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Film Processing
Medical X-ray
Film Processing
Dr. K Thayalan
MSc Dip RP (BARC) MPhil PhD FUICC (USA)
Professor and Head
Radiological Safety Officer
Physics Department
Barnard Institute of Radiology and Oncology
Madras Medical College
Chennai-600 003
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Medical X-ray Film Processing
2005, K Thayalan
All rights reserved. No part of this publication should be reproduced, stored in a retrieval
system, or transmitted in any form or by any means: electronic, mechanical,
photocopying, recording, or otherwise, without the prior written permission of the author
and the publisher.
This book has been published in good faith that the material provided by author is
original. Every effort is made to ensure accuracy of material, but the publisher,
printer and author will not be held responsible for any inadvertent error(s). In case of
any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition : 2005
ISBN 81-8061-398-4
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
PREFACE
K Thayalan
CONTENTS
Index ................................................................................... 91
CHAPTER
ONE
Basic Concepts
1.1.1 SI System
The system of units, called the SI system has six fundamental
units. They are:
1. Length : meter (m)
2. Mass : kilogram (kg)
3. Time : second (s)
4. Electric current : ampere (A)
5. Temperature : kelvin (K)
6. Luminous intensity : candela (cd)
1.2.5 Work
If a force acts on a body and the point of application of the
force moves, then work is said to be done by the force. If the
force F is applied and it moves the body through a distance s,
in its direction then work done (W) = F s. The unit of work
is joule. One joule is the amount of work done when the point
of application of a force of 1 newton moves a body through a
distance of 1 m.
1.2.6 Power
The rate of doing work is called power. It is measured by the
amount of work done in unit time. Power = W/t. The unit of
power is watt. One watt = 1 Joule/s. The power consumed at
the rate of 1 kilowatt for 1 hour is called 1 kilowatt-hour,
which is = 36 105 J.
1.2.7 Energy
The energy of a body is its capacity to do work. It is measured
by the amount of the work that it can perform. The unit of
energy is joule. Usually, radiation energy is measured by the
unit electron volt (eV). There are many forms of energy such
as mechanical energy, heat energy, light energy, electrical
energy and atomic energy.
4 Medical X-ray Film Processing
There are two forms of mechanical energy, such as
(i) potential energy and (ii) kinetic energy. Potential energy
of a body is the energy it possess by virtue of its position. It is
calculated by the relation mgh, where m is the mass of the
body, g is the acceleration due to gravity and h is the height
from the earth. The kinetic energy of a body is the energy
possessed by it due to its motion. Kinetic energy = mv2/2,
where v is the velocity and m is the mass of the body. Energy
can neither be created nor destroyed, but can be transformed
from one form to another.
1.5.1 Nucleus
More recent discoveries proved that the atoms contain still
small particles such as protons, neutrons and electrons (Fig.
1.1). These particles are called subatomic particles. Proton is a
positively charged particle, whereas the electron is a negatively
charged particle. Neutrons has no charge. The protons and
neutrons are clustered at the center of the atom, called nucleus.
The electrons are arranged outside the nucleus.
CHAPTER
TWO
X-ray Production
CHAPTER
THREE
Darkroom
3.3 PASS-BOX
The darkroom is connected to the X-ray room by means of a
pass-box. The cassette passbox is a small box built into an
opening in the wall, provided with doors on each side. It has
opening into the darkroom and into the X-ray room
22 Medical X-ray Film Processing
respectively. It has two light tight X-ray proof doors, which
are revolving on vertical axis. The pass-box is designed in
such a way that no light from the X-ray room can penetrate
into the darkroom. In most cases, a mechanical or electrical
system is installed, so that it is impossible to open
simultaneously both the doors. The pass-box is divided into
two compartments. One is for passing through the unexposed
film and the other is for returning the exposed film.
3.7 MAINTENANCE
The darkroom needs day-to-day maintenance and good house
keeping. The developing and fixing solutions should be
changed regularly, since they become weaker with use and
age. These chemicals can damage skin and clothing and hence
proper care is very much needed.
