RadProd Flashcards

1
Q

The amount of energy absorbed per unit mass

A

Absorbed Dose

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2
Q

When electromagnetic energy is transferred from the x-rays to the atoms of the patient’s biologic material

A

Absorption

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3
Q

The reduction in the number of primary photons in the x-ray beam through absorption (a total loss of radiation energy) and scatter (a change in direction of travel that may also involve a partial loss of radiation energy) as the beam passes through the patient in its path.

A

Attenuation

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4
Q

The “released” energy that is carried off in the form of a photon. It’s energy is directly related to the shell structure of the atom from which it was emitted.

A

Characteristic photon

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5
Q

The “released” energy that is carried off in the form of a photon. It’s energy is directly related to the shell structure of the atom from which it was emitted. Also known as fluorescent radiation.

A

Characteristic x-ray

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6
Q

A simple process that results in no loss of energy as x-rays scatter.
The incoming low-energy x-ray photon (<10 keV) interacts with an atom and transfers its energy by causing some or all of the electrons of the atom to vibrate momentarily. The electrons then radiate energy in the form of electromagnetic waves. These waves nondestructively combine with one another to form a scattered wave, which represents the scattered photon. Its wavelength and energy, or penetrating power, are the same as those of the incident photon. Generally, the emitted photon may change in direction less than 20 degrees with respect to the direction of the original photon.”

A

Coherent scattering

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7
Q

The freed electron that possesses excess kinetic energy and is capable of ionizing other atoms.

A

Compton scattered electron, or secondary, or recoil electron

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8
Q

Compton scattering

In the Compton process, an incoming x-ray photon interacts with a loosely bound outer electron of an atom of the irradiated object. On encountering the electron, the incoming x-ray photon surrenders a portion of its kinetic energy to dislodge the electron from its outer-shell orbit, thereby ionizing the biologic atom.

A

Compton scattering

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9
Q

Compton scattering is also called…

A

• Incoherent scattering
• Inelastic scattering
• Modified scattering

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10
Q

Photons (1 and 2) that emerge from the tissues and strike the radiographic IR below it.

A

Exit, or image-formation, photons

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11
Q

Synonymous with characteristic x-rays.

A

Fluorescent radiation

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12
Q

Term that replaces density in the digital environment. It is used because radiographic film is no longer used as the primary IR.

A

Image receptor (IR) exposure

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13
Q

Measurement of different body structures denoted in grams per cubic centimeter.

A

Mass density

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14
Q

The product of electron tube current and the amount of time in seconds that the x-ray tube is activated.

A

Milliampere-seconds (mAs)

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15
Q

The incoming photon (equivalent in energy to at least 1.022 MeV) strongly interacts with the nucleus of the atom of the irradiated object and disappears. In the process, the energy of the photon is transformed into two new particles: a negatron (electron) and a positron. The negatron eventually recombines with any atom that needs another electron. The positron interacts destructively with a nearby electron. During the interaction, the positron and the electron annihilate each other, with their rest masses converted into energy, which appears in the form of two 0.511-MeV photons, each moving in the opposite direction.

A

Pair Production

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16
Q

Example of unstavle nuclei ised in PET scanning

A

Fluorine-18 (F18), Carbon-11 (11C), Nitrogen-13 (N13)

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17
Q

The highest energy level of photons in the x-ray beam.

A

Peak kilovoltage (kVp)

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18
Q

An interaction that occurs at more than 10 MeV in high-energy radiation therapy treatment machines. High-energy photons collide with the nucleus of an atom, which directly absorbs the photon’s energy. This energy excess in the nucleus creates an instability that in most cases is alleviated by the emission of a neutron by the nucleus.

A

Photodisintegration

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19
Q

A, On encountering an inner-shell electron in the K or L shells, the incoming x-ray photon surrenders all its energy to the electron, and the photon ceases to exist. B, The atom responds by ejecting the electron, called a photoelectron, from its inner shell, thus creating a vacancy in that shell. C, To fill the opening, an electron from an outer shell drops down to the vacated inner shell by releasing energy in the form of a characteristic photon. Then, to fill the new vacancy in the outer shell, another electron from the shell next farthest out drops down and another characteristic photon is emitted, and so on until the atom regains electrical equilibrium. There is also some probability that instead of a characteristic photon, an Auger electron will be ejected.

