fluoro equipment Flashcards

1
Q

Stationary fluoroscopy is what?

A

fluoroscopy room 

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2
Q

Mobile fluoroscopy is what? 

A

C- arm

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3
Q

with fluoro we don’t set the kvp or mas we use

A

automatic brightness control
-it regulates the KVP antennae for fluoroscopy, depending on the part being examined

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4
Q

maximum mA station for fluoroscopy

A

is 5 mA

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5
Q

Image intensifier in order 

A
  1. input phosphor
  2. Photo cathode
  3. Electrostatic lenses
  4. Anode
  5. Output
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6
Q

where is the image intensifier? 

A

in a stationary fluoroscopy room, it is above the patient

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7
Q

input phosphor

A

Made of cesium iodide
-takes remanent beam and converts x-ray photons into light photons

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8
Q

photo cathode

A

takes the light photons and convert them into electrons
-photo omission= emitting electrons from light source
-made of alloy of antimony compounds and cesium

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9
Q

electrostatic lenses

A

Focuses the electrons toward the anode 

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10
Q

anode

A

doughnut, shaped hole in the middle, -accelerates the electrons to send to output, phosphor
- made of tungsten

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11
Q

output phosphor

A

-Made of zinc cadmium sulfide
Converts the electrons into light photons 

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12
Q

Charge coupled device

A
  • Converts light back to electrical signal, -collects electrical signal and send it to the ADC
    -2 jobs!
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13
Q

analog to digital converter (ADC)

A

converts to digital signal 

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14
Q

Monitor

A

See image on the monitor screen 

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15
Q

in CR, DR and image intensifier

A

it is never converted back into x-ray photons don’t pick that answer!!!!!

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16
Q

Magnification mode

A

increases magnification electronically results in a smaller field of view
-decreased input phosphor size, - increases spatial, resolution, and contrast and increases Patient dose
-smaller input size = increased dose
15 cm phosphor size = increases dose
23 cm phosphor size= decrease dose

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17
Q

mag 1, mag 2, mag 3

A

mag 3 would increase the pt dose the most!

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18
Q

Think about the II as the wall Bucky

A

Do you want to get the II as close to the patient as possible to reduce OID when using C arm

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19
Q

increasing the SID

A

Moving the patient away from the x-ray source closer to the II reduces dose

-Decreases magnification
-Decreases OID from II

20
Q

the maximum mA station for fluoro is what

21
Q

flat panel dectectors indirect conversion 

A

X-rays exit the patient
-cesium iodide centiliter convert x-rays delight,
- amorphous silicon photodiode converts light two electrons
-TFT collects electrical signal 

22
Q

errors with fluoro

A
  1. Pincushion artifact
  2. Vignetting
  3. S shape distortion
23
Q

pincushion artifact

A

the loss of shape at the edges of the fluoro image

24
Q

vignetting

A

is a reduction of an images brightness or saturation towards the periphery compared to the image center
* see the most questions about
-look for circle

25
S shape distortion
image in a fluoro system to distort with an “S” shape
26
what is intermittent fluoroscopy ? 
most radiologist are trying to control the fluoroscope intermittently that is keeping the x-rays on only a few seconds at a time long enough to view the area of Anatomy 
27
Removal of grid
The presence of grids in x-ray systems primarily increase the contrast and hence the image quality. However, they increase the dose to the patient and staff by a factor of two or more. in pediatric cases, Removal of the grid has resulted in dose reduction of up to 1/3 to 1/2 with little or no loss in contrast an image quality.***
28
last image hold 
The last image is digitally frozen on the monitor after x-ray exposure is terminated. Last image old is dove saving feature by not taking a formal exposure. -Think a screenshot.
29
electronic collimation 
modern systems have electronic call mission which overlays a collimator blade on the last image hold so that one can adjust field dimensions without exposing the patient
30
Eye with the plus sign on fluoro
boost which is high-dose exposure 
31
just eye symbol
is normal fluoro
32
pulse fluoro 
The x-ray beam is omitted as a series of short pulses, rather than continuously reduced frame rates post fluoroscopy can provide substantial dose savings. -reduces pt dose!!! -continuous increases it :(
33
source to skin distance (SSD)
source to scan distance is the distance between the tube and the patient during fluoroscopy.
34
what is the SSD for mobile fluoroscopy (c-arm)
12inch or 30 cm * know both * take lunch at 12:30 in the OR***
35
what is the SSD for stationary fluoroscopy? ( fluoro room)
15 inch 38 cm
36
in fluoro what angle should you be at when flouroing a patient? 
90 degrees
37
dead mean switch
is the exposure switch x-rays are only generated when the operator actively pressed the switch when the operator releases the switch exposures are no longer generated remote switch = mobile 6ft cord or 2 meters 
38
technologist protection, for fluoro
1. Time 2. Distance 3. Shielding- dosimeter placing is outside of lead shield!!
39
keep the II close go the patient because
it reduces scatter
40
5 minute timer
Audible sound Will alert at five minutes 
41
lead curtain
.25 mm lead -protects tech
42
buckey slot cover
.25 mm lead -protects tech
43
In fluoro, what is the recommended lead apron and thyroid shield thickness?
.50 mm of lead - try not to turn ur back
44
minimum lead thickness for a lead apron and thyroid shield
.25 mm of lead
45
adjust LUT
you can’t do that post processing!! only pre i believe double check. - look out for that when taking exam!