1. Everyday in the morning, the developer and fixer
solutions should be stirred using the rods provided to
them. These chemicals, tanks and rods should not be
mixed and kept separately with labeling.
2. The developing tank and fixing tank should be kept full
of developer and fixer.
3. The developer and fixer solution should be changed once
in 30 days or lesser, depending upon the workload.
4. The water in the rinsing/washing tank must be changed
everyday. Running water should be preferred.
5. The developer, fixer solutions and rinsing, washing water
should be maintained at the same temperature. The water
must be clean. If it is muddy or dirty, proper filter must
be used. The filter should be cleaned every week.
CHAPTER
FOUR
Cassette and
Intensifying Screen
4.1 CASSETTE
A cassette is a light proof rigid holder that contains screens
and film. The front side is made of material of low atomic
number, like plastic or carbon fiber. The back side is usually
made of heavy metals (lead), having high atomic number, to
minimize back scatter, which degrades image quality. Inside
the cassette, there are two permanently mounted intensifying
screens, called front and back screens. The X-ray film is loaded
between the two screens. The screens may have different
thickness or equal thickness. Compressive materials such as
felt or rubber are kept in between the screen and the cassette
cover. The compressive material maintains good screen-film
contact, when the film is loaded. Cassettes are usually hinged
on one side and can be opened from the other side. The film
is loaded into the cassette in the darkroom. Cassettes are
available in different sizes.
69.5 keV, which is higher than the mean photon energy (40
keV) used in radiology. Hence its absorption is lesser than
optimal. The thickness of the phosphor layer is about 40 to
100 m. Generally, phosphor material should have the
following characteristics:
1. It should have high atomic number.
2. It should emit large amount of light per X-ray photon
3. The wavelength of light emitted should match the
sensitivity of the X-ray film.
4. The phosphor after glow should be minimum.
The protective layer is made of plastic and has three
functions. It prevent static electricity, gives physical protection
and provide a surface for cleaning. The total thickness of the
intensifying screen is about 15 mils (10 mil = 254 m).
When X-ray passes through the front screen the phosphor
absorbs the X-rays and emits light in all directions. The
reflecting layer reflects the light towards the film, so that no
photon is lost. Some portion of the X-rays that are by passing
the X-ray film is absorbed and converted into light by the
back screen. Thus, the intensifying screen convert large amount
of X-ray photons into light photons of blue or green
wavelength. Since the X-ray film is sensitive to blue or green
light, it absorbs the entire light and gives the image (Fig. 4.2).
Patient exposure is decreased greatly when intensifying
screens are used. The reduction in patient exposure is
measured by a term intensification factor (IF).
28 Medical X-ray Film Processing
FIVE
X-ray Film
5.1.1 Base
The base is usually made of cellulose triacetate (CTA) or
polyester. CTA is the safety base introduced by George
Eastman in 1924 for the first time. Polyester, which is made
from polyethylene terephthalate resin has been introduced
only recently. The base used should be dimensionally stable
to maintain uniform image stability during processing and
storage. It should be sufficiently firm and rigid to avoid
kinking. It should be inert so that the sensitometric properties
32 Medical X-ray Film Processing
of the emulsion are not affected. It should also be sufficiently
transparent for viewing radiograph clearly. The polyester base
has many advantages such as dimensional stability, optical
clarity, water proof, high tensile strength, flexible, chemical
memory and inert to processing chemicals.
The base is generally 180 microns thick in the case of CTA
and 160 microns thick in the case of polyester. The thickness
should be uniform as otherwise variations in the depth of
emulsion layer may occur. The base should be free from all
blemishes. The base can either be colored or clear. Blue based
films gives the following benefits; it gives pleasing image, it is
much more restful on the viewers eye, in continuous viewing.
It also gives higher visual contrast. The main disadvantage is
presence of high base fog, when the film is viewed on a poor
quality view box (yellow light emission).
