Past paper Qs Flashcards

1
Q

How does the X-ray spectrum vary with Kv and Ma changes. what is the characteristic peak of tungston.

A

Increases in Kv shift the peak to the right and increase area under the graph. Increases quality and quantity of the beam. If the max Kv includes the characteristic X-ray energy then that will be emitted. For tungston that is 60 and 70KeV.

Ma will increase only area under graph. i.e. quantity

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1
Q

How do you increase X-ray tube efficiency

A

Increase the voltage

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2
Q

Define absorbed dose, Equivalent Dose and Effective dose. Under what conditions would they be the same for the same exposure?

A

Absorbed - Energy deposited by ionising radiation

Equivalent - Includes a weighting factor to take into account the type of radiation and it’s ionising effect.

Effective - From equivalent takes into account the sensitivity of that type of tissue to radiation.

The same if radiation weighting factor = 1 (X-rays) and the entire body is uniformly irradiated.

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3
Q

Summerise the main functions of a pacemaker

A
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4
Q

Why is carbon not used for MRI but Hydrogen is?

A

It does not provide as good a nuclear magnetic resonance signal as hydrogen. because it has an even number of protons and neutrons.

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5
Q

How do you change a spin echo pulse sequence to a gradient echo pulse sequence?

A
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6
Q

Which are the two main categories of non-ionising radiation sources in healthcare. and which one has heating as it’s main health effect?

A

Radiofrequency radiation - MRI

Optical Radiation - UV. Main effect is heating

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7
Q

Which are the three main health effects in the optical radiaition spectrum between 200-700nm.

A

Photochemical effects

Thermal effects

Photomechanical

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8
Q

Distinguish between stochastic and deterministic effects of ionising radiation

A

Stochastic -

Deterministic -

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9
Q

Explain how these principles of stochastic and deterministic radiation lead to the two principles of ionising radiatino protection

A

As low as reasonably Practicable.

Threshold of what exposures should not be more than

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10
Q

Summerize with a diagram the main parts of an image intensifier and an X-ray tube

A

kjb

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11
Q

Cacculate the spatial resolution of a CT scanner if the diameter of teh scanning field is….

A

,,,,

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12
Q

Explain briefly blood pressure measurement

A

blah blah

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13
Q

Describe the characteristics of laser radiation that differentiate it from other non-ionising EMF radiations

A
  1. It uses visible light

2.

3.

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14
Q

Describe the need of a common image format in PACS systems

A

5

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15
Q

Identify an application where the hydrogen nucleus is not used for MRI

A

duh duh duhhhh

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16
Q

Summerise the main sources of noise in ECG and briefly explain the main methods of minimising / eliminating them

A

many things

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17
Q

Describe the major processes performed on a digital image during segmentation. Include pre-processing through object discrimination and morphological processing.

A

Pre-processing - Histogram equilisation

Object discrimination - Binary contrast enhancement

This produces an object with rough edges ill define and noisey.

Binary morphological processing. Erosion and dilation filters are used either in opening or closing ways. These smooth contours and removes either bright pixels or dark pixel areas respectively.

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18
Q

Outline an example of a simple brightness / texture feature and of a shape feature which might be appropriate in identifying stained circular cells on histology slides

A

Mean brightness feature can help identify whether a pixels belong to an object or not.

Texture analysis can be completed by Fourier analysis. Completed in small sections this can help identify the object outlines according to local variance in spatial frequencies.

Various shape parameters can be used to identify a shape once it’s boundaries have been identified. icluding the objects area. In this case roundness: the ratiio of the object area to the area of it’s convex hull, close to 1 in circular objects.

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19
Q

How might the features of of circular shape and edges be used in finally classifying the segmented objects.

A

Brightness/ Tesxture: Objects with similar brightness levels or texture patterns may belong to the same class.

Shape: Circular cells in histology slides can be identified based on their roundness

Classification: Cells may be classified based on a combination of brightness texture and shape. Neural networks and fuzzy logic can be employed to classify objects based on multiple features.

20
Q

Image data is often resampled or remapped prior to processing it further. Why and how is this done and what precautions should be taken to minimise errors and aretefacts?

A

Resampling and mapping is done for various reasons including correcting distortions alterting perspective or adjusting resolution. This process invovles repositioning pixels within an image according to mathematical transformations.

How its done:

Completed using affine transforms for translationg rotation and caling to reposition pixels without introducing curvature.
Warping: Non-linear transformations for complex distortions (barrel) involving polynomial equations with higher powers.

Control points: Selected points in the image define areas of pixels and their positions in the transformed image.

