In producing a good radiographic image, an optimization method is needed. This study was conducted to seek optimization of the radiographic examination of the manus ossa with objective and subjective image quality analysis. The research method is quantitative experimental, using a variety of exposure factors: 40kV 4 mAs, 40kV 10 mAs, 46 kV 5 mAs, 53 kV 2,5 mAs, 61kV 1,25 mAs. Then an object…