Clear base has a very low base fog and lower visual contrast.
Continued viewing may be more tiresome for some viewers.
Because of lower base fog this film is suitable for ultrasound
work. The X-ray film base is usually given blue tone to give a
more pleasing appearance to the intermediate densities in the
image. Both CTA and polyester come under the class of safety
bases. Both have sufficient dimensional stability for all
radiographic purposes, although polyester has a higher tear
resistance.
5.1.2 Substratum
The substratum is a adhesive layer, which sticks the emulsion
layer to the base. The choice of material depends on the nature
of the base material. The substratum contains solvents, which
can etch the base and thus provide sufficient anchorage for
the emulsion to be coated on it subsequently. Usually, mono-
layer of gelatin is used as substratum.
The emulsion layer (10 m thick) which is coated over the
substratum contains the light sensitive silver halide grains in
a gelatin medium. Besides silver halide and gelatin the
emulsion layer contains various additives like chemical
sensitizers, wetting agents, anti-foggants, hardeners, etc. which
gives the required qualities to the film. The silver halide grains
X-ray Film 33
are typically 1 to 1.5 m in diameter and contain 106 to 107
silver atoms. There are about 109 grains per cubic centimeter.
Approximately 4 light photons must be absorbed to sensitize
each grain.
Among the silver halides (AgBr, AgCl, AgI), silver bromide
(AgBr) is the most used in film emulsion and its spectrogram
is shown in Fig. 5.2.
9)
Wavelength () in nm (1nm = 10m
5.4.1 Density
The term density refers to the degree of blackening on the
film. When the X-ray film is exposed to X-rays, the metallic
silver gives the blackness on the film. The degree of blackness
40 Medical X-ray Film Processing
is directly related to the intensity of radiation. The
measurement of blackness is called photographic density or
optical density (OD).
OD = log10 (I0 /It)
where, (I0/It) is the light stopping effect or opacity. I0 is the
light intensity incident on the film and It is the light transmitted
through the film. The useful range of density in diagnostic
radiology is 0.25 to 2.0. Optical density can be measured using
a densitometer. The transmittance is the fraction (It/I0 ) of
incident light passing through the film. As OD increases,
transmittance decreases.
5.4.3 Speed
The speed of a film is defined as the reciprocal of the exposure
in roentgens (1/R) required to produce a density of 1.0 above
the base plus fog density. The film speed determines the
location of curve on the log exposure scale. For example, if a
film needs 0.01 mR to produce a density of 1.0, then the speed
of the film is 100. Thus, faster the film, less the exposure
required for a given blackening and lower the radiation dose
to the patient. Film speed is a function of the number and size
of the silver halide crystals in the emulsion. The larger the
crystals, the faster the film but poorer the image quality.
5.4.4 Contrast
The contrast is the density difference between two adjacent
image areas in a radiograph. The film contrast tell us how the
film responds to the difference in exposure. The film contrast
depends on, characteristic curve, film density, screen or non-
screen exposure, and film processing. Film contrast is
determined by the slope of the characteristic curve. The film
42 Medical X-ray Film Processing
gamma is the maximum slope of the characteristic curve.
Double emulsion films produce greater contrast than single
emulsion films. High contrast single emulsion films are used
in mammography.
5.4.5 Latitude
Latitude is the range of log relative exposure levels (mAs)
that will produce acceptable range of density (0.25 to 2.0).
The latitude varies inversely with film contrast. A wide latitude
film has a low gradient and low contrast. Wide latitude films
are used for chest radiography.
