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Chapter Eight
Exposure Technique
Selection
Prepared By:
Mr. Muhammad Abu Arrah
1
Chapter 8. Exposure Technique Selection
Selecting Exposure Factor Techniques
kVp, mA, SID, exposure time, IR, patients of various sizes and with
and grid ratios various pathologic conditions
But ,
the radiographer must also be aware of the
limitations of using an AEC system in:
1. patient positioning
2. and centering
3. detector size and selection
4. collimation
5. IR variation
Mr. Muhammad Abu Arrah
4
Chapter 8. Exposure Technique Selection
RADIATION DETECTORS
•Two types of AEC systems have been used: 1. Phototimers and 2. Ionization
chambers.
• Phototimers represent the first generation of AEC systems used in radiography
Mr. Muhammad Abu Arrah
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Chapter 8. Exposure Technique Selection
Radiation Detectors
•Phototiming specifically refers to the use of an AEC device that use
photomultiplier tubes or photodiodes,
•Regardless of the specific type of AEC system used, almost all systems use a set
of three radiation-measuring detectors, arranged in some specific manner.
which one (or more) of the three actually measures radiation exposure
reaching the IR 6
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Chapter 8. Exposure Technique Selection
Ionization Chamber Systems
•An ionization chamber, or ion chamber, is a hollow cell that contains air and is
connected to the timer circuit via an electrical wire.
(so that radiation interacts with the detectors just before interacting with the IR)
When the ionization chamber is exposed to the air inside the chamber
1 radiation from a radiographic exposure 2 becomes ionized
•When a radiographic study is performed using an AEC device, the total amount
of radiation (mAs) required to produce the appropriate exposure to the IR is
determined by the system.
•Many radiographic units include an mAs readout display, where the actual
amount of mAs used for that image is displayed immediately after the
exposure, sometimes for only a few seconds.
•AEC controls only the quantity of radiation reaching the IR and has no effect on
other image characteristics, such as contrast.
•The kVp for a particular examination should be selected as it would be for that
examination, regardless of whether an AEC device is used.
High Kvp low exposure time bec. More radiation penetrate Patient
Radiation reach detector sooner with high kvp
•The term minimum response time refers to the shortest exposure time that
the system can produce.
•With pediatric patients and other patients who cannot or will not cooperate
with the radiographer by holding still or holding their breath during the
exposure, AEC devices may not be the technology of choice.
•Backup time refers to the maximum length of time the x-ray exposure will
continue when using an AEC system.
• The backup time acts as a safety mechanism when an AEC system fails
•However, newer x-ray units with AEC include a sensor in the Bucky tray for the
IR and do not allow an exposure to activate if the table Bucky detectors were
selected but the x-ray tube centered to the upright Bucky.
•When controlled by the radiographer, the backup time should be set high
enough to be greater than the exposure needed but low enough to protect
the patient from excessive exposure in case of a problem
Detector Selection
•AEC systems with multiple detectors typically allow the radiographer to select
any combination of one, two, or all three detectors.
•The selected detectors actively measure radiation during exposure, and the
electrical signals are averaged.
•Many radiographic units have AEC devices in both the table Bucky and an
upright Bucky.
•If more than one Bucky per radiographic unit uses AEC, the radiographer must
be certain to select the correct Bucky before making an exposure.
•A similar problem can occur in some systems when not using a Bucky, such as
stretcher or wheelchair studies.
If the AEC system is activated with these types of examinations, an unusually long
exposure results because the detectors are not being exposed to radiation.
•The anatomic area of interest must be centered properly over the detectors
that the radiographer has selected.
•Improper centering of the part over the selected detectors may underexpose
or overexpose the IR.
For example, when an AEC device is used for a lateral lumbar spine image,
•If the detector combination is larger in size than the area of interest, it would
necessitate the use of a manual exposure technique.
When detector superimposed with excessive gas of abdomen the exposure end
• The size of the x-ray field is a factor when AEC systems are used because the
additional scatter radiation produced cause the detector to terminate
the exposure prematurely.
•Because the detector is measuring both types of radiation exiting the patient,
the timer is turned off too soon when scatter is excessive, which results in
underexposure of the area of interest.
•Additionally, if the x-ray field size is collimated too closely the detector
does not receive sufficient exposure initially may prolong the exposure
time, which could result in overexposure.
Mr. Muhammad Abu Arrah
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Chapter 8. Exposure Technique Selection
Calibration
• Once an anatomic part and projection or position has been selected, the
radiographer can adjust the exposure factors that are displayed.
•Technique charts do not replace the critical thinking skills required of the
radiographer.
•Each portable radiographic unit must also have its own technique chart.
•Calipers are devices that measure part thickness and should be readily
accessible in every radiographic room.
•The variable kVp/fixed mAs technique chart is based on the concept that kVp
can be increased as the anatomic part size increases.
•Specifically, the baseline kVp is increased by 2 for every 1-cm increase in part
thickness, whereas the mAs is maintained.
•The baseline kVp is the original kVp value predetermined for the anatomic area
to be radiographed. The baseline kVp is then adjusted for changes in part
thickness.
•The baseline kVp value can be determined experimentally with the use of
radiographic phantoms (patient equivalent devices).
•The fixed kVp/variable mAs technique chart uses the concept of selecting an
optimal kVp value that is required for the radiographic examination and
adjusting the mAs for variations in part thickness.
•The goal is to determine the kVp that penetrates the part without
compromising radiographic contrast.
•An advantage of fixed kVp/variable mAs technique charts is that patient groups
can be formed around 4 to 5 cm changes.
•The fixed kVp/variable mAs technique chart has the advantages of easier use,
more consistency in the production of quality radiographs, uniform
radiographic contrast.