X-ray artifacts

Changed by Daniel J Bell, 31 Dec 2017

Updates to Article Attributes

Body was changed:

Artifacts can present in a variety of ways including abnormal shadow noted on a radiograph or degraded image quality and have been produced by artificial means from hardware failure, operator error and software (post-processing) artifacts. 

There are common and distinct artifacts for film, computed and digital radiography

Common causes

  • improper handling of the films
  • errors while processing the films
  • patient movement while taking the shotimage

Common artifacts (film and computed/digital radiography)

  • motion artifact
    • due to patient movement resulting in a distorted image
  • image compositing (or twin/double exposure)
    • superimposition of two structures from different locations due to double exposure of same film/plate
  • grid cut-off
  • radio-opaqueradiopaque objects on or external to the patient (e.g. necklaces, piercing, buttons, hair, (e.g. pony tail, hair braids etc.).

Film radiography artifacts

  • finger marks
    • improper handling with hands
  • clear film
    • malfunction of the machine or placing the film in the fixer before developer solution
  • static electricity
    • black “lightning” marks resulting from films forcibly unwrapped or excessive flexing of the film
  • crescent-shaped black lines
    • due to fingernail pressure on the film
  • crescent-shaped white lines
    • due to cracked intensifying screen
  • black film
    • complete exposure to light.
  • clear spots
    • air bubbles sticking to film during processing
    • fixer splashed on film prior to developing
    • dirt on the intensifying screen

Computed/digital radiography artifacts

  • detector image lag or ghosting
    • latent image from previous exposure present on current exposure
  • incorrect detector orientation i.e. upside-down cassette
    • spoke like radio-opaqueradiopaque lines (case 6)
  • backscatter
    • increased radiation exposure required for portable DR (digital radiography) examinations
  • stitching artifacts
    • occur when two separate DR or CR (computed radiography) images are merged into a single image (see case 3)
  • over exposure
  • dead pixel artifact
  • -<li>patient movement while taking the shot</li>
  • +<li>patient movement while taking the image</li>
  • -<li>motion artifact<ul><li>due patient movement resulting in a distorted image</li></ul>
  • +<li>motion artifact<ul><li>due to patient movement resulting in a distorted image</li></ul>
  • -<li>radio-opaque objects on or external to the patient (e.g. necklaces, piercing, buttons, hair, pony tail)</li>
  • +<li>radiopaque objects on or external to the patient (e.g. necklaces, piercing, buttons, hair (e.g. pony tail, hair braids etc.).</li>
  • -<li>clear film<ul><li>malfunction of the machine or placing the film in fixer before developer solution</li></ul>
  • +<li>clear film<ul><li>malfunction of the machine or placing the film in the fixer before developer solution</li></ul>
  • -<li>incorrect detector orientation i.e. upside-down cassette<ul><li>spoke like radio-opaque lines (case 6)</li></ul>
  • +<li>incorrect detector orientation i.e. upside-down cassette<ul><li>spoke like radiopaque lines (case 6)</li></ul>
  • -<li>backscatter<ul><li>increased radiation exposure required for portable DR examinations</li></ul>
  • +<li>backscatter<ul><li>increased radiation exposure required for portable DR (digital radiography) examinations</li></ul>
  • -<li>stitching artifacts<ul><li>occur when two separate DR or CR images are merged into a single image (see case 3)</li></ul>
  • +<li>stitching artifacts<ul><li>occur when two separate DR or CR (computed radiography) images are merged into a single image (see case 3)</li></ul>
  • -<li><a title="dead pixel artifact" href="/articles/dead-pixel-artifact">dead pixel artifact</a></li>
  • +<li><a href="/articles/dead-pixel-artifact">dead pixel artifact</a></li>

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