IP - Equipment Operation and Quality Assurance Flashcards

1
Q

During the post-processing of a radiographic image, which technique would be most appropriate to
enhance the visibility of small structures?

Edge enhancement
Smoothing
Reformatting
MTF adjustment

A

Edge enhancement

Edge enhancement is most appropriate for making small structures more visible as it increases the contrast at the edges, thus highlighting these details. Smoothing, while
useful for reducing noise, often results in blurring of fine details, which is counterproductive when trying to enhance small structures. Reformatting changes the viewing plane of the image, which may be useful for viewing but does not
specifically enhance small structures. MTF adjustment relates to system resolution and overall image quality, but not directly to the enhancement of small structures in a
processed image

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2
Q

Which parameter of radiographic image quality does a step wedge primarily test?

Image magnification
Spatial resolution
Radiation penetration
Dynamic range

A

Radiation penetration

A step wedge, or penetrometer, is primarily used to test radiation penetration. This tool helps evaluate how different thicknesses affect the X-ray’s ability to penetrate
materials, which is vital for determining optimal exposure settings and assessing material differentiation in images. Image magnification, spatial resolution, and dynamic range, while associated with other quality aspects, are not primarily tested with a penetrometer

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3
Q

When discussing raw data in image processing, which of the following best describes the purpose
of noise reduction algorithms?

To enhance the color accuracy of images
To increase the sharpness of the image
To decrease the random fluctuations in image data
To resize the image without loss of details

A

To decrease the random fluctuations in image data
To resize the image without loss of details

Noise reduction algorithms aim to improve image quality by minimizing random statistical fluctuations inherent in the raw data, thereby producing a clearer image. Enhancing color accuracy, increasing sharpness, and resizing images are different aspects of image processing and do not directly relate to the primary purpose of noise reduction algorithms.

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4
Q

What is the role of MTF in the assessment of imaging system performance?

It measures the system’s ability to reproduce various shades of gray.

It evaluates how well the system resolves image detail.

It determines the maximum exposure limits for safe operation.

It assesses the ergonomic design of the imaging equipment.

A

It evaluates how well the system resolves image detail.

Modulation transfer function MTF is a critical measure of an imaging system’s resolution capability, indicating how well it can depict details. Measuring shades of
gray, determining exposure limits, and assessing ergonomic design are important aspects of imaging systems but do not specifically evaluate detail resolution.

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5
Q

Which feature in modern x-ray generators contributes to reducing patient dose while maintaining
image quality?

High-capacity battery systems
Direct current DC generation
High-frequency power output
Advanced cooling mechanisms

A

High-frequency power output

High-frequency power output minimizes dose by providing more consistent and efficient x-ray production, reducing the amount of radiation needed to produce quality images. High-capacity batteries improve the mobility of units but do not directly affect dose or image quality. DC generation ensures consistent power but does not inherently reduce dose. Cooling mechanisms protect equipment but do not
directly influence radiation dose.

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6
Q

In the selection of display monitors for radiographic imaging, why is the pixel pitch a critical
specification to consider?

It determines the clarity and resolution of the images.
It affects the color depth available on the monitor.
It influences the monitor’s susceptibility to ambient light interference.
It impacts the energy efficiency of the display unit.

A

It determines the clarity and resolution of the images.

Pixel pitch, which refers to the distance between the centers of two adjacent pixels, directly affects the clarity and resolution of the images displayed. A smaller pixel pitch
allows for higher resolution, meaning that finer details can be seen more clearly, which is paramount in making accurate diagnostic decisions. While color depth,
ambient light interference, and energy efficiency are important considerations, none have as direct an impact on the diagnostic capabilities of the monitor as pixel pitch.

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7
Q

What role do display monitors with high dynamic range (HDR) capabilities play in pediatric imaging?

They allow for a reduction in physical size of the equipment.

They enhance the visibility of subtle differences in soft tissues.

They enable faster image processing speeds

They decrease the radiation dose needed for imaging.

A

They enhance the visibility of subtle differences in soft tissues.

HDR capabilities improve the display of images by enhancing contrast and detail resolution, especially beneficial in pediatric imaging where the visibility of subtle
differences in soft tissues can be critical for accurate diagnosis. The physical size of the equipment is unaffected by HDR capabilities. HDR affects image quality, not
processing speed. Radiation dose is determined by the imaging acquisition parameters, not the display technology.

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8
Q

Which of the following devices converts light photons into electrons in a flat panel detector?

