Is the main component of developer solution which helps in developing the x ray film 2. Activator – sodium or potassium hydrozide Developer is active at alkaline pH Function/use – It keeps the developer solution in active state and at alkaline pH as developer gives electrons during x ray film developing Developer Solution Preservative – Sodium Sulfite. Function/use – 3. Prevents developer from getting oxidized It combines with brown oxidized developer to make it colourless 4. Restrainer – potassium bromide or Benzotriazole Function/Use – It is more effective in reducing the unexposed silver halide crytals from getting developed If the film is kept for too long in the developer solution then developer solution can reduce even exposed crystals. Developer Replenisher (Additioner) After developing 30 periapical or 5 panoramic films the developer solution becomes weak as all the electrons in the developer solution are used Hence 8 ounces of fresh developer solution is added per gallon (3.8 liters) of developing solution. In order to replenish (add) the solution some amount of old solution is to be discarded. Care should be taken in handling the solutions and proper temperature should be maintained. Fixer Solution – General Function/Use Is to dissolve and remove the underdeveloped Silver Halide crystals from film emulsion. It hardens and shrink the film emulsion. Unexposed silver halide crystals form opaque film Unexposed films make a dark and non – diagnostic radiograph Fixer Composition 1. Clearing Agent – Aquous solution of Ammonium Thiosulphate or Hypo. Function/Use It dissolves silver halide grains It forms stable water soluble substances with silver ions It does not have a rapid effect on metallic silver grains but excessive fixation results in gradual loss of film density 2. Acidifier – Acetic Acid is used which maintains the fixer solution at 4 – 5 pH Function/Use Is required to promote good diffusion (entry) of Thiosulphate (main fixer conponent) into the x ray film emulsion 3. Preservative – Ammonium Sulfite Function/Use – It prevents oxidation of Thiosulphate solution 4. Hardener – Aluminium Sulfite Function/Use – Aluminium complexes with the gelatin during fixing and prevents damage to gelatin during subsequent handling. WASHING Is used to ensure the removal of Thiosulphate ions and its compounds. Washing temperature should be maintained to 600 degrees Fahrenheit below which its efficiency declines Washing should be done under running water. Processing Technique 1903 – Edmund KUlls introduced processing tanks 1920 – Reliable film hangers were made available Requirements Of Processing Tanks: They must have a hot and cold running water facility within them to maintain temo. 60o to 75o F Should be made of non reactive material to the processing solutions and should be easily cleansible Processing Tank Master tank – 20 x25 cm (8 x 10 inches) Function/Use – It serves as a water jacket for two movable inserts to fit inside. Insert tanks usually hold 1 gallon or 3.8Liters Processing Tank Developer insert tank is at left in master tank Fixer insert tank is at the right in the master tank Master tank has a cover to protect the solutions from getting oxidized. Processing Technique 1. Manual Time Temperature Method Visualization Method 2. Automatic Processors Time – Temperature Method It uses a thermometer which is placed in the developer tank and a stop watch timer which helps to calculate the time for which x ray film should be kept inside the developer and fixer tanks accordingly Thermometer – Should be clipped to processing tank It should contain metal or alcohol to avoid contamination by mercury incase of accidental breakage. Timer – An interval timer is needed for controlling developing and fixing time Time – Temperature Procedure Once operator enters inside the x ray room he should perform the following actions – 1. Replenish the solution – if the solution was not altered last time 2. Stir solution – with a wooden stick in order to mix all components in the solutions 3. Mount x ray film on hangers 4. Set timer – 680F – 5min…… 800F – 21/2 min 5. Develop 6. Rinse 7. Fix 8. Wash 9. Dry Visual Method Here the operator evaluates by visualizing the film under the safe light. Advantages – Desired contrast can be obtained Temperature – time variations can be handled Operator Satisfaction Disadvantages – Operator sensitive Manufacture recommended contrast cannot be reached Operator needs to stand till film develops Manufacturer cant be questioned for any variations Automated Film Processors 1910 – Automated film processors They have light shielded compartment to unwrap the film the film is passed under rollers Automated Film Processors Advantages – Less time consumption – 4 to 6 min. Need of specialized dark room eliminated Portable Disadvantages – Dificult to maintain Roller marks are common Machine problem in middle Cost Radiographic Waste Silver can be recovered from fixer by Metallic Replacement ( uses cartridge ) Electroplating Method ( 2 electrodes ) Lead Foil Countries biohazard team should be contacted for proper disposal. Recent Advances Speed F films Duplicating Films Self Developing films Films with suresoft border. Thank You Any Questions ?