I. Purpose: To enable the production of consistent quality radiographs
II. Preparation
A. Set Variables
1. Film Processing
a. Use new chemicals (developer and fixer)
and continue using the same type of chemicals
b. Maintain constant chemical temperature
c. Use constant developing time
2. Film-Screen Combination should not vary during chart
development
3. Focal- Film Distance (usually 30 or 40'')
B. Derive MAS Chart - using the MA and time stations
available on the x-ray machine. MaS=Ma X time in seconds
C. Select an animal to be radiographed
1. Dog weighing approximately 40 pounds
2. No overweight
3. General anesthesia is suggested
III. Trail Exposures
A. With the dog lying in lateral recumbency, make 3
trial exposures centering over the liver. A 14'' x 17'' cassette can be divided into 3
sections to conserve film and to reduce processing variables. Use RE 400 speed screen and
do not use a grid
1. Measure the thickness (in centimeters) of the liver
area at the highest point. This measurement should be between 10-20cm. This
measurement will be used to determine the KVP chart.
2. Set the exposure technique
a. Set the KVP according to the following conversion:
Less then 10 cm = 60 KVP
10-20 cm = 70 KVP
Greater than 20cm = 80 KVP
b. Change only the MAS for the 3 exposure. Use 05 MAS
for the first exposure, 1.5 MAS for the second, and 3 MAS for the
third. If these exact MAS choices are not available, use numbers that are as close as
possible.
B. Develop the film
C. Choose the technique that allows the greatest
visualization of soft tissuestructures. If you are not satisfied with any of the
exposure adjust the MAS and try again. Remember it takes at least a 30% change in a MaS
to see a change on the radiograph. Change the MaS at least 50% if needed. The
chosen technique will be used as the table-top abdomen technique and also as a
baseline for the rest of the chart. A radiograph of the entire abdomen is recommended using
this technique
IV. Production of the MAS chart: Using your known values
as the table-top (T.T.) abdominal chart and using the following
conversion factors, derive an MAS chart
Rare Earth Screens (400 Speed)
-
TABLE-TOP ABDOMEN Known MAS Value
-
GRID ABDOMEN 2 X T.T. Abd.
-
TABLE-TOP THORAX 1/2 X T.T. Abd.
-
GRID THORAX 2 X T.T Thorax
Slow Speed Screens (detail screens 100 speed)
RE 400 Speed to slow (detail 100) speed = 4 X RE 400
speed MAS
V. Preparation of a variable KVP chart: Prepare a
variable KVP chart according to the following rules:
-
Subtract 2 KVP from the original KVP (70)for each cm
decrease from the original measurement
-
Add 2 KVP to the original KVP (70) for each cm
increase from the original measurement up to 80 KVP
-
Add 3 KVP for each cm increase that places the KVP
above 80 up to 100
-
Add 4 KVP for each cm increase that places the KVP
above 100
VI. Try each of the calculated techniques ( TT thorax,
Grid, Detail. etc.) using the variable MAS and KVP charts. Make any
necessary adjustments. Testing your technique for large dogs, small dogs, and
cats is also recommended.
Example of Technique Chart Development
This technique chart was calculated by using an
anesthetized 40 pound dog measuring 15cm over the liver area
14'' x 17'' cassette
| 8 MAS |
1.6 MAS |
3.2 MAS |
| 70 KVP |
70 KVP |
70 KVP |
1.6 MAS @ 70 KVP was chosen as the best technique for
T.T., Abd.
