Final Flashcards
Who discovered x-rays and when?
Wilhelm Conrad Roentgen on November 8, 1895
X-rays are a form of what kind of radiation?
Electromagnetic/ionizing
Radiation that produces positively and negatively charged particles (ions) when passing through matter; the production of these ions is the event that may cause injury to normal biologic tissue
If electromagnetic radiation is of high enough frequency, it can transfer sufficient energy to some orbital electrons to remove them from the atoms to which they were attached; foundation of the interactions of x-rays with human tissue
Conversion of atoms to ions; makes tissues valuable for creating images but has the undesirable result of potentially producing some damage in the biologic material
Adding or losing an electron X-rays knock electrons out of orbit and change things on a cellular level that can hurt us or offspring
Ionization
6 consequences of ionization in human cells
Creation of unstable atoms
Production of free electrons (Compton scatter produces recoil electrons)
Production of low energy x-ray photons
Creation of reactive free radicals capable of producing substances poisonous to the living cell
Creation of new biologic molecules detrimental to the living cell
Injury to the cell that may manifest itself as abnormal function or loss of function
The degree to which the diagnostic study accurately reveals the presence or absence of disease in the patient
Maximized when essential images are produced under recommended radiation protection guidelines
Provides the basis for determining whether an imaging procedure or practice is justified
Diagnostic efficacy
<p><p><p><p>Who carries the responsibility for determining the medical necessity of a procedure for the patient?</p></p></p></p>
<p><p><p><p>The referring physician accepts basic responsibility for protecting the patient from radiation exposure that is not useful and relies on qualified imaging personnel who accept a portion of the responsibility for the patient's welfare by providing the high-quality imaging services</p></p></p></p>
<p><p><p><p>The intention behind these concepts of radiologic practice is to keep radiation exposure and consequent dose to the lowest possible level</p>
<p>Because no dose limits have been established for the amount of radiation that patients may receive for individual imaging procedures, this philosophy should be established and maintained and must show that we have considered reasonable actions that will reduce doses to patients and personnel below required limits</p>
<p>Radiation-induced cancer does not have a fixed threshold (a dose level below which individuals would have no chance of developing this disease); therefore, because it appears that no safe dose levels exist for radiation-induced malignant disease, radiation exposure should be kept low for all medical imaging procedures and this should serve as a guide to radiographers and radiologists for the selection of technical exposure factors</p>
</p></p></p>
<p><p><p><p>As low as reasonably achievable (ALARA)</p>
<p>Optimization for radiation protection (ORP)</p>
</p></p></p>
<p><p><p><p>3 basic principles/cardinal rules of radiation protection</p>
</p></p></p>
<p><p><p><ol> <li>Time</li> <li>Distance</li> <li>Shielding</li> </ol> </p></p></p>
<p><p><p><p>3 things the Radiation Safety Officer (RSO) is expressly charged by the hospital administration to be directly responsible for in the ALARA program</p>
</p></p></p>
<p><p><p><ol> <li>Execution</li> <li>Enforcement</li> <li>Maintenance</li> </ol> </p></p></p>
<p><p><p><p>The probability of injury, ailment, or death resulting from an activity</p></p></p></p>
<p><p><p><p>Risk (general)</p></p></p></p>
<p><p><p><p>The possibility of inducing a radiogenic cancer or genetic defect after irradiation</p></p></p></p>
<p><p><p><p>Risk (medical with reference to the radiation sciences)</p></p></p></p>
<p><p><p><p>A method that can be used to improve understanding and reduce fear and anxiety for the patient that compares the amount of radiation received over a given period of time based on an annual US population exposure of approximately 3 millisieverts per year</p></p></p></p>
<p><p><p><p>Background equivalent radiation time (BERT)</p></p></p></p>
<p><p><p><p>A subunit of the sievert (Sv) equal to 1/1000 of a sievert</p></p></p></p>
<p><p><p><p>Millisievert (mSv)</p></p></p></p>
<p><p><p><p>International System of Units (SI) unit of measure for the radiation quantity "equivalent dose"</p></p></p></p>
<p><p><p><p>Sievert (Sv)</p></p></p></p>
<p><p><p><p>A two phase radiation dose awareness and dose reduction program for patients through the process of education for these individuals, for the community, for health care workers employed in the medical imaging profession, and for physicians</p></p></p></p>
<p><p><p><p>Tools for Radiation Awareness and Community Education (TRACE) Program</p></p></p></p>
<p><p><p><p>2 phases of the TRACE program</p>
| </p></p></p>
<p><p><p><ol> <li>Formulating new policies and procedures to promote radiation safety and the implementation of patient and community education</li> <li>Technological enhancements</li> </ol> </p></p></p>
<p><p><p><p>4 main components (technologic enhancements) of the TRACE program</p>
</p></p></p>
<p><p><p><ol>
<li>Embedded software capable of recording and reporting dose</li>
<li>Timely notification of the patient and the referring physician when the radiation dose is greater than 3 Gy</li>
<li>The substantial lowering of computed tomography (CT) doses</li>
<li>Alterations to existing protocols</li>
</ol>
</p></p></p>
<p><p><p><p>2 sources of radiation (both contribute a percentage of the total amount of radiation that humans receive during their lifetime)</p>
</p></p></p>
<p><p><p><ol> <li>Natural</li> <li>Manmade</li> </ol> </p></p></p>
<p><p><p><p>Radiation that is always present in the environment</p></p></p></p>
<p><p><p><p>Natural</p></p></p></p>
<p><p><p><p>Radiation created by humans for specific purposes</p></p></p></p>
<p><p><p><p>Manmade</p></p></p></p>
<p><p><p><p>The ability to do work- that is, to move an object against resistance</p></p></p></p>
<p><p><p><p>Energy</p></p></p></p>
<p><p><p><p>Kinetic energy that passes from one location to another and can have many manifestations (many types of this exist)</p></p></p></p>
<p><p><p><p>Radiation</p></p></p></p>
<p><p><p><p>The full range of frequencies and wavelengths of electromagnetic waves</p>
<p>Each frequency within this has a characteristic wavelength and energy Higher frequencies are associated with shorter wavelengths and higher energies; therefore, as the wavelength ranges from largest to smallest, frequencies and energy cover the corresponding smallest to largest ranges</p>
</p></p></p>
<p><p><p><p>Electromagnetic spectrum</p>
| </p></p></p>
<p><p><p><p>The number of crests of a wave that move past a given point in a given unit of time; hertz (Hz), cycles per second</p></p></p></p>
<p><p><p><p>Frequency</p></p></p></p>
<p><p><p><p>The distance between successive crests of a wave (meters)</p></p></p></p>
<p><p><p><p>Wavelength</p></p></p></p>
<p><p><p><p>A unit of energy equal to the quantity of kinetic energy an electron acquires as it moves through a potential difference of 1 volt</p></p></p></p>
<p><p><p><p>Electron volts (eV)</p></p></p></p>
<p><p><p><p>This form of radiation can travel through space in the form of a wave but can interact with matter as a particle of energy</p>
<p>Dual nature</p>
<p>Photons moving in waves and interactive with matter</p>
</p></p></p>
<p><p><p><p>Wave-particle duality</p>
| </p></p></p>
<p><p><p><p>Bundles of energy</p></p></p></p>
<p><p><p><p>Photons</p></p></p></p>
<p><p><p><p>7 types of electromagnetic waves (longer wavelength, lower frequency, lower energy to shorter wavelength, higher frequency, higher energy)</p>
</p></p></p>
<p><p><p><ol> <li>Radio waves</li> <li>Microwaves</li> <li>Infrared</li> <li>Visible light</li> <li>Ultraviolet (low and high energy)</li> <li>X-rays</li> <li>Gamma rays</li> </ol> </p></p></p>
<p><p><p><p>2 parts the electromagnetic spectrum can be divided into</p>
</p></p></p>
<p><p><p><ol> <li>Ionizing</li> <li>Nonionizing</li> </ol> </p></p></p>
<p><p><p><p>3 forms of ionizing radiation</p>
| </p></p></p>
<p><p><p><ol> <li>X-rays</li> <li>Gamma rays</li> <li>High-energy ultraviolet radiation (energy higher than10 eV)</li> </ol> </p></p></p>
<p><p><p><p>5 forms of non-ionizing radiation</p>
| </p></p></p>
<p><p><p><ol> <li>Low-energy ultraviolet</li> <li>Visible light</li> <li>Infrared rays</li> <li>Microwaves</li> <li>Radio waves</li> </ol> </p></p></p>
