What is the primary concern when handling X-ray procedures for patients with a higher body mass index?

When considering X-ray procedures for patients with a higher body mass index (BMI), the primary concern centers around the quality of the images produced. Patients with a higher BMI may necessitate adjustments in technique to ensure that the X-rays penetrate adequately through thicker layers of tissue and fat. If these adjustments are not made, the resulting images can be unclear or of poor quality. This makes it challenging to accurately diagnose any underlying conditions or issues.

While image distortion can occur in various contexts and increased radiation doses are a valid concern, these are generally managed through proper technique and machine settings. Prolonged exposure time may also be a consideration, but it does not directly address the fundamental issue of capturing a clear and diagnostic-quality image, which is critical for effective patient care. Therefore, the decline in image quality is the key issue when dealing with patients who have a higher BMI, as it can directly impact diagnostic outcomes.