You set the following parameters and obtain the image. mA: 300; sec: 0.5 = 150 mAs kV: 120 1. Explain how you will choose imaging parameters in clinical practice. 2. Explain how you will critique the

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Introduction: As a medical professor, it is important to teach students how to properly choose imaging parameters and evaluate the quality of images in clinical practice. In this scenario, we set parameters and obtained an image with mA of 300, sec of 0.5, and kV of 120. We will discuss how to critique the image for quality and evaluate IR exposure, contrast, spatial resolution, and distortion.

1. When choosing imaging parameters in clinical practice, it is important to consider the specific clinical question being asked, the patient’s condition, and the type of imaging modality being used. The parameters should be set to obtain the optimal image quality with the least amount of radiation exposure. This involves adjusting mA, sec, and kV according to the patient’s size, age, and pathology. The imaging modality and specific examination being performed will also influence how the parameters are chosen.

2. Critiquing an image for quality involves analyzing multiple factors, including brightness, contrast, sharpness, noise, and artifacts. The image should be evaluated for optimal exposure and contrast to ensure that it is not over or underexposed. The sharpness of the image should be assessed to determine the boundaries of the anatomical structures. There should also be minimal noise and artifacts that can interfere with the interpretation of the image. A thorough critique of the image will enable the radiologist or clinician to make an accurate diagnosis.

3. Evaluating the image receptor (IR) exposure involves assessing the amount of radiation delivered to the IR to create the image. This is determined by the parameters set, such as mA, sec, and kV. An appropriate level of IR exposure is necessary to optimize the image quality while minimizing radiation exposure to the patient.

4. The contrast of the image should be evaluated to determine the difference in density between the anatomic structures being imaged. Contrast can be altered by adjusting the kV, collimation, or reconstruction algorithm. The ability to distinguish different structures is vital for an accurate diagnosis, and any issues with contrast should be addressed to optimize image quality.

5. The spatial resolution of the image refers to the ability to discern small changes in density or distance between structures. This can be influenced by factors such as the size of the pixels or detectors used, the focal spot size of the X-ray tube, and the motion of the patient or equipment during the acquisition. A higher spatial resolution enables greater detail and accuracy of the image.

6. Distortion of the image can be caused by various factors, including patient positioning, equipment malfunction, or processing errors. The image should be evaluated for any distortions that could interfere with interpretation, particularly in areas where accurate anatomical detail is vital. Distortions should be identified and corrected as necessary to optimize image quality.

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