<p><p><p><p>The amount of energy transferred to electrons by ionizing radiation</p>
</p></p></p>
<p><p><p><p>Radiation dose</p>
| </p></p></p>
<p><p><p><p>Does not have the sufficient kinetic energy to eject electrons from the atom</p></p></p></p>
<p><p><p><p>Non-ionizing radiation</p></p></p></p>
<p><p><p><p>A radiation quantity used for radiation protection purposes when a person receives exposure from various types of ionizing radiation</p>
<p>Attempts to specify numerically the differences in transferred energy and therefore biologic harm produced by different types of radiation</p>
<p>Enables the calculation of effective dose (EfD)</p>
<p>SI unit: Sievert</p>
<p>Correlates the absorbed dose in biologic tissue with the type of energy of the radiation to which the human has been subjected (x-rays, gamma rays, etc.), applies only to ionizing types of radiation</p>
</p></p></p>
<p><p><p><p>Equivalent dose (EqD)</p>
| </p></p></p>
<p><p><p><p>4 forms of particulate radiation</p>
| </p></p></p>
<p><p><p><ol> <li>Alpha particles</li> <li>Beta particles</li> <li>Neutrons</li> <li>Protons</li> </ol> </p></p></p>
<p><p><p><p>Subatomic particles that are ejected from atoms at very high speeds</p>
<p>They possess sufficient kinetic energy to be capable of causing ionization by direct atomic collision</p>
<p>No ionization occurs when the subatomic particles are at rest</p>
</p></p></p>
<p><p><p><p>Particulate radiation</p>
| </p></p></p>
<p><p><p><p>Emitted from nuclei of very heavy elements such as uranium and plutonium during the process of radioactive decay</p>
<p>Each contain two protons and two neutrons</p>
<p>Are simply helium nuclei (e.i., helium atoms minus their electrons)</p>
<p>Have a large mass (approximately 4 times the mass of a hydrogen atom) and a positive charge twice that of an electron</p>
<p>Weighting factor is 20 times higher than x-rays</p>
<p>Less penetrating than beta particles (fast electrons)</p>
<p>They lose energy quickly as they travel a short distance in biologic matter (i.e., into the superficial layers of the skin), so they are considered virtually harmless as an external source of radiation (a piece of ordinary paper can absorb them or function as a shield)</p>
<p>Can be very damaging as an internal source of radiation if emitted from a radioisotope deposited in the body (ex: in the lungs, they can be absorbed in the relatively radiosensitive epithelial tissue and are very damaging to that tissue)</p>
</p></p></p>
<p><p><p><p>Alpha particles/rays</p>
| </p></p></p>
<p><p><p><p>Identical to high speed electrons except for their origin (emitted from within the nucleus of radioactive atoms that relieve their instability through the process of beta decay)</p>
<p>8,000 times lighter than alpha particles and have only one unit of electrical charge (-1) as compared with the alpha's two units of electrical charge (+2); will not interact as strongly with their surroundings as alpha particles and are therefore capable of penetrating biologic matter to a greater depth than alpha particles with far less ionization along their paths</p>
<p>With a lesser probability of interaction: can penetrate matter more deeply and therefore cannot be stopped by an ordinary piece of paper like an external alpha particle</p>
<p>For energies less than 2 millielectron volts, either a 1-cm thick block of wood or a 1-mm thick lead shield would be sufficient for absorption</p>
</p></p></p>
<p><p><p><p>Beta particles</p>
| </p></p></p>
<p><p><p><p>Positively charged components of an atom</p>
<p>Have a relatively small mass that, however, exceeds the mass of an electron by a factor of 2800</p>
<p>Decide the type of element</p>
</p></p></p>
<p><p><p><p>Protons</p>
| </p></p></p>
<p><p><p><p>Number of the protons in the nucleus of an atom constitutes this number</p></p></p></p>
<p><p><p><p>Atomic/Z number</p></p></p></p>
<p><p><p><p>The electrically neutral components of an atom and have approximately the same mass as a proton</p></p></p></p>
<p><p><p><p>Neutrons</p></p></p></p>
<p><p><p><p>Two atoms that have the same number of protons but a different number of neutrons in their nuclei (same element)</p></p></p></p>
<p><p><p><p>Isotopes</p></p></p></p>
<p><p><p><p>Takes into account the dose for all types of ionizing radiation (ex: alpha, beta, gamma, x-ray) to various irradiated organs or tissues in the human body (ex: skin, gonadal tissue, thyroid)</p>
<p>By including specific weighting factors for each of those body parts mentioned, this takes into account the chance or risk that each of those body parts will develop a radiation-induced cancer (somatic); in the case of the reproductive organs, the risk of genetic damage is considered</p>
<p>Because this includes all of the organ weighting factors, it represents the uniform whole-body dose that would give an equivalent biologic response or chance of cancer</p>
</p></p></p>
<p><p><p><p>Effective dose (EfD)</p>
| </p></p></p>
<p><p><p><p>Produced when ionizing radiation penetrates body tissue and ejects electrons from the atoms composing the tissues</p></p></p></p>
<p><p><p><p>Biologic damage</p></p></p></p>
<p><p><p><p>Result of destructive radiation at the atomic level</p></p></p></p>
<p><p><p><p>Molecular change</p></p></p></p>
<p><p><p><p>Caused by molecular changes which leads to abnormal cell function or even entire loss of cell function</p>
<p>If excessive cellular damage occurs, the living organism will have a significant possibility of exhibiting genetic or somatic changes such as mutations, cataracts, leukemia, etc.</p>
</p></p></p>
<p><p><p><p>Cellular damage</p>
| </p></p></p>
<p><p><p><p>Changes in the blood count that results from non-negligible exposure to ionizing radiation</p></p></p></p>
<p><p><p><p>Organic damage</p></p></p></p>
<p><p><p><p>2 sources of ionizing radiation that humans are exposed to</p>
</p></p></p>
<p><p><p><ol> <li>Natural</li> <li>Manmade</li> </ol> </p></p></p>
<p><p><p><p>Environmental sources of ionizing radiation</p></p></p></p>
<p><p><p><p>Natural (background) radiation</p></p></p></p>
<p><p><p><p>3 components of natural radiation</p>
| </p></p></p>
<p><p><p><ul>
<li>Terrestrial radiation (e.g., radon, thoron)</li>
<li>Cosmic radiation (solar and galactic, intensity increases with altitude)</li>
<li>Internal radiation from radioactive atoms (radionuclides)</li>
</ul>
</p></p></p>
<p><p><p><p>Earth gives off this terrestrial radiation; 37% of natural background radiation exposure comes from this</p>
<p>Largest contributor to background radiation</p>
<p>In homes: crawl spaces, floor drains, sump pumps, and porous cement block foundations</p>
<p>The Environmental Protection Agency (EPA) considers this to be the second leading cause of lung cancer in the US</p>
</p></p></p>
<p><p><p><p>Radon</p>
| </p></p></p>
<p><p><p><p>4 ways to indicate the amount of radiation received by a patient from diagnostic x-ray procedures</p>
</p></p></p>
<p><p><p><ol> <li>Entrance skin exposures (including skin and glandular dose; greatest amount of radiation and why you don't want SOD to be small)</li> <li>Bone marrow dose</li> <li>Gonadal dose</li> <li>Fetal dose in pregnant women</li> </ol> </p></p></p>
<p><p><p><p>4 ways to decrease patient dose</p>
| </p></p></p>
<p><p><p><ol> <li>Increase distance</li> <li>Shield</li> <li>Beam restriction</li> <li>High kVp, low mAs</li> </ol> </p></p></p>
<p><p><p><p>2 technical factors</p>
| </p></p></p>
<p><p><p><ol> <li>Peak kilovoltage (kVp)</li> <li>Milliampere-seconds (mAs)</li> </ol> </p></p></p>
<p><p><p><p>Controls the quality/penetrating power of the photons in the x-ray beam, and to some degree also affects the quantity or number of photons in the x-ray beam</p>
<p>Highest energy level of photons in the x-ray beam, determines what kind of interaction will occur (high or low energy)</p>
<p>Although all photons in a diagnostic x-ray beam don't have the same energy, the most energetic photons in the beam can have no more energy than the electrons that bombard the target</p>
</p></p></p>
<p><p><p><p>Peak kilovoltage (kVp)</p>
| </p></p></p>
<p><p><p><p>Controls the quantity of radiation that is directed toward a patient during a selected x-ray exposure</p>
</p></p></p>
<p><p><p><p>Milliampere-seconds (mAs)</p>
<p>mA x s = mAs</p>
</p></p></p>
<p><p><p><p>If an interaction occurs, electromagnetic energy is transferred from the x-rays to the atoms of the patient's biologic material</p>
<p>A total loss of radiation energy</p>
</p></p></p>
<p><p><p><p>Absorption</p>
| </p></p></p>
<p><p><p><p>The amount of energy absorbed per unit mass</p></p></p></p>
