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INTRODUCTION TO RADIOLOGIC TECHNOLOGY
Known as Photostimulable Phosphor imaging
(PSP). Utilizes reusable imaging plates, hardware, and software to acquire and display digital projection radiographs. Cassette-based system akin to analog film Functions like conventional imaging plates in a cassette; requires processing in a CR reader post X-ray exposure for digital image conversion. Filmless technology while still using a cassette. Significant progress in CR was made by 1983, CR first Eastman Kodak in 1975 clinically used in with x-ray image Japan. storage on a phosphor screen. In 1981, Fujifilm introduced the first prototype CR system using: PSP plates to store the X- ray image. A laser scanner to retrieve the stored image. Computed Radiography (CR) is a digital radiography technique using photostimulable phosphor imaging plates FUJIFILM CASSETTE PHOTOSTIMULABLE PHOSPHOR IMAGING PLATES to capture X-ray or gamma ray images. These plates store radiation energy as a latent image, which is read by a laser scanner that measures emitted light. The scanner converts light signals into digital images for display or analysis on a CR READER computer. 1. Protective Layer - A thin layer of tough, clear plastic that protects the phosphorus layer. 2. Phosphor Layer (Active layer/component) - A layer of photostimulable phosphor that “traps” electrons during exposure. Composed of extremely small particles which store and release energy. Usually made of phosphors from Barium Fluorohalide. 3. Conductive Layer (Antistatic layer) - A layer made up of conductive needle-like crystals that absorbs and reduce static electricity. 4. Support Layer (Base) - A semi-rigid material that gives the imaging sheet some strength. 5. Reflective Layer (Light shielding layer) - A carbon particle layer that send light in a forward direction preventing the light from leaking from the rear of the imaging plate. 6. Backing Layer - A protective layer made from a soft polymer that prevents scratching when the plates are stack during the manufacturing process. When the CR cassette is inserted into the CR reader, the IP is removed and is fitted to a precision drive mechanism. The IP travels through rollers inside the CR reader. This drive mechanism moves the IP constantly yet slowly ("slow scan") along the long axis of the IP. Fast scan direction is the movement of the laser across the IP. Red laser light scans in a raster pattern at 2 eV. Laser scans multiple times as IP moves through reader = translation. Light produced -detected by photomultiplier. When the red laser hits the imaging plate, the plate releases a blue, visible light. Laser = light amplification by stimulated emission of radiation The diameter of the laser beam affects the spatial resolution (detail) of the CR imaging system. The photomultiplier tube is used to convert small amounts of light into an amplified electric signal. The resulting electric signal is digitized by an analog-to digital converter (ADC), which determines the number of shades of gray in the image. The image is stored in the computer and sent to the PACS. Picture Archiving and Communication System (PACS) is a computerized system that stores, retrieves, and displays radiologic images. allows for efficient storage and retrieval of images, and it provides convenient access to images from multiple modalities. Long-term Storage and Retrieval Enhanced Diagnostic Accuracy Quicker Access to Images Environmentally Friendly Decreased rates of failed x-ray exposures Cassette-based CR systems easily integrate with current devices and offer mobility for bedside examinations Suitable for regular clinical applications Radiographers can swap out damaged image plates without the need for specialized tools Imaging plates can be reused Lower spatial resolution than traditional screen-film. Image viewing can be time-consuming. Risk of overexposure exists. High maintenance requirements. Chest Pathologies Abdominal and Gastrointestinal Conditions Spine and Joint Abnormalities Dental and Maxillofacial Pathologies Computed Radiography (CR) is a digital imaging method using reusable plates for radiographs, it functions like conventional imaging plates in a cassette; requires processing in a CR reader post X-ray exposure for digital image conversion. Developed by Eastman Kodak in 1975, it has been clinically used in Japan since 1983, with enhancements by Fuji. CR integrates with X-ray systems and PACS for efficient image management, utilizing a multi-layered PSP plate and red laser for high-resolution images. Benefits include reusable plates, device compatibility, eco- friendliness, and bedside mobility, making it ideal for diverse medical conditions. However, its limitations include lower resolution, time- intensive processes, and high maintenance.