Conventional (also called analog, plain-film or projectional) radiography is a fundamental diagnostic imaging tool in the detection and diagnosis of diseases. X-rays reveal differences in tissue structures using attenuation or absorption of x-ray photons by materials with high density (like calcium-rich bones).
Basically, a projection or conventional radiograph shows differences between bones, air and sometimes fat, which makes it particularly useful to asses bone conditions and chest pathologies. Low natural contrast between adjacent structures of similar radiographic density requires the use of contrast media to enhance the contrast.
In conventional radiography, the patient is placed between an x-ray tube and a film or detector, sensitive for x-rays. The choice of film and intensifying screen (which indirectly exposes the film) influence the contrast resolution and spatial resolution. Chemicals are needed to process the film and are often the source of errors and retakes. The result is a fixed image that is difficult to manipulate after radiation exposure. The images may be also visualized on fluoroscopic screens, movies or computer monitors.
X-rays emerge as a diverging conical beam from the focal spot of the x-ray tube. For this reason, the radiographic projection produces a variable degree of distortion. This effect decreases with increased source to object distance relative to the object to film distance, and by using a collimator, which let through parallel x-rays only.
Conventional radiography has the disadvantage of a lower contrast resolution. Compared with computed tomography (CT) and magnetic resonance imaging (MRI), it has the advantage of a higher spatial resolution, is inexpensive, easy to use, and widely available. Conventional radiography can give high quality results if the technique selected is proper and adequate. X-ray systems and radioactive isotopes such as Iridium-192 and Cobalt-60 for generating penetrating radiation, are also used in non-destructive testing.

See also Computed Radiography and Digital Radiography.

An intensifying screen is used to intensify the x-ray effect during radiation exposure of the x-ray film. Approximately 5% of the x-ray photons will be absorbed by the film only. Intensifying screens consist of a sheet of inorganic salts that emits fluorescent light when stroked by x-rays. The fluorescent input and output screens of the image intensifier are very similar to intensifying screens.
Calcium tungstate and rare earths are two common salts (also called phosphors) used for intensifying screens. For example, a calcium tungstate (CaWo4) screen can absorb around 40% of the x-ray photons and convert the radiation into light photons. A basic feature of this screen types is related to the position of the k-edge on the energy axis. Tungsten (W) is a heavy element has a k-edge at 69.5 keV, while that for rare earth elements is in around 50 keV.
The fraction of x-rays absorbed by a screen is depending on the speed. Factors affecting the speed of a screen: Mammography cassettes contain usually one intensifying screen, but most others use two screens per film cassette. The intensifying screen as part of a film screen system has been an important component in radiology to reduce the radiation dose of the patient. Today, the conventional film cassette is being replaced by an imaging plate used in digital systems.

See also Actinides, Cinefluorography and Added Filtration.

(CR) Computed radiography is an imaging technique that uses similar equipment to conventional radiography except that films are replaced by imaging plates. An imaging plate contains photostimulable storage phosphors, which store the radiation level received at each point in local electron energies. The imaging plate is placed under the patient in the same way as conventional film cassettes. After x-ray exposure, the imaging plate is run through a special scanner to read out the image. The digital image can then be processed to optimize contrast, brightness, and zoom. Computed Radiography can be seen as halfway between film-based conventional technology and current direct digital radiography.

A developing agent is a chemical, usually phenidone, hydroquinone or metole, which reduces exposed silver ions to atomic silver to visualize an image on a film.

See also X-Ray Film, Film Processor, Activator, Clearing Agent, Developer and Fixer.

An imaging plate is used in computed radiography (CR) instead of a conventional film cassette.
The imaging plate is coated with photostimulable phosphors. The phosphor layer is doped with special substances to alter the crystalline structure and physical properties. After radiation, the enhanced phosphor material absorbs and stores x-ray energy in gaps of the crystal structure, building a latent image.
Usually, the storage phosphors are stimulated with a low-energy laser to release visible light at each point of x-ray absorption. To read-out the image, the plate is inserted into a computed radiography scanner. The scanning laser beam causes the electrons to relax to lower energy levels, emitting light that is captured by a photo-multiplier tube and converted into an electrical signal. The electronic signal is then converted to digital data and can be displayed on laser-printed films, workstations, transmitted to remote systems, and stored digitally.
The CR units automatically erase the image plate after the complete scan. Phosphor imaging plates, like film, are stored in cassette format and can be re-used very often if they are handled carefully. Existing conventional x-ray equipment, from generators to x-ray tubes and examination systems, can be used with imaging plates.