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Objective: To find out the various types of radiographic errors in digital chest radiography and their effect on image quality leading to image rejection. Material and Methods: This cross-sectional study was carried out in Radiology department of Pakistan Institute of Medical Sciences for a period of One month, September 2019. The study included 1560 digital Chest X-Rays, reaching the Picture Archive and Communication System (PACS), fulfilling the inclusion criteria. All these X-rays were analyzed by two radiology residents for the presence of radiographic errors in them. The various radiographic errors were then classified as: Positioning error, poor collimation, Artifacts, improper exposure, motion blur and mislabeling. The frequency of each radiographic error was measured along with their implication on image quality resulting in three major image categories: ACCEPT, JUST ACCEPTABLE and REJECT. The SPSS was adopted for inferential statistical analysis. Results: The study included 1013 (64.9%) male patients and 547 (35.1%) female patients. The mean age came out to be 36 +/- 15 years. Out of 1560 X-rays, 964 (61.8 %) had radiographic errors in them while 596 (38.2%) were completely devoid of radiographic errors. Positioning error (44.5 percent) was the most frequently encountered error followed by poor collimation (29.8%), artifacts (14.9%), Improper exposure (8%), motion blur (2.2%) and mislabeling (0.5%). The rejection rate came out to be 16.5 %. The major cause of image rejection was anatomy cutoff, especially the cut-off of cardio phrenic (CP) angle. Conclusion: Positioning errors represent the commonest cause of image rejection in chest radiography. The main identified pitfall was lack of radiographer’s education and training in performing an examination and indicates a need to improve their performance. Key words: Digital Radiography, Chest X ray, Radiographic error, Image reject

Nano particles of SrCrO4 were manufactured by sol-gel technique. The crystal part ofSrCrO4 is monoclinic having space group P21/n. We calcined it at 950°C temperature. Its cand a lattice parameter are 6.77 and 7.08 which is very close to the reported ones. Ba and Cadoped SrCrO4 were also synthesized by sol-gel method by various concentrations for x= 0.2,0.4, 0.6 and 0.8. Doping samples also sintered at 950°C for 2 hours in order to obtain finepowder. Different characterization techniques such as XRD, Ultra-violet-Spectroscopy, PLSpectroscopy and FTIR Spectroscopy were used to analyze SrCrO4, Ba and Ca-dopedSrCrO4. XRD tells us about the crystal size and dislocation density of samples. The value of2? for the XRD patterns is ranging from 5 to 95. Four peaks are observed in the UV-spectraof SrCrO4 which occur at 350nm, 380nm, 700nm and 750nm. The UV band gap of SrCrO4is 3.25 eV. In PL spectra, two peaks are observed one at 480nm and other at 410nm. At480nm, the energy of emitted photons is 2.5eV, while at 410nm the emitted photons hasenergy of 3ev. In the FTIR analysis, the core modes frequently showed by CrO4 unit aresymmetric stretching bond (?1 (A1)), symmetric bending mode (?2 (E)), asymmetricstretching mode (?3 (F2)) and asymmetric bending mode (?4 (F2)).

Objective: To determine the diagnostic accuracy of ultrasound with Doppler analysis in testicular torsion, keeping surgical findings as the gold standard. Study Design: Cross-sectional validation study Place and Duration of study: Radiology Department of Pakistan Institute of Medical Sciences, from Dec 2017 to Dec 2019. Methodology: The study included 58 candidates of acute scrotum who were clinically equivocal with a strong suspicion of testicular torsion and were referred by the concerned surgery department to Radiology, where a senior resident performed the testicular ultrasound. The grey scale features, along with doppler findings, were noted. Only those cases that underwent surgical exploration were included. The clinical, sonological, and per-operative findings were recorded. Results: The mean age of our study was 18.00±6.02 years. The sensitivity, specificity, positive predictive value and negative predictive value of Doppler ultrasound were 98%, 86%, 98% and 86%, respectively. The most consistent Doppler ultrasound feature was absent intra-testicular flow, found among 46 out of 50 surgically confirmed cases of testicular torsion, while four had reduced intra-testicular flow. Similarly, heterogeneous testicular echotexture was the most frequently met grey scale feature. The sonological Whirlpool sign in our study came had 69% sensitivity and 100% specificity. Conclusion: The overall diagnostic accuracy of ultrasound is significantly high, especially when both greyscale and colour Doppler findings are simultaneously interpreted. The sensitivity of ultrasound in diagnosing testicular torsion is far more than its specificity.

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