Image Production Kettering Audio Flashcards
Define Receptor Exposure:
The overall amount/quantity of x-ray radiation that reaches the IR
The main controlling factor of receptor exposure:
mAs
The relationship between mAs and Receptor Exposure:
Directly Proportional
If you increase the mAs, what happens to receptor exposure?
Increases
Double mAs: __________ Receptor Exposure
Double
Define Contrast:
The difference in adjacent areas
Kvp is the main controlling factor of:
Subject Contrast
The main controlling factor of image contrast:
Look Up Table (LUT)
The relationship between kvp and contrast:
Inversely Proportional
Increase kVp, contrast _______
Decreases
Increase mAs, _______ contrast
No effect
The relationship between SID and Receptor Exposure:
Inversely proportional
Increase SID, _________ receptor exposure
Decrease
Increase SID, _________ Contrast
No effect
The relationship between Receptor Exposure and kVp:
Directly Proportional
Increase in kVp: ________ receptor exposure
Increase
Increase kVp: ______ contrast
Decrease
The relationship between kVp and contrast:
Inversely Proportional
Increase Grid Ratio: ________ Receptor Exposure
Decrease
The relationship between Grids (Grid Ratio) and Receptor Exposure:
Inversely proportional
What do grids do?
Clean up scatter radiation and have the contrast more black and white by appearance (high contrast)
Increase Beam Filtration: what happens to receptor exposure and contrast
Decrease
Define Subject Density:
How tightly compacted at the atomic level
List in order from least to greatest attenuation:
Air Fat Bone Muscle
Air
Fat
Water
Muscle
Bone
List in order from greatest to least attenuation:
Bone
Muscle
Water
Fat
Air
If more radiation reaches the IR, receptor exposure ________
Increase
If more radiation gets absorbed in the patient, _____ contrast
Increase
What kind of kV do you use on a mammogram?
25-30 kV
What would you do with the kV for soft tissue examination of the neck?
Drop it
When things have the same attentuation:
Drop the kV, maximal differential absorption
Responsible for the blacks and whites on an image:
Photoelectric Effect
Why is air dark black on an image?
Shows a high rate of radiation reaching the IR (less attenuation)
Anything white or opaque on an image:
Shows high rates of absorption (high attenuation) low rates of radiation reaching the IR
Increase in subject density, ________ contrast, ________ receptor exposure
Increase, decrease
Additive pathology, ________ receptor exposure, ________ contrast
Decrease, Increase
Destructive pathology, ___________ receptor exposure, __________ contrast
Increase, decrease
Increase beam restriction= _________ field size, ________ receptor exposure, _______ contrast
Smaller, decrease, increase
Increasing collimation (beam restriction) results in:
Decreasing Field Size
Decreasing Receptor Exposure
Decreasing the amount of scatter reaching the IR
Increase Collimation=
Decrease in receptor exposure, decrease in contrast
Increase field size=
Increase in receptor exposure, decrease contrast
Distortion:
Misrepresentation
What affects size distortion?
SID
OID
Shape Distortion:
Foreshortening and Elongation
If you increase SID, what happens to magnification? Recorded Detail (spatial resolution)?
Decreases, Increases
Why do you do a PA Chest Erect at 72 inches?
To reduce heart magnification
Increase OID, magnification? Spatial Resolution?
Increase magnification, decrease spatial resolution
Which had the greatest effect on magnification? SID or OID?
OID
For every 1 inch for OID, increase SID by?
7 inches or 8 inches
Increase SID:
Decrease magnification
Increase OID
Increase Magnification
Two focal spot sizes:
Small and Large
If you increase focal spot size:
Decrease Spatial Resolution
If motion is present on an image:
Compromised spatial resolution
If motion is present on an image:
REPEAT IT
As a technologist you forget the AP Axial Projection of the sacrum, you forget to angle the tube and come in perpendicular, what will the resulting image look like?
Foreshortening (Shape Distortion)
Define Matrix:
Number of rows times the number of columns
More rows and more columns=
Greater pixel coverage
Increase matrix size=
Increase spatial resolution, better pixel coverage
Increase pixel size:
Decrease Spatial Resolution
As PSP plate size increases:
Spatial resolution decreases
The main controlling factor of spatial resolution is:
Sampling Frequency or (focal spot size)
As the field of view increases for a fixed matrix size:
Spatial resolution decreases (increase pixel size)
Increase in the flat panel DEL,
Decrease spatial resolution
Receptor Exposure Define:
Overall amount/quantity of radiation that reaches the IR
Definition of Radiographic Contrast:
Difference in adjacent areas
If an image has high contrast: more/less blacks and whites
MORE
Low contrast:
Lots of shades of grey, less blacks and whites
Seperate mA and time in a question. Multiply in the question and match in the answer.
Law of reciprocity
Define inverse square law:
Intensity is inversely proportional to the square of the distance
If distance gets ever gets doubled or cut in half the intensity will change by a factor of:
4
If you double the distance intensity is:
4 times less
If you cut the distance in half intensity is:
4x more
Direct Square Law Equation:
mAs1/mAs2 = (SID1/SID2)^2
What new mAs will be used to MAINTAIN:
Direct square law/receptor maintenance formula
The 15% kVp rule states:
If you increase or decrease the kVp by 15% you either double or cut the receptor exposure in half
Double the receptor exposure by applying the 15% kVp Rule, at 80 kVp and 30 mAs, what is the new technique?
