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When X Ray Images Are Overexposed There Can Be A

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Posted on Tue, 26 May 2020
Question: When x ray images are overexposed there can be a loss of signals of bone or soft tissue, is overexposure the only reason for this or are there other reasons, please let me know
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Follow up: Dr. Vivek Chail (0 minute later)
When x ray images are overexposed there can be a loss of signals of bone or soft tissue, is overexposure the only reason for this or are there other reasons, please let me know
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Follow up: Dr. Vivek Chail (27 minutes later)
I am also aware that underexposure affects an image as well, my images had a loss of signal in certain areas and i know i was not underexposed , so I'm afraid i was overexposed , so my question is - is there any other reason for loss of signal in areas besides over/underexposure , I'm panicking
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Follow up: Dr. Vivek Chail (0 minute later)
I am also aware that underexposure affects an image as well, my images had a loss of signal in certain areas and i know i was not underexposed , so I'm afraid i was overexposed , so my question is - is there any other reason for loss of signal in areas besides over/underexposure , I'm panicking
doctor
Answered by Dr. Vivek Chail (3 hours later)
Brief Answer:
Images are affected due to processing techniques and not always over exposure

Detailed Answer:
Hi,
Thanks for writing in to us.

The xray image is a sum total of the radiation absorbed by the xray film or cassette and the image is formed after processing.

In case of signal differences, it is important to know if processing was done properly.

In older manual techniques, the processing depended on the processing technique and strength of developing and fixing chemicals in solution.

In new method of processing the image depends on the xray cassette and the reader machine.

There are a lot of other factors than under and over exposure from xrays that affect the image formed.

There is no need to panic as there is no clear direct over exposure.

Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Images are affected due to processing techniques and not always over exposure

Detailed Answer:
Hi,
Thanks for writing in to us.

The xray image is a sum total of the radiation absorbed by the xray film or cassette and the image is formed after processing.

In case of signal differences, it is important to know if processing was done properly.

In older manual techniques, the processing depended on the processing technique and strength of developing and fixing chemicals in solution.

In new method of processing the image depends on the xray cassette and the reader machine.

There are a lot of other factors than under and over exposure from xrays that affect the image formed.

There is no need to panic as there is no clear direct over exposure.

Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vivek Chail (8 hours later)
So just to be clear there can be a loss of signal without it being overexposure?
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Follow up: Dr. Vivek Chail (0 minute later)
So just to be clear there can be a loss of signal without it being overexposure?
doctor
Answered by Dr. Vivek Chail (50 minutes later)
Brief Answer:
There can be a darkness in the image that you call signal loss even without over exposure of xrays.

Detailed Answer:
Hi,
Thanks for writing back with an update.

You are right, there can be a darkness in the image that you call signal loss even without over exposure of xrays.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
There can be a darkness in the image that you call signal loss even without over exposure of xrays.

Detailed Answer:
Hi,
Thanks for writing back with an update.

You are right, there can be a darkness in the image that you call signal loss even without over exposure of xrays.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Vivek Chail (6 hours later)
By "loss of signal" i was referring to parts of the bone or soft tissues not being present on the image , i know that can be overexposure , but is it always?
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Follow up: Dr. Vivek Chail (0 minute later)
By "loss of signal" i was referring to parts of the bone or soft tissues not being present on the image , i know that can be overexposure , but is it always?
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Follow up: Dr. Vivek Chail (12 minutes later)
I mean bone tissues or soft tissues being "clipped" out of the image , thats the best way to put it , that can be over exposure , but are there other reasons?
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Follow up: Dr. Vivek Chail (0 minute later)
I mean bone tissues or soft tissues being "clipped" out of the image , thats the best way to put it , that can be over exposure , but are there other reasons?
doctor
Answered by Dr. Vivek Chail (6 hours later)
Brief Answer:
Please share the image

Detailed Answer:
Hi,
Thanks for writing in to us.

Can I request you to share the image by uploading for better understanding of your question and give you the possible reasons as to why that might have happened.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Please share the image

Detailed Answer:
Hi,
Thanks for writing in to us.

