• INTRODUCTION INDEX • FUNCTIONS • COMPOSITION • ACTION OF GRIDS • PRINCIPLE OF GRIDS • VARIOUS SIZES OF GRIDS • GRID CHARACTERISTICS • TYPES OF GRIDS • MOVING GRIDS • OSCILLATING AND RECIPROCATING MOVEMENTS • The anti-scatter grid (usually called as grid) is composed of large number of long parallel strips of lead and parallel to each other by an x-ray transparent interspace material • The thickness of grid is about 6 mm • The image quality can be dramatically influenced by the choice of grid • A radiograph can be ruined using the wrong grid or using the grid in an incorrect manner FUNCTIONS: • The function of a grid is to reduce the amount of scattered radiation exiting a subject that reaches the film • The grid, which is placed between the subject and the film, preferentially removes the scattered radiation and spares primary photons • It reduces - Non-imaging exposure (fog) - Increases subject contrast COMPOSITION: • composed of alternating strips of a radiopaque material (usually lead) & strips of radiolucent material (often plastic) • The strips of the grids should be - As thin as possible to minimize blockage of unscattered light - Opaque to scattered radiation - Non-fluorescent, i.e. should not release characteristic x-rays as scattered x-ray photons are absorbed • Lead foil of 0.05 mm (50 µm) thickness is used to build strips for most radiographic grids • The interspace material between grid strips may be - FIBRE: Transparent to x-ray - PLASTIC: Transparent to x-ray - ALUMINUM: Sturdy VARIOUS SIZES OF GRIDS • Grids are manufactured to accommodate all standard film sizes from 9x12 to 45x45 mm or 8"x10" to 18"x18“ • Customized grids to specifications are available upon request • Grids for use – inside cassettes are 3 mm (1/8") smaller than the corresponding film size, whereas – for use outside the cassettes are approximately 20 mm (1") larger than the corresponding film size • Extra large grids are made from two or more smaller sized grids that can be fitted together up to a maximum size of 49 cm x 49 cm (19"x19") INTERACTION OF THE GRID WITH AN X-RAY BEAM IN LINEAR GRID • When secondary photons generated in the subject are scattered toward the film, they usually are absorbed by the radiopaque material in the grid • This occurs because the direction of the scattered photons deviates from that of the primary beam, and remnant beam consequently they cannot pass through the parallel plates of the grid IN FOCUSED GRIDS: (usually used) • The strips of radiopaque material are all directed towards common point- the focal spot, some distance away • This is because a focused has the lead strips angulated towards the focal spot, their path coincides with the direction of the paths of diverging photons in the primary x-ray beam, there by accomodating their passage through the grids • Lead strips absorb the scattered photons as their paths diverge from those of the primary photons • A focused grid can be used only within a range of distances from the focal spot where the alignment of lead strips closely coincides the path diverging x-ray beam • The range of distance is specified on the grid • The presence of a grid between an object and the film causes the images of the radiopaque absorbing material to be projected onto film. • The closer together the grid lines are on the film, however less objectionable they become • Grids are manufactured with a varying number of line pairs of absorbers and radiolucent spaces per inch • Grids with 80 or more line pairs per inch do not show objectionable grid lines on the image • The ratio of grid thickness to the width of the radiolucent spacer is known as the GRID RATIO • The higher the grid ratio, the more effectively scattered radiation is removed from the x-ray beam • Grids with a ratio of 8 or 10 are preferred • The image of radiolucent grid lines can be deleted mechanically by moving the grid in a direction of 900 THE PRINCIPLE OF GRIDS ACTION OF THE GRIDS: 1. The scattered radiation will be moving obliquely because of change in direction which occurs in scattering process. The majority will be stopped by the lead of the grid. The primary majority of the beam passes through the interspace and reach the film 2. Still some times the scattered radiation reaches the film but is negligible 3. A reasonable grid is able to remove as much as 80-90% of scattered radiation present and this removal of scatter produces a worthwhile and large increase in contrast - This measurement is measured by a quantity known as the CONTRAST IMPROVEMENT FACTOR (K) where K = X-ray contrast with grid X-ray contrast without grid • For grid lo be good one ‘K' should be large • Practical grids have values varying from 1.5 to about 3.5 depending upon the exact construction of grid and exposure conditions • These values refer to situations where a reasonable amount of scatter is present • Even an ideal grid cannot produce any improved contrast if scatter is not present e.g. In hand radiographs, scatter is small and hence grids are not used • Although grid is able to remove majority of unwanted scatter quite successfully, but it removes some of useful primary radiation • The proportion of primary radiation removed usually is about 10-15% • This primary absorption creates on the film an overall pattern of thin parallel white, (clear) lines which are infact the shadows of lead strips, these are known as GRID LINES which might disturb viewing anatomic details or same fine details • It is usually arranged either for this pattern to be sufficiently fine lines as to be not noticed, or for the lines to be blurred by using a moving grid • All this mean that removal of some primary radiation requires the exposure to be increased if film density is to be maintained • In the absence of grid, the scattered radiation would, also contribute to film density, so the tube exposure should be further increased • The increase in exposure is by increasing the Kv, which sacrifices little extra contrast by use of grid, but minimized the increase in patient dose GRID