Final Exam Flashcards
Year x-rays were discovered?
1895
Form of energy carried by waves?
radiation
High-energy radiation produced by collision of electrons on metal target?
X-radiation
Beam of energy with penetrating power and records image?
X-ray
The science or study of radiation in medicine?
radiology
The science and art of making radiographs?
Radiography
Positively charged with protons and electrons
Nucleus
Negatively charged
Electrons
amount of energy needed to dislodge electron from its orbit
Binding energy
What are the letters of the 7 shells?
K-Q
What shell has the strongest binding energy?
K
Creation of ions from atoms
Ionization
Atom that gains or loses an electron
Ion
Electron that is removed from atoms
Ion pair
Continues to emit energy or electrons to become stable
Radioactivity
Stops transmitting after running cycle
Radiation
Capable of producing ions
Ionizing radiation
Not capable of producing ions
Non-ionizing radiation
grounds high voltage components, protects everything inside
Metal housing
Absorbs heat
Insulating oil
prevents leakage of insulating oil, filters x-ray beam
Tube head seal
Creates x-rays
X-ray tube
Alters voltage of incoming electricity
Transformer
.5 mm increments, filter our long wavelengths and non-penetrating x-rays, protection
Aluminum disks
Restricts size of x-ray beam
Lead collimator
Aim and shape x-ray beam
PID
prevent x-rays from going in different directions
Leaded glass housing
negative electrode, supply necessary electrons to generate x-rays
Cathode
Heated by step down transformer
Tungsten filament
directs filaments into narrow beam across from cathode
Molybdenum cup
Dissipates heat
Copper stem
only opening x-ray can exit from
Unleaded glass window
the release of electrons from the tungsten filament as its heated
Thermionic emission
produced as bombarding electron traveling from cathode to anode it’s approaching the nucleus and suddenly stops to change direction
-Does NOT produce ions
General radiation
X-ray emission that occurs when an electron is knocked out of an atom’s electron shell and another electron fills the vacancy
-Produces ions
Characteristic radiation
penetrating x-ray beam, before it reacts with matter
Primary radiation
Less penetrating than primary radiation
Secondary radiation
when x-ray beams deflect in different directions after reacting with matter
Scatter radiation
x-ray photon dislodges inner shell electron from atom
Absorption
x-ray photon is dislodging an outer shell electron
Compton scatter (modified)
x-ray photon interacts with some electron but does not dislodge it, atom does not change
Coherent scatter (unmodified)
dislodge electron and has positive ion remaining
Ionization injury
uncharged neutral atom that has a single unpaired electron in its outer most shell
Free radical formation injury
result of ionizing radiation hitting critical area of cell
Direct theory injury
result of ionizing radiation creating free radical formation or toxins in the cell
Indirect theory injury
get an effect or don’t, all or nothing, not determined by dose (ex. Cancer)
Stochastic injury
effect dependent on dose (ex. Hair loss, erythema)
Non stochastic/deterministic injury
affect person irradiated
Somatic effects
Affect individuals offspring
Genetic effects
seen within minutes, hours, days
-Long amount of radiation over short period of time
Short term effects
seen over years, decades
-Short amount of radiation over long period of time
Long term effects
Who is more radiosensitive?
Child
Who is more radioresistant?
Adult
Has mass, travel in straight lines, may be charged
- Ex. electrons, protons, neutrons, Beta/gamma particles
Particulate radiation
Wave-like
no mass
particle concept
wave concept
Electromagnetic radiation
What is in wave concept?
velocity
wavelength
frequency
What are the critical organs?
Bone marrow
skin
lens of eye
thyroid gland
small lymphocytes
bone marrow
reproductive cells
intestinal mucosa
skin
lens of eye
oral mucosa
radiosensitive cells
muscle
nerves
mature bone/cartilage
salivary gland
thyroid gland
kidney
liver
radioresistant cells
What are cells with high metabolism?
radiosensitive
amount of radiation in air
-coulombs, kilograms
exposure
amount of radiation that tissue receives
o Rad, Gray (Gy)
Dose
measurement of effect on tissue exposed
o Rem, Sievert (Sv)
Dose equivalent
filtration built into tube head
Inherent filtration
filtration we add ourselves
added filtration
Greater than or equal to 70 kVp =
2.5
maximum amount radiation of an occupational exposed personnel MPD
Maximum permissible dose
maximum amount over lifetime MAD
Maximum accumulated dose
How much radiation can the radiographer be exposed to each year?
