Lesson 1-2 (FINALS) Flashcards
Occupational radiation exposure: Dose limit
20 mSv/yr
Occupational radiation exposure: General x-ray activity
not exceed 1 mSv/yr
It contributes to the highest occupational
exposure of diagnostic x-ray personnel
Fluoroscopy
Personnel exposure is related directly to the x-
ray beam-on time
Fluoroscopy
Fluoroscopy: X-ray tube over the table: Disadvantage rationale
- Higher levels of scatter
- Leakage radiation
Fluoroscopy: X-ray tube over the table advantage and disadvantage
Advantage: in terms of image quality
Disadvantage: higher personnel exposures
Fluoroscopy: It is best to position the x-ray tube _____ during mobile & C-arm fluoroscopy.
Under the patient
Personnel receive higher exposures
Interventional Radiology
Interventional Radiology: Personnel receive higher exposures: Rationale
longer fluoroscopic x-ray beam-on time
Personnel exposures are low
Computed Tomography
Contribute to higher exposure
Interventional Radiology
Interventional Radiology: Contribute to higher exposure, 2
- Absence of protective curtain
- Use of cineradiography
Personnel exposures are low
Mammography
Interventional Radiology dose limit
500 mSv/yr
_____ must be provided for interventional radiologists
Extremity monitoring
Occupational exposure for nursing personnel & other working in the operating room & intensive care unit is near _____
Surgery: Zero
Computed Tomography: Personnel exposures are low: Rationale
- CT x-ray beam is finely collimated
- Only secondary radiation is present in the examination
It contributes to the highest occupational exposure of diagnostic x-ray personnel
Mobile radiography
Mammography: Personnel exposures are low: Rationale
Less scatter radiation due to low kVp operation
It is not necessary to provide occupational
radiation monitors for such personnel
Surgery
It is specified only for occupational exposure
Dose Limit (DL)
Mobile radiography: Wear occupational radiation monitor
- Radiologic technologist
- Anyone who is required to immobilize or hold patients
- Personnel who regularly operate C-arm fluoroscope
- Personnel who regularly in the immediate vicinity of C-arm fluoroscope
The dose of radiation that would be expected to produce no significant radiation effects
Maximum Permissible Dose (MPD)
Radiation and Pregnancy: Radiobiologic Considerations: Time dependence: major organogenesis
2nd-10th weeks
It has been replaced by _____
Maximum Permissible Dose (MPD): Dose Limits
Maximum permissible occupational radiation dose
Dose Limit (DL)
Radiation and Pregnancy: Radiobiologic Considerations: Time dependence: 1st 2 weeks biologic response
resorption of the embryo & no pregnancy
Current DL
1 mSv/week
Radiation and Pregnancy: Radiobiologic Considerations: Time dependence: Least hazardous
1st 2 weeks
Radiation and Pregnancy: Radiobiologic Considerations: Time dependence: The major organ system of the fetus is developing
2nd-10th weeks
Radiation and Pregnancy: Radiobiologic Considerations: Time dependence: 2nd-10th weeks biologic response
congenital malformation
Radiation and Pregnancy: Radiobiologic Considerations: Time dependence: 2nd & 3rd trimester principal response
malignant disease during childhood
Radiation and Pregnancy: Dose Dependence: Previously noted effects
200 rad
Radiation and Pregnancy: Dose Dependence: Spontaneous abortion
< 25 rad (during 1st 2 weeks)
Radiation and Pregnancy: Dose Dependence: Enumerate
- Previously noted effects
- Spontaneous abortion
- Congenital abnormalities
Radiation and Pregnancy: Dose Dependence: Congenital abnormalities
Fetal dose: 10 rad
One should never knowing examine a pregnant patient with x-rays unless a _____ to do so has been made
Patient Information: Documented decision
Example x-ray consent
Patient questionnaire
Patient Information: Enumerate administrative protocols
- Elective booking
- Patient questionnaires
- Posting
An alternative procedure to have the patient herself indicate her menstrual cycle
Patient questionnaire
Radiologic Technologist
100 mrem/yr
1 mSv/yr
Radiologist receive _____ than radtech
higher dose (esp. during fluoroscopy)
Highest exposure
1.
2.
Safest
1.
2.
Highest exposure
1. Mobile radiography
2. Fluoroscopy
Safest
1. Ultrasound
2. Computed Tomography