<p><p><p><p>Absorbed dose (D)</p></p></p></p>
<p><p><p><p>3 factors affecting absorption</p>
| </p></p></p>
<p><p><p><ol>
<li>Atomic number</li>
<li>How tightly bound the atom's electrons are</li>
<li>Thickness of part (ex: femur vs finger)</li>
</ol>
</p></p></p>
<p><p><p><p>What reaction is the biggest concern for a technologist (occupational)?</p></p></p></p>
<p><p><p><p>Compton reactions produce scatter</p></p></p></p>
<p><p><p><p>What is the anode (target) made of?</p></p></p></p>
<p><p><p><p>Tungsten/tungsten rhenium alloy</p></p></p></p>
<p><p><p><p>2 reasons tungsten and tungsten rhenium alloy are used as target materials</p>
</p></p></p>
<p><p><p><ol> <li>High melting points</li> <li>High atomic numbers (tungsten [74] and rhenium [75])</li> </ol> </p></p></p>
<p><p><p><p>Why does the anode (target) need to have a high melting point?</p></p></p></p>
<p><p><p><p>99% of x-ray production is heat</p></p></p></p>
<p><p><p><p>Particles associate with electromagnetic radiation that have neither mass nor electric charge and travel at the speed of light</p></p></p></p>
<p><p><p><p>X-ray photons</p></p></p></p>
<p><p><p><p>Built-in filtration that results from the composition of the tube and housing</p></p></p></p>
<p><p><p><p>Inherent filtration</p></p></p></p>
<p><p><p><p>3 examples of inherent filtration</p>
| </p></p></p>
<p><p><p><ul>
<li>The thickness of the glass envelope of the tube</li>
<li>The dielectric oil that surrounds the tube</li>
<li>The glass window of the housing</li>
</ul>
</p></p></p>
<p><p><p><p>Any filtration that occurs outside the tube and housing and before the image receptor</p>
</p></p></p>
<p><p><p><p>Added filtration</p>
| </p></p></p>
<p><p><p><p>3 examples of added filtration</p>
| </p></p></p>
<p><p><p><ol>
<li>A certain thickness of added aluminum in the collimator</li>
<li>The collimator device</li>
<li>The mirror is designed to reflect the collimator light to simulate the primary beam field size for positioning purpose</li>
</ol>
</p></p></p>
<p><p><p><p>Removes low-energy x-ray photons, thereby decreasing patient dose; equal to the sum of inherent and added filtration that does not include any compound or compensating filters that may be added later</p>
<p>The percentage of photons attenuated decreases as photon energy increases, even when filtration is increased</p>
</p></p></p>
<p><p><p><p>Total filtration (permanent)</p>
| </p></p></p>
<p><p><p><p>What is the amount of total filtration at 70 kVp?`</p></p></p></p>
<p><p><p><p>2.5 mm aluminum (Al) equivalence</p></p></p></p>
<p><p><p><p>The x-ray photon beam that emerges from the x-ray tube (source) and is directed toward the image receptor before they run into anything</p></p></p></p>
<p><p><p><p>Primary radiation/photons</p></p></p></p>
<p><p><p><p>For a typical diagnostic x-ray unit, the energy of the average photon in the x-ray beam is about what the energy of the most energetic photon?</p></p></p></p>
<p><p><p><p>One third, 33%</p></p></p></p>
<p><p><p><p>The reduction in the number of primary photons in the x-ray beam through absorption and scatter as a beam passes through the patient in its path (matter)</p>
<p>Any process decreasing the intensity of the primary photon beam that was directed toward a destination</p>
</p></p></p>
<p><p><p><p>Attenuation</p>
| </p></p></p>
<p><p><p><p>A change of direction that may also involve a partial loss of radiation energy </p></p></p></p>
<p><p><p><p>Scatter</p></p></p></p>
<p><p><p><p>Some primary photons will traverse the patient without interacting and reach the radiographic image receptor (IR)</p></p></p></p>
<p><p><p><p>Direct transmission</p></p></p></p>
<p><p><p><p>Other primary photons can undergo Compton and/or coherent interactions and as a result may be scattered or deflected with a potential loss of energy; such photons may still traverse the patient and strike the IR</p></p></p></p>
<p><p><p><p>Indirect transmission</p></p></p></p>
<p><p><p><p>2 most common methods used to limit the effects of indirectly transmitted x-ray photons</p>
</p></p></p>
<p><p><p><ol> <li>Air gaps</li> <li>Radiographic grids</li> </ol> </p></p></p>
<p><p><p><p>Photons that pass through the patient being radiographed and reach the IR</p></p></p></p>
<p><p><p><p>Exit/image-formation photons</p></p></p></p>
<p><p><p><p>5 types of interactions between x-radiation and matter</p>
</p></p></p>
<p><p><p><ol> <li>Coherent</li> <li>Photoelectric absorption</li> <li>Compton scattering</li> <li>Pair production</li> <li>Photodisintegration</li> </ol> </p></p></p>
<p><p><p><p>2 interactions important in diagnostic radiology</p>
</p></p></p>
<p><p><p><ol> <li>Compton scattering</li> <li>Photoelectric absorption</li> </ol> </p></p></p>
<p><p><p><p>3 other names for coherent scattering</p>
| </p></p></p>
<p><p><p><ol> <li>Classical scattering</li> <li>Elastic scattering</li> <li>Unmodified scattering</li> </ol> </p></p></p>
<p><p><p><p>No ionization</p>
<p>A relatively simple process that results in no loss of energy as x-rays scatters</p>
<p>Occurs with low-energy photons</p>
<p>Because the wavelengths of both incident and scattered waves are the same, no net energy has been absorbed by the atom</p>
<p>Incoming and scattered photons have same energy; vibrates the atom and causes the photon to change direction with no loss of energy</p>
<p>The incoming low-energy x-ray photon interacts with an atom and transfers its energy by causing some or all of the electrons of the atom to vibrate momentarily</p>
<p>The electrons then radiate energy in the form of electromagnetic waves</p>
<p>These wave nondestructively combine with one another to form a scattered wave, which represents the scattered photon</p>
<p>Its wavelength and energy/penetrating power are the same as those as the incident photon</p>
<p>Generally, the emitted photon may change in direction less than 20 degrees with respect to the direction of the original photon</p>
</p></p></p>
<p><p><p><p>Coherent scattering (classical, elastic, or unmodified)</p>
</p></p></p>
<p><p><p><p>2 processes of coherent scattering (classical, elastic, or unmodified)</p>
</p></p></p>
<p><p><p><ol> <li>Thompson</li> <li>Rayleigh</li> </ol> </p></p></p>
<p><p><p><p>With what energy photons does coherent scattering (classical, elastic, or unmodified) occur?</p></p></p></p>
<p><p><p><p>Typically less than 10 keV</p></p></p></p>
<p><p><p><p>The most important mode of interaction between x-ray photons and the atoms of the patient's body for producing useful images; have to have this to have a picture</p>
<p>Makes image more black and white and responsible for patient dose</p>
<p>On encountering an inner-shell electron in the K or L shells, the incoming x-ray photon surrenders all its energy to the electron and the photon ceases to exist</p>
<p>The atom responds by ejecting the electron from its inner shell, thus creating a vacancy in that shell</p>
<p>To fill the opening, an electron from an outer shell drops down to the vacated inner shell by releasing energy in the form of a characteristic photon</p>
<p>Then, to fill the new vacancy in the outer shell, another electron from the shell next farthest out drops down and another characteristic photon is emitted, and so on until the atom regains electrical equilibrium</p>
<p>Have to give off energy when moving into the inner shell in the form of x-rays; don't go very far and are absorbed</p>
<p>Initial electrons and low energy x-rays are absorbed</p>
</p></p></p>
<p><p><p><p>Photoelectric absorption</p>
| </p></p></p>
<p><p><p><p>An electron ejected from its inner shell during photoelectric absorption</p>
<p>Possesses kinetic energy equal to the energy of the incident photon less the binding energy of the electron shell</p>
<p>May interact with other atoms thereby causing excitation or ionization, until all its kinetic energy has been spent</p>
<p>Usually absorbed within a few micrometers of the medium through which it travels; in the human body, this energy transfer results in increased patient dose and contributes to biologic damage of tissues</p>
</p></p></p>
<p><p><p><p>Photoelectron</p>
| </p></p></p>
<p><p><p><p>An x-ray photon created by the electron transfer from one shell to another</p>
<p>As a result of the photoelectric interaction, a vacancy has been created in the inner shell of the target atom</p>
<p>For the ionized atom, this represents an unstable energy situation</p>
<p>The instability is alleviated by filling the vacancy in the inner shell with an electron from an outer shell, which spontaneously "falls down" into this opening</p>