Can I request you to share the image by uploading for better understanding of your question and give you the possible reasons as to why that might have happened.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (23 hours later)
I actually don't have them with me , i just remembered what they looked like, What is slit radiography? how does it work?
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Follow up: Dr. Vivek Chail (0 minute later)
I actually don't have them with me , i just remembered what they looked like, What is slit radiography? how does it work?
doctor
Answered by Dr. Vivek Chail (2 minutes later)
Brief Answer:
A small slit for the xray beams to pass from the source to the target

Detailed Answer:
Hi,
Thanks for writing back to us.

Slit radiography is creating a small slit for xray beams to pass from the source to the target and is used in dental radiography. A narrow beam of xrays is allowed to pass and this is repeated with different positions to get a panoramic xray image. It is not used much in general radiography.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
A small slit for the xray beams to pass from the source to the target

Detailed Answer:
Hi,
Thanks for writing back to us.

Slit radiography is creating a small slit for xray beams to pass from the source to the target and is used in dental radiography. A narrow beam of xrays is allowed to pass and this is repeated with different positions to get a panoramic xray image. It is not used much in general radiography.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (12 days later)
Under automatic exposure control what is the minimum time it would take for the mAs to reach 600
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Follow up: Dr. Vivek Chail (0 minute later)
Under automatic exposure control what is the minimum time it would take for the mAs to reach 600
doctor
Answered by Dr. Vivek Chail (12 hours later)
Brief Answer:
The time for mAs 600 depends on multiple factors like set kVp and image receptor distance

Detailed Answer:
Hi,
Thanks for writing in to us.

In automatic exposure control the kVp is set and the radiographer can work on the mAs as you might know. If the exposure is fixed then the mAs and exposure time will get balanced at the image receptor.

The minimum time taken for mAs to reach 600 is a hypothetical scenario as we also need to account for the kVp when a xray is taken.

Regards,
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
The time for mAs 600 depends on multiple factors like set kVp and image receptor distance

Detailed Answer:
Hi,
Thanks for writing in to us.

In automatic exposure control the kVp is set and the radiographer can work on the mAs as you might know. If the exposure is fixed then the mAs and exposure time will get balanced at the image receptor.

The minimum time taken for mAs to reach 600 is a hypothetical scenario as we also need to account for the kVp when a xray is taken.

Regards,
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Vivek Chail (25 minutes later)
I am aware automatic exposure control adjusts the mAs in automatic exposure control is the mA and kVp manually set by the radiographer
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Follow up: Dr. Vivek Chail (0 minute later)
I am aware automatic exposure control adjusts the mAs in automatic exposure control is the mA and kVp manually set by the radiographer
doctor
Answered by Dr. Vivek Chail (58 minutes later)
Brief Answer:
Machines can have both factors adjustable in some machines

Detailed Answer:
Hi,
Thanks for writing in to us.

In many machines the kVp is manually set and in some the machines the kVp can be adjusted. The AEC is more important for CT machines and therefore there are different type of machines that can process the changes in current and voltage.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Machines can have both factors adjustable in some machines

Detailed Answer:
Hi,
Thanks for writing in to us.

