minimizing exposure to the patient Flashcards

1
Q

what 2 things does EfD incorporate?

A

effect of the type of radiation (EqD)
variability in radiosensitivity of the organ or part irradiated

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2
Q

define risk (general term)

A

the probability of injury, ailment, or death resulting from an activity

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3
Q

defin risk (medically, ref to radsci)

A

the possibility of inducing a radiogenic cancer or genetic defect after irradaition

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4
Q

what is a willingness to accept risk

A

the perception that the potential benefit if greater than the risk involved

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5
Q

with whom does the responsibility for ordering a radiologic exam lie with?

A

the ordering or referring physician

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6
Q

what are 2 reasons for which a patient would elect to assume risk

A

essential diagnostic information of illness or injury
health screening purposes

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7
Q

name 4 benefits of effective communication

A
  • reduces anxiety and emotional distress
  • enhances professional image, as caring
  • increases the likelihood for cooperation
  • reduces repeats due to poor communication
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8
Q

when is communication between radt and pt effective? (3)

A
  • verbal and nonverbal are understood as intended
  • demonstration of respect for dignity and individuality
  • clear, concise instructions
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9
Q

what are the two types of pt motion

A

voluntary and involuntary

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10
Q

how can pt exposure be reduced in regards to motion

A

use proper body part immobilization, or motion reduction techniques

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11
Q

what accuracy must be obtained with distance and centering

A

distance - 2%
centering - 1%

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12
Q

to reduce dose, the SOD must be ____

A

as large as possible

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13
Q

what is the minimum SSD

A

30cm or 12 inches

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14
Q

what is SSD

A

source to skin distance

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15
Q

what is the general distance used for mobile radiography

A

100 cm
sometimes 120cm

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16
Q

what is the dose advantage of imaging PA?

A

reduction of dose to gonads, breast tissue, thyroid

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17
Q

why would you maybe not use a PA position

A

if AP is needed for demonstration
for comfort
pt might not be able to move/perform PA

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18
Q

name 4 x-ray beam limitation devices

A

light-localizing variable-aperture rectangular collimator
aperture diaphragms
cones
cylinders

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19
Q

what are the 2 major advantages to beam limitation

A
  1. significant reduction in pt dose (scatter is reduced)
  2. improves image quality
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20
Q

every ____, _____ checks collimation and ___ ____ _____

A

year, SC35, light beam congruency

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21
Q

what is the purpose of radiographic beam filtration

A

to filter out (absorb) the low energy photons, which are the most harmful

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22
Q

what are the 2 types of filtration

A

inherent and added

23
Q

what is the most common material used for filtration?

24
Q

what is a HVL?

A

half-value layer is the thickness of an absorber required to dec the ea, by 50% of it’s initial value

25
in what units is HVL expressed in
mm of aluminum (generally)
26
how often is HVL measured?
yearly
27
what are the 2 most common filter materials for mammographic equipment
molybdenum and rhodium
28
what do compensating filters do
partially attenuate x-rays directed towards thinner/less dense areas
29
what are 3 types of compensating filters
wedge filter through/bilateral wedge filter boomerang
30
what is the function of a radiographic grid
to absorb scatter
31
what grid ratio is used for <90 kVp
8:1 is satisfactory
32
what grid ratio must be used for >90kVp
more than 8:1
33
what 4 grid mistakes can create grid cutoff
off-level off-centre off-focus upside-down
34
how often is grid performance checked
yearly
35
what lead equivalent is required for gonadal shielding
0.25mm
36
what protects patients and staff from radiation leakage
lead-lined metal diagnostic protective tube housing
37
what is the threshold for the leakage limit
at 1mm from source, leakage does not exceed 1mGya/hr aka 100mR/hr when tube at highest voltage & current
38
how can IR sensitivity reduce dose?
higher sensitivity required less ra
39
what is the minimum SSD for mobile fluoroscopy units
30 cm, 12 inches
40
what is the minimum SSD for stationary fluoroscopy units
38 cm, 15 inches
41
in fluoro, smaller the imaging mode: (more/less) magnification (more/less) pt dose
more magnification more dose
42
intermittent/pulsed fluoro (inc/dec) pt dose
decreases, especially in long procedures
43
what does a cumulative timing device do? (in fluoro)
sounds an alarm every 5 minutes, bringin awareness to dose
44
what type of switch MUST fluoro machines have
dead-man switch
45
what is the minimum source-to-end of collimator assembly in mobile C-arm
30 cm, 12 inches
46
where is the C-arm tube ideally positioned?
under the patient
47
with mobile C-arm, why is under the pt the best position?
scatter radiation is less intense (absorbed by table)
48
what does ESE stand for?
entrance skin exposure
49
what is ESE
a measurement of radiation output at the point of skin entry for common x-ray examinations
50
what is the unit ESE is measured in?
C/kg, mR, mGy
51
how often should ESE measurements be performed
at least semi-anually, or each time the equipment is serviced
52
what may need to be updated after ESE measurements are taken
the radiographic technique chart
53
what is the calculation for ESE
ESE = mR (or mGy) x (SCD/SOD)^2
54
what is SCD
source to chamber distance (dosimeter)