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When Should I Increase My mAs or kVp?

Published in Medical Imaging 2 mins read

The decision to increase either mAs (milliampere-seconds) or kVp (kilovolt peak) in X-ray imaging depends on the desired image density and contrast.

Increasing mAs

  • Increase mAs to increase image density. This means making the image darker.
  • Think of mAs as the "quantity" of X-rays. Higher mAs means more X-ray photons are produced, leading to a brighter image.
  • Use mAs adjustments when you want to maintain image contrast while changing density.
    • For example, if you need to image a thicker body part, increasing mAs will compensate for the increased X-ray absorption.

Increasing kVp

  • Increase kVp to increase image contrast. This means making the image have more distinct shades of gray.
  • Think of kVp as the "quality" of X-rays. Higher kVp means the X-rays have more penetrating power, resulting in better visualization of denser structures.
  • Use kVp adjustments when you want to change the image contrast while maintaining density.
    • For example, if you need to image a bone, increasing kVp will allow the X-rays to penetrate the bone more easily, creating better contrast between the bone and surrounding tissues.

Key Considerations

  • Always consider the specific clinical situation.
  • Consult with a qualified radiographer or physician for guidance.
  • Follow established protocols and guidelines for your facility.

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