Escolar Documentos
Profissional Documentos
Cultura Documentos
Duplicating
Quality Control
The following slides describe the processing
and duplicating of x-ray films and quality
control in dental radiography.
Morlite GBX-2
D-speed Intraoral,
extraoral
Safelighting (continued)
= Exposure centers
Basic Steps of Processing
After taking the films on the patient, they are taken
to the darkroom for processing. The steps involved
in processing are:
1. Development: exposed silver halide crystals
converted to black metallic silver.
2. Rinsing: Used with manual processing only;
developer solution removed from film before fixing
3. Fixing: unexposed silver halide crystals removed
from film
4. Washing: all chemicals removed from film
5. Drying: after removing moisture, films can be
handled for mounting
Developing
Development centers in crystals struck by
x-rays are converted into black metallic
silver
Mixing valve
Developer Fixer
insert tank insert tank
lid
After
Place
The
Removeremoving
silver
hanger
the
film
halidethecrystals
films
from
with lid,
from
the place
filmswash
the the
attached
onfixerfilms
water
the and
filminplace
into
and the
are
therinse
hangin
water anddry.
developer
converted
the
films
water
to continuously
bath
for
to(Click
black
5for
minutes.
10to agitate
metallic
minutes.
complete for
Thesilver
lid 30
isinseconds.
(Click
action).
placed
the
to place
Next
over put
developer.
films the the
in water).
tank films
(Click in
tothe
if you fixer
plan
see to for
the 4 minutes
leave
films the
change and
agitate
darkroom
from for 5to
pink seconds
during every 30 seconds.
dark development.
gray). (Click(Click
to to
complete these actions)
complete this action).
Manual Processing
When processing films manually, it is important to
check the solution levels at least once each day. If the
solution level is too low, the films at the top of the film
hanger may not be covered and will not be developed
and/or fixed properly.
The solution should be stirred frequently; the
chemicals tend to settle to the bottom and need to be
recirculated for optimum performance.
You should check the solution temperatures often. The
amount of time needed to develop the films is
dependent on the temperature of the solutions. If the
temperature is too low, more development time is
needed. Too high a temperature requires less time in
the developer. See next slide for the ideal time and
temperature.
Replenishment
Solutions tend to become depleted as more films are
processed. This leads to inadequate developing
and/or fixing and film quality will be decreased. To
prevent this, it is important to replenish the solutions
by adding 8 ounces of chemical (both developer and
fixer) each day. This will maintain the quality of the
solutions for up to 30 films processed during the day.
If more than 30 films are processed, additional
solution must be added at a rate of 1 ounce for every
4 films over 30.
Automatic Processor
Automatic processors come in various shapes and sizes, but
they all function the same. The film is inserted in the inlet slot
where it is fed into a series of rollers (see photo next slide).
These rollers transport the film through the developer, fixer,
wash and dryer and the film exits the processor ready to
mount. The rollers “squeegie” the excess chemicals off of the
film as it exits each solution; no rinse is needed between the
developer and fixer. (Click to process film).
Film
Film
Dryer
Entry
(heater, fan)
Exit
r yer
d
as h
w
xer
fi
er
l op
e ve
d
m s
fil
e rt
ins
Automatic Processing
The manufacturer’s of automatic processors identify
the ideal temperature to be used in processing. You
should follow their recommendations.
lid
Daylight Loader
rubber cuffs
Processing Errors
• Contaminated developer
• Excessive fixation
Dark spots – developer contamination
If drops of developer accidentally contact the film prior
to processing, the developing action will start to act on
these areas immediately. When the film is then placed
in the developer, the overall time that these areas are
developed is longer than for the rest of the film,
resulting in darker spots.
Light spots – fixer contamination
If drops of fixer accidentally contact the film prior to
processing, the fixing action will start to act on these
areas immediately. When the film is then placed in the
developer, there are fewer crystals to be converted to
black metallic silver, resulting in lighter spots. Usually
the contamination is on one side of the film only so that
the crystals in the emulsion on the opposite side are
processed normally and you can still see part of the
image.
Yellow/brown stain – depleted fixer
If the film is not adequately fixed, the undeveloped
crystals (those without exposure centers) will not be
removed from the film, resulting in a yellowish-brown
stain. This is more apparent in the film below in the
areas that were not exposed to x-rays. The left side of
the film represents a cone cut (dotted lines) and the
areas in the crowns represent amalgam or gold
restorations.
Films overlapped during processing
If films are fed into the automatic processor too
quickly, the films may overlap each other,
preventing the processing chemicals from acting
on the overlapped emulsions. This results in a dark
area on each film (see below).
Dark lines
Original Duplicate
If not done properly, duplicate films will be of little
value in trying to make a diagnosis. Films should
always be removed from film mounts before
duplicating in order to insure tight contact
between the original and duplicate films. Lack of
tight contact produced the duplicate film below.
Original Duplicate
Quality Assurance
The definition of quality assurance listed in NCRP
Report No. 145 (December, 2003) is:
White (clear)
area on film
lead bar represents
lead bar
Daily film
If the steps on the daily film Original film
do not line up with the steps
on the original film (different
densities) the test is
considered positive. This
indicates that there is a
problem that needs to be
corrected. The most likely Different densities on
corresponding steps
problem is with processing.
If you clean the processor
and add new solutions and
the steps on a new film still
do not line up, the problem
is probably with the x-ray
equipment.
Daily film
This concludes the section on Processing,
Duplicating and Quality Control.