In many machines the kVp is manually set and in some the machines the kVp can be adjusted. The AEC is more important for CT machines and therefore there are different type of machines that can process the changes in current and voltage.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Vivek Chail (4 days later)
I sent you an upload of an x ray , as you may notice the bottom corner is " whited out" and some bone and tissue was not seen as a result of this. I know I was NOT underexposed, and I am aware loss of parts of image could be a sign of overexposure. Is there any possible reason that " whited out" part of image could have occurred?
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Follow up: Dr. Vivek Chail (0 minute later)
I sent you an upload of an x ray , as you may notice the bottom corner is " whited out" and some bone and tissue was not seen as a result of this. I know I was NOT underexposed, and I am aware loss of parts of image could be a sign of overexposure. Is there any possible reason that " whited out" part of image could have occurred?
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Follow up: Dr. Vivek Chail (4 minutes later)
PS - I also know that is not just a part of the image being cropped , again my question is - are there any possible reasons for that area
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Follow up: Dr. Vivek Chail (0 minute later)
PS - I also know that is not just a part of the image being cropped , again my question is - are there any possible reasons for that area
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Follow up: Dr. Vivek Chail (27 minutes later)
Lastly ( following up from previous Two messages) I am aware in newer forms of radiography white does not mean underexposed , so I know the white portion was not under exposure, I'm desperately trying to find any possible reason for that area of image .
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Follow up: Dr. Vivek Chail (0 minute later)
Lastly ( following up from previous Two messages) I am aware in newer forms of radiography white does not mean underexposed , so I know the white portion was not under exposure, I'm desperately trying to find any possible reason for that area of image .
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Follow up: Dr. Vivek Chail (4 hours later)
In regards to previous messages , it was not from clothing or anything like that ( the white area)
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Follow up: Dr. Vivek Chail (0 minute later)
In regards to previous messages , it was not from clothing or anything like that ( the white area)
doctor
Answered by Dr. Vivek Chail (5 hours later)
Brief Answer:
can be due to the collimator or due to cassette placement

Detailed Answer:
Hi,
Thanks for writing in to us.

The area in the corner of the image can be due to the collimator or due to cassette placement. Something preventing the xrays to fall on the detectors in the area.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
can be due to the collimator or due to cassette placement

Detailed Answer:
Hi,
Thanks for writing in to us.

The area in the corner of the image can be due to the collimator or due to cassette placement. Something preventing the xrays to fall on the detectors in the area.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (47 minutes later)
Would that result in overexposure?
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Follow up: Dr. Vivek Chail (0 minute later)
Would that result in overexposure?
doctor
Answered by Dr. Vivek Chail (1 minute later)
Brief Answer:
Unlikely to result in over exposure

Detailed Answer:
Hi,
Thanks for writing in to us.

There is no problem with the xray generation or anything to do with the strength of the xrays. Even if we take collimation, it is limiting xrays and is unlikely to cause over exposure.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Unlikely to result in over exposure

Detailed Answer:
Hi,
Thanks for writing in to us.

There is no problem with the xray generation or anything to do with the strength of the xrays. Even if we take collimation, it is limiting xrays and is unlikely to cause over exposure.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (11 minutes later)
Also, when I zoomed in on image a few pixels were dark could the reason for the mostly ( but not fully) white image I showed still be result of collimator or cassette placement?
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Follow up: Dr. Vivek Chail (0 minute later)
Also, when I zoomed in on image a few pixels were dark could the reason for the mostly ( but not fully) white image I showed still be result of collimator or cassette placement?
doctor
Answered by Dr. Vivek Chail (4 minutes later)
Brief Answer:
The apparent dark pixels might be due to monitor

Detailed Answer:
Hi,
Thanks for writing in to us.

The image on screen might differ from the film image considering few dark pixels in the white area. In digital imaging, there are many types of monitors as you know and usually medial imaging monitors are UHD and the ones we use on laptop are HD. Though I am not an expert on monitors, I do feel the dark pixels might be apparent on the monitor and not true areas of darkness.

The image film will not show any dark pixels in the above case situation.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
The apparent dark pixels might be due to monitor

Detailed Answer:
Hi,
Thanks for writing in to us.

The image on screen might differ from the film image considering few dark pixels in the white area. In digital imaging, there are many types of monitors as you know and usually medial imaging monitors are UHD and the ones we use on laptop are HD. Though I am not an expert on monitors, I do feel the dark pixels might be apparent on the monitor and not true areas of darkness.

The image film will not show any dark pixels in the above case situation.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (36 minutes later)
So would this white area still be a result of collimator or cassette placement ?
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Follow up: Dr. Vivek Chail (0 minute later)
So would this white area still be a result of collimator or cassette placement ?
doctor
Answered by Dr. Vivek Chail (2 hours later)
Brief Answer:
It can be from collimator or cassette associated problem

Detailed Answer:
Hi,
Thanks for writing in.