A

Photoelectric absorption

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20
Q

By products of photoelectric absorption

A
  1. Photoelectrons (those induced by interaction with external radiation and the internally generated Auger electrons).
  2. Characteristic x-ray photons (fluorescent radiation).
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21
Q

The ejected orbital electron that possesses kinetic energy equal to the energy of the incident photon less the binding energy of the electron shell.

A

Photoelectron

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22
Q

The emerging x-ray photon beam.

A

Primary radiation

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23
Q

Differences in densities and the absorption properties among different body structures.

A

Radiographic contrast

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24
Q

Degree of overall blackening on a radiographic film.

A

Radiographic density

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25
Q

Undesirable, additional exposure that degrades the appearance of a completed radiographic image.

A

Radiographic fog

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26
Q

Object that catches exit radiation.
- Phosphor plate
- Digital radiography receptor
- Radiographic film

A

Radiographic image receptor (IR)

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27
Q

Methods that have been devised to limit the effects of indirectly transmitted x-ray photons…

A

The most common methods include the following:

•Air gap techniques
•Radiographic grids

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28
Q

Photons (2) that on their path before they hit the IR. They degrade the appearance of a completed radiographic image by blurring the sharp outlines of dense structures.

A

Small-angle scatter

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29
Q

The midpoint of the range of densities visible on the image. Adjusting the window level, also known as windowing, refers to changing the brightness, either to be increased or decreased throughout the entire range of densities

A

Window level

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30
Q

Differentiate between peak kilovoltage (kVp) and milliampere-seconds (mAs)

A

kVp is the highest energy level of photons in the x-ray beam. It controls the penetrating ability of the x-ray beam.
mAs is the the product of electron tube current and the amount of time in seconds that the x-ray tube is activated.

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31
Q

Describe the process of absorption, and explain the reason why absorbed dose in atoms of biologic matter should be kept as small as possible.

A

X-ray photons can interact with atoms of the patient’s body and transfer energy to the tissue. The amount of energy absorbed per unit mass is referred to as the absorbed dose (D). This dose should be kept low to prevent the possibility of biologic damage in the patient.

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32
Q

Differentiate among the following: primary radiation; exit, or image-formation, radiation; and scattered radiation.

A

Primary radiation: The emerging x-ray photon beam.

Exit, or image-formation radiation: Noninteracting and small-angle scattered photons that pass through the patient and hit the IR.

Scatter radiation: photons that change directions, involve a partial loss of energy, and do not hit the IR

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33
Q

List two types of x-ray photon transmission, and explain the difference between them.

A

List two types of x-ray photon transmission, and explain the difference between them.

Direct: When photons transverse the patient without interacting and still reach the image receptor.

Indirect: When photons transverse the patient, undergo Compton and/or coherent interactions that may cause them to scatter or deflect with a potential loss of energy before striking the IR.

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34
Q

The anode target is made of the metal tungsten or a metal alloy tungsten rhenium because…

A
  1. High melting point
  2. High atomic number (Tungsten: 74, Rhenium: 75)
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35
Q

List the events that occur when x-radiation passes through matter.

A

When x-rays pass through matter, they are either attenuated (meaning they interact with the atoms of the patient’s biologic tissue and are absorbed or scattered), or they pass through the patient as small-angle scatter photons or exit, image-forming radiation that hits the image receptor.

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36
Q

The atomic numbers of compact bone, soft tissue, and air…

A

Compact bone: 13.8
Soft tissue: 7.4
Air: 7.6

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37
Q

Describe the impact of positive contrast media on photoelectric absorption, and identify its effects regarding absorbed dose in the body structure that contains it.

A

Positive contrast media has a high atomic number that significantly enhances the occurrence of photoelectric interaction relative to similar adjacent structures that do not have contrast media. It also leads to an increase in absorbed dose in the body structures that contain it.

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38
Q

Describe the effect of kVp on radiographic image quality and patient absorbed dose.

A

When kVp is increased, the patient receives a lower dose, but image quality may be compromised.

39
Q

Exit, or image-formation, radiation is composed of which of the following?

A

Non-interacting and small-angle scattered photons.

40
Q

Which of the following contributes significantly to the exposure of the radiographer?

A

Compton-scattered photons.

41
Q

Which of the following defines attenuation?

A

Absorption and scatter.

42
Q

In the radiographic kilovoltage range, which of the following structures undergoes the most photoelectric absorption?

A

Compact bone

43
Q

In which of the following x-ray interactions with matter is the energy of the incident photon partially absorbed?

A

Compton

44
Q

When a high atomic number solution is either ingested or injected into human tissue or a structure to visualize it during an imaging procedure, which of the following occurs?