<p>To do this, the descending electron must lose energy, that is, must pass from a less tightly bound atomic state (further from the nucleus) to a more tightly held state (closer to the nucleus)</p>
<p>The amount of energy loss involved is simply equal to the difference in the binding or "holding" energies associated with each electron shell</p>
<p>The "released" energy is carried off in the form of a photon</p>
<p>For a large atom such as those in lead, this energy can be in the kiloelectron volt range, whereas for the small or low atomic number atoms that are associated with the human body, the energy is on the order of 10 eV In general, ensuing vacancies in other electron shells are successively filled and associated characteristic photons are emitted until the atom achieves an electronic equilibrium</p>
<p>Low energy x-rays given off after a characteristic cascade</p>
</p></p></p>
<p><p><p><p>Characteristic photon/x-ray Fluorescent radiation</p>
</p></p></p>
<p><p><p><p>2 by-products of photoelectric absorption</p>
| </p></p></p>
<p><p><p><ol>
<li>Photoelectrons (those induced by interaction with external radiation)</li>
<li>Characteristic x-ray photons (fluorescent radiation)</li>
</ol>
</p></p></p>
<p><p><p><p>When the energy of photoelectrons and characteristic x-ray photons is locally absorbed in human tissue, both the dose to the patient and the potential for biologic damage increases, decreases or remains the same?</p></p></p></p>
<p><p><p><p>Increases</p></p></p></p>
<p><p><p><p>2 things the probability of the occurrence of photoelectric absorption depends on</p>
</p></p></p>
<p><p><p><ol>
<li>Energy (E) of the incident x-ray photons</li>
<li>Atomic (Z) number of the atoms comprising the irradiated object</li>
</ol>
</p></p></p>
<p><p><p><p>Used in the digital environment to replace density (film)</p>
<p>The quantity of ionizing radiation received by a radiologic device and used to produce a viewable image</p>
</p></p></p>
<p><p><p><p>Image receptor (IR) exposure</p>
| </p></p></p>
<p><p><p><p>A monitor function that can change the lightness or darkness of the image on a display monitor; the intensity of the display monitor's light emission controlled by the radiographer</p>
<p>Has no affiliation with the controlling factors of density (mA and exposure time [mAs])</p>
<p>Not interchangeable with density</p>
</p></p></p>
<p><p><p><p>Brightness</p>
| </p></p></p>
<p><p><p><p>Sets the midpoint of the range of densities visible on the image, controls computer screen brightness</p></p></p></p>
<p><p><p><p>Window level</p></p></p></p>
<p><p><p><p>Adjusting the window level, changing the brightness either to be increased or decreased throughout the entire range of densities</p></p></p></p>
<p><p><p><p>Windowing</p></p></p></p>
<p><p><p><p>Increasing the window level on the displayed image (increased brightness) \_\_\_\_\_\_\_ the density on the hard copy image, whereas decreasing the window level on the monitor image (decreased brightness) \_\_\_\_\_\_\_ density on the hard copy</p></p></p></p>
<p><p><p><p>Decreases, increases</p></p></p></p>
<p><p><p><p>The greater the difference in the amount of photoelectric absorption, the \_\_\_\_\_\_\_\_ the contrast in the radiographic image will be between adjacent structures of differing atomic numbers</p></p></p></p>
<p><p><p><p>Greater</p></p></p></p>
<p><p><p><p>As absorption increases, the potential for biologic damage \_\_\_\_\_\_\_</p></p></p></p>
<p><p><p><p>Increases</p></p></p></p>
<p><p><p><p>The difference between adjacent densities; one of the properties that comprise visibility of detail</p></p></p></p>
<p><p><p><p>Radiographic contrast</p></p></p></p>
<p><p><p><p>The digital processing that produces changes in the range of density/brightness, which can be used to control contrast</p>
</p></p></p>
<p><p><p><p>Window width</p>
| </p></p></p>
<p><p><p><p>Use of this may be needed to ensure visualization of tissues or structures that are similar in Z when mass density must be distinguished</p>
</p></p></p>
<p><p><p><p>Contrast media</p>
| </p></p></p>
<p><p><p><p>Consists of solutions containing elements having a higher atomic number than surrounding soft tissue (e.g., barium or iodine based) that are either ingested or injected into the tissues or structures to be visualized</p>
<p>The high atomic number of the contrast media (barium = 56, iodine = 53) significantly enhances the occurrence of photoelectric interaction relative to similar adjacent structures that don't have contrast media</p>
<p>The inner-shell electrons of barium and iodine have a binding energy that is in the energy range of the x-ray photons that is most commonly used in general-purpose radiography (30 to 40 keV) meaning photoelectric absorption of the photons in the x-ray beam is greatly increased</p>
<p>Structures enhanced by this contrast appear lighter than adjacent structures that didn't receive the contrast (white)</p>
<p>Also leads to an increase in absorbed dose in the body structures that contain it</p>
</p></p></p>
<p><p><p><p>Positive contrast medium</p>
| </p></p></p>
<p><p><p><p>Contrast mediums such as air or gas is also used for some radiologic examinations and result in areas of increased density on the completed image (black)</p></p></p></p>
<p><p><p><p>Negative contrast medium</p></p></p></p>
<p><p><p><p>3 other names for Compton scattering</p>
| </p></p></p>
<p><p><p><ol> <li>Incoherent scattering</li> <li>Inelastic scattering</li> <li>Modified scattering</li> </ol> </p></p></p>
<p><p><p><p>What interaction is responsible for most of the scattered radiation produced during a radiographic procedure?</p></p></p></p>
<p><p><p><p>Compton (incoherent, inelastic, modified) scattering </p></p></p></p>
<p><p><p><p>An incoming x-ray photon interacts with a loosely bound outer electron of an atom of the irradiated object</p>
<p>On encountering the electron, the incoming x-ray photon surrenders a portion of its kinetic energy to dislodge the electron from its outer-shell orbit, thereby ionizing the biologic atom</p>
<p>The freed electron possesses excess kinetic energy and is capable of ionizing other atoms</p>
<p>It loses its kinetic energy by a series of collisions with nearby atoms and finally recombines with an atom that needs another electron; this usually occurs within a few micrometers of the site of the original interaction</p>
<p>The incident x-ray photon that surrendered some of its kinetic energy to free the loosely bound outer-shell electron from its orbit continues on its way but in a new direction has the potential to interact with other atoms either by the process of photoelectric absorption or scattering; it may also emerge from the patient, in which case it may contribute to degradation of the radiographic image by creating an additional, unwanted exposure (radiographic fog), or in fluoroscopy, it may exposure personnel who are present in the room to scattered radiation</p>
<p>onizing, occurs in the body</p>
<p>X-ray photon has more energy going in than when it leaves the atom</p>
<p>Increases as kVp increases</p>
<p>Produces scatter, no diagnostic value</p>
</p></p></p>
<p><p><p><p>Compton (incoherent, inelastic, modified) scattering</p>
</p></p></p>
<p><p><p><p>The dislodged electron resulting from Compton scattering</p></p></p></p>
<p><p><p><p>Compton scattered, secondary, or recoil electron</p></p></p></p>
<p><p><p><p>The incident x-ray photon that surrendered some of its kinetic energy to free the loosely bound outer-shell electron from its orbit continues on its way but in a new direction</p></p></p></p>
<p><p><p><p>Compton scattered photon</p></p></p></p>
<p><p><p><p>In diagnostic radiology, the probability of occurrence of Compton scattering relative to that of the photoelectric interaction \_\_\_\_\_\_\_\_\_\_ as the energy of the x-ray photon increases</p></p></p></p>
<p><p><p><p>Increases</p></p></p></p>
<p><p><p>Who was the first person to die from x-rays?</p></p></p>
<p><p><p>Clarence Madsen Dally</p></p></p>
<p><p><p>Radiation exposure received by radiation workers</p></p></p>
<p><p><p>Occupational radiation</p></p></p>
<p><p><p>Biologic effects in humans caused by exposure to ionizing radiation, which appeared within minutes, hours, days, or weeks of the time of radiation exposure</p></p></p>
<p><p><p>Early deterministic somatic effects</p></p></p>
<p><p><p>Biologic response whose severity varies with radiation dose; determined by the dose threshold</p></p></p>
<p><p><p>Deterministic</p></p></p>
<p><p><p>2 effects of ionizing radiation that appear months or years after exposure</p></p></p>
<p><p><p>Late deterministic somatic effects
