Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
8 topics, 55 min.
3 topics, 16 min.
8 topics, 31 min.
0:00
Finally, let's talk briefly about X-ray geometry.
0:05
There are a couple of standard definitions.
0:08
SID means source to image distance.
0:10
As I mentioned, for tabletop radiography, the SID is 40
0:14
inches or 100 centimeter approximately.
0:17
Source to object distance. Source to object distance, what is the
0:21
source to where the patient is?
0:24
And object to image distance.
0:27
Why is this important? This geometry becomes important in
0:31
terms of how much the beam get diverged, the patient image get
0:35
magnified, or if there is any unsharpness caused
0:39
due to the positioning, and so forth.
0:42
In this geometry,
0:44
the object here,
0:46
and there's a gap before the image receptor.
0:50
In this case, the focal spot is very small.
0:53
Because of that, there is very less penumbra,
0:58
which means this is very sharp edge image is created.
1:03
On the other hand, if there is focal spot
1:07
slightly larger than the point source,
1:10
the X-rays hitting here has from different
1:14
area that will cause a fuzziness around the edge.
1:18
There is a geometric unsharpness is caused.
1:22
If it is a high magnification, you have the X-ray tube
1:26
the same location, but the patient is moved up closer.
1:29
At this time, the image looks like this.
1:32
There is a central core, and then there is a shadow
1:35
region. And that will determine the sharpness,
1:39
which depends on the focal spot.
1:42
The intensity of the X-rays also varies where the object is,
1:47
and that goes by the inverse square law.
1:49
The X-ray intensity is inversely related to the square of the
1:53
distance from the source.
Interactive Transcript
0:00
Finally, let's talk briefly about X-ray geometry.
0:05
There are a couple of standard definitions.
0:08
SID means source to image distance.
0:10
As I mentioned, for tabletop radiography, the SID is 40
0:14
inches or 100 centimeter approximately.
0:17
Source to object distance. Source to object distance, what is the
0:21
source to where the patient is?
0:24
And object to image distance.
0:27
Why is this important? This geometry becomes important in
0:31
terms of how much the beam get diverged, the patient image get
0:35
magnified, or if there is any unsharpness caused
0:39
due to the positioning, and so forth.
0:42
In this geometry,
0:44
the object here,
0:46
and there's a gap before the image receptor.
0:50
In this case, the focal spot is very small.
0:53
Because of that, there is very less penumbra,
0:58
which means this is very sharp edge image is created.
1:03
On the other hand, if there is focal spot
1:07
slightly larger than the point source,
1:10
the X-rays hitting here has from different
1:14
area that will cause a fuzziness around the edge.
1:18
There is a geometric unsharpness is caused.
1:22
If it is a high magnification, you have the X-ray tube
1:26
the same location, but the patient is moved up closer.
1:29
At this time, the image looks like this.
1:32
There is a central core, and then there is a shadow
1:35
region. And that will determine the sharpness,
1:39
which depends on the focal spot.
1:42
The intensity of the X-rays also varies where the object is,
1:47
and that goes by the inverse square law.
1:49
The X-ray intensity is inversely related to the square of the
1:53
distance from the source.
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
© 2026 Medality. All Rights Reserved.