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Computed Radiography (CR)

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So let's say first one is this computed radiography.

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As I say, computed radiography comes under indirect

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digital.

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So the way it works is like, this is the generic term applied to an

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imaging system which has photostimulable

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storage phosphor. This is like a film screen cassette, but it

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has a storage phosphor plate to acquire the X-ray projection

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image.

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It absorbs the information, then the cassette or this phosphor

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has to be read out by what is called as a computed radiography

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reader that will extract the electronic latent image,

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and that image is then transferred into digital electronics to

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convert the signal into digital form and so forth.

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So in this picture shown here is like you have the image acquisition

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part where you have an X-ray tube, the existing room.

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Instead of inserting a film cassette here, you can now

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insert a CR plate.

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The CR plate can be reused continuously.

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When the radiographer starts, he or she will take the CR plate

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and connects it with the CR reader to the particular image

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or a particular patient by the barcode.

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Then once they insert it and take a picture, then

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the CR plate is inserted in this type of a reader.

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Instead of processing in a dark room, now you have a CR reader

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where you insert the phosphor plate.

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The CR plate, once it's inserted here, it removes the phosphor

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plate, and they have a reader inside, basically

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allowing a high-intensity laser going through the

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plate and releasing the captured energy.

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And the captured photons is what creates the latent image.

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And that converts into electrical signal, and then you have an

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image coming here. So it's a two-step process, almost

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like the analogy is film screen system, you take a film, you go to

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the dark room, process the dark film, and you get an image.

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With the CR plate, you have a CR plate, you use a CR

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reader, and it reads through the plate, get the information,

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and then the CR plate can be reused.

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So the way it works is like, this is the principle.

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X-ray system with a photostimulable phosphor, that's the

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CR plate, has a phosphor detector.

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It will capture the information, basically traps the

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X-rays coming in into this phosphor plate, and that

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captured photons are then exposed in an image

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reader.

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And the reader then it is doing some computational and

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processing for image scaling and then convert it into a digital

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image, and you get a CR image.

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And this plate can be reusable once it is exposed to a

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bright light and removing all the storage phosphor back to the ground

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state. And that's the principle behind it.

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And this became as a very first step when hospital

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started converting from analog system to digital,

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because this was less expensive than going directly into

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digital radiography. Because with this system, they could use

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the existing X-ray room, and all they had to buy is

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the CR plates, which go into the same slot as the film

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screen cassette, and thereby, immediately the system becomes digital.

Report

Faculty

Mahadevappa Mahesh, PhD, FACR, MS, FAAPM, FACMP, FSCCT, FIOMP

Professor of Radiology and Cardiology

Johns Hopkins University School of Medicine

Tags

X-Ray (Plain Films)

Physics and Basic Science