A

B. Photoelectric interaction becomes significantly enhanced, leading to an increase in the absorbed dose in the body tissues or structures that contain the contrast medium.

45
Q

Which of the following influences attenuation?
1. Effective atomic number of the absorber.
2. Mass density.
3. Thickness of the absorber.

A

All numbers affect attenuation

46
Q

A decrease in contrast of the image by adding an additional, unwanted exposure (radiographic fog) results from which of the following interactions between x-radiation and matter?
1. Compton scattering.
2. Pair production.
3. Photoelectric absorption

A

1 only

47
Q

Summary of All Interactions (Just to Practice)

A

Coherent:
- Occurs at energies less than 10 keV (less than diagnostic range).
- Doesn’t usually occur in diagnostic x-ray, but if it does, the amount of noise it produces is extremely minimal.
- The incoming low-energy electron interacts with the atom, causing it to become excited and vibrate one or all of the electrons.
- This excitation causes a scattered photon of the same wavelength, energy, and frequency as the incident photon, just traveling in a different direction.

Compton (incoherent, inelastic, modified) scatter:
- Occurs at diagnostic range energies (approx. 35 keV).
- The main source of image noise and occupational dose due to backscatter.
- The incoming incident photon interacts with a loosely-bound outer electron.
- The electron is ejected as a Compton Scattered electron (secondary or recoil electron).
- A lower-energy scattered photon is also released.

Photoelectric Absorption:
- Occurs at diagnostic range energies.
- The interaction that makes x-ray possible.
- The incoming incident photon interacts with a tightly-bound inner shell electron, transferring all of its energy to the electron and disappearing.
- The electron is ejected as the photoelectron.
- The vacancy left by the photoelectron is then filled by an electron from the outer shells, which releases a characteristic photon (also called secondary radiation. it does not contribute to image noise and does not hit the IR). The energy of the characteristic photon is directly related to the shell structure.
- If characteristic photon is not released, Auger effect may occur.
- Electrons will keep dropping down until equilibrium is regained (characteristic cascade).
- The greater the difference is in the amount of photoelectric absorption, the greater the contrast in the radiographic image will be between adjacent structures of differing atomic numbers. However, as absorption increases, so does the potential for biologic damage.

Pair Production:
- Occurs at energies of 1.02 MeV.
- Useful in PET scanning.
- High-energy incident photon interacts with the nucleus and releases a positron and negatron.
- The negatron recombines with another atom that needs an electron.
- The positron (a form of antimatter) reacts destructively with a nearby electron to cause an annihilation reaction that results in two photons (half of the original energy each, so about 0.511 MeV) traveling in different directions.

Photodisintegration:
- Occurs at energies above 10 MeV.
- Useful in radiation therapy.
- High-energy photon collides with the nucleus.
- The energy is completely absorbed.
- The excess energy instability is relieved by the ejection of a neutron from the nucleus

48
Q

This chapter explains the interactions of the projectile electrons that are accelerated from the cathode to the x-ray tube target. These interactions produce two types of x-rays; _____________ and _______________.

A

Characteristic ; Bremsstrahlung

49
Q

The energy of motion

A

Kinetic energy

50
Q

__________ objects have no kinetic energy.

A

Stationary

51
Q

Objects in motion have ___________ energy proportional to their ________ and to the _________ of their velocity

A

Kinetic ; Mass ; Square

52
Q

In determining the magnitude of the kinetic energy of a projectile, _________ is more important than ________.

A

Velocity ; Mass

53
Q

In an x-ray tube, the projectile is the

A

Electron

54
Q

All electrons have the same ________; Therefore electron kinetic energy is raised by raising the ______.

A

Mass ; kVp

55
Q

The distance between the filament and the x-ray tube target is only approximately __________.

A

1 cm

56
Q

Electrons traveling from from cathode to anode constitute the x-ray tube current and are sometimes called _______________ _____________.

A

Projectile Electrons

57
Q

The ___________ electron interacts with the _____________ electrons or the nuclear field of target atoms.

A

Projectile ; Orbital

58
Q

These interactions result in the conversion of __________ __________ __________ into __________ _________ (heat) and electromagnetic energy in the form of ____________ __________ (also heat) and x-rays.

A

Electron kinetic energy ; thermal energy ; infrared radiation

59
Q

Most of the kinetic energy of projectile electrons is converted into ___________.

A

Heat

60
Q

The projectile electrons interact with the _______ ________ _______ of the target atoms but do not transfer sufficient energy to these outer shell electrons to _______ them. Rather, the outer shell electrons are raised to an excited, or higher energy level.