Fig. 5.8: Dental film: A-The outer wrapper, B-The film, C- The lead foil
sheet, D-The protective black paper
CHAPTER
SIX
Film Processing
6.1 DEVELOPMENT
Development is a chemical process that magnifies the invisible
latent image into visible silver halide image. The solution used
Film Processing 47
for this purpose is called developer. The developer convert
the exposed silver ion into black metallic silver, by reduction
process (addition of electron). This is why the developer is
basically a reducing agent. The unexposed AgBr is unaffected
by this process. An X-ray developer is basically an alkaline
solution. There are two general types of developer solutions
namely, i. regular X-ray developer and ii. rapid X-ray
developer. The regular X-ray developer has average
development potential. Its alkali is sodium carbonate. The rapid
X-ray developer has high development potential. Its alkali is
sodium meta-borate. A developer solution contains, (i) solvent,
(ii) developing agent, (iii) Activator, (iv) preservative and
(v) restrainer.
6.1.1 Solvent
The solvent dissolves the chemicals and also helps for their
ionization. It also aids in softening the gelatin emulsion. The
commonly used solvent is water.
6.1.3 Preservative
Sodium sulfite or potassium metabisulphite is used as
preservative. The preservative decreases the rate of oxidation
of the hydroquinone, thereby increasing the life of the
developer solution. The oxidation products, of the developing
agents, decompose the alkaline solution and form colored
materials that can stain the emulsion. The preservative
dissolves these oxidation products and form colorless
sulfonates.
6.1.4 Restrainer
Potassium bromide is used as restrainer, which decreases the
rate of fog formation. Fog is the development of unexposed
silver halide grains, that do not contain the latent image. It
also decreases the rate of development of the latent image, to
a lesser degree. Thus, the restrainer, restrict the action of the
developing agents only to those exposed AgBr crystals.
Film Processing 49
6.2 RINSING
When the X-ray film is removed from the developer, it is
saturated with all soluble chemicals contained in the developer.
These chemicals include unoxidised developing agents and
various oxidation products. Apart from these chemicals, the
gelatin contains the black metallic silver and unexposed,
undeveloped AgBr crystals. Hence the film should be rinsed,
in order to remove the soluble chemicals and oxidation
products. Rinsing also partially stops the reaction of the
development and neutralizes the alkalinity of the residual
developer. Rinsing is done either with water or acid.
In the waterbath rinsing, the film is thoroughly rinsed in
circulating water for 30 seconds. On removal from the rinse
bath, it is placed in the fixing solution. Insufficient rinsing will
disturb the chemical balance of the fixer and shorten the fixer
life. Poor rinsing also reduces the acidity of the fixer and
destroys its hardening action. Hence stains may appear on
the film.
A acid rinse bath can be prepared by adding 2 liter of 28%
acetic acid to one gallon of water. After thoroughly stirring
water is added to make 5 gallons (1 gallon = 4.55 litres) of
solution. The film is rinsed for 30 seconds. The acid rinse bath
is used to prolong the life of the fixer. It also maintains the
hardening action of the fixer.
A combination of water and acid rinse bath procedure is
the most efficient. In this method, the film is thoroughly rinsed
for 5 to 10s in running water. Later it is placed in acid rinse
bath for 15 to 30 seconds. It is then removed and placed in the
fixer.
6.3 FIXING
Fixing is the process of removing the unexposed silver halides
without damaging the image, formed by metallic silver. It
also hardens the gelatin emulsion. The solution used for
fixation is known as a fixing solution. The fixing solution
consists of (i) solvent, (ii) acidifier, (iii) clearing agent,
(iv) hardening agent and (v) preservative.
50 Medical X-ray Film Processing
6.3.1 Solvent
The solvent is used to mix the chemicals, usually water is used
as solvent.
6.3.2 Acidifier
Sulfuric or acetic acid is used as acidifier. It neutralizes the
alkalinity of the residual developer, still remaining on the film.
It also provides a suitable medium for the fixer and hardener
to act, thereby preventing the formation of stains.
6.3.5 Preservative
Sodium sulfite is used as preservative. It protects the fixing
agent, from decomposition. It also helps in clearing the film
and prevents residual developer.