Amorphous selenium (a-Se)
Photodiode
Scintillator layer
Thin-film transistor TFT array

A

Photodiode

A photodiode converts light photons into electrons in a flat panel detector. A photodiode is used in an indirect conversion process, in which x-ray photons are first
converted to light in the scintillator layer. A photodiode layer converts this light into electrons, which are collected by the thin-film transistor (TFT), CMOS, or charge coupled device (CCD) array. Amorphous selenium (aSe) is used in a direct conversion process to convert x-ray photons directly into an electrical signal.

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9
Q

Which component in a radiographic unit is responsible for absorbing low-energy X-rays before they
reach the patient?

Grid
Collimator
Inherent Filter
Compensating filter

A

Inherent Filter

Inherent filters, typically made of aluminum and built into the X-ray tube, are placed in the path of the X-ray beam to absorb low-energy X-rays that contribute to patient
dose without improving image quality. Grids are used to reduce scatter radiation, not absorb low-energy X-rays. While the collimator does absorb a few photons, its
primary purpose is to shape and limit the X-ray beam. Compensating filters are used to even out exposure levels across the image and are not part of the radiographic
unit.

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10
Q

What role does automatic rescaling play in the display of radiographic images?

It adjusts the contrast of images.
It modifies the image resolution.
It alters the brightness levels in the
histogram.
It corrects spatial distortions.

A

It alters the brightness levels in the
histogram.

Automatic rescaling involves modifying how luminance is represented across the
image to ensure accurate brightness levels, which is essential for correct radiographic
interpretation. It does not directly adjust image contrast or resolution, nor does it
correct spatial distortions. Instead, it focuses on aligning the brightness
representation to ensure that the displayed image accurately reflects the radiological
intensities captured.

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11
Q

Refer to the diagram. What component within the x-ray generator significantly affects the quality of the x-ray beam?

kVp meter
High voltage transformer
Filament circuit
Rectification system

A

High voltage transformer

The high voltage transformer B is key in determining the
quality and intensity of the x-ray beam by controlling the
voltage applied to the x-ray tube. This ensures that the xrays produced have the appropriate energy and penetration power. While kVp does play a role in image
quality, the kVp meter A simply measures the kVp and does not affect the quality of the beam. The filament circuit C primarily heats the x-ray tube filament, influencing the quantity of electrons produced but not the overall quality of the x-ray beam. The rectification system
D converts AC to DC, impacting the consistency of the beam rather than its quality or intensity.

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12
Q

Which feature of display monitors affects the ability to differentiate between small contrast
differences in radiographic images?

Color depth
Luminance
Response time
Viewing angle

A

Luminance

Luminance directly influences how contrast details are perceived on a display monitor, which is critical for distinguishing small differences in contrast in radiographic images. Color depth, response time, and viewing angle, while important
for overall image quality and display performance, do not primarily impact the ability to differentiate small contrast differences.

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13
Q

In radiography, what is the purpose of using a grid with higher grid ratios?

To increase the potential for scatter radiation absorption

To decrease the amount of mAs needed for an exam

To decrease the likelihood of a repeat exposure

To increase the exposure time necessary for imaging

A

To increase the potential for scatter radiation absorption

Higher grid ratios are used to increase the effectiveness of scatter radiation absorption, thereby improving image contrast by reducing the amount of scatter
reaching the detector. A higher grid ratio actually requires more mAs rather than decreasing it. Grids should not be used to decrease the likelihood of a repeat exposure; if not used correctly, grids can cause a repeat examination. Increasing grid
ratio does not inherently require longer exposure times; it requires an overall increase in mAs but not necessarily in the exposure time.

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14
Q

When discussing raw data in image processing, which of the following best describes the purpose
of noise reduction algorithms?

To enhance the color accuracy of images
To increase the sharpness of the image
To decrease the random fluctuations in image data
To resize the image without loss of details

A

To decrease the random fluctuations in image data

Noise reduction algorithms aim to improve image quality by minimizing random statistical fluctuations inherent in the raw data, thereby producing a clearer image.
Enhancing color accuracy, increasing sharpness, and resizing images are different aspects of image processing and do not directly relate to the primary purpose of noise reduction algorithms.

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15
Q

An x-ray machine transformer has a primary voltage of 220 volts. If the primary coil has 200 turns of
wire and the secondary coil has 4,000 turns, what is the voltage on the secondary side of the
transformer?