50
How much radiation can a pregnant person be exposed to?
.5 per month of pregnancy
ALARA
As low as reasonably achievable
Film components: seals everything, waterproof
Outer package wrapping
Film components: prevents light exposure
Protective black wrapper
Film components: Prevent back scatter
Lead foil sheet
What are the layers of x-ray film?
Base
adhesive layer
emulsion
protective layer
What is emulsion made of?
Gelatin
Silver halide crystals
What are the silver halide crystals?
Silver bromide
Silver iodine
Invisible until undergoes processing
latent image
What are the steps of manual film processing?
Development
rinsing
fixing
washing
drying
What are the reducing agents in film developer?
Hydroquinone
Elon
What is the preservative in film developer?
Sodium sulfate
What is the accelerator in film developer?
Sodium carbonate
What is the restrainer in the film developer?
Potassium bromide
What are the fixing agents in the film fixer?
sodium thiosulfate
ammonium thiosulfate
What is the preservative in the film fixer?
sodium sulfate
What is the hardening agent in the film fixer?
potassium alum
What are the acidifiers in the film fixer?
Acetic acid
sulfuric acid
What is the blue light agent for intensifying screens?
calcium tungstate
What is the green light agent in intensifying screens?
rare earth
What is needed for direct digital imaging?
sensor
intraoral x-ray unit
computer
What are the advantages of direct digital imaging?
instant result, quality, time efficient, less exposure, less waste
What are the disadvantages of direct digital imaging?
initial cost, wire, not autoclavable
What is needed for indirect digital imaging?
PSP plates
intraoral x-ray unit
scanner
computer
What is x-ray quality controlled by?
kVp
What is x-ray quantity controlled by?
mA
Exposure time
What is x-ray intensity controlled by?
kVp
mA
Exposure time
Distance
What are x-ray diagnostic images based off of?
patient size
What type of x-ray identifies caries?
High contrast
low kVp
What type of x-ray identifies periodontal disease/lesions?
Low contrast
High kVp
Blurriness of an x-ray
penumbra
What is sharpness characterized by?
focal spot size
film composition
movement
what is magnification characterized by?
object-receptor distance
target-receptor distance
what is distortion characterized by?
object-receptor alignment
X-ray beam angulation
1 Gy =
100 rad
1 Sv =
100 rem
What are the traditional units of measurement?
Roentgen
Rad
Rem
Establishes acceptable levels of radiation exposure, response, and dose?
Dose response curve
attraction between the positive nucleus and negative electrons
Electrostatic force
Convert electrons into x-rays
Anode
Device used to demonstrate short-scale contrast and long-scale contrast
Stepwedge
Class I
< Halfway through enamel (beginning)
-Only in enamel
Incipient interproximal caries
Class II
> Halfway through enamel
-Only in enamel
Moderate interproximal caries
Class III
< Halfway to pulp
-Both dentin and enamel effected
Advanced interproximal caries
Class IV
> Halfway to pulp
-Both dentin and enamel effected
Severe interproximal caries
-Extends into dentin
-Little change seen in enamel on radiograph
Moderate occlusal caries
Large radiolucency
Severe occlusal caries
-Difficult to see on radiographs
-More easily seen clinically
Buccal & lingual caries
Advanced, severe caries on multiple teeth
Rampant caries
Lesion between adjacent roots
Inter-radicular
Lesion in space where no tooth is present
Edentulous zone
Lesion around the crown of the tooth
Pericoronal
multiple compartments, soap bubbles
Multiocular lesions
one compartment, small
Uniocular lesion
One spot, white
Dense RO, well defined
Focal opacity lesion
Well defined
Localized
RO halo/shallow around lesion
Target lesion
Multiple overlapping patterns of RO
Multifocal confluent lesion
Poorly defined
Hard to identify
Irregular lesion
Peddled
Tiny, RO
Orange peel
Ground glass lesion
RL lesion with RO flecks in it
Mixed lucent-opaque lesion
Well defined
Localized
Where soft tissue should be
Soft tissue opacity lesion
Calcification of pulp chamber and canals
Pulpal sclerosis
Mass of inflamed granulation tissue at apex, nonvital
Periapical ganuloma