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RADIATION PROTECTION IN DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY L16.1: Optimization of protection in fluoroscopy
Introduction ,[object Object],[object Object],[object Object]
Topics ,[object Object],[object Object],[object Object]
Overview ,[object Object]
Part 16.1: Optimization of protection in fluoroscopy Topic 1:  Example of fluoroscopy systems IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
Fluoroscopy: a “see-through” operation with motion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fluoroscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Direct Fluoroscopy: obsolete In older fluoroscopic examinations radiologist stands behind screen and view the picture Radiologist receives high exposure; despite protective glass, lead shielding in stand, apron and perhaps goggles Main source staff exposure is NOT the patient but direct beam
Older Fluoroscopic Equipment (still in use in some countries) Staff in DIRECT beam Even no protection
Direct fluoroscopy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Modern Image Intensifier based fluoroscopy system
Modern fluoroscopic system components Automatic control display brightness radiation dose film exposure Timer Display control
Different fluoroscopy systems ,[object Object],[object Object],[object Object],[object Object]
Different fluoroscopy systems ,[object Object],[object Object],[object Object],[object Object],[object Object]
Part 16.1: Optimization of protection in fluoroscopy Topic 2: Image Intensifier component and parameters IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
The image intensifier (I.I.) + I.I. Input Screen I.I.Output Screen Photocathode Electrode E 1 Electrode E 3 Electrode E 2 Electrons Path
Image intensifier systems
Image intensifier component ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Image intensifier parameters (I) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Image intensifier parameters (II) ,[object Object],[object Object],Uniformity = (Brightness(c) - Brightness(p)) x 100 / Brightness(c)
Image distortion
Image intensifier parameters (III) ,[object Object],[object Object],[object Object],[object Object]
Line pair gauges
Line pair gauges ,[object Object]
Image intensifier parameters  (IV) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Image intensifier parameters  (V) ,[object Object],[object Object],[object Object]
Overall image quality
Part 16.1: Optimization of protection in fluoroscopy Topic 3: Image Intensifier and TV system IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
Image intensifier - TV system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VIDICON FILM PM REFERENCE kV CONTROLLER X Ray TUBE kV GENERAL SCHEME OF FLUOROSCOPY
VIDICON FILM PM CONTROLLER X Ray TUBE kV CINE MODE I 2 Ref. I 3 C 1 I 1 C 2
Type of TV camera ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TV camera and video signal (I) ,[object Object],[object Object],[object Object]
TV camera and video signal (II) ,[object Object],[object Object],[object Object]
Photoconductive camera tube Focussing optical lens Input plate Steering coils Deviation coil Alignement coil Accelarator grids Control grid Electron beam Video Signal Signal electrode Field grid Electrode Electron gun Iris Photoconductive layer
TV camera and video signal (III) ,[object Object],[object Object]
TV camera and video signal (IV) ,[object Object],[object Object],[object Object],[object Object]
Different types of scanning INTERLACED  SCANNING PROGRESSIVE SCANNING 12 2 14 4 16 18 6 1 8 20 13 15 17 10 11 3 21 19 5 7 9 3 5 18 16 14 12 10 8 6 4 2 7 9 11 13 15 17 1 625 lines in 40 ms i.e. : 25 frames/s
TV camera and video signal (V) ,[object Object],[object Object],[object Object]
TV camera and video signal (VI) ,[object Object],[object Object],[object Object],[object Object]
Schematic structure of a charged couple device (CCD)
TV camera and video signal (VII) ,[object Object],[object Object]
TV image  sampling SYNCHRO 12 µs LIGHT INTENSITY SAMPLING 64 µs VIDEO SIGNAL (1 LINE)   52 µs IMAGE LINE  SINGLE LINE TIME DIGITIZED SIGNAL ONE LINE IMAGE 512 x 512 PIXELS WIDTH 512 HEIGHT 512
Digital radiography principle Clock Memory ADC I Iris t t ANALOGUE SIGNAL DIGITAL SIGNAL   See more in Lecture L20
Digital Image recording ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],TV camera and video signal (VIII)
Summary ,[object Object],[object Object],[object Object]
Where to Get More Information ,[object Object],[object Object],[object Object]