| Late stochastic effects</p></p></p>
<p><p><p>Nonthreshold, randomly occurring biologic effects of ionizing radiation
Effects can result from relatively low radiation exposure, and can take a long time before they're demonstrated; the probability of occurrence depends on the radiation dose and type and energy of the radiation which means that some radiations are more biologically efficient for causing damage than others for a given dose
Probability or frequency of the biologic response to radiation as a function of radiation dose
Disease incidence increases proportionally with dose, and there is no dose threshold</p></p></p>
<p><p><p>Stochastic</p></p></p>
<p><p><p>Effect of radiation that is seen in an individual and in subsequent unexposed generations</p></p></p>
<p><p><p>Genetic/heritable effects</p></p></p>
<p><p><p>8 early deterministic somatic effects</p></p></p>
<p><p><p>Nausea Fatigue Diffuse redness of the skin Loss of hair Intestinal disorders Fever Blood disorders Shedding of the outer layer of the skin</p></p></p>
<p><p><p>6 late deterministic somatic effects</p></p></p>
<p><p><p>Cataract formation Fibrosis Organ atrophy Loss of parenchymal cells Reduced fertility Sterility</p></p></p>
<p><p><p>2 late stochastic effects</p></p></p>
<p><p><p>Cancer
| Genetic (hereditary) effects</p></p></p>
<p><p><p>What amount of radiation is considered completely safe?</p></p></p>
<p><p><p>No amount</p></p></p>
<p><p><p>Sum of the weighted equivalent doses doses for all irradiated tissues or organs
A measure of the overall risk arising from the irradiation of biologic tissue and organs that takes into consideration the exposure to the entire body based on the energy deposited in biologic tissue by ionizing radiation
Incorporates both the effect of the type of radiation used and the variability in radiosensitivity of the specific organ or body part irradiated through the use of appropriate weighting factors; these factors determine the overall harm to those biologic components and the risk of developing a radiation induced cancer, or, for the reproductive organs, the risk of genetic damage
Attempts to take into account the different levels of radiation effects on the parts of the body that are being irradiated to arrive at an index of overall harm to a human by beginning with EqD and then incorporating modifying or weighting factors which correspond to the relative degrees of radiosensitivity of various organs and tissues
The quantity that summarizes the potential for biologic damage to a human from exposure to ionizing radiation
Accounts for the risk to the entire organism brought on by irradiation of individual tissues and organs</p></p></p>
<p><p><p>Effective dose (EfD)</p></p></p>
<p><p><p>2 things EfD takes into account</p></p></p>
<p><p><p>The type of radiation (e.g., x-radiation, gamma, neutron)
The variable sensitivity of the tissues exposed to radiation</p></p></p>
<p><p><p>Provides a common scale whereby varying degrees of biologic damage caused by equal absorbed doses of different types of ionizing radiation can be compared with the degree of biologic damage caused by the same amount of radiation</p></p></p>
<p><p><p>Sievert (Sv)</p></p></p>
<p><p><p>Radiation quantity "that expresses the concentration of radiation delivered to a specific area, such as the surface of the human body"
The amount of ionizing radiation that may strike an object such as the human body when in the vicinity of a radiation source
Amount of radiation in air
When a volume of air is irradiated with x-rays or gamma rays, the interaction that occurs between the radiation and neutral atoms in the air causes some electrons to be liberated from those air atoms as they are ionized. Consequently, the ionized air can function as a conductor and carry electricity because of the negatively charged free electrons and positively charged ions that have been created. As the intensity of x-ray exposure of the air volume increases, the number of electron-ion pairs produced also increases. Thus the amount of radiation responsible for the ionization of a well-defined volume of air may be determined by measuring the number of electron-ion pairs or charged particles in that volume of air; radiation ionization in the air
A measure of ionization in air and not in other tissue</p></p></p>
<p><p><p>Exposure (X)</p></p></p>
<p><p><p>The amount of energy per unit mass absorbed by an irradiated object
This absorbed energy is responsible for any biologic damage resulting from exposure of the tissues to radiation; for this reason, this may be used to indicate the amount of ionizing radiation a patient receives during a diagnostic imaging procedure
The deposition of energy per unit mass in the patient's body tissue from exposure to ionizing radiation
As ionizing radiation passes through an object such as a human body, some of the energy of that radiation is transferred to that biologic material; it is actually absorbed by the body and stays within it
Some structures in the body absorb more radiant energy than others</p></p></p>
<p><p><p>Absorbed dose (D)</p></p></p>
<p><p><p>The product of the average absorbed dose in a tissue or organ in the human body and its associated radiation weighting factor (WR) chosen for the type and energy of the radiation in question
A radiation quantity used for radiation purposes when a person receives exposure from various types of ionizing radiation; serves as a measure of absorbed energy resulting from ionization
Attempts to take into account the potential variation in biologic harm that is produced by different kinds of radiation; both the type and energy of the radiation are considered
Takes into account the weighting factor for the radiation you got (ex: x-ray = 1 versus alpha particle = 20)</p></p></p>
<p><p><p>Equivalent dose (EqD)</p></p></p>
<p><p><p>Basic unit of electrical charge; represents the quantity of electrical charge flowing past a point in a circuit in 1 second when an electrical current of 1 ampere is used</p></p></p>
<p><p><p>Coulomb (C)</p></p></p>
<p><p><p>SI unit of electrical current; number of flowing electrons
A unit of electric current equal to a flow of one coulomb per second</p></p></p>
<p><p><p>Ampere (A)</p></p></p>
<p><p><p>SI exposure unit equal to an electrical charge of 1 C produced in a kilogram of dry air by ionizing radiation
Used for x-ray calibration because x-ray output intensity is measures directly with an ionization chamber; also used to calibrate radiation survey equipment</p></p></p>
<p><p><p>Coulombs per kilogram (C/kg)</p></p></p>
<p><p><p>Kinetic energy released in a unit mass (kilogram) of air
SI quantity that can be used to express radiation concentration transferred to a point, which may be at the surface of a patient's or radiographer's body
X-ray tube output and inputs to image receptors are sometimes described in this
Actually denotes a calculation of radiation intensity in air
Replacing the traditional quantity, exposure
Amount of radiation coming out of the tube</p></p></p>
<p><p><p>Air kerma
"Kinetic energy released in material"
"Kinetic energy released in matter"
"Kinetic energy released per unit mass"</p></p></p>
<p><p><p>What is the unit of kerma?</p></p></p>
<p><p><p>Gray (Gy)</p></p></p>
<p><p><p>Kinetic energy released in a unit mass of tissue</p></p></p>
<p><p><p>Tissue kerma</p></p></p>
<p><p><p>What is the unit of tissue kerma?</p></p></p>
<p><p><p>Gray (Gyt)</p></p></p>
<p><p><p>The sum total of air kerma over the exposed area of the patient's surface; a measure of the amount of radiant energy that has been thrust into a portion of the patient's body surface
Modern radiographic and fluoroscopic units have incorporated units have incorporated an ability to determine the entire amount of energy delivered to the patient by the x-ray beam
Ability to determine the entire amount of energy delivered to the patient by the x-ray beam
Ex: how much radiation goes to the 10 x 12 area you've collimated to</p></p></p>
<p><p><p>Dose area product (DAP)</p></p></p>
<p><p><p>3 things the amount of energy absorbed by a structure depends on</p></p></p>
<p><p><p>Atomic number (Z) of the tissues comprising the structure
The mass density of the tissue (kg/m^3)
Energy of the incident photon (low-energy photons are more easily absorbed in a material such as biologic tissue than are high-energy photons)</p></p></p>
<p><p><p>Absorption \_\_\_\_\_\_\_ as atomic number and mass density increase and also as photon energy decreases</p></p></p>
<p><p><p>Increases</p></p></p>
<p><p><p>"Composite"/weighted average of the atomic numbers of the many chemical elements comprising the tissue</p></p></p>