11 volts
200 volts
3,636 volts
4,400 volts

A

4,400 volts

An x-ray machine transformer that has a primary voltage of 220 volts and 200 turns of wire on the primary side with 4,000 turns on the secondary side would have 4,400
volts on the secondary side. The first step in this problem is to calculate the transformer ratio, which is equal to the number of secondary turns divided by the number of turns on the primary side. In this question, the transformer ratio would be
calculated as 4,000/200  20. Next, the primary voltage needs to be multiplied by the transformer ratio to get the new voltage on the secondary side of the transformer. In this question, the new voltage would be calculated as 220 volts x 20  4,400 volts.

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16
Q

Which two components are included in a digital imaging system that converts x-ray photons directly
into an electrical signal? (Select two)

Photodiode
Amorphous selenium (aSe)
Scintillator layer
Thin-film transistor (TFT) array

A

Amorphous selenium (a-Se)
Thin-film transistor (TFT) array

Amorphous selenium (aSe) and a thin-film transistor TFT array are included in a digital imaging system that converts x-ray photons directly into an electrical signal. This type of system is known as a direct-capture imaging system. In this system,
amorphous selenium (a-Se) converts incident x-rays photons directly into an electrical signal. This electrical signal is collected by the thin-film transistor (TFT) array. The scintillator layer and photodiode are included in an indirect-capture imaging system that converts x-rays to light and light into an electrical signal.

17
Q

What is the role of HL7 in a MIMPS integrated with other hospital information systems?

To improve image resolution
To standardize the communication of medical data
To enhance image processing algorithms
To increase storage capacity

A

To standardize the communication of medical data

HL7 Health Level Seven) is a set of international standards used to standardize the communication of medical data between various healthcare information systems,
including MIMPS. This facilitates interoperability, ensuring that different systems can exchange and interpret data consistently. HL7 does not directly impact image resolution, processing algorithms, or storage capacity.

18
Q

In maintaining digital radiographic systems, what is the purpose of a dark noise test?

To check for electronic noise in the absence of exposure

To evaluate the power supply consistency

To determine the efficiency of image processing algorithms

To assess the uniformity of image brightness

A

To check for electronic noise in the absence of exposure

A dark noise test in digital radiographic systems is conducted to check for electronic noise when there is no exposure. This test is crucial for ensuring that the base level of noise in the imaging system is minimal, which affects the clarity and quality of the final image. Evaluating power supply consistency, efficiency of image processing algorithms, and uniformity of image brightness, while important, are not specifically
assessed by this test.

19
Q

What is evaluated in the ghosting test for digital radiographic systems?

The persistence of a residual image on the detector

The speed at which images are erased from the detector

The ability of the system to handle multiple users accessing the same image

The consistency of grayscale displayed across different exposures

A

The persistence of a residual image on the detector

The ghosting test in digital radiographic systems evaluates the persistence of residual images on the detector after an exposure. This test is essential to ensure that subsequent images are not affected by remnants of previous exposures, which could compromise image quality and diagnostic accuracy. While the speed of image erasure, handling multiple users, and consistency of grayscale are important aspects of digital radiography, they do not directly relate to the evaluation of ghosting effects

20
Q

Which test ensures the appropriate response of a radiographic system to changes in exposure
factors?

Linearity test
Resolution test
Output consistency test
Radiation leakage test

A

Linearity test

The linearity test ensures that the radiographic system responds appropriately to changes in exposure factors such as time, milliampere seconds (mAs), and kilovoltage (kV). It verifies that the output is proportional to the input, which is critical for both safety and quality in radiographic imaging. The resolution test, output consistency
test, and radiation leakage test, while important, do not specifically assess the system’s response to changes in exposure factors.

21
Q

Which of the following devices is an alternative to a photomultiplier tube (PMT) in a computed
radiography (CR) plate reader?

Analog-to-digital converter (ADC)
Charge-coupled device (CCD)
Scintillator
Thin-film transistor (TFT)

A

Charge-coupled device (CCD)

A charge-coupled device (CCD) is an alternative to a photomultiplier tube (PMT) in a computed radiography (CR) plate reader. A PMT and a CCD function in very similar ways. They both capture light photons and convert them to an electrical signal.

22
Q

Which component of an X-ray generator is primarily responsible for controlling the duration of the X-ray exposure?

Rectifier
Step-down transformer
Timer circuit
Step-up transformer

A

Timer circuit

The timer circuit is crucial for setting and controlling the exact duration of the X-ray exposure, directly influencing image quality and patient dose. The rectifier converts AC to DC and does not control timing. The stepdown and step-up transformers adjust voltage levels but have no role in timing the exposure.