chapter 6 Image Receptors
Afterglow: The tendency of a luminescent compound to continue to give off light after x-radiation has stopped.
Base: A transparent flexible polyester support layer of radiographic film.
Cassette: A lightproof encasement designed to hold x-ray film and intensifying screens in close contact.
Emulsion: A layer of radiographic film made of gelatin containing suspended silver halide crystals.
Film latitude: The exposure range of a film that will produce acceptable densities.
Fluoroscopy: A special radiographic diagnostic method by which a “live view” of the internal anatomy is possible.
Intensifying screens: Sheets of luminescent phosphor crystals bound together and mounted on a cardboard or plastic base.
Latent image: An invisible image on the x-ray film after it is exposed to ionizing radiation or light before processing.
Nonscreen film: Film that is more sensitive to ionizing radiation than to fluorescent light.
Quantum mottle: An artifact of faster screens that results in density variation due to random spatial distribution of the phosphor crystals within the screen.
Reflective layer: A layer of an intensifying screen that reflects the light from the phosphor layer toward the film.
Screen film: Film with silver crystals that is more sensitive to fluorescent light emitted from intensifying screens than to ionizing radiation.
Silver halide: A compound of silver and bromine, chlorine, or iodine, all of which are in the halogen group of elements.
INTRODUCTION
Essentially, a radiograph is formed with light-sensitive film contained in a lightproof encasement. In radiography, the lightproof encasement used most often is called a cassette (Fig. 6-1). The general-use cassette is designed to hold a piece of double-emulsion x-ray film sandwiched between two fluorescent sheets of plastic called intensifying screens. The intensifying screens are responsible for converting the x-ray radiation into visible light, which creates a latent image on the x-ray film. The film is then processed to convert the latent image into a visible image. Remarkably, more than 95% of the exposure recorded on the film is due to the light emitted from the intensifying screens. Only 5% of the exposure of the film results from the ionization of x-rays.
THE CASSETTE
Some cassette fronts are color coded or have a colored dot on the edge to indicate the screen type inside. Color coding allows easy identification when choosing a cassette for each clinical situation. The front may also be marked into four quadrants to assist more than one exposure per film. Taking a number of exposures on one film is accomplished by exposing one quadrant while shielding the others with lead rubber strips (Fig. 6-2). An area approximately 3 × 7 cm may also be marked in the corner of the cassette front to indicate the presence of a lead blocker (Fig. 6-3). This lead blocker is present to prevent irradiation of the part of the film necessary for identification. (Film identification is discussed in Chapter 7.) Care must be taken not to superimpose any vital areas of the patient over this blocker.
Inside the cassette, both sides are lined with felt or foam pressure pads that ensure close contact of the film and screens. The choice of felt versus foam pads varies with each cassette manufacturer.
INTENSIFYING SCREENS
Intensifying screens are sheets of luminescent phosphor crystals bound together and mounted on a cardboard or plastic base. Two screens are normally inside the cassette to sandwich the x-ray film, which has a coating of light-sensitive emulsion on both sides (double emulsion). When the phosphor crystals in the screen are struck by x-radiation, the crystals fluoresce, and x-rays are converted into visible light (Fig. 6-4). This visible light exposes the x-ray film. As stated earlier, more than 95% of the exposure to the film is due to light emitted from the intensifying screens.
Three properties determine the efficiency of the screen materials:
Screen Construction
An intensifying screen has four integral layers: (1) a base or support, (2) a reflective layer, (3) a phosphor crystal layer, and (4) a protective coat (Fig. 6-5).
The phosphor crystal layer consists of uniformly distributed phosphor crystals held in place with a binder material. It is extremely important that this layer not change in thickness, crack, or discolor with age. Any variance in screen uniformity would alter the amount of light produced when irradiated and would alter the uniform exposure of the film (Fig. 6-6).
The protective coat is a clear coating placed on the outer surface of the screen; it provides the necessary protection to the phosphor layer. This layer must be strong enough to resist marks and abrasions and easy to clean. Veterinary radiography has many pitfalls, one of which is animal hair. Any foreign material caught in the cassette between the intensifying screen and the film will alter the exposure to the film. The debris on the screen will result in radiographic artifacts (Fig. 6-7). Because of the likelihood of artifacts and the need for subsequent screen cleaning, the protective surface must be durable and resistant to deterioration.