The fixing time depends on the age of the fixer and the
number of films processed. A normal fixer takes about 1-4
minutes to clear the chemicals and 2-3 times the clearing time
to harden the emulsion. A fixer is said to be exhausted if the
fixing time is > 10 minutes. The film should not be exposed to
Film Processing 51
white light during fixing. The optimum temperature for fixing
bath is 18-24oC.
6.4 WASHING
After fixing, the film must be washed with water. This is to
remove the residual processing chemicals and fixing-bath
chemicals. If these chemicals are not removed, the image will
discolor and fade, i.e., the black silver will change into brown
silver sulfide. Normally, X-ray films should be washed in
running water. The time of washing depends upon, the type
of X-ray film, the rate at which water flows through the tank,
the temperature of water and the type of fixing bath used.
Normally, washing takes about 20 minutes with running water
at 20oC.
There are two methods of washing namely, (i) single tank
washing, and (ii) two stage cascade system of washing. In the
single tank washing, the film should initially be placed near
the outlet. After partial washing the film should be moved
nearer the inlet, so that final washing is done in fresh
uncondaminated water. The two stage system of washing is
the efficient method. In this system water flows in a direction
opposite to the flow of films. The film is placed initially in the
first compartment, where 90% of the salts are removed from
the film. Later, the film is placed in the second compartment
for fresh uncondaminated water washing. When the water
flow is 8 gallons per hour, the washing in each compartment
takes only 5 minutes. An X-ray film, with incomplete washing
will become brown with age.
6.5 DRYING
The final step in processing is to dry the radiograph. During
the drying process, the radiographs are wet and easy to
damage. Hence films should not be removed from the hangers,
until the drying is over. The speed with which the X-ray film
dries, dependent upon the quantity of water to be evaporated
from the emulsion. To speed up the drying process several
drying aids are used. The most commonly used wetting agent
52 Medical X-ray Film Processing
is photo-flu. It reduces the surface tension of the water, so
that water can drain rapidly from the film surface.
Alcohol may be used for drying at emergency. After
washing, the film is immersed in a tray of alcohol for 2 minutes
at 70oF. Alcohol replaces water from the pores of emulsion.
The film is then drained. Most of the installations are provided
with cabinet dryers. This is equipped with a fan and heating
element to flow hot air. To flow air ordinary electric fan can
also be used. The drying temperature must not exceed 35oC
and the film must be hanged in a dust free area.
6.8 REPLENISHER
When the film is moved from the developing tank to rinsing
bath, some quantity of developer accompanies the film and
lead to loss of developer. This loss has to be replenished.
Replenisher is used to restore the concentration of developer
chemical to the original value. It also compensates the reduction
in alkalinity and overcomes the accumulation of bromide.
Normally, replenisher contain a higher concentration of
hydroquinone, metal and alkali. Because these chemicals are
only exhausted, due to continuous development. The
replenisher do not contain bromide, since it is released from
the film emulsion.
With replenisher system, films should be removed quickly
from the developer. One gallon (4.5 liters) of replenisher should
be added for every 40 numbers of 14 17 films or their
equivalent area. In properly replenished developer, one can
develop 125 number of 14 17 films per gallon of solution.
The solution should be discarded when the volume of
replenisher used equals, three or four times the original
quantity of the developer. The solution should also be
discarded at the end of three months period though it is not
used. Replenisher should never be added to the developer,
while the films are developing. If it is added steaks of high
density will be produced.
CHAPTER
SEVEN
CHAPTER
EIGHT
Image Quality
8.1 CONTRAST
The term contrast refers to the difference in density between
adjacent areas in the radiograph. It is mainly madeup of subject
contrast, film contrast and fog and scatter. Subject contrast is
the difference in X-ray intensities transmitted through different
parts of the patient. It is affected by the incident photon
energy, atomic number and density of the absorbers. Film
contrast has been discussed in the topic, X-ray film
characteristics (5.4).The fog and scatter will produce unwanted
film density which lowers radiographic contrast.
8.2 NOISE
Radiographic noise or mottle is the random fluctuation of film
density about some mean value following uniform exposure.