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Fluoroscopy systems

  • 1. RADIATION PROTECTION IN DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY L16.1: Optimization of protection in fluoroscopy
  • 2.
  • 3.
  • 4.
  • 5. Part 16.1: Optimization of protection in fluoroscopy Topic 1: Example of fluoroscopy systems IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
  • 6.
  • 7.
  • 8. Direct Fluoroscopy: obsolete In older fluoroscopic examinations radiologist stands behind screen and view the picture Radiologist receives high exposure; despite protective glass, lead shielding in stand, apron and perhaps goggles Main source staff exposure is NOT the patient but direct beam
  • 9. Older Fluoroscopic Equipment (still in use in some countries) Staff in DIRECT beam Even no protection
  • 10.
  • 11. Modern Image Intensifier based fluoroscopy system
  • 12. Modern fluoroscopic system components Automatic control display brightness radiation dose film exposure Timer Display control
  • 13.
  • 14.
  • 15. Part 16.1: Optimization of protection in fluoroscopy Topic 2: Image Intensifier component and parameters IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
  • 16. The image intensifier (I.I.) + I.I. Input Screen I.I.Output Screen Photocathode Electrode E 1 Electrode E 3 Electrode E 2 Electrons Path
  • 18.
  • 19.
  • 20.
  • 22.
  • 24.
  • 25.
  • 26.
  • 28. Part 16.1: Optimization of protection in fluoroscopy Topic 3: Image Intensifier and TV system IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology
  • 29.
  • 30. VIDICON FILM PM REFERENCE kV CONTROLLER X Ray TUBE kV GENERAL SCHEME OF FLUOROSCOPY
  • 31. VIDICON FILM PM CONTROLLER X Ray TUBE kV CINE MODE I 2 Ref. I 3 C 1 I 1 C 2
  • 32.
  • 33.
  • 34.
  • 35. Photoconductive camera tube Focussing optical lens Input plate Steering coils Deviation coil Alignement coil Accelarator grids Control grid Electron beam Video Signal Signal electrode Field grid Electrode Electron gun Iris Photoconductive layer
  • 36.
  • 37.
  • 38. Different types of scanning INTERLACED SCANNING PROGRESSIVE SCANNING 12 2 14 4 16 18 6 1 8 20 13 15 17 10 11 3 21 19 5 7 9 3 5 18 16 14 12 10 8 6 4 2 7 9 11 13 15 17 1 625 lines in 40 ms i.e. : 25 frames/s
  • 39.
  • 40.
  • 41. Schematic structure of a charged couple device (CCD)
  • 42.
  • 43. TV image sampling SYNCHRO 12 µs LIGHT INTENSITY SAMPLING 64 µs VIDEO SIGNAL (1 LINE) 52 µs IMAGE LINE SINGLE LINE TIME DIGITIZED SIGNAL ONE LINE IMAGE 512 x 512 PIXELS WIDTH 512 HEIGHT 512
  • 44. Digital radiography principle Clock Memory ADC I Iris t t ANALOGUE SIGNAL DIGITAL SIGNAL See more in Lecture L20
  • 45.
  • 46.
  • 47.
  • 48.

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  3. Explanation or/and additional information Instructions for the lecturer/trainer
  4. Lecture notes: ( about 100 words) Instructions for the lecturer/trainer
  5. Part …: ( Add part number and title) Module…: ( Add module number and title) Lesson …: ( Add session number and title) Learning objectives: Upon completion of this lesson, the students will be able to: … . (Add a list of what the students are expected to learn or be able to do upon completion of the session) Activity: ( Add the method used for presenting or conducting the lesson – lecture, demonstration, exercise, laboratory exercise, case study, simulation, etc.) Duration: ( Add presentation time or duration of the session – hrs) Materials and equipment needed: (List materials and equipment needed to conduct the session, if appropriate) References: (List the references for the session)
  6. Part …: ( Add part number and title) Module…: ( Add module number and title) Lesson …: ( Add session number and title) Learning objectives: Upon completion of this lesson, the students will be able to: … . (Add a list of what the students are expected to learn or be able to do upon completion of the session) Activity: ( Add the method used for presenting or conducting the lesson – lecture, demonstration, exercise, laboratory exercise, case study, simulation, etc.) Duration: ( Add presentation time or duration of the session – hrs) Materials and equipment needed: (List materials and equipment needed to conduct the session, if appropriate) References: (List the references for the session)
  7. Part …: ( Add part number and title) Module…: ( Add module number and title) Lesson …: ( Add session number and title) Learning objectives: Upon completion of this lesson, the students will be able to: … . (Add a list of what the students are expected to learn or be able to do upon completion of the session) Activity: ( Add the method used for presenting or conducting the lesson – lecture, demonstration, exercise, laboratory exercise, case study, simulation, etc.) Duration: ( Add presentation time or duration of the session – hrs) Materials and equipment needed: (List materials and equipment needed to conduct the session, if appropriate) References: (List the references for the session)
  8. Let’s summarize the main subjects we did cover in this session. (List the main subjects covered and stress again the important features of the session)