EXAM #5 Flashcards
[What is fluoroscopy]
_____ time viewing of anatomical structures
_____ picture x-ray, can stop and take static images,
Most of it IS/IS NOT captured
DOES/DOES NOT have the spatial resolution as normal x-ray (static image)
[What is fluoroscopy]
Real time viewing of anatomical structures
Motion picture x-ray, can stop and take static images,
Most of it IS NOT captured
DOES NOT have the spatial resolution as normal x-ray (static image)
3 Components of fluoroscopy
Image intensifier
TV
CRT tube
[Fluoroscopy]
Is flouro dynamic?
[Fluoroscopy]
YES
[Fluoroscopy]
Discovered in _____ by _____
[Fluoroscopy]
Discovered in 1896 by Edison
[Fluoroscopy]
Continuous energizing of x-ray tube is needed
[Fluoroscopy]
Continuous energizing of x-ray tube is needed
[Fluoroscopy]
What is something we can do to reduce heat in fluoroscopy
[Fluoroscopy]
Drop mAs
[Fluoroscopy]
Low mAs in fluoro = _____ images
[Fluoroscopy]
Low mAs in fluoro = noisy images
[Fluoroscopy]
DA stands for…
DSA stands for…
[Fluoroscopy]
Digital Angiography
Digital Subtraction Angiography (subtracts anatomy we don’t want to look at)
[Fluoroscopy]
Where is the tube for fluoroscopy? Except for?
Where should shielding be?
[Fluoroscopy]
Tube is in the table (w/ Bucky), except for remote rooms
Shielding should be between the pt and the table
[Fluoroscopy]
What exams do not get a curtain
[Fluoroscopy]
Anything that is a sterile field does not get the curtain
[Fluoroscopy]
What happens when the Bucky slot cover is broken off?
[Fluoroscopy]
Leakage from tube
[Fluoroscopic Technical Factors ]
Common mAs?
Warning bell purpose?
[Fluoroscopic Technical Factors]
1 - 5 mAs
5 minute warning bell to let practitioner know because most cases should be done in less time than that
[Fluoroscopic Technical Factors]
Patient dose is considerably high/low
_____, is selected for body type being imaged (chest, belly) and what _____ material we’re using
[Fluoroscopic Technical Factors]
Patient dose is considerably high
kVp, is selected for body type being imaged (chest, belly) and what contrast material we’re using
[Fluoroscopic Technical Factors]
If we’re using iodine, and I’m looking at vessels or kidneys we want to be around __kVp
If I’m looking at your GI tract, we have to be above kVp
Has to do with z number and k-edge, the average is about 35 and the k-edge is 33
pick ___ to match the contrast
[Fluoroscopic Technical Factors]
If we’re using iodine, and I’m looking at vessels or kidneys we want to be around 70KeV
If I’m looking at your GI tract, we have to be above 100KeV
Has to do with z number and k-edge, the average is about 35 and the k-edge is 33
pick kVp to match the contrast
[Fluoroscopic Technical Factors]
Image Brightness level is selected, and factors (mAs & kVp) are adjusted automatically to meet the required brightness level know as _____.
The advantage of ABC over AEC?
Disadvantage?
[Fluoroscopic Technical Factors]
Image Brightness level is selected, and factors (mAs & kVp) are adjusted automatically to meet the required brightness level know as ABC.
It’s advantage is that it will adjust the KV and the mA (the quality and quantity) while AEC only adjusts mA
It’s disadvantage is that it’s about a second behind (delayed)
[How do we provide a moving image? ]
Image intensification is necessary to provide _____ images.
Illumination is measured in _____ (L) and _____ (mL).
[How do we provide a moving image?]
Image intensification is necessary to provide quality images.
Illumination is measured in Lambert (L) and mililambers (mL).
[How do we provide a moving image?]
An aperture is used to control the _____ between the image intensifier and the television camera tube.
[How do we provide a moving image?]
An aperture is used to control the light between the image intensifier and the television camera tube.
[How do we provide a moving image?]
Human eyes use _____ and _____ to perceive light levels.
_____ - sensitive to low light 10-6 mL, night or scotopic, not good at seeing detail
_____ sensitive to bright light 10-2 mL, daylight or photopic, better at seeing detail
[How do we provide a moving image?]
Human eyes use rods and cones to perceive light levels.
Rod- sensitive to low light 10-6 mL, night or scotopic
Cones sensitive to bright light 10-2 mL, daylight or photopic
[How do we provide a moving image?]
With out intensification, _____ vision was used, requiring time to adjust to darkness.
Brightness increase allow for sight with _____ vision, faster and better (higher detail with cone vision).
mAs, kVp, and the anatomy control _____
[How do we provide a moving image?]
With out intensification, rod vision was used, requiring time to adjust to darkness.
Brightness increase allow for sight with cone vision, faster and better (higher detail with cone vision).
mAs, kVp, and the anatomy control brightness
[Brightness- why is it so important? ]
With out intensification, rod vision was used, requiring time to adjust to darkness.
Brightness increase allow for sight with cone vision, faster and better (higher detail with cone vision).
mAs, kVp, and the anatomy control brightness
[Brightness- why is it so important?]
With out intensification, rod vision was used, requiring time to adjust to darkness.
Brightness increase allow for sight with cone vision, faster and better (higher detail with cone vision).
mAs, kVp, and the anatomy control brightness
[Image Intensifier ]
Converts image forming x-rays into _____ photons of high _____.
The components to do this are housed in an envelope, creating a _____.
X-rays interact with phosphors (_____) creating light.
SCINTILLATOR the very first layer of this is made of _____ _____
Similar to the process seen with radiographic scintillators, however, CsI phosphors are designed to have little divergence and higher spatial resolution.
[Image Intensifier ]
Converts image forming x-rays into light photons of high intensity.
The components to do this are housed in an envelope, creating a vacuum.
X-rays interact with phosphors (CsI) creating light.
SCINTILLATOR the very first layer of this is made of cesium iodine
Similar to the process seen with radiographic scintillators, however, CsI phosphors are designed to have little divergence and higher spatial resolution.
The photocathode is adjacent to the intensifier and made of metal. The light emitted by the _____ (material) causes electrons to be emitted by the photocathode.
The number of electrons emitted is _____ proportional to the intensity of the light (which is proportional to the incident x-ray); however, many light photons are needed to emit one electron.
Starts out dim and spread out, shrunk down and sped up to be focused at anode (made of _____ _____) to be made brighter at the output phosphor
The photocathode is adjacent to the intensifier and made of metal. The light emitted by the CsI (material) causes electrons to be emitted by the photocathode.
The number of electrons emitted is directly proportional to the intensity of the light (which is proportional to the incident x-ray); however, many light photons are needed to emit one electron.
Starts out dim and spread out, shrunk down and sped up to be focused at anode (made of zinc cadmium sulfate) to be made brighter
A potential of 25 kV is maintained across the vacuum, so the electrons will travel to the opposite end or the anode. This anode has a small hole, where the electrons pass through to the _____ _____.
A potential of 25 kV is maintained across the vacuum, so the electrons will travel to the opposite end or the anode. This anode has a small hole, where the electrons pass through to the output phosphor.
The output phosphor then converts the electrons back to _____ _____.
The output phosphor then converts the electrons back to light photons.