MAS Chart
| TABLE-TOP ABD |
= 1.6 |
| GRID ABD |
= 3.2 |
| TABLE-TOP THORAX |
= 1.6 |
| GRID THORAX |
= 1.6 |
| TABLE-TOP DETAIL ABD |
= 6.4 + 1.6 x 2=3.2 x 2=6.4 |
| GRID DETAIL ABD |
=12.8 + 6.4 x 2=12.8 |
IF THESE EXACT MAS VALUES ARE NOT AVAILABLE ON THE X-RAY
UNIT, TRY THE CLOSEST ONES AVAILABLE
| CM |
KVP |
CM |
KVP |
| 1 |
42 |
16 |
42 |
| 2 |
44 |
17 |
74 |
| 3 |
46 |
18 |
76 |
| 4 |
48 |
19 |
78 |
| 5 |
50 |
20 |
80 |
| 6 |
52 |
21 |
83 |
| 7 |
54 |
22 |
86 |
| 8 |
56 |
23 |
89 |
| 9 |
58 |
24 |
92 |
| 10 |
60 |
25 |
95 |
| 11 |
62 |
26 |
98 |
| 12 |
64 |
27 |
102 |
| 13 |
66 |
28 |
106 |
| 14 |
68 |
29 |
110 |
| 15 |
70 |
30 |
114 |
KVP CHART FOR MACHINES WITH MAXIMUM CAPACITY OF 100KV
VS, KV and CM chart for regular VS, KV, and CM settings
up to and above the 27cm settings at which point use 100KV and add 20% to MAS for each cm
increase
The previous technique chart will not work for low
output machines with a maximum of KVP of 90. A chart must be developed that does not exceed 90
KVP. Since both MAS and KVP can affect the radiographic density, the MAS can be adjusted to
maintain the density while the KVP is lowered.
KVP- Density Relationship
Increase KVP by 20% = Double Radiographic Density or
Increase KV by 10
Decrease KVP by 16% = Half Radiographic Density or
Decrease KV by 10
MAS - Density Relationship
Double MAS = Double Radiographic Density
Half MAS = Half Radiographic Density
KVP-MAS CHART
| cm |
MAS |
KVP |
cm |
MAS |
KVP |
| 1 |
1.5 |
42 |
16 |
1.5 |
72 |
| 2 |
1.5 |
44 |
17 |
1.5 |
74 |
| 3 |
1.5 |
46 |
18 |
1.5 |
76 |
| 4 |
1.5 |
48 |
19 |
1.5 |
78 |
| 5 |
1.5 |
50 |
20 |
1.5 |
80 |
| 6 |
1.5 |
52 |
21 |
1.5 |
83 |
| 7 |
1.5 |
54 |
22 |
1.5 |
86 |
| 8 |
1.5 |
57 |
23 |
1.5 |
89 |
| 9 |
1.5 |
58 |
24 |
3 |
77 |
| 10 |
1.5 |
60 |
25 |
3 |
79 |
| 11 |
1.5 |
62 |
26 |
3 |
82 |
| 12 |
1.5 |
64 |
27 |
3 |
85 |
| 13 |
1.5 |
66 |
28 |
3 |
88 |
| 14 |
1.5 |
68 |
29 |
6 |
76 |
| 15 |
1.5 |
70 |
30 |
6 |
78 |
* At 24cm. adding 3 KVP tp 89 would be 92. This exceeds
the limits of the machine. By subtracting 16% of 92, the KVP
is lowered to 77. Consequently this halves the density of the radiograph. To compensate for
the loss of density the MAS can be doubled to return the radiograph to its original
density.
** Again, adding 3 KVP will exceed the 90kvp maximum.
The KVP is decreased by 16% resulting in a 1/2 decrease in radiographic density. To
compensate, the MAS was doubled.
NO GRID AVAILABLE AND NO DETAIL CASSETTES
T.T. BONE = T.T. ABDOMEN + .5 MaS
(You may want to vary this MaS factor depending on your
individual situation)
NO GRID AVAILABLE - YOU HAVE DETAIL CASSETTES
T.T BONE = 4 X T.T. ABDOMEN
GRID IS AVAILABLE BUT NO DETAIL CASSETTES
T.T. BONE = T.T. ABDOMEN + .5 (SAME AS ABOVE)
GRID BONE = 2 X T.T.BONE
IF THE TECHNIQUE CHARTS DO NOT WORK OVER THE ENTIRE KVP
RANGE THE UNIT MAY NEED TO BE CALIBRATED
| 1-800-346-9729 |
www.vetxray.com |
Sales@vetxray.com |
Diagnostic Imaging Systems,
Inc.
|
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