  1. Precautions: Low-pass filtering for down-sampling: This avoids aliasing artefacts when reucing resolution.

Pixel interpolation for Up-sampling: During up-sampling, where the output resolution is higher than the input, pixel interpolation techniques are used to estimate pixel values between already known values. Nearest neighbour or bilinear or higher order interpolation. Avoids pixelation.

21
Q

Image processing may be classified into point local and global processes explain these and give practical examples

A

Pixel point

22
Q

Briefly describe Image re-sampling prior to spatial transformation

A

Spatial transformations include enlarging and distorting images and moving them in space. There is an issue with resampling as the new position is not an exact pixel shift. With rotations, the pixels will be in slightly more offset positions. Resampling is required on the original image to ensure that when you move something, you don’t result in issues with sharp edges. For example, scaling down - resampling is important to do before reducing the size as you might lose data. You begin by smoothing the image to avoid moire fringes / sampling errors.

23
Q

What is the equation to find max frame rate in ultrasound.

A

f = C / 2DN

24
Why is ultrasound attenuated through bone
Bone has a high Z number compared to tissue. This causes high reflectivity and little transmission
25
Why is distortion of displayed depth through fat?
Speed of sound is slow through fat, therefore signal arrives later than expected. This results in mapping the signal as coming from a deeper location than it actually does.
26
Why do mirror images of ultrasound occur. e.g. whe nimaging the diaphragm or lung surface
At the lung/diaphragm surface there is a large change in impedance. Due to this, most of the ultrasound is reflected. The reflected part starts to image itself due to other scattering and reflections of surrounding tissues. Ultrasound assumes a linear propagation.
27
In ultrasound energy is...
Conserved, reflected and transmitted
28
Calculate the reduction in energy in dB through a barrier in ultrasound
Ir / Ii = (Z1 - Z2)^2 / (Z1 + Z2)^2 in dB = 10log_10(Ir/Ii) = should be a negative to indicate a reduction in energy.
29
In ultrasound what is a shadow artefact and how does it occur?
wave passes through something very attenuating
30
Ultrasound, enhancement artefact
Part below something appears brighter due to changes in impedance. e.g. below a blood vessel.
31
Us reverberation artefact
Due to multiple unexpected reflections
32
Us Ghost image artefact
Image appears in the wrong place due to reflection. If we have a different speed of sound. Wave might pass through faster and things appear closer. Speed variation causes depth variation .
33
Summerise the principle of defibrillation, draw a diagram and explain how to estimate the power of the defibrilating pulse of an external defib
34
Describe how an echo pulse is formed in a spin echo pulse sequence. Include accounts of the seperate contributions of the RF refocussing pulse and the imaging gradients on the frequency encoding axis
35
Explain how non-laser radiation can induce skin damage if it has emissions in the UV range rather than the visible one
Higher energy photons allow it to penetrate the skin and cause damae to the cells and DNA. Causing protein and lipid damage.
36
Why does colourflow imaging decrease maximum frame rate in ultrasound?
In doppler multiple scan lines are required in each frame. Computational demands of processing doppler data also reduce this.
37
Equisation to calculate the loss of ultrasound amplitude through an attenuaing tissue
10 log_10(I2/I1) -> 10^(-attenuation coefficient / 10)
38
Describe some image compression techniques
39
What are the radiation weighting factors for alpha beta and gamma radiation?
40
Why is NaTl suitable for for gamma camera single photons imaging ?
High light output Good energy resolution Efficient gamma ray absorption Emission wavelength of 415nm is compatable with photomultiplier tubes Fast response / decay time Proven track record
41
Describe and give the expression or a CT number in tissue
(u object - u water / u water) *1000
42
Explain beam hardening and how it is acheived in CT
CT acheived thorugh a bowtiem filter. Removes lower energy componants of the brem. reducing dose. Bowtie helps give a uniform image as the patient is less attenuating at the sides.
43
Define what is meant by spatial resolution and how it is measured. Explain if you can see an object 0.1mm when using an image intensified with limiting resolution of 6lp/mm.
Describes the smallest detail that can be visualised. Measured in line pairs / mm. to assess smallest point to be resolved inverse of the doubled limitation. 1 / 6*2 = 0.083mm.
44
Describe the need for a common image format in the PACS system
DICOM. allows patients to be identified and relevent medical featres be viewed. And allows clincians to easily observe adice from radiologists. Format dimensions, transfer, archive, print and management
45
What display colour will the tissue from A be if window centre is +40 and window width is 100. CT number = +100
40-(100/2) = 40-50=-10. to 40+(100/2) = 40+50 = 90. The tissue will be outside the window and therefore will be presented with a white colour
46
three major types of nuclear medicine image acquisition and clinical examples
static - bone dynmaic - renogram tomographic - gated cardiac study
47
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