The document discusses basic pixel relationships and connectivity in digital images. It defines three types of pixel adjacency: 4-adjacency, 8-adjacency, and m-adjacency. Pixels are considered connected if they are neighbors based on these adjacency types and have similar gray levels. Connected pixels form regions, while region boundaries are pixels on the edge connecting to other regions. The document also introduces distance measures like Euclidean, D4, and D8 distance that are used to define pixel neighborhoods.