A

Outer shell electrons ; ionize

61
Q

The outer shell electrons immediately drop back to their normal energy level with the emission of ________ ____________.

A

Infrared radiation

62
Q

Approximately _______ % of the kinetic energy of projectile electrons is converted to heat.

A

99

63
Q

Only approximately ____% of projectile electron kinetic energy is used for the production of x-radiation.

A

1

64
Q

As sophisticated as it is, the x-ray imaging system is very ____________.

A

Inefficient

65
Q

The production of heat in the anode increases ________ with increasing x-ray tube current.

A

Directly

66
Q

Doubling the x-ray tube current ____________ the heat produced.

A

Doubles

67
Q

Heat production increases _________ with increasing kVp, at least in the diagnostic range.

A

Directly

68
Q

The efficiency of x-ray production is _____________ of tube current.

A

Independent

69
Q

Regardless of what mA is selected, the efficiency of x-ray production remains ____________.

A

Constant

70
Q

The efficiency of x-ray production increases with increasing ________.

A

kVp

71
Q

At 60 kVp, only ____% of the electron kinetic energy is converted to x-rays ; At 100 kVp,approx. ______% is converted to x-rays; and at 20 MV ______% is converted.

A

.5 ; 1 ; 70

72
Q

If the projectile electron interacts with an inner shell electron of the target atom rather than with an outer shell electron, __________ _________ can be produced.

A

Characteristic x-rays

73
Q

__________ __________ are emitted when an outer-shell electron fills an inner shell void.

A

Characteristic x-rays

74
Q

When the projectile electron ionizes a target atom by removing a K-shell electron, a ________ ________ ________ is produced in the K shell. This is a highly unnatural state for the target atom , and it is corrected when an outer shell electron falls into the void in the K shell.

A

Temporary electron void

75
Q

The transition of an orbital electron from an outer shell to an inner shell is accompanied by the emission of an ______.

A

X-ray

76
Q

The x-ray has energy equal to the ________ in the binding energies of the orbital electrons involved.

A

Difference

77
Q

X-rays are called ___ _________ because they result from the electron transitions into the K-shell.

A

K x-rays

78
Q

Similar characteristic x-rays are produced when the target atom is __________ by the removal of electrons of shells other than the K shell.

A

Ionized

79
Q

X-rays resulting from the electron transitions to the L shell are called ____ _________, and have much less energy than ____ _________ because the binding energy of an L-shell electron is much lower than that of a K-shell electron.

A

L X-rays ; K X-rays

80
Q

Only the K characteristic x-rays of __________ are useful for imaging.

A

Tungsten

81
Q

Although many characteristic x-rays can be produced, these can be produced only at ________ ________, equal to the differences in electron binding energies for the various electron transitions.

A

Specific energies

82
Q

The type of x-radiation is called ____________ because it is characteristic of the target element.

A

Characteristic

83
Q

The effective energy of characteristic x-rays ________ with increasing atomic number of the target element.

A

Increases

84
Q

Bremsstrahlung Radiation =

A

“Bending radiation”

85
Q

____________ x-rays are produced when a projectile electron is slowed by the nuclear field of a target atom nucleus

A

Brehmsstrahlung

86
Q

In the diagnostic range, most x-rays are ___________ x-rays

A

Bremsstrahlung

87
Q

A third type of interaction in which the projectile electron can lose its kinetic energy is an interaction with the ________ of the target atom. In this type of interaction, the kinetic energy of the projectile electron is also converted into _____________ energy.

A

Nuclear field ; Electromagnetic energy

88
Q

A projectile electron that completely avoids the orbital electrons as it passes through a target atom may come sufficiently close to the nucleus of the atom to come under under the influence of its ___________ ___________.

A

Electric field

89
Q

Because the electron is negatively charged, and the nucleus is positively charged, there is an ____________ _________ of attraction between them.

A

Electrostatic force

90
Q

____________ is a German word for “slowed down radiation”

A

Bremsstrahlung

91
Q

Bremsstrahlung x-rays can be produced at any projectile electron energy. K-characteristic x-rays require a an x-Ray the potential of at least _______ kVp.

A

69

92
Q

A _________ spectrum contains only specific values

A

Discrete

93
Q

A __________ spectrum contains all possible values

A

Continuous

94
Q

Characteristic X-ray Emission Spectrum for Tungsten contains ___ different x-Ray energies

A

15