DI FINAL EXAM Flashcards
Define mA
amount of current flowing across tube during exposure
What does mA influence?
amount of radiation
What does time (s) control?
duration of exposure
Define secondary radiation
radiation coming from another source (ex. wall, floor)
Define primary radiation
radiation between tube and patient - has full E
Define remnant radiation
radiation between patient and IR - “exit” radiation has lower E
Define scatter radiation
primary radiation that has changed direction
What is attenuation
decrease in beam intensity / radiation intensity
Causes of attenuation
absorption & scatter
What does an attenuated beam mean?
a beam that has decreased in intensity
Define SID
source to image receptor distance
Define OID
object to image receptor distance
Define SOD
source to object distance
Factors affecting absorption
thickness, atomic number, density
Increase density =
increase absorption
High contrast vs low contrast
High C has black & white values with more detail, low C has more grey values with less detail
Cathode to anode process
Cathode (negative) expels electrons to anode, anode (positive) produces xrays
Higher kvp = _________ penetration
Increased penetration
Higher kvp = _________ energy
higher energy produced / beam energy
Higher kvp = _______ absorption
decreased absorption (higher penetration occuring)
Explain kvp
Max voltage difference between the cathode and the anode (quality)
What does kvp control?
penetration and quality of x-ray beam / radiation
Explain mAs
Current + time: number of electrons flowing through tube during exposure - total quantity
What does an increase in mAs mean for the xray tube?
an increase in number of xray photons
What does increase in mAs mean for patient?
increased dose
Explain mA
amount of current passing through tube during exposure (higher mA = more electrons) QUANTITY of xrays travelling
What does increasing mA cause
an increase in radiation exposure
Dosimeter purpose
measures intensity
Intensity measured in
mR
What do EI/DI values prove?
amount of radiation that reached the IR
Double mA results in what?
double rad to IR and double PT dose
Define reciprocity
techniques that are different, but will produce similar images (they all have the same mAs - so same rad exposure)
Advantages of reciprocity
control motion, breathing techniques, focal spot size
Smaller focal spot has better what compared to large focal spot?
SR and detail
Focal spot is limited by what technique?
mA
Which has less intensity: 100 cm or 180cm
180 cm (beam divergence / intensity decreases with distance)
Inverse square law formula
I 1 / 1 2 = (d2/d1) ^ 2
explain inverse square law
States that intensity reaching IR is affected by SID (distance: closer to the source = more intensity)
What would you change, technique wise, to get same intensity to IR at 180cm vs 100cm
mAs
The square law formula
mAs / mAs = (SID / SID) ^2
Define subject contrast
determined by absorption of radiation / anatomy (DETERMINES the differences in attenuation of anatomy shown)
Define image contrast
brightness values determined by subject contrast, can be high or low - SHOWS the representation of the differences in attenuation of anatomy
Image contrast depends on
scatter, subject contrast (wont have image without), post processing (windowing), algorithm (puts brightness and contrast values where they should be for proj)
Subject contrast depends on
density, thickness, atomic number, kvp, absorption
Which technique affects contrast?
kvp (penetration - how much or little it penetrates will show on image)
Which kvp produces a better contrast, high or low?
low kvp (less penetration so allows differences to show better)
What happens if you have a low kvp?
increased absorption (so, better contrast and detail), increased subj C, decreased energy
What happens if you have high kvp?
increased penetration (less absorption), decreased subj C, increased energy
Which technique is the potential difference?
kvp
Define potential difference
amount of energy required to move an electric charge from one point to another (kvp - moves electrons cathode to anode)
Define differential absorption
difference in how materials absorb xrays produced
What does differential absorption produce image wise?
contrast/details of image
Absorption: higher Z / thickness / density =
more absorption - less to IR
Absorption: lower Z / thickness / density =
less absorption - more to IR
Does mAs affect absorption?
no, mAs is just the number of xray photons travelling, kvp affects absorption
How do you control motion issues with chest x-rays?
