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Radiologic Technology

Radiographic Technique

"RadTech! Master the technical factors for optimal image quality. Balance between exposure and patient safety!"

1. Technique Charts 📊

Standardized exposure factors for consistent image quality:

Variable kVp Chart

Fixed mAs, adjust kVp based on patient thickness

Rule: 2 kVp per cm of tissue change

Fixed kVp Chart

Fixed kVp, adjust mAs based on patient thickness

More common in modern practice

2. Radiographic Grids 📐

Absorb scatter radiation to improve image contrast:

Grid Ratio

Height of lead strips / Distance between strips. Common: 8:1, 10:1, 12:1

Grid Conversion Factors (Bucky Factor)

No grid: 1x | 5:1 grid: 2x | 8:1 grid: 4x | 12:1 grid: 5x | 16:1 grid: 6x

Grid Cutoff Errors

Off-level, off-center, off-focus, upside-down (focused grids)

3. Automatic Exposure Control (AEC) 🤖

How AEC Works

Ionization chambers detect radiation and terminate exposure when optimal density is reached.

Detector Selection

3 chambers: Left, Center, Right. Select based on anatomy of interest.

Density Controls (+/- adjustment)

Fine-tune exposure for patient variations. Each step = ~25% change.

4. Digital Radiography 💻

CR (Computed Radiography)

Phosphor plate → Reader → Digital image

Uses PSP (Photostimulable Phosphor)

DR (Direct Digital Radiography)

Flat panel detector → Immediate image

TFT arrays with scintillators or photoconductors

💡 Technical Tips

  • Use grids when body part > 10 cm and kVp > 60
  • Collimation reduces scatter = Better image quality + Less patient dose
  • Digital systems have wider exposure latitude but don't overexpose!

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