Noise degrades image quality and limits the ability to visualize
low contrast objects. Noise is mainly madeup of screen mottle,
film mottle and quantum mottle. The screen mottle is caused
by nonuniformities in screen constructions, but usually
Image Quality 67
negligible in modern screens. Film mottle is caused by the
grain structure of emulsions, which has very little concern in
radiography. Quantum mottle is caused by the discrete nature
of X-ray photons and it is the most important source of noise
in radiography. The adjacent areas of the film have photons
that differ from the mean value which contribute to quantum
mottle.
8.4 RESOLUTION
It is measure of the radiographs ability to differentiate
between different structures that are close together. It tells
about the film screen combinations ability and how much
detail that can provide. It is usually measured in lines pairs
per millimeter (lp/mm). A line pair is a line of a particular
width followed by a space of the same width. For example,
4lp/mm means there are 4 lines and 4 spaces within 1mm and
each line/space is of 0.125 mm width. Typical values are 6-8
lp/mm for speed class 100, 4-6 lp/mm for speed class 200 and
400.The human eye can resolve about 5 lp/mm at a viewing
distance of 25 cm. Resolution is influenced by image sharpness,
68 Medical X-ray Film Processing
crystal size, and contrast. And it has limited value in assessing
system performance.
8.6 SENSITOMETRY
Sensitometry is a photographic science, introduced by Hurter
and Driffield. It tells about the evaluation of the performance
of photographic material. In this the photographic emulsion
be exposed to a specified light source for fixed times and then
the emulsion is processed under standard conditions. The
resultant densities produced on the film are then measured
and graphed verses a logarithmic scale of exposure.
8.6.3 Sensitometer
A sensitometer is a device that exposes a film to a range of
known, constant light intensities having proper light
wavelength sensitivity. It mearly simulates, the spectral
emission of the intensifying screens used. The light output of
the sensitometer must match the spectral sensitivity of the
film. For example, a green light sensitometer is to be used
with a green sensitive film. It is wrong to use a blue emitting
sensitometer with an orthochromatic film (green).
Sensitometers exist in many forms, from simple three patch
sensitometers to large 21 step negative for printing.
70 Medical X-ray Film Processing
A typical sensitometer is shown in Fig. 8.1. It has a calibrated
light filter which provides about 20 different light intensities
to expose the film. The given film is loaded in the sensitometer
in the darkroom. Now, the film is exposed to range of light
intensities that are matched to the wavelength sensitivity of
the film. Then the film is developed in the processor which is
to be tested. The final film will have differing density, known
as sensitometry strip. This strip is introduced in the
densitometer and the corresponding density values are
measured.
8.6.4 Densitometer
A densitometer is a device that measures the amount of
incident light transmitted through the developed film. If Io is
the incident light, It is the transmitted light then the optical
density (OD) = log10 ( Io /It ). As the transmitted light decrease
in dark areas of the film, the OD gets increased. It is mainly
used to read the relative density of the various steps on the
sensitometry strip(film). It measures the quantity of light,
passing through the step wedge area. The density can either
be read directly, or seen as LED display for each step. With
the optical density and log of exposure values, the characteristic
curve can be plotted by hand. Modern densitometers are
linked with computer, which can automatically read density
and print the characteristic curve for the film. Also information
can be stored and weekly printouts are obtained. With
Image Quality 71
densitometer one can assess the processor activities and also
compare different processors.
CHAPTER
NINE
Excessive Contrast
Causes: Over soft rays (too low kV) when taking radiograph/
Developing time too long/Bad composition of the developer
bath.
Defects and their Possible Causes 73
Inadequate Contrast
Causes: Over harsh rays (too high kV) when taking radiograph/
Overexposure compensated for by shorter developing time/
Too short developing time for the temperature of the bath/
Exhausted developer bath/unsuitable or wrongly prepared
developer.