<p><p><p>Effective atomic number (Zeff)</p></p></p>
<p><p><p>What is the effective atomic number of bone and soft tissue?</p></p></p>
<p><p><p>Bone: 13.8
| Soft tissue: 7.4</p></p></p>
<p><p><p>Bone absorbs \_\_\_\_\_\_ ionizing radiation than dose soft tissue in the diagnostic energy range of 23-150 kilovolts peak (kVp), because the photoelectric process for bone is the dominant mode of energy absorption within this range</p></p></p>
<p><p><p>More</p></p></p>
<p><p><p>The probability of photoelectric interaction strongly depends on the atomic number of the irradiated material; the \_\_\_\_\_\_\_ the atomic number of material, the greater is the amount of energy absorbed by that material</p></p></p>
<p><p><p>Higher</p></p></p>
<p><p><p>The amount of photoelectric absorption decreases and the amount of Compton scattering relative to the photoelectric interaction increases as the energy of the x-ray beam \_\_\_\_\_\_\_\_\_\_; the amount of Compton scattering in a material does not depend on the atomic number of the material</p></p></p>
<p><p><p>Increases</p></p></p>
<p><p><p>As energy increases, the difference in the amount of absorption between any two tissues of different atomic number \_\_\_\_\_\_\_\_\_\_\_\_</p></p></p>
<p><p><p>Decreases</p></p></p>
<p><p><p>At all energies, mass density always has an effect on absorption; this effect is linear and \_\_\_\_\_\_\_\_ proportional</p></p></p>
<p><p><p>Directly</p></p></p>
<p><p><p>SI unit of absorbed dose; an energy absorption of 1 Joule (J) per kilogram (kg) of matter in the irradiated object</p></p></p>
<p><p><p>Gray (Gy)</p></p></p>
<p><p><p>The work done or energy expended when a force of 1 newton (N) acts on an object along a distance of 1 meter (m)</p></p></p>
<p><p><p>Joule (J)</p></p></p>
<p><p><p>3 prefixes, subunits, symbols, fractions and factors</p></p></p>
<p><p><p>Centi-, c, 1/100, 10^-2
Milli-, m, 1/1000, 10^-3
Micro-, u, 1/1,000,000, 10^-6</p></p></p>
<p><p><p>How do you convert grays to milligrays?</p></p></p>
<p><p><p>Number of grays (Gy) x 1000 = number of milligrays (mGy)</p></p></p>
<p><p><p>The total amount of radiant energy transferred by ionizing radiation to the body during a radiation exposure
Determined by the produce of the exposure value (R) and the size of the area (cm^2) that receives the total amount of radiation delivered</p></p></p>
<p><p><p>Surface integral dose (SID)
| Historically known as exposure area product</p></p></p>
<p><p><p>Equal absorbed doses of different types of radiation produce \_\_\_\_\_\_\_\_ amounts of biologic damage</p></p></p>
<p><p><p>Different</p></p></p>
<p><p><p>An adjustment multiplier that has been used in the calculation of dose equivalence to specify the ability of a dose of any kind of ionizing radiation to cause biologic damage</p></p></p>
<p><p><p>Quality factor (Q)</p></p></p>
<p><p><p>What is the weighting factor of x-radiation and alpha particles?</p></p></p>
<p><p><p>X-ray: 1
| Alpha: 20</p></p></p>
<p><p><p>Radiation with a high LET transfers a \_\_\_\_\_\_\_ amount of energy into a small area and can therefore do more biologic damage than radiation with a low LET; as a result, a high-LET radiation has a quality factor that is \_\_\_\_\_\_\_\_ than the quality factor for a low-LET radiation</p></p></p>
<p><p><p>Large, greater</p></p></p>
<p><p><p>Do you want a high or low LET?</p></p></p>
<p><p><p>Low</p></p></p>
<p><p><p>Dimensionless factor (multiplier) used for radiation protection purposes to account for differences in biologic impact among various types of ionizing radiation
Must be used to determine EqD
Places risks associated with biologic effects on a common scale
Type of radiation</p></p></p>
<p><p><p>Radiation weighting factor (WR)</p></p></p>
<p><p><p>SI unit for EqD</p></p></p>
<p><p><p>Sievert (Sv)</p></p></p>
<p><p><p>Equation for EqD</p></p></p>
<p><p><p>EqD = absorbed dose (D) x radiation weighting factor (WR) sV = Gy x WR</p></p></p>
<p><p><p>How do you convert sieverts to millisieverts?</p></p></p>
<p><p><p>Number of millisieverts (mSv) = number of sieverts (Sv) x 1000</p></p></p>
<p><p><p>2 examples of stochastic effects</p></p></p>
<p><p><p>Cancer
| Genetic/hereditary abnormalities</p></p></p>
<p><p><p>Equation of effective dose (EfD)</p></p></p>
<p><p><p>EfD = absorbed dose (D) x radiation weighting factor (WR) x tissue weighting factor (WT)</p></p></p>
<p><p><p>Weighting factor that takes into account the relative detriment to each specific organ and tissue; a conceptual measure for the relative risk associated with irradiation of different body tissues to account for the carcinogenic sensitivity of each organ
Value that denotes the percentage of the summer stochastic (cancer plus genetic) risk stemming from irradiation of tissue (T) to the all-inclusive risk, when the entire body is irradiated in a uniform fashion</p></p></p>
<p><p><p>Tissue weighting factor (WT)</p></p></p>
<p><p><p>What tissue is most and least radiosensitive?</p></p></p>
<p><p><p>Most: gonads
| Least: Bone surface</p></p></p>
<p><p><p>Unit of EfD</p></p></p>
<p><p><p>Sieverts or millisieverts</p></p></p>
<p><p><p>Surface of the patient that is toward the x-ray tube exposed to the unattenuated primary beam of x-rays
Where dose to the patient is the highest</p></p></p>
<p><p><p>Entrance skin surface</p></p></p>
<p><p><p>Used to describe radiation exposure of a population or group from low doses of different sources of ionizing radiation
Determines as the product of the average EfD for an individual belonging to the exposed population or group and the number of persons exposed
Used in radiation protection to describe internal and external dose measurements</p></p></p>
<p><p><p>Collective effective dose (ColEfD)</p></p></p>
<p><p><p>The sum of effective dose equivalent from external radiation exposure and committed effective dose equivalent (CEDE) from internal radiation exposures
Designed to take into account all possible sources of radiation exposure
Radiation dosimetry quantity defined to monitor and control human exposure to ionizing radiation</p></p></p>
<p><p><p>Total effective equivalent dose (TEDE)</p></p></p>
<p><p><p>When is exposure monitoring or personnel required?</p></p></p>
<p><p><p>Whenever radiation workers are likely to risk receiving 10% or more of the annual occupational EfD limit of 50 mSv (5 rem) in any single year as a consequence of their work related activities</p></p></p>
<p><p><p>In keeping with ALARA, at what limit do most health care facilities issue dosimetry devices?</p></p></p>
<p><p><p>When personnel could receive approximately 1% of the annual occupational EfD limit in any month; approximately 0.04 mSv (4 mrem)</p></p></p>
<p><p><p>5 personnel monitoring devices currently available</p></p></p>
<p><p><p>Optically stimulated luminescence (OSL) dosimeter Extremity dosimeter (thermoluminescent dosimeter (TLD) ring) Film badge Thermoluminescent dosimeter (TLD) Pocket ionization chamber (pocket dosimeter)</p></p></p>
<p><p><p>Where should the personnel dosimeter be placed during routine radiographic procedures when a protective apron is not being used?</p></p></p>
<p><p><p>Attached to the clothing on the front of the body at collar level</p></p></p>
<p><p><p>Where should the personnel dosimeter be placed when a protective apron is worn (fluoroscopy, surgery, and special radiographic procedures)?</p></p></p>
<p><p><p>Outside the apron at collar level on the anterior surface of the body</p></p></p>
<p><p><p>The unprotected head, neck, and lenses of the eye receive how many times more exposure than the protected body trunk?</p></p></p>
<p><p><p>10-20</p></p></p>
<p><p><p>Where should the personnel dosimeter be placed as a second monitor when a protective apron is worn (during lengthy interventional fluoroscopy procedures [e.g., cardiac catheterization])?</p></p></p>
<p><p><p>The first/primary dosimeter is to be worn outside the protective apparel at collar level; the second should be worn beneath a wraparound-style lead apron at waist level to monitor the approximate equivalent dose to the lower body trunk</p></p></p>
<p><p><p>Where should the personnel dosimeter be placed as a monitor for the embryo-fetus?</p></p></p>
<p><p><p>The primary dosimeter is to be worn at collar level; the second is worn at the abdomen</p></p></p>
<p><p><p>Worn as a second monitor when performing radiographic procedures that require the hands to be near the primary x-ray beam; ring that can be used to monitor the equivalent dose to the hands
