RTE 1418 Exam Review Flashcards

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1
Q

which kVp selection (high or low) will result in more scattered XRs in the img-forming beam?

A

high

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2
Q

Decreasing kVp will increase?

pt dose, img noise, Compton scatter, OD

A

pt dose

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3
Q

3 things that improve contrast resolution

A

tight coll, lowering kVp, pt compression

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4
Q

the use of a compression device will increase?

A

contrast

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5
Q

the use of ______ improves contrast and reduces pt dose

A

collimation

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6
Q

how can you improve img contrast w a heavy pt w/o increasing pt dose?

A

use tight collimation

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7
Q

img contrast improves when more of ______ rad is removed

A

scattered

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8
Q

a grid is constructed w _______ strips and ______ interspace material

A

radiopaque, radiolucent

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9
Q

an XR w a long scale contrast will also have _____ latitude and _____ contrast

A

wide, low

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10
Q

grids are designed to remove scattered XRs before they reach?

A

the IR

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11
Q

what is the grid ratio of a grid w 3-mm height, 0.025-mm thick lead grid strips, and 0.3-mm thick interspace material?

A

10:1

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12
Q

foreshortening is caused by a(n)

A

angled body part when the beam is perpendicular to the IR

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13
Q

OD is directly controlled by changing the _____

A

mAs

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14
Q

pt thickness affects img quality by affecting what 3 things?

A

magnification, rad contrast, & focal spot blur

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15
Q

the best way to min. magnification is to use a

A

long SID and small OID

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16
Q

subject contrast is affected by

A

pt thickness

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17
Q

3 primary factors influencing the intensity of scatter in the img-forming beam are

A

kVp, field size, & pt thickness

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18
Q

scatter rad increases as ______ increases

A

field size

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19
Q

the most commonly used beam restricting device is the

A

variable collimator

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20
Q

the positive beam limiting device (PBL) ensures that the XR beam is collimated to

A

the IR size

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21
Q

_______ is the degree of difference in the OD btw areas of an img

A

contrast

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22
Q

what does the angle of the scattered photon, the height of the grid strips, and the width of the interspace material have in common?

A

the amount of scatter absorption in a grid depends on these factors

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23
Q

what is the formula for grid ratio?

A

h/D

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24
Q

the purpose of a grid is to achieve?

A

improved img contrast

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25
Q

the interspace material in grids are made of?

A

aluminum and/or plastic fiber

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26
Q

grids generally have a frequency of ______ lines per inch

A

60-110

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27
Q

grids generally have a frequency of ______ lines per cm

A

25-45

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28
Q

the most critical consideration when using a crossed grid is

A

alignment (positioning latitude)

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29
Q

how could contrast be improved on a bedside XR of a very large pt?

A

use grid, use tight coll., lower kVp

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30
Q

which is the linear grid w the widest latitude for centering and focus?
(6:1, 10:1, 12:1. 16:1)

A

6:1

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31
Q

spatial resolution improves with decreased? (3)

A

screen blur, motion blur, and geometric blur

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32
Q

radiographic _______ is random fluctuation in the OD of an XR

A

noise

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33
Q

the slope of the _______ portion of the char. curve shows the film contrast

A

straight line

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34
Q

if 10% of the view box light is transmitted through an area of film, what is the OD in that area?

A

1

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35
Q

a film w a char. curve showing a high slope would be useful when ________ is needed

A

high contrast

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36
Q

the 3 primary geometric factors affecting img qual are?

A

magnification, distortion, & focal spot blur

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37
Q

distortion can be reduced by?

A

placing the object plane II to IR

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38
Q

focal spot blur can be reduced using a

A

small focal spot

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39
Q

XR img qual. is improved when the ________ is increased

A

SID

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40
Q

High speed IRs generally produce XRs w?

A

increases noise

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41
Q

the ability to img 2 separate objects and visually detect one from the other

A

resolution

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42
Q

an IR w __________ can be used over a greater range of exposures

A

wide latitude

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43
Q

formula for OD?

A

OD=log base 10(original intensity/transmitted intensity),

OD=log10(Io/It)

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44
Q

the densities above 2.5 on a film are represented in the _____ portion of the char. curve

A

shoulder

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45
Q

sharpness of detail can be improved by increasing ______

A

SID

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46
Q

(Char. curve) film w highest contrast

A

steeper slope

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47
Q

(Char. curve) film w highest speed

A

curve closest to y-axis

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48
Q

(Char. curve) film w widest latitude

A

wider slope

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49
Q

(Char. curve) film w short-scale contrast

A

steeper slope

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50
Q

lowering kVp _______ pt dose and _______ img contrast

A

increases, increases

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51
Q

modern rad film base is made of?

A

polyester

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52
Q

how thick is rad film base?

A

150-300 µm

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53
Q

crystals in film emulsion consist of _____ & _____

A

silver bromide, silver iodide

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54
Q

latent img formation occurs during film _____

A

exposure

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55
Q

a contaminent in the SHC (silver halide crystal) creates the

A

sensitivity speck

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56
Q

the latent img can be seen?

A

only after development

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57
Q

the latent img is made up of _____ atoms

A

silver

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58
Q

high contrast film contains _____ SHC of _____ size

A

smaller, uniform

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59
Q

film is made w double emulsion to enhance film ______

A

speed

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60
Q

spectral matching is not a consideration when using?