You might find that there is a hazy but linear area separating the normal exposure from the white area. This can suggest an object that came in the way between the xray and the cassette. A collimator or anything in or adjacent the cassetter can be the cause.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
It can be from collimator or cassette associated problem

Detailed Answer:
Hi,
Thanks for writing in.

You might find that there is a hazy but linear area separating the normal exposure from the white area. This can suggest an object that came in the way between the xray and the cassette. A collimator or anything in or adjacent the cassetter can be the cause.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (3 hours later)
In an x ray like the second upload the white area is larger , what would be the possible reasons for that ( obviously not an object)
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Follow up: Dr. Vivek Chail (0 minute later)
In an x ray like the second upload the white area is larger , what would be the possible reasons for that ( obviously not an object)
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Follow up: Dr. Vivek Chail (14 minutes later)
The white area in second up load = the bottom central region of image
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Follow up: Dr. Vivek Chail (0 minute later)
The white area in second up load = the bottom central region of image
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
The white areas is showing the bones of the pelvis

Detailed Answer:
Hi,
Thanks for writing in to us.

The second image is of the lumbar sacral spine in lateral view and we can see the central white area due to the overlapping bilateral iliac bones and the sacrum. This is a normal visualisation due to the xrays going through the bones of pelvis.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
The white areas is showing the bones of the pelvis

Detailed Answer:
Hi,
Thanks for writing in to us.

The second image is of the lumbar sacral spine in lateral view and we can see the central white area due to the overlapping bilateral iliac bones and the sacrum. This is a normal visualisation due to the xrays going through the bones of pelvis.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (7 days later)
Would an x ray tube become overheated and not be able to tolerate a dose of 20 mSv? Would the tube be overheated?
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Follow up: Dr. Vivek Chail (0 minute later)
Would an x ray tube become overheated and not be able to tolerate a dose of 20 mSv? Would the tube be overheated?
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Follow up: Dr. Vivek Chail (7 minutes later)
I am aware x Ray's are not 20 mSv , I am curious though if the tube would be overheated if the x ray machine somehow reached 20 mSv
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Follow up: Dr. Vivek Chail (0 minute later)
I am aware x Ray's are not 20 mSv , I am curious though if the tube would be overheated if the x ray machine somehow reached 20 mSv
doctor
Answered by Dr. Vivek Chail (6 hours later)
Brief Answer:
There are safety systems to control tube overheating

Detailed Answer:
Hi,
Thanks for writing in to us.

Xray tubes have a tube rating and heat capacity and this allows it to function in a range pre determined values of KVp and MAS.

The radiation generated is 1 percent and heat is 99 percent. If the heat is out of range of the tube rating parameters then there is damage to the tube and it can cause the target to melt.

20 mSv is a very high dose at a time for xray and is not achievable and you are correct in saying that the machine will get overheated as a lot of heat will be generated. However there are safety systems in place to check tube overheating.

Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
There are safety systems to control tube overheating

Detailed Answer:
Hi,
Thanks for writing in to us.

Xray tubes have a tube rating and heat capacity and this allows it to function in a range pre determined values of KVp and MAS.

The radiation generated is 1 percent and heat is 99 percent. If the heat is out of range of the tube rating parameters then there is damage to the tube and it can cause the target to melt.

20 mSv is a very high dose at a time for xray and is not achievable and you are correct in saying that the machine will get overheated as a lot of heat will be generated. However there are safety systems in place to check tube overheating.

Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vivek Chail (2 days later)
If both AEC and back up mAs failed ( back up mAs is in usa 600 mAs) would 20 mSv be unattainable for an x ray
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Follow up: Dr. Vivek Chail (0 minute later)
If both AEC and back up mAs failed ( back up mAs is in usa 600 mAs) would 20 mSv be unattainable for an x ray
doctor
Answered by Dr. Vivek Chail (12 hours later)
Brief Answer:
Unlikely to attain 20 mSv

Detailed Answer:
Hi,
Thanks for writing in to us.