Badge cover contains information such as the account number, participant's name and number, wear date, indication of hand (right or left), size, and reference number; even though these badges are worn under gloves to avoid contamination, such extremity monitors are laser-etched to ensure the retention of permanent identification
The reusable element of the dosimeter is encapsulated with an engraved cover</p></p></p>
<p><p><p>Extremity dosimeter (thermoluminescent dosimeter [TLD] ring badge)</p></p></p>
<p><p><p>4 types of personnel dosimeters used to measure individual exposure of the body to ionizing radiation</p></p></p>
<p><p><p>Optically stimulated luminescence (OSL) dosimeter Film badge Thermoluminescent dosimeter (TLD) Pocket ionization chamber (pocket dosimeter)</p></p></p>
<p><p><p>What is the most common type of device used for monitoring of occupational exposure in diagnostic imaging?</p></p></p>
<p><p><p>Optically stimulated luminescence (OSL) dosimeter</p></p></p>
<p><p><p>What does the OSL dosimeter contain?</p></p></p>
<p><p><p>A thin layer of aluminum oxide (Al2O3) detector</p></p></p>
<p><p><p>How long can the OSL dosimeter be worn, and how long is it commonly worn?</p></p></p>
<p><p><p>It can be worn for up to 1 year; it is common practice to wear it for a period of 1-3 months</p></p></p>
<p><p><p>3 materials the 3 different filters incorporated into the detector pack of the OSL dosimeter are made of respectively</p></p></p>
<p><p><p>Aluminum (Al)
Tin
Copper (Cu)</p></p></p>
<p><p><p>3 different energy ranges of the OSL dosimeter that physically correlate with different penetration depths and therefore different effective radiation energies</p></p></p>
<p><p><p>"Deep" (most penetrating)
"Eye"
"Shallow" (skin)</p></p></p>
<p><p><p>Which dosimeter can be worn the longest?</p></p></p>
<p><p><p>Optically stimulated luminescence (OSL) dosimeter</p></p></p>
<p><p><p>Which dosimeter can read the lowest dose?</p></p></p>
<p><p><p>Optically stimulated luminescence (OSL) dosimeter</p></p></p>
<p><p><p>At what degree can the OSL dosimeter provide an accurate reading?</p></p></p>
<p><p><p>1 mrem (10 uSv) for x-ray photons with energies ranging from 5 keV to greater than 40 MeV</p></p></p>
<p><p><p>Serves as a basis for comparison with remaining dosimeters after they have been returned to the company for processing
Supposed to be kept in a radiation-free area within an imaging facility so its optical density reading is zero</p></p></p>
<p><p><p>Control monitor</p></p></p>
<p><p><p>7 advantages of the OSL dosimeter</p>
| </p></p>
<p><p><p>Lightweight, durable, and easy to carry Contains an integrated, self-contained, preloaded packet Color-coded, contains graphic formats, and body location icons that provide easy identification Not affected by heat, moisture, and pressure Offers complete reanalysis Increased sensitivity, providing accurate readings as low as 10 uSv (1 mrem) for x-ray photons with energies from 5 keV-40 MeV Can be worn for longer periods of time (up to 1 year)</p>
</p></p>
<p><p><p>3 disadvantages of the OSL dosimeter</p></p></p>
<p><p><p>Occupational radiation exposure is recorded only in the body area where the device is worn (not close to reproductive organs)
Exposure cannot be determined on the day of occurrence
Not an efficient monitoring device if it is not worn</p></p></p>
<p><p><p>Dosimeter that records whole-body radiation exposure accumulated at a low rate over a long period of time</p></p></p>
<p><p><p>Film badges</p></p></p>
<p><p><p>3 parts the film badge is composed of</p></p></p>
<p><p><p>Durable, lightweight plastic film holder
Assortment of metal filters
Film packet</p></p></p>
<p><p><p>What are the metal filters inside the plastic holder of the film badge made of?</p></p></p>
<p><p><p>Aluminum or copper</p></p></p>
<p><p><p>What dose ranges are film badges sensitive to?</p></p></p>
<p><p><p>As low as 0.1 mSv (10 mrem) to as high as 5000 mSv (500 rem); doses less than 0.1 mSv (10 mrem) are not usually detected and are reported as minimal (M) on a personnel monitoring report</p></p></p>
<p><p><p>Degree of blackening</p></p></p>
<p><p><p>Density</p></p></p>
<p><p><p>An instrument that measures occupational exposure by comparing optical densities of exposed film badge (dosimetry) films</p></p></p>
<p><p><p>Densitometer</p></p></p>
<p><p><p>5 advantages of the film badge</p></p></p>
<p><p><p>Main: permanent legal record of personnel exposure
Economical
Used to record exposure to x-radiation, gamma radiation, and all but very low-energy beta radiation in a reliable manner
Can discriminate among the types of radiation and the energies of these radiations
Mechanical integrity</p></p></p>
<p><p><p>3 disadvantages of film badges</p></p></p>
<p><p><p>Temperature and humidity extremes or wetting can cause fogging of the dosimetry film over long periods of time
A radiation worker's exposure cannot be determined on the day of occurrence
Can be worn for one month before being read</p></p></p>
<p><p><p>How long can the film badge be worn for personnel monitoring before it is read?</p></p></p>
<p><p><p>1 month</p></p></p>
<p><p><p>What is the film badge dosimeter sensitivity?</p></p></p>
<p><p><p>Most sensitive to photons having an energy level of 50 keV; for values above and below this energy range, dosimetry film sensitivity decreases</p></p></p>
<p><p><p>What is the sensing material of the thermoluminescent dosimeter (TLD)?</p></p></p>
<p><p><p>Crystalline form (powder or, more frequently, small chips) of lithium fluoride (LiF)</p></p></p>
<p><p><p>4 advantages of the TLD</p></p></p>
<p><p><p>The LiF crystals interact with ionizing radiation as human tissue does, hence this monitor determines dose more accurately
Exposures as low as 5 mR (1.3 x 10^-6 C/kg) can be measured precisely
Humidity, pressure, and normal temperature changes don't affect it
After the TLD reading has been obtained, the crystals can be reused, making it somewhat cost effective</p></p></p>
<p><p><p>What is the sensitivity of the TLD?</p></p></p>
<p><p><p>Exposures as low as 5 mR (1.3 x 10^-6 C/kg) can be measured precisely</p></p></p>
<p><p><p>3 disadvantages of the TLD</p></p></p>
<p><p><p>High cost (twice the cost of a film badge service)
Can be read only once/can't be reevaluated; the readout process destroys the stored information
The calibrated dosimeters must be prepared and read with each group or batch</p></p></p>
<p><p><p>What is the most sensitive type of personnel dosimeter</p></p></p>
<p><p><p>Pocket ionization chamber (pocket dosimeter)</p></p></p>
<p><p><p>To what exposure range are pocket chambers used in medical imaging sensitive to?</p></p></p>
<p><p><p>0-5.2 x 10^-5 C/kg (0-200 mR)</p></p></p>
<p><p><p>What is an advantage of the pocket ionization chamber?</p></p></p>
<p><p><p>Provide immediate exposure readouts</p></p></p>
<p><p><p>3 disadvantages of the pocket ionization chamber</p></p></p>
<p><p><p>Fairly expensive
Inaccurate readings
No permanent legal record</p></p></p>
<p><p><p>3 different gas-filled radiation detectors that serve as field instruments</p></p></p>
<p><p><p>Ionization chamber-type survey instrument ("cutie pie")
Proportional counter
Gieger-Muller (GM) detector</p></p></p>
<p><p><p>Rate meter device (for exposure rate) used for area surveys and an accurate integrating or cumulative exposure instrument; it measures x-radiation and gamma radiation, and, if equipped with a suitable window, it can also record beta radiation</p></p></p>
<p><p><p>Ionization chamber survey meter (cutie pie)</p></p></p>
<p><p><p>What ranges of radiation intensity can the ionization chamber survey meter (cutie pie) measure?</p></p></p>
<p><p><p>1 mR/hr-several thousand milliroentgens per hour (10-several thousand micrograys per hour)</p></p></p>
<p><p><p>What is the greatest amount of radiation that can come out of the x-ray tube?</p></p></p>
<p><p><p>1 mR/hr (10 micrograys per hour)</p></p></p>
<p><p><p>What is the radiation survey instrument of choice when determining exposure rates from patients?</p></p></p>
<p><p><p>Ionization chamber survey meter (cutie pie)</p></p></p>
<p><p><p>3 disadvantages of the ionization chamber survey meter (cutie pie)</p></p></p>
<p><p><p>Delicate detector unit
Without adequate warmup time, its meter drifts and produces an inaccurate reading
Cannot be used to measure exposures produced by typical diagnostic procedures because the exposure times are too short to permit the meter to respond appropriately</p></p></p>
<p><p><p>Survey instrument that serves no useful purpose in diagnostic imaging; generally used in a laboratory setting to detect alpha and beta radiation and small amounts of other types of low-level radioactive contamination
