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Sunday, November 20, 2011

The Grid in Radiographs


·         Scattered radiation detected by a detector device be it digital or film-screen cause darkening (fog), but does not add information content to the image.
·         Grids are used to combat the effects of scatter on the image and thus improve contrast.
·         Disadvantage is that they increase patient exposure/ dose
·         Placed between patient and the detector and uses geometry to reduce the amount of scatter reaching the detector
o   Primary radiation is orientated in the same axis as the lead strips and passes through
o   Scatter is multidirectional and is absorbed by the strips (fig 8-1 C:99; fig 6-25 BB:168)
·         2 basic types of grid pattern (Orientation of the lead strips)
o   Linear
o   Crossed
o   The above may be focused (converging) or parallel
·         Grid ratio = Height (mm)/ Interspaces (mm) – this is the single most important parameter affecting performance
·         Grid frequency refers to the number bars per unit length, but does not influence the scatter cleanup – but is important in digital radiography as it may create aliasing problems
·         Parameters used to describe grid properties:
Primary transmisssion
Fraction of primary photons that pass through the grid; (I – intensity):

Tp=I with grid/I without grid

Calc. Tp = Interspace (mm)/    Interspace (mm) + Strip (mm)
Bucky factor

High B – increases film quality;
High B – increases exposure and dose
Ratio of entrance exposure to the patient without and with grid:

B = Incident rad. (without grid)/ transmitted rad. (with grid)
Contrast improvement factor
Contrast with grid vs. contrast without the grid:

K = contrast with/ contrast without
Depends on kVp; Thickness; Field size
Lead content
Measure of amount of lead in the grid;
May indicate ability to absorb scatter:

mg/cm2

·         Artifacts – grid cut-off
o   Focused grid upside down
o   Lateral decentering (off center) and tilting (angulation)
o   Focus grid distance decentering (off focus)
§  Near > Far
o   Combined lateral and focus-grid distance decentering
·         Bucky grid:
o   Moves to blur out the shadows cast by lead strips
o   Reciprocate – move back and forth continuously throughout exposure
o   Important to move it very fast
o   Important to synchronize transverse motion with pulses of the generator