Medical physics Flashcards

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1
Q

How are x-rays produced in an x-ray tube?

A

Electrons are accelerated by a high potential difference between cathode and anode to a high velocity - fast deceleration as x-ray hits very heavy metal - transfers kinetic energy to x-rays and heat.

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2
Q

What is compton scattering?

A
  • Incident photon collides with electron around nucleus
  • Electron is ejected and photon scattered, having lower energy.
  • kinetic energy lost by incident photon is converted into a lower wavelength photon.
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3
Q

What is simple scattering?

A

When X-ray photon is scattered when colliding with electron, same energy before and after.

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4
Q

What is pair production?

A

X-ray photon interacts with nucleus of an atom and electron and positron are produced.

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5
Q

What is attenuation?

A

Reduction of intensity of a wave passing through medium.

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6
Q

Why are higher energy x-rays safer than lower energy x-rays?

A

They are less ionising.

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7
Q

How do image intensifiers improve the image quality of an x-ray image?

A
  • X-ray photons are directed into a scintillator, emits light.
  • Light directed to photocathode, photoelectric effect emits electrons.
  • Electrons strike phosphorus screen, producing brighter image.
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8
Q

Why is a contrast material used?

A
  • Contrast material absorb x-rays due to higher attenuation coefficient. Distinguishes outline of soft tissues.
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9
Q

How do CAT SCANS produce a 3D image? Advantages and disadvantages.

A
  • X-ray source and detectors are moved in a spiral up and down the patient, creating thin cross section
  • Denser material like bone absorb more photons, opposite for low density soft tissue.
  • Levels of attenuation differ, attenuated via photoelectrons.
  • Compute analyses the data and forms 3D image by identifying different levels of attenuation.

Advantages:
* 3D images
* less time consuming

Disadvantges:
* Ionising
* Expensive

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10
Q

How do Gamma camera’s produce an image?

A
  • Gamma emitting isotope ingested
  • Isotope enters blood stream and into blocked organ.
  • Gamma passes through collimator, absorbs photons at an angle. Photons along axes of collimator pass through.
  • Gamma rays hit scintillator, emits many visible light photons. Incident light photons hit photomultiplier which produces current via photoelectric effect.
  • Computer creates image from electrical pulses.
  • Organs have higher amount of gamma detection are blocked.
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11
Q

How do PET scans work?

A
  • Beta plus emitting tracer injected into body.
  • Organ specific tracer emits positron which annihilate electron within patiet.
  • Produces gamma photons which travel n opposite directions.
  • Patient is surrounded by ring of gamma detectors, arrival times indicates location
  • 3D-image is created by computers connected to detectors.
  • Takes 2-4 hours
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12
Q

What is the piezoelectric effect?

A
  • Alternating voltage connected to quartz crystal causes quartz crystal to expand and contract at resonance frequency. This frequency is of ultrasound.
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13
Q

Why is ultrasound emmitted in pulses?

A

To be able to distinguish which reflection comes from which emission.

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14
Q

What is the frequency of medical ultrasounds?

A

1Mhz

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15
Q

How do A-scan ultrasounds work?

A
  • Short pulse of ultrasound sent through body.
  • Transducer receive reflected pulses, causes vertical spikes on CRO screen.
  • X-axis shows time taken to detect the reflected waves and can be used to calculate distances.
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16
Q

How do B-scan ultrasounds work?

A
  • Ultrasound reflects at boundary between materials.
  • B scans take place in different directions producing image
  • Intensity of reflected ultrasound depends on acoustic impedences of the materials.
17
Q

What is acoustic impedence?

A
  • The product of speed of the ultrasound in the medium and the density of medium. Greater difference in Z means a larger intensity of reflected wave and smaller the transmission.
18
Q

Why is gel used in an ultrasoound?

A
  • Used between skin and transducer
  • Acoustic impedance of gel is similar to that for sin, hence, less reflection at sin.
  • Removes gaps between transducer on surface.
19
Q

What happens when electron is ejected

A

Electron from outer ring moves towards ground state down a level, releasing another photon