Can discriminate between alpha and beta particles</p></p></p>
<p><p><p>Proportional counter</p></p></p>
<p><p><p>Serves as the primary potable radiation survey instrument for area monitoring in nuclear medicine facilities
Sensitive enough to detect particles or photons
Audio</p></p></p>
<p><p><p>Geiger-Muller (GM) detector</p></p></p>
<p><p><p>2 disadvantages of the GM detector</p></p></p>
<p><p><p>The meter reading is not independent of the energy of the incident photons meaning that photons of widely different energies cause the instrument to respond quite differently
Likely to saturate or jam when placed in very high-intensity radiation area, giving a false reading</p></p></p>
<p><p><p>A science that explores living things and life processes</p></p></p>
<p><p><p>Biology</p></p></p>
<p><p><p>Basic units of all living matter and essential for life; fundamental component of structure, development, growth, and life processes in the human body
Human body composed of trillions of these that exist in a multitude of different forms</p></p></p>
<p><p><p>Cells</p></p></p>
<p><p><p>4 functions the cells perform for the body</p></p></p>
<p><p><p>Conduction of nerve impulses
Contraction of muscles
Support of various organs
Transportation of body fluids such as blood</p></p></p>
<p><p><p>Chemical building material for all living things; living contents of cell</p></p></p>
<p><p><p>Protoplasm</p></p></p>
<p><p><p>3 cell chemical components</p></p></p>
<p><p><p>Protoplasm
Organic compounds
Inorganic compounds</p></p></p>
<p><p><p>3 processes the protoplasm carries on</p></p></p>
<p><p><p>Complex process of metabolism
Reception and processing of food and oxygen
Elimination of waste products</p></p></p>
<p><p><p>The breaking down of large molecules into smaller ones
Enables the cell to perform the vital functions of synthesizing proteins and producing energy</p></p></p>
<p><p><p>Metabolism</p></p></p>
<p><p><p>2 things protoplasm consists of that are either dissolved or suspended in water</p></p></p>
<p><p><p>Organic compounds
| Inorganic compounds</p></p></p>
<p><p><p>Those compounds that contain carbon, hydrogen, and oxygen</p></p></p>
<p><p><p>Organic compounds</p></p></p>
<p><p><p>Compounds that do not contain carbon, occur in nature independent of living things</p></p></p>
<p><p><p>Inorganic compounds</p></p></p>
<p><p><p>4 primary elements that comprise protoplasm</p></p></p>
<p><p><p>Carbon
Hydrogen
Oxygen
Nitrogen</p></p></p>
<p><p><p>2 elements carbon, hydrogen, oxygen and nitrogen combine with to form the essential major organic compounds</p></p></p>
<p><p><p>Phosphorus
| Sulfur</p></p></p>
<p><p><p>4 major classes of organic compounds that compose the cell</p></p></p>
<p><p><p>Proteins
Carbohydrates
Lipids
Nucleic acids</p></p></p>
<p><p><p>2 most important inorganic compounds</p></p></p>
<p><p><p>Water
| Mineral salts/electrolytes</p></p></p>
<p><p><p>8 essential functions of water</p></p></p>
<p><p><p>Acts as the medium in which acids, bases, and salts are dissolved
Functions as a solvent by dissolving chemical substances in the cell
Functions as a transport vehicle for material the cell uses or eliminates
Maintains a constant body core temperature of 98.6 F (37 C)
Provides a cushion for vital organs such as the brain and lungs
Regulates concentration of dissolved substances
Lubricates the digestive system
Lubricates skeletal articulation (joints)</p></p></p>
<p><p><p>What is the most abundant inorganic compound in the body?</p></p></p>
<p><p><p>Water</p></p></p>
<p><p><p>3 ways in which mineral salts are of vital importance in sustaining cell life</p></p></p>
<p><p><p>Help produce energy
Aid in the conduction of nerve impulses
Responsible for the prevention of muscle cramping</p></p></p>
<p><p><p>Basic constituent of all organic matter</p></p></p>
<p><p><p>Carbon</p></p></p>
<p><p><p>3 elements carbon combines with to make life possible</p></p></p>
<p><p><p>Hydrogen
Nitrogen
Oxygen</p></p></p>
<p><p><p>Most elementary building blocks of cells; formed when amino acids combine into long, chainlike molecular complexes</p></p></p>
<p><p><p>Proteins</p></p></p>
<p><p><p>3 functions proteins are essential for</p></p></p>
<p><p><p>Growth
Construction of new body tissue
Repair of injured or debilitated tissue</p></p></p>
<p><p><p>Provide the body with its shape and form and are a source of heat and energy
Ex: those found in muscle</p></p></p>
<p><p><p>Structural proteins</p></p></p>
<p><p><p>Function as organic catalysts
Control the cell's various physiologic activities
Cause an increase in cellular activity that in turn causes biochemical reactions to occur more rapidly to meet the needs of the cell; proper cell function depends on this
Initiate vital chemical reactions within the cell at the appropriate time</p></p></p>
<p><p><p>Enzymatic proteins/"enzymes"</p></p></p>
<p><p><p>Enzymes that can mend damages molecules and are therefore capable of helping the cell to recover from a small amount of radiation-induced damage; work effectively in both the diagnostic and therapeutic range
If the radiation damage is excessive because of the delivered equivalent dose, the damage will be too severe for these enzymes to have a positive effect; ex: atomic bond</p></p></p>
<p><p><p>Repair enzymes</p></p></p>
<p><p><p>Chemical secretions manufactured by various endocrine glands and carried by the bloodstream to influence the activities of other parts of the body; regulate body functions such as growth and development
Ex: these produced by the thyroid gland located in the neck control metabolism throughout the body</p></p></p>
<p><p><p>Hormones</p></p></p>
<p><p><p>Protein molecules produced by B lymphocytes (specialized cells in the bone marrow)
Produced when other lymphocytes in the body (T lymphocytes) detect the presence of molecules that do not belong to the body
Once the skin has been penetrated, this is the body's primary defense mechanism against infection and disease</p></p></p>
<p><p><p>Antibodies</p></p></p>
<p><p><p>Foreign objects (ex: bacteria, flu, viruses), molecules that do not belong to the body</p></p></p>
<p><p><p>Antigens</p></p></p>
<p><p><p>What is the primary energy source for the cell?</p></p></p>
<p><p><p>Glucose</p></p></p>
<p><p><p>6 functions that lipids perform for the body</p></p></p>
<p><p><p>Acts as a reservoir for the long-term storage of energy
Insulate and guard the body against the environment
Support and protect organs such as the eyes and kidneys
Provide essential substances necessary for growth and development
Lubricate the joints
Assist in the digestive process</p></p></p>
<p><p><p>2 types of nucleic acids that are contained in cells and important to human metabolism</p></p></p>
<p><p><p>Deoxyribonucleic acid (DNA) Ribonucleic acid (RNA)</p></p></p>
<p><p><p>The master chemical in the nucleus
Contains all the information the cell needs to function
Carries the genetic information necessary for cell replication
Controls cell division
Determines a persons characteristics by regulating the sequence of amino acids in the person's constituent proteins during synthesis of these proteins</p></p></p>
<p><p><p>Deoxyribonucleic acid (DNA)</p></p></p>
<p><p><p>Plays an essential part in the translation of genetic information from DNA into protein products by functioning as a messenger between DNA and the ribosomes, where synthesis occurs
Carrier of information because DNA is stuck in the nucleus</p></p></p>
<p><p><p>Ribonucleic acid (RNA)</p></p></p>
<p><p><p>3 types of ribonucleic acid (RNA)</p></p></p>
<p><p><p>Messenger RNA (mRNA) Transfer RNA (tRNA) Ribosomal RNA (rRNA)</p></p></p>
<p><p><p>How many chromosomes does a normal human being have in each somatic (nonproductive) cell?</p></p></p>
<p><p><p>46 different chromosomes (23 pairs)</p></p></p>
<p><p><p>How many chromosomes do the reproductive/germ cells have?</p></p></p>
<p><p><p>Reproductive/germ cells exist singly, thus each has only 23 chromosomes, which pair up to form 46 chromosomes when a sperm fertilizes an egg</p></p></p>
<p><p><p>Segments of DNA that serve as the basic units of heredity
Control the formation of proteins in every cell through the intricate process of genetic coding</p></p></p>
<p><p><p>Genes</p></p></p>
<p><p><p>The total amount of genetic material (DNA) contained within the chromosomes of a human being</p></p></p>
<p><p><p>Human genome</p></p></p>
<p><p><p>The process of locating and identifying the genes in the genome</p></p></p>
<p><p><p>Mapping</p></p></p>
<p><p><p>3 inorganic compounds</p></p></p>
<p><p><p>Acids
Bases
Salts/electrolytes</p></p></p>