CHARACTERISTICS 1. THE NUMBER OF STRIPS OF LEAD PER CM (N): • The length of each strip and the total width of grid can vary between about 20 cm upto 43 cms, depending upon the film size with which it is used • The greater the no. (N) of strips the less will be grid lines visible to the radiologist. What is more important is that these lines must be straight and parallel • The manufacture of uniform grid with large no. of lines/cm is costly • Commonly used grids have between 20 to 28 lines although good grids have as many as 40 lines per cm 2. GRID RATIO: • Grid ratio is defined as the height of the lead strip compared to the distance between the strips • The grid ratio measures the narrowness of the slit through which primary radiation passes and also determines the extent to which oblique moving scatter is absorbed • Grid ratio (r) is defined by R = h is height of lead strips h D D is their separation or interspace • Higher ratio leads to greater restriction in the volume from which scattered radiation can reach the film, so high grid ratio is preferred • Usually value of about 5-8 to 10-12 are used and in high Kv work grids with ratio of 16 is also used • Grids are manufactured with the following ratios as standard: - Parallel and Focused N30 r 6, 8, 10 - Parallel and Focused N40 r 6, 8, 10, 12 - Parallel and Focused N70 r 6, 8, 10, 12, 16 - Other ratios can be manufactured on special request 3. LEAD CONTENT: • SELECTIVITY = Transmitted primary radiation Transmitted scatter radiation • An efficient grid should have high selectivity • Recent work content/unit has area shown that (measured as actual gm/cm2) lead is determining factor for efficiency of grid • A heavy grid is more efficient than light one • Values of lead content in commonly used grids range from 0.2 gm/cm2 to 0.9 gm/cm2 and should be properly arranged 4. GRID FACTOR: • The grid factor represents the extent to which the x-ray tube exposure must be increased to compensate for the loss of primary and scattered radiation reaching the film • Typical values of grid factor range between about 2 to 6, the value depending on type of grid and how much scatter there is to remove 5. INTER SPACE MATERIAL: • Usually plastic is used betweent the lead strips and the whole things is covered in a sealed aluminium container to protect it from the humidity or mechanical damage 6. THE THICKNESS OF LEAD STRIP: • The usual thickness that is employed is about 0.005-0.008 cms • More thickness - coarse grid lines • Less thickness - Scattered photons cannot be stopped • Hence the compromise between the two 7. FOCAL RANGE: • Focal range is the distance interval in which an X-ray tube can be used with a certain grid. With lower ratio grids, the focal range is considerably wider, with a higher ratio, the range is narrower TYPES OF GRIDS STATIONARY GRIDS 1. Linear grids 2. Focused grids 3. Pseudo-focused grids 4. Crossed grids MOVING GRIDS 1. Single stoke 2. Oscillating and reciprocating LINEAR OR PARALLEL GRIDS • Lead strips arranged strictly parallel to each other • The overall size of grid may be quite large and has completely to cover the whole film area DISADVANTAGE: • Cut of the beam at the border as primary radiation encounter the strips obliquely, so the grid should be placed close to x-ray source • At a large distance primary beam can be completely cut off • High ratio grid may be used only with small films or with large film focus distance • Cut off can occur in centre of the film if the grid is not exactly perpendicular to the beam central axis • To compensate this FOCUSSED grid is used FOCUSSED GRID DISADVANTAGE: • Should be used at a distance at which it is designed • The central ray must pass through the grid centre 1 cm error can be included • Correct the face of the grid towards the tube PSEUDO FOCUSSED GRIDS • Manufacturing is extremely difficult, as failure to achieve uniform rid pattern may mar the visual appearance and usefulness of radiograph • This is constructed by reducing the height of strips progressively from centre to edge CROSSED GRIDS • Two grids of any type (mainly parallel) are used, placed on top of each other act at mutually right angle to each other • Such combination is effective in removing scattered radiation • In these circumstances a high grid ratio is required and often better to use crossed grid of smaller ratio e.g. Two crossed grid of ratio 7 is better than single grid of 15 • When using crossed grid, x-ray beam must be perpendicular and no large amount of angulation to any direction MOVING (Bucky) GRIDS • To remove the fine lines when wing stationary grids, one solution is to move the grid side ways across the film during the exposure, then the shadow of grid strips are blurred out • For lines to be effectively blurred out grid must move distance equal to 3-4 interspaces during the time of exposure • If not, there will be incomplete blurring of lines • The required minimum speed is determined by exposure time and no. of grid lines/cm • The good average installation would have a grid movement and grid with the characteristics in the range of - Ratio: 8-10 - Focussing Distance: 90 cms - Movement: 0.6-1.2 cm either side of the of the centre - Lines/cm: 30-34 • Moving grids were introduced by DR. POTTER in 1920 and since then many design of moving mechanism have been suggested and used mainly to overcome stoboscopic effect • SINGLE STROKE: - Spring is used to pull the grid at uniform speed across film - Speed of movement controlled by adjustable oil dash pot - Overall movement is about 2.5 cms for about 0.2 to 1.5 seconds DISADVANTAGE: - This has to be set manually before each exposure OSCILLATING AND RECIPROCATING MOVEMENTS • Here the necessity of resetting the grid before every exposure is avoided as the grid is always moving at sufficiently high speed • The grid moves to and fro across the film repeatedly during exposure DISADVANTAGE: • There is space of 5 cms required between patient and film to accommodate the movement thus causing magnification and geometric unsharpness