Dosage is an important factor in the use of ionization radiation as well as in application of contrast agents or radiopharmaceuticals and the dosage should be comply with the ALARA principle (As Low As Reasonably Achievable).
Ionizing radiation comes from natural and artificial sources. Radiation effects depend on the type of radiation, and various units are used for measurement of dosages including gray, sievert, radiation absorbed dose (RAD), roentgen equivalent in man (REM), and roentgen. The amount of radiopharmaceutical given to a patient is measured in becquerels (Bq).
The dosage of contrast media in radiographic or computer-tomographic procedures should be tailored according to the diagnostic indications, the iodine concentration, and the patient's body size and age.

See also Administrative Dose Guidelines.

A fluoroscope projects x-ray images in a video sequence (movie) onto a screen monitor.
Early generation fluoroscopes presented particularly difficult viewing challenges for radiologists. The human retina contains two types of image receptors. Cones (central vision) operate better in bright light, while rods (peripheral vision) are more sensitive to blue-green light and low light. Therefore, the radiologists wear red goggles to filter out blue-green wavelengths to allow the rods to recover peak sensitivity before viewing fluoroscopic images.
To avoid this time consuming accommodation, the industry developed the image intensifier tube in the 1950s. Due to the high amount of individual images during a fluoroscan, a very sensitive amplifier is needed to cut down radiation exposure. Until today, image intensifiers amplify the faint light emitted by the fluorescing screen and the images can be viewed on a monitor. Recently, digital technique replaces the large and bulky image intensifier with flat-panel technology.
Various other components of a fluoroscope system include a gantry, patient table, x-ray tube, filters, collimators, images sensor, camera and computer, most similar to other radiographic systems.
A fluoroscopy system provides the view of moving anatomic structures and is valuable in performing procedures that require continuous imaging and monitoring, such as barium studies, gastrointestinal function tests, cardiac functions, studies of diaphragmatic movement, or catheter placements. A number of technologies are available to record images created during fluoroscopic (fluorographic) exams.

Hexabrix is an ionic dimer contrast medium. Intravascular injection of Hexabrix enhances those vessels in the path of the flow, permitting radiographic visualization of the internal structures of the human body until significant hemodilution occurs. The contrast agent is transported through the circulatory system to the kidneys and is excreted unchanged in the urine. Hexabrix is used primarily for peripheral arteriography

Patents can unintended respond with an idiosyncratic reaction to the application of contrast media. Idiosyncratic reactions to contrast agents start usually within 20 minutes after injection and occur more frequently in patients 20 to 40 years old.
Idiosyncratic reactions may or may not be dependent on the amount of dose injected, the speed of injection, the mode of injection and the radiographic procedure.


See also Adverse Reaction and Anaphylactoid Reaction.

Image quality is an important value of all radiographic imaging procedures. Accurate measures of both image quality and patient radiation risk are needed for effective optimization of diagnostic imaging. Images are acquired for specific purposes, and the result depends on how well this task is performed. The imaging performance is mainly influenced by the imaging procedure, examined object, contrast agents, imaging system, electronic data processing, display, maintenance and the operator. Spatial resolution (sharpness), contrast resolution and sensitivity, artifacts and noise are indicators of image quality.
A high image contrast provides the discrimination between tissues of different densities.
The image resolution states the distinct visibility of linear structures, masses and calcifications.
Noise and artifacts degrade the image quality. In computed tomography (CT), high spatial resolution improves the visibility of small details, but results in increased noise. Increased noise reduces the low contrast detectability. Noise can be reduced by the use of large voxels, increased radiation dose, or an additional smoothing filter, but this type of filter increases blurring.
An image acquisition technique taking these facts into account maximizes the received information content and minimizes the radiation risk or keeps it at a low level.

See also As Low As Reasonably Achievable.