Factors affecting the radiographic . image and film faults Image quality I. Contrast II. Image geometry III. Characteristics of the X-ray beam I. Contrast Subject contrast Film contrast Fog and scatter Subject contrast Differences in tissue thickness Differences in tissue density kV or penetrating power of the radiation beam Film contrast The characteristic curve of the film Optical density Type of film- direct or indirect action Processing Fog and scatter Fogged film Scatter radiation from within the patient’s tissues Perception of the radiographic image Partial images-we all see the same partial images but we don’t necessarily perceive the same object Contrast Context Effect of partial image The effect of contrast The effect of context Image geometry Positioning of the film, object and x-ray beam Focal spot size and principle of line focus Focal spot-object distance (FSOD), objectto film-distance (OFD) Ideal image geometry requirements Focal spot size, heat distribution and image sharpness Focal spot 1mm Heat needs to be distributed over as large as possible area Principle of line focus Focal spot-to filmdistance(FSFD) FSFD Increasing the distance between the focal spot and the object results in an image with increased sharpness and less magnification of the object Object-to film- distance (OFD) Decreasing the distance between the object and the film increases the sharpness and result in less magnification of the object Image shape distortion Cont’d Practical factors influencing image quality The X-ray equipment The image receptor/screen combination Processing The patient The operator and radiographic technique Typical film faults I. Film too dark Overexposure Overdevelopment Fogging Thin patients tissues Films with inadequate contrast Processing errors Exposure errors Image unsharp and blurred Movement of the patient during the exposure Excessive bending of the film during the exposure Poor film/screen contact within the cassette Film marked - - Film packet bent by the operator Careless handling of the film in the darkroom : Finger prints Finger nails Bending Static electricity Operator positioning faults 1.Incorrect placement of the film packet Back to front, image of the lead foil evident ( film also too pale) Inadvertently used twice, double exposure (films also too dark) Not covering the area of interest