shorter exposure, or use longer exposure if you need to blur out ribs
kvp & intensity formula
I 1 / I 2 = (kvp / kvp) ^2
what does kvp and intensity formula measure
the primary beam/radiation intensity (tube to pt)
kvp & IR exposure formula
I 1 / I 2 = (kvp/kvp) ^5
What does kvp and IR exposure measure
remnant beam/radiation
Explain 15% rule of thumb
increase in kvp by 15% approximately doubles intensity
a high kvp lowers patient dose when you _______ mAs
decrease
Cons of scatter
degrades image, makes grey shades blend together, low E
How to control scatter
grids, collimation, kvp, thickness
How do grids work to control scatter?
made of radiopaque strips that absorb the radiation, radiolucent material lets through radiation needed for the image
Higher the kvp, ________ the grid ratio used
higher
Increase kvp = _______ E for scatter
increased energy for scatter
Factors affecting scatter
kvp, field size (want small), thickness, material
Thicker = _______ scatter
more (more matter = more scatter)
Higher the grid ratio = _______ scatter
decrease in scatter (16:1 - less scatter than 8:1)
Define grid frequency
number of strips per cm
Higher grid frequency = _________ strips
more
Con of grids / high grid ratio
can get rid of useful radiation (absorb)
List grid types:
linear parallel, linear focused, crossed
Define grid cut off
unnecessary absorption of primary radiation by grid - “cut off” from reaching IR - partial or complete
Grid cut off is caused by what?
incorrect centring / position of grid, wrong SID used, tube angled against the grid lines
How does grid cut off affect the image?
poor penetration - resolution loss / grainy / grey spots
Linear focused grid vs parallel
Linear focused - grid lines are angled, Linear parallel - grid lines run straight side by side
Increased grid cut off with what grid ratio?
higher grid ratio
Con of focused grid?
need to be accurate with centring, SID must be accurate, can cause improper absorption if upside down
As grid ratio increases = ________ pt dose & why
patient dose (because you have to use a higher technique / mAs with a higher grid ratio)
What grid type gets rid of the most scatter?
crossed grids
List and explain grid errors (4) that lead to grid cut off
off center (CR not in center of grid), off level (tube and grid not perpendicular), off focus (incorrect SID), upside down (tube side not facing towards the tube)
Explain air gap technique
alternative to using grid to reduce scatter reaching IR by increasing distance between patient and IR (OID), helps reduce patient dose
Magnification factor formula
Mag factor = SID / SOD (convert: SID - OID = SOD)
What causes magnification (distortion)
increased OID, decreased SOD / SID
foreshortening vs elongation
Foreshortening - from angled object with a CR thats perpendicular to IR and elongation is from object being parallel to IR with a CR that’s angled (or other way around)
What controls spatial resolution?
pixel size / acquisition pixel size (the more pixels = the better the SR)
What affects spatial resolution?
focal spot size, movement, OID and SID
Define spatial resolution
ability to see difference between two objects close together
What is analog used for?
analog xray images are processed - converts analog signal to digital image
More line pairs =
better detail (lp/mm)
Small focal spot vs large focal spot
small has increase sharpness and spatial resolution and large has decreased sharpness and decreased spatial resolution
Explain anode heel effect
angle on tube, photons on anode side have to go through thick target material - decreased intensity on anode side. Place thinner anatomy on anode side
Do the size and shape of the physical AEC detectors change sizes?
No, only the outlines do
With AEC, what happens if spine isn’t over detector?
AEC detector will see more rad – shorter exposure time – lower mAs (over ST instead of bone) – lower DI value
Explain AEC
terminates exposure once ionization chambers receive proper amount of radiation
Explain falling load generators
start at HIGH mA and gradually decreases during exposure (kvp remains constant) - purpose is to get the lowest time possible
What do you pick with falling load generator?
kvp
What do you pick with AEC?
kvp and mA (NOT time)
Backup mAs/time rule?
1.5-2x the anticipated mAs (50%-100%)
Explain backup mAs with AEC and why have it
max mAs exposure can have incase of system failure or error by technologist - avoids overexposure to patient
Explain min response time
shortest possible exposure time (only with AEC)
2 types of windowing
brightness and contrast
Explain window level
brightness values (higher WL = brighter image)
Explain window width
contrast values (Increase WW = decrease constrat)