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Radiology · Imaging physics: image noise and dose
Sample itemOn a CT scan, the image of an obese patient looks grainy. Which adjustment reduces quantum noise?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Increasing the tube current-time product (mAs)
Quantum noise depends on the number of photons reaching the detector, so more mAs lowers noise at the cost of a higher patient dose. This trade-off is balanced with the ALARA principle.
Option by option
A. Narrowing the window width
Window width alters display and does not change the acquired noise.
B. Using a smaller matrix only
A smaller matrix does not address photon statistics.
C. Increasing the tube current-time product (mAs) (correct)
Correct. More photons give a less noisy image but a higher dose.
D. Decreasing the mAs
Decreasing mAs would increase noise.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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