A

direct exposure film (bc you need an IS)

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61
Q

storing film in very low humidity conditions can cause _______

A

static artifacts

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62
Q

film should be stored at a temp of _____ or below and w humidity no higher than ______.

a. 20ºF, 70%
b. 68ºF, 10%
c. 68ºF, 40%
d. 75ºF, 60%

A

c. 68ºF, 40%

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63
Q

the rollers in the auto processor are part of the ______ system

A

transport

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64
Q

replenishment of fixer and developer are controlled by the?

A

microswitch

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65
Q

the undeveloped silver halide is removed from the emulsion during?

A

fixing

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66
Q
which of the following is a rare earth phosphor?
(zinc cadmium sulfite
lanthanum oxybromide
barium fluorohalide
silver bromide)
A

lanthanum oxybromide

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67
Q

an increase in _____ will increase both beam qual. and quant.

A

kVp

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68
Q

what are the 4 primary exposure factors?

A

kVp, mA. time, and SID

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69
Q

changes in kVp affect (3)

A

OD, img contrast, img noise

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70
Q

an increase in mAs causes (an) _____ in beam qual. and (an) ______ in beam quant.

A

no change, increase

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71
Q

there is a direct relationship btw the quant. of XRs and the ________

A

milliamperage

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72
Q

if mAs are increased from 20 mAs to 40 mAs, the pt dose will….

A

be doubled

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73
Q

beam penetrability is increased if ____ is increased

A

kVp

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74
Q

beam qual. and beam quant. are increased by (2)

A

increasing kVp; (or going from single-phase to three-phase voltage)

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75
Q

beam qual. is improved when the _____ is increased, but the ______ has no effect on beam qual.

A

kV, mA

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76
Q

which technique would be best for reducing img blur?

a. 90 kVp/400 mA @ 0.01 sec
b. 85 kVp/50 mA @ 0.08 sec
c. 75 kVp/200 mA @ 0.02 sec
d. 65 kVp/100 mA @ 0.04 sec

A

a. 90 kVp/400 mA @ 0.01 sec

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77
Q

which techniques would give the highest pt dose?

a. 90 kVp/200 mA @ 0.02 sec
b. 87 kVp/400 mA @ 0.02 sec
c. 74 kVp/400 mA @ 0.04 sec
d. 65 kVp/300 mA @ 0.1 sec

A

d. 65 kVp/300 mA @ 0.1 sec

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78
Q
which imaging system provides the highest beam quantity? 
(3-phase, 12-pulse
3-phase, 6-pulse
high frequency
single phase, fully rectified)
A

3-phase, 12-pulse

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79
Q

added filtration has the effect of _____ the img quality and ______ pt dose

A

increasing, reducing

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80
Q

when all other exposure factors remain the same, changes in focal spot size result in ______ in beam quality and _____ in beam quantity

A

no change, no change

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81
Q

film can turn brown during storage due to retention of _________

A

ammonium thiosulfate

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82
Q

filtration is added to XR machines during manufacturing so that the required total of ____ mm Al equivalent filtration is achieved

A

2.5

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83
Q

radiographic _____ is random fluctuation in the OD of an XR

A

noise

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84
Q

what kind of film is used in mammo?

A

single emulsion film

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85
Q

an exposure w an off-level grid will show grid cutoff

A

across the img

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86
Q

what is the grid ratio of a grid w 3-mm height, 0.025-mm thick lead grid strips, and 0.3-mm thick interspace material?

A

10:1

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87
Q

what is the formula for Bucky factor?

A

pt dose w grid/pt dose without grid

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88
Q

grid ratio is the ____ of the grid strips divided by the width of the _______

A

height, interspace material

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89
Q

tree artifacts are caused by

A

friction

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90
Q

high contrast XR has what type of contrast?

A

short scale contrast

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91
Q

if a tech did a knee XR w a non-grid exposure using 10 mAs and wanted to use an 8:1 grid, what mAs should be used to produce an XR w the same density?

A

40

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92
Q

a tech did a lat C-spine using a 12:1 grid and 10 mAs. if the tech wants to repeat w/o a grid, what should the new mAs be to produce an XR w the same density?

A

2

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93
Q

if a tech uses 24 mAs w a 16:1 grid, how much mAs should they use w a 6:1 grid?

A

12

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94
Q

which technique chart causes less rad dose to the pt?

A

fixed kVp chart

95
Q

the mAs value must be changed ___% to produce a perceptible change in OD

A

30

96
Q

low humidity in the darkroom can cause

A

tree static

97
Q

the undeveloped silver is removed from the emulsion during?

A

fixing

98
Q

ea cell of an img matrix is called?

A

pixel

99
Q
which of the following has the greatest effect on digi img resolution?
(frequency,
img contrast,
noise,
matrix size)
A

matrix size

100
Q

visually, dynamic range refers to what?

A

the # of shades of gray that can be represented

101
Q

PACS

A

picture archiving and communication system

102
Q

an advtg of digi over conventional imaging

A

more latitude

103
Q
which of the following devices is used for computed radiology?
(photo stimulable phosphor plate [PSP],
radiographic film,
heat sensitive detectors,
intensifying screens)
A

PSP

104
Q

a CR latent img is made manifest by what method?

A

laser stimluation

105
Q

what is used in indirect digi rad to convert light photons into an electrical charge?

A

amorphous silicon

106
Q

what is used in direct digi rad to convert XR photons into an electrical charge?

A

amorphous selenium

107
Q

which system for recording XR imgs produces best spatial resolution

A

screen-film system

108
Q

if the matrix size of a digi XR system is 1024 what will be the bit depth?

A

10

109
Q

what determines the resolution in digi rad? (3)

A

PSP thickness, pixel size, laser beam diameter

110
Q

what is the resolution in computed radiography? (lp’s)

A

3-5 line pairