Exam 1 (History, Overview, Structures, Cut-offs to Over andUnder exposed) Flashcards
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
X-ray was discovered by ___________ in the year _____
Wilhem Conrad Roentgen
1895
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F X-ray was discovered in Austria in 1895
FALSE.
It was discovered in Germany
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What was the first X-ray image of?
Bertha Roentgen’s hand
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What did professional societies in Germany initial call X-ray?
Roentgen Ray
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
When and who first used X-ray as a chiropractic tool?
Used by B.J. Palmer in 1910
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F X-ray has the same properties of all electromagnetic radiation, so distance increases the intensity
FALSE.
Distance decreases the intensity
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Predictable qualities of all X-rays
- Ionizing capacity (causes biological changes)
- Penetrate matter, but are absorbed by dense material (lead, cement, compact bone)
- Produces secondary X-rays from objects they strike (detrimental effect on patient and film)
- Travels in diverging straight line
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
3 things needed to give birth to an X-ray
1) A source of electrons
2) A way to accelerate the electrons at a high speed
3) A hard surface for the electrons to slam into (stopping them)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Where do we find the 3 things needed to give birth to an X-ray?
The tube (contains the two electrodes)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Comes after the tube. Used to discard the weaker photons that could never make it to the film anyway.
Filter
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Beam limiting device that limits the size of the x-ray beam
Collimator
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Found after the patient. Main job is to remove the secondary rays that our patient has produced and are now coming out of them as well as the original photons
Grid
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
After the grid, the rays pass through the front of a film holder called a _________, through _______, which glow with light and are in contact to with the ___ where an image will be recorded
Cassette Screens Film
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Metal encasement around the tube. 2 cables connecting the tube with a generator exit the back.
Tube housing
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The tube housing is lined with _____ that functions in:
Lead
1) Prevents leakage radiation
2) Protects the glass tube that is inside it
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F The tube housing contains the tube surrounded by air
FALSE.
The tube housing contains the tube which is surrounded by oil
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Function of the oil in the tubing house
Helps to dissipate heat (thermal insulator)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Opening in the tube housing that allows intended X-rays to exit
Window or Port
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Horizontal piece that holds the tube housing in place
Tube arm
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Perpendicular to the tube arm where it holds it. Allows the tube arm to move the tube vertically for tube distance on a table
Tube stand
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
This is what the stand sits on. It allows the tube to travel horizontally
Tube track
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Function of the tube track
Sets the tube distance when upright
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Locks that hold the arm and stand in position. Must be released or the arm and stand will not move.
Automatic locks
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Maximum amount of radiation leakage allowed from the housing
No more than 100 millirad/hour at one meter
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Contains the functional parts of the tube. Has a thinner glass area for the window (easier to penetrate).
Glass tube
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Rays exiting the window of the glass tube are called:
The useful beam
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The centermost ray of the useful beam. This is perpendicular to the patient
Central ray (CR)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
All other rays besides the CR angle away and divergence increases as we move away from the CR
Diverging rays
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F The main gas in the glass tube is Beryllium
FALSE
The glass tube is evacuated (no gas)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The negative electrode. It produces and focuses electrons
Cathode
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Part of the cathode. Made up of a small coil of metal that can withstand heat.
Filament
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Metal found in the filament. Heated by the filament (milliamperage circuit)
Tungsten (W)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What happens when an electric current reaches the tungsten?
The electric current heats up the tungsten and allows the electrons from the tungsten to “boil off”
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Process for the boiling off of electrons from the tungsten in the filament
Thermionic emission
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F The amount of electrons is determined by the current in the filament. The number of electrons formed controls the number ox x-rays
TRUE
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What is the advantage of a dual focus tube?
Contains a both a small filament and a large filament
Small filament = produces clearer images
Large filament = handles more heat (less clear images though)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Indentation in the cathode that the filament sits in
Focusing cup
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Function of the focusing cup?
Consolidates the electron cloud
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The positive electrode. Pulls the electrons across the tube and produces photons
Anode
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
3 functions of the anode
1) Stops elections (thus producing xrays)
2) Dissipates heat
3) Conducts electricity
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F Most of the electrons that reach the anode and stopped and produced into X-rays
FALSE.
1% of the electrons that reach the anode are turned into X-rays.
The remaining 99% are dissipated into heat.
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Where the high speed electrons from the anode are propelled to
Target (made of Tungsten as well)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Area where the x-rays are emitted from the anode
Focal spot
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Focal spot where the electrons strike causing X-rays
Actual focal spot
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Focal spot where the photons exit
Effective focal spot
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Large focal spots produce more______
Penumbra (unclear borders)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Small focal spots produce more ______
Umbra (clear borders)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Holds the target and conducts heat away from it.
Stem
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F The stem of the anode is usually made of tungsten
FALSE.The stem is usually made of copper
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Beveled anode used for small exposures. They have a greater angle on them
Stationary anode
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Beveled anode we use. It is able to dissipate heat much more effectively.
Rotating anode
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What is the sound we hear before being exposed?
The spinning of the rotating anode
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The area on the rotating anode where X-rays are emitted
Focal track
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Line focus principle
The larger angles/ larger effective focal spots will produce less clear images while the smaller angles/ smaller effective focal spots will produce clearer images
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Term for how the bottom of the bevel decreases the beam intensity (reduces beam intensity by absorbing weaker rays)
Anode heel effect
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Because of the anode heel effect, the anode should be placed toward the _______
Thinner parts (cathode toward the thicker parts)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F For full spine exams, the anode should be pointed down and the cathode pointed up.
FALSE.Anode up and cathode down
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
When electrons collide with the target, X-rays are produced in __ ways
2
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
An interaction of an incoming electron with a target nucleus. The electron passes close to the nucleus causing the direction of the electron to change and lose energy
Bremsstrahlung radiation
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What happens to the energy lost from the electron as it passes close to the nucleus?
It is converted to X-rays
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F Bremsstrahlung radiation makes up about 15% of the x-ray beam
FALSE
Makes up majority of X-ray beam (85%)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
An interaction of an incoming electron with a target electron. The incoming electron collides with a K shell target electron knocking the electron out of its orbit. An outer shell electron jumps down to replace the K shell electron lost and loses energy in the process (as X-ray)
Characteristic radiation
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Function of filtration
Reduces patient exposure
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
How does filtration reduce patient exposure?
1) Attenuates the beam intensity
2) Eliminates weaker soft rays (decreasing skin entrance and organ dose)
3) Allows stronger (hard rays) to get through the beam (hardens the beam)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The amount of material needed to reduce the beam by intensity of 1/2
Half value layer
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What makes up the inherent filtration?
Oil and glass window of the tube (equivalent to 1/2 mm of aluminum thickness)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What makes up the added filtration?
1-2 mm of aluminum installed by manufacturers at the housing port
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
How many mm of filtration are required for 70-100 kV
2.5 mm
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
How many mm of filtration are required for 125 kV
3 mm
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F Most machines used for spine are rated at 125 kV capacity as we almost always are above 100 kV for spine films
FALSE.
Machines are at 125 kV, but we usually don’t use it above 100 kV
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Limits the primary beam to the desired part of film size be reducing exposure to the patient and operator from secondary x-rays and improve the quality of the film
Collimation
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Where is the collimator located? How many shutters does it have? What are the shutters made out of and how are they controlled?
- Front of the tube house
- 4 shutters
- Lead
- Controlled by 2 adjustment knobs (1-horizontal and 1-vertical)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Occurs when the the picture is smaller than the film size
Collimation cut-off
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Occurs when the collimation is to too tight
Over collimated
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Occurs when the collimation is too large
Under collimated
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What will cut off look like on the x-ray?
White or light on the film due to primary beam absorption
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F The cut off will only appear white on x-ray
FALSE.
If primary beam absorption = appears white If secondary beam absorption = appears gray or dark
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The cut-off will be equal if the __ and the ___ are centered
CR
Film
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
A __________ will show the beam size through a plastic window
Light and mirror
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
T/F The light and mirror act as a filtrate, protecting the patient from exposure
TrueIt reflects the light and reduces the intensity 1-2 mm of aluminum equivalents
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
The center of the beam is shown by horizontal and vertical lines on the window called:
Cross hairs
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Collimator accuracy is required to be within ______________ between the focal spot and the film
2% of the distance
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
3 types of collimation
1) Manual (all adjustments are made by the operator
2) Semiautomatic
3) Automatic
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
Semi and fully automatic collimation is known as:
Positive Beam Limitation (PBL) devices
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What would cause a cut-off at the bottom?
Tube is too high
Film is too low
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What would cause a cut-off at the top?
CR is too low
Film is too high
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
What would cause a cut-off at the side?
Usually due to the cassette not being pushed into the grid cabinet all the way
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
General rule: If the anatomy we want to see is centered, then its a _____ problem; if the anatomy is not centered, then its a _____ problem
Anatomy centered = tube problem
Anatomy not centered = film problem
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
If the film is too dark, it is said to be ________ which means we need to reduce either the ___ or ___
Over exposed kV (kilovolts) or MAS (milliampere seconds)
Exam 1 (History, Structures, Cut-offs, and Over/Under exposures)
If the film is too light, it is said to be _________ which means we need to increase either the ____ or _____
Under exposed kV (kilovolts) or MAS (milliampere seconds)