Physics of Diagnostic Imaging 1 & 2 Flashcards
Amount of energy is inversely proportional to _________
wavelength
T/F: Longer wavelength = higher energy
FALSE!
Longer wavelength = LESS energy
The basic unit of energy in electromagnetic radiation
eV (electron volt)
EM radiation > ____ eV
can ionize living cells
15 eV
The _________ potential is what makes xrays dangerous
ionization potential
An electron ejected from the shell of an atom
ION
T/F: Ionization of DNA (caused by xrays) can increase
the risk of cataracts
TRUE
What is a roentgen?
A unit of exposure to radiation
What is a Rad/Gray?
A unit of absorbed dose of radiation
What is a Rem/Sievert?
A unit of dose equivalent
1 Rem = 1,000 mRem
The typical person is exposed to _______ mRem/year
360 mRem/year
(1 mRem/day)
1 chest x-ray is equivalent to a dose of ____ mRem
10 mRem
T/F: There is an increased risk of radiation exposure when flying in an airplane
TRUE!
About 2.5 mRem dose for a 1-way flight across the US
T/F: Lead protective gear is great for protection against all types of radiation
FALSE!
Lead protective gear ONLY protects from SCATTER RADIATION
not the primary beam!
A voltage potential (Vp) is
electrically _________ at the Anode, and
electrically _________ at the Cathode
POSITIVE at the Anode (target)
and
NEGATIVE at the Cathode (filament)
Milliamperes (mA) is the unit of measure for
Electric current
The more electric current passed through the cathode (filament)
the ____ electrons produced
MORE
Increased Voltage Potential = Increased speed of electrons
= ______ energy of x-ray
INCREASED
How is voltage potential (energy of the xray) adjusted on
the xray machine?
Using kVp!
What are filaments and anodes usually made of?
Tungsten
kVp = the _______ of the xray
mAs = the ________ of the xray
kVp= quality of xray
mAs= quantity of xray
Increasing kVp increases the ______ of the xray
energy
Increasing mAs or time of exposure
increases the _______ of xrays produced
number
This principle is responsible for image generation from an x-ray
Photoelectric Effect
Due to this effect, the x-ray photon (energy)
is completely absorbed, and NO scatter is produced
Photoelectric Effect
The probability of photoelectric interaction is
directly proportional to Z3, which provides a
differential between _______
tissues
The higher the value of Z3, the _______ the image,
because there is better absorption with a higher value.
WHITER
If energy is too high, photoelectric effect is reduced,
resulting in ___________
Contrast Loss
This effect is responsible for nearly all scatter radiation in
diagnostic radiology
Compton Effect
How is the the Compton Effect different from the Photoelectric Effect in regards to the incoming photon energy?
In the Photoelectric Effect, incoming energy is COMPLETELY absorbed.
In the Compton Effect, not all energy is absorbed –> SCATTER!
Which effect contributes to film fogging?
The compton effect (scatter radiation)
What happens when photographic emulsion (silver halide crystals)
is exposed to xrays?
Silver halide crystals precipitate as elemental silver- black dot
Increasing kVp and mAs would _____ film blackness
increase
______ focal spot to film distance would increase film blackness
decreasing FS-FD would increase film blackness
The Heel Effect contributes to _______ film blackness
increased
Doubling the mAs will _____ the film blackness
double
Increasing the kVp by ____% will double the film blackness
15%
What is the standard FS to FD length?
40 - 60 inches
This is the effect caused due to a portion of the xray beam
being absorbed by the Anode. It results in increased
film blackness due to an xray beam that is less intense on
the Anode side and more intense on the Cathode side.
The Heel Effect
Why would you want to place thicker body parts under the
cathode side of an xray machine?
To combat the Heel Effect and give a uniform exposure across
the radiograph
Motion results in decreased image sharpness.
What factors can be put in place to combat this?
Decrease the exposure time
Decrease the grid ratio
Decrease the FS to FD
A long FS to FD _____ detail
INCREASES detail
but more mAs is needed
Magnification occurs as object-film distance ______
increases
Screen convert xrays into visible light via _______
phosphorescence
Screen vs. Non-screen Technique:
Which has superior detail but greater exposure?
Non-screen
(greater kVp and mAs)
Screen vs. Non-screen Technique:
Information from this technique is spread over a larger area
Screen Technique
Collimators, Grids, and Shielding all function to
limit _________
SCATTER radiation
Grids are characterized by a ratio.
The ______ the ratio, the more effective at reducing scatter
higher
(But must increase mAs to compensate!)
A Bucky is a device that moves the grid during exposure.
What does this prevent?
Moving the grid prevents lines (due to the lead strips in the grids) that would otherwise occur with a stationary grid
Scatter radiation ________ as patient size (thickness) increases
increases
How do you determine if a grid needs to be used?
If the patient is over 10 cm in thickness, use a grid!
The opacity difference between adjacent areas on a radiograph
is known as
Contrast
The number of density gradations between the
lightest radiograph shadow and the darkest radiograph shadow
is known as
The Scale of Contrast
A radiograph with a high contrast and few shades of gray
between the lightest and darkest areas on the radiograph
is said to have a _______ Scale of Contrast
SHORT
A radiograph with LOW contrast and many shades of gray
between the lightest and darkest areas of a radiograph
is said to have a _______ Scale of Contrast
LONG
Another name for Long Scale of Contrast (low contrast)
LATITUDE
How is Short Scale of Contrast achieved?
High mAs and Low kVp
How is Long Scale of Contrast achieved?
Low mAs and High kVp
Abdominal radiographs are taken with a
______ Scale of Contrast
SHORT
Thoracic radiographs are taken with a
________ Scale of Contrast
LONG
Why would you want to avoid using expired film?
Film will fog spontaneously when too old
A visual cue or signal that is produced by a pathologic change
in tissue and may be detected in a medical image
Roentgen (Imaging) Signs
What are the 5 opacities?
Gas
Fat
Soft Tissue = Fluid Opacity
Mineral = Bone Opacity
Metal
False white or black lines that appear at sharp boundaries
are due to this phenomenon
Mach Phenomenon
Continuous scale from black to white
Analog Gray Scale
An area of increased radiopacity (whiteness)
that occurs when 2 overlapping objects are in the
path of the xray beam and are not in contact with one another
Summation
When the margins of two objects cannot be distinguished
or are difficult to distinguish
because of similar opacities and their margins are
in contact with one another
Silhouetting
What is happening in radiograph A?
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Silhouetting
What is happening in radiograph B?
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Summation
What is happening in radiograph D?
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Summation
The blackest shade on a radiograph is most likely
_______
GAS
The whitest shade on a radiograph is most likely
_______ or ________
dense bone or metal