Insufficient Sharpness
Causes: Too short focus-film distance/Vibration of the X-ray
tube or movement by patient during the taking of the
radiograph/Overlarge or damaged focus/Patient not
sufficiently pressed against cassette or film/Bad contact
between film and screen/Insufficient sharpness (owing to over
coarse grain) of the intensifying screens/Influence of secondary
rays.
Grey Fog
Causes: Darkroom lighting not in order/Film exposed to
darkroom light for too long or held too close to the lamp/
Influence of undesirable X-rays or white light/film too old or
stored in bad conditions/Salts in the developer, coming from,
e.g. unsuitable joints in the tank or frames/The loaded cassette
exposed too long to excessive heat/Film examined too quickly
in white light during the fixing/Inadequate closing of the
cassette/Bad composition of the developer.
Yellow Fog
Causes: Prolonged developing time in oxidized developer
(solution turned very brown)/Exhausted bath/Inadequate
fixing.
White Precipitation
Causes: Inadequate intermediate rinsing when using the
hardening fixing bath.
Light Spots
Causes: Air bubbles (very small, sharply-delineated spots): film
insufficiently agitated during the first 30 sec in the developer/
Drops of fixing or stop-bath fell on the film before it was
placed in the developer/Impression of sharp objects on the
film, the packing or the container. If this happens before the
exposure, then the spots are brighter than their surroundings/
Dry spots over rapid or irregular drying, causing drops by
collection of water./The films stuck together or to the wall of
the tank during development./Greasy spots on the film prevent
the developer from penetrating the emulsion/defective
intensifying screens./Impurities between intensifying screen
and film./Small pitted spots, in most cases with dark edges:
Influence of bacteria. Too slow drying in a hot damp climate,
especially if the washing water is not very pure.
Light Marks
Causes: Moon-shaped: cracking of film caused by taking hold
of it with more than two fingers prior to exposure/
Fingerprints: film touched before development by fingers
which are too greasy or soiled with fixing bath or stop-bath,
some other acid.
Defects and their Possible Causes 75
Dark Spots
Causes: Drops of developer bath on the film prior to
developing/Drops of water on the film before development/
Static charge as a result of friction in fairly dry air/Impression
of sharp objects on the film after exposure/Irregular drying.
Damp patches remaining on the film when it is removed from
the drying cabinet/Small pieces of metal stuck to the film during
the development process.
Dark Marks
Causes: Moon-shaped. Bending the film as result of taking of
it with more than two fingers after exposure/Fingerprints:
film taken hold of prior to development with fingers soiled
with developer/Small bush-shaped marks as a result of
electrostatic charge.
Yellow Stain
Causes: Prolonged development in old, oxidized developer/
Inadequate intermediate rinsing/Exhausted fixing bath.
Brown Patches
Causes: Improper fixing/Diluted fixer/Exhausted fixer/Lack
of agitation in fixer.
Blue-Green Stains
Causes: Exhausted fixer/High temperature of fixer.
Metallic Appearance
Causes: Deposition of oxidation produced on the film.
76 Medical X-ray Film Processing
Mottle and Streaks
Causes: Lack of agitation in developer/fixer retained in
hangers.
Reticulation
Causes: Extreme temperature variation in successive processing
tank.
Water Marks
Causes: Film left to dry in hangers.
Blurred Image
Causes: This happens only infrequently in the case of negatives.
Yellow Fog
Causes: Exhausted alkaline or silvery fixing bath.
White Spots
Causes: Inadequate agitation (these spots can be removed by
means of aqueous solution of sodium carbonate (10%).
Pie Lines
This is caused by chemicals partially drying out on rollers.
This will be repeated intervals equal to the diameter of the
roller.
Drying Marks
This can be seen only in reflected light, appear as dull
longitudinal lines.These are caused by dirt or dust blocking
part of the air knife.
Nondrying Marks
It is due to the fault in the fixer. Measure pH and silver levels
in the fixer and check replenisher pumps.
Surface Marks
These are single sided and appear in the surface of the film.