It is unlikely to attain 20 mSv even if AEC and back up mAs failure takes place.

Regards,
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Unlikely to attain 20 mSv

Detailed Answer:
Hi,
Thanks for writing in to us.

It is unlikely to attain 20 mSv even if AEC and back up mAs failure takes place.

Regards,
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vivek Chail (24 hours later)
As you can see from new upload the bottom part of my thigh is cut off from image, when my other thigh was x ray ed it was not cut out of image at all. What are some reasons as to why that may have been cut out of image? I know that was not where the thigh ended because the other thigh extended further , so what are some possible reasons as to why that image was cut out at the bottom ?
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Follow up: Dr. Vivek Chail (0 minute later)
As you can see from new upload the bottom part of my thigh is cut off from image, when my other thigh was x ray ed it was not cut out of image at all. What are some reasons as to why that may have been cut out of image? I know that was not where the thigh ended because the other thigh extended further , so what are some possible reasons as to why that image was cut out at the bottom ?
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Follow up: Dr. Vivek Chail (3 minutes later)
Cut out part of image = where the bottom left part of my thigh meets the black area
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Follow up: Dr. Vivek Chail (0 minute later)
Cut out part of image = where the bottom left part of my thigh meets the black area
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Follow up: Dr. Vivek Chail (17 minutes later)
Also, the other side of my right thigh ( the same thigh in the image) there was no cut off, the cutoff was only in that single spot and I'm wondering what are some reasons why that may have occurred
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Follow up: Dr. Vivek Chail (0 minute later)
Also, the other side of my right thigh ( the same thigh in the image) there was no cut off, the cutoff was only in that single spot and I'm wondering what are some reasons why that may have occurred
doctor
Answered by Dr. Vivek Chail (19 minutes later)
Brief Answer:
Collimation problem causing image artefacts.

Detailed Answer:
Hi,
Thanks for writing in to us.

It looks like a collimation problem causing image artefacts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Collimation problem causing image artefacts.

Detailed Answer:
Hi,
Thanks for writing in to us.

It looks like a collimation problem causing image artefacts.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (14 hours later)
It's possible that the collimation problem only affected one picture? The other ones had no cutoff
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Follow up: Dr. Vivek Chail (0 minute later)
It's possible that the collimation problem only affected one picture? The other ones had no cutoff
doctor
Answered by Dr. Vivek Chail (20 hours later)
Brief Answer:
Collimation problems might be visualised on only a single xray image

Detailed Answer:
Hi,
Thanks for writing in to us.

Collimation problems might be visualised on only a single xray image. It is not there in the other images.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Collimation problems might be visualised on only a single xray image

Detailed Answer:
Hi,
Thanks for writing in to us.

Collimation problems might be visualised on only a single xray image. It is not there in the other images.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Vivek Chail (17 days later)
Brief Answer:
Unintended exposure of same part of the xray film during 2 different exposures

Detailed Answer:
Hi,
Thanks for writing in to us.

An overlap in the area of exposure of the cassette during 2 different xray exposures might involve image formation in the same area of the film. This is an overlapped field of view.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Vivek Chail (0 minute later)
Brief Answer:
Unintended exposure of same part of the xray film during 2 different exposures

Detailed Answer:
Hi,
Thanks for writing in to us.

An overlap in the area of exposure of the cassette during 2 different xray exposures might involve image formation in the same area of the film. This is an overlapped field of view.

Regards,
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Vivek Chail (2 minutes later)
What is an overlapped x ray field of view ?
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Follow up: Dr. Vivek Chail (0 minute later)
What is an overlapped x ray field of view ?
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Dr. Vivek Chail

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When X Ray Images Are Overexposed There Can Be A

When x ray images are overexposed there can be a loss of signals of bone or soft tissue, is overexposure the only reason for this or are there other reasons, please let me know