92 kVp and 30 mAs!
Cut the receptor exposure in half by applying the 15% rule, 80 kVp and 30 mAs. What is the new technique?
68 kVp and 30 mAs
“The receptor exposure is sufficient, but the contrast needs to be increased”
Use the 15% kVp rule. Increase kVp. Cut the mAs in half on the backend. Decrease kVp, double the mAs
Grid Ratio=
H/D
In a diagram, height of the lead strips (use), thickness of lead strip (not use), distance between the interspace (use):
H/D
Non-Grid:
1
5:1 Grid:
2
6:1 Grid:
3
8:1 Grid:
4
10:1/12:1 Grid:
5
16:1 Grid Ratio:
6
A Radiographic examination is performed 80 kV, 10 mAs, 100 cm SID, with a 5:1 Grid Ratio. A new exposure is made with a 16:1 Grid Ratio to increase the contrast. What is the new technique?
Old mAs/new mAs= Old Grid/new Grid
A Radiographic examination is performed with 70 kV, 10 mAs, 100 cm SID, with a 200 speed image receptor, a new exposure is made with a 8:1 grid. What is the new technique?
Apply the non grid=1
Have to go with the closest number to the calculator. Old mAs/New mAs = old grid/new grid
The purpose of filtration:
Cleans up longer wavelength x-rays, soft x rays, reduces the ESE
As part thickness increases:
Increase in attenuation
Attenuation
Reduction in x-ray intensity that passed through matter
As atomic number increases:
Attenuation increases
Define pathology:
Define Atalacticis:
Collapsed lung
Define Ascities:
Accumulation of Fluid
Define pneumothorax:
Define spondolotithesus:
Displacement of one vertebra on top of another vertebra
Additive pathology: what happens to technique?
Increase technique
Destructive pathology; what happens to technique?
Decrease technique
A patient presents in the ED department fever shortness of breath, cough:
Pneumonia (pneumonic infiltrate)
The patient presents with diapheretic, cool clammy to the touch, fever:
Congestive heart failure
So T-spine, place the cathode over: and the anode:
Lower t-spine, upper t-spine
Always place the cathode over the:
Proximal joint
Always place the cathode:
On the thoracic and abdominal cavities
The cathode goes:
Lower t-spine, lower thorax, lower diaphragm
On a average adult, lateral T-Spine it requires: 3 views Ap Lateral the lateral cervical thoracic projection (Swimmers).
Put the cathode up
Short scale contrast:
Black and white appearance
I’m a myeologram we inject intrathecally:
Within the spinal canal
The three things that effect the production of scatter radiaiton
High kVp
large thick parts
large field sizes
All of the following effect the production of scatter radiation except:
The use of a Grid
Long scale:
More gray appearance
Increase kVp
Decrease contrast (forward scatter)
What controls image contrast on a chest x-ray?
LUT
Computers algorithm
Histogram analysis
With the use of filtration the beam becomes:
More homogenous
Umbra
Clear concise center
Penumbra
Blurring around the edges
The penumbra (geometric unsharpness) is always greater on the:
Cathode side of the beam
If you increase the OID:
Increase magnification, decrease spatial resolution
A heart on an IR measures 15.2 cm at its widest point but its true width in the chest cavity is 13.6 cm. How much magnification?
Image size/object size, always bigger on the image (big/small)
A Radiographic examination is performed with 180 cm SID, but the anatomical part has a 20cm OID. How much magnification?
SID/OID
SID-OID=SOD
180-20= 160
180/160= 1.125
When the day how much magnification: use what formula
SID/SOD
Increase SID:
Decrease magnification, increase Spatial resolution
What effects size distortion and spatial resolution:
OID and SID
What is the best way to control voluntary motion? Respiration, peristalsis, Parkinson’s disease
Clear concise instruction
Proper communication
What is the best way to control involuntary motion:
Shortest possible exposure time
Increase in focal spot size:
Decrease in spatial resolution
Sampling frequency controls:
Spatial Resolution
Define Actual Focal Spot:
Electrons actually strike the target
Define effective focal spot:
Gets projected down to the patients
Which is larger the actual or effective focal spot?
Actual
The incorporated design of the line focal principle creates:
Larger actual focal spot
smaller effective focal spot
Which of the following anode angles gives you the greatest spatial resolution:
Pick the smallest angle!
If you are doing a hand X-ray and doing it table top, is it the use of APR or AEC?
APR (anatomically programmed radiography)
Caliper:
Device used to measure part thickness.
Fixed kVp
kV stays fixed for the exam.
60 kv on every hand, 70 kv on every knee, 80 kV on every pelvis but it is appropriately fixed for that examination.
kVp is determined by using ______ to accurately measure the thickness of the body part being evaluated
Caliper
Variable kVp
Always use 10 mAs on every knee, 20 mAs on every hip, 30 mAs on every pelvis. The kVp changes.
A set of calipers an anatomical part (pelvis) to be 20cm, 21 cm, 22cm you would use how much kV?
80 kV, 82 kv, 84 kv
For every cm of part thickness increase, increase ____ kVp per.
2
A patient falls hurts their wrist, plaster cast on wrist, what new kVp?
8-10 kVp increase