Causes: Algae in the wash tank, bits of emulsion in developer,
fixer and wash tank. Check the tank and clean it.
Pressure Marks
This can be white or black, appear randomly over the film.
Causes: Incorrect film storage or poor film handling. Check
handling and storage.
White Marks
This will be in the form of (i) crescent shaped due to bad
handling before exposure, (ii) white fingerprints caused by
fixer or oil in technicians hand, and (iii) pressure marks.
TEN
Safety Aspects
A D
Acceleration 2 Densitometer 70, 71
Atomic Energy Act (1962) 83 Displacement 2
Atomic number 6
Atoms and molecules 5
E
Automatic film processor 55
chemical system 57 Electric charge 4
dryer system 58 Electromagnetic radiation 7
entry system 55 quantum nature 8
multiformat imaging 61 Electromagnetic spectrum 9
dry film processing 64 Electrons 7
imaging camera 62 Energy 3
laser camera 63
quality assurance 65
replenishment system 58 F
solutions Film badge 84
developer 60 Film processing
fixer 61 development 46
transport system 56 activator 48
water system 58 developing agent 47
preservative 48
C restrainer 48
solvent 47
Cassette drying 51
loading 25 fixing 49
unloading 26 acidifier 50
Characteristic curve 40, 69 clearing agent 50
Chemical pollution 88 hardening agent 50
Contrast 41, 66 preservative 50
Current 5 solvent 50
92 Medical X-ray Film Processing
influence of time and temperature biological effects 81
53 effective dose limits 82
preparation of the baths 52 personnel monitoring systems 83
replenisher 54 Radiations 13
rinsing 49 interaction with matter 14
washing 51 Radioactivity 15
Fluorescence 9 Radiograph defects and causes 72
Force 2 defects due to insufficient rinsing
77
I defects-during development 76
fog 77
Inertia 2 lighter or darker streaks 76
Intensifying screen 26 yellowish or dichroic fog 77
defects-during fixing 77
K faults in automatic film
processing 78
Kilogram 2 processing faults 78
general faults 78
L general 72
black circular spots (black or
Laser camera 63 white) 76
Laser printing film 44 blue-green stains 75
brown patches 75
M chemical or dichroic fog 73
clustered white spots 76
Mammography film 44 cresent shaped black mark 76
Mass and weight 3 dark lines or streaks 75
Mass number 6
dark marks 75
Meter 1
dark spots 75
Modern X-ray tube 11
excessive contrast 72
Motion 2
fog (grey or yellow) 73
Multiformat imaging 61
general blackening 72
inadequate contrast 73
N insufficient sharpness 73
light lines or streaks 74
Nucleus 6
light marks 74
light spots 74
O metallic appearance 75
mottle and streaks 76
Opacity and density 68
reticulation 76
streaky grey fog 74
P tree like marks 76
water marks 76
Potential 4
white precipitation 74
Power 3
yellow stain 75
Radiographic noise or mottle 66
R Reciprocity law 68
Radiation safety Resolution 67
Index 93
S X
Sensitometer 69 X-ray 10
Sensitometry 68 discovery 10
Sharpness (blur) 67 production 11
SI system 1 properties 10
Speed 2 X-ray film 31
characteristics 39
T characteristic curve 40
contrast 41
Temperature and heat 5 density 39
The darkroom 18 emulsion absorption 42
air-conditioning system 24 latitude 42
maintenance 24 speed 41
pass-box 21
handling 44
safe light 20
size and packing 38
the dry side 22
structure 31
the wet side 23
walls, floor and ceiling 19 base 31
Thermoluminescent dosimeter 86 substratum 32
Time 2 top coat 33
technology 34
gelatin 34
U grain types 36
Units and measurements 1 siver halides 34
spectral sensitivity 35
types 37, 42
V
dental film 42
Velocity 2 laser printing film 44
mammography film 44
multiformat camera film
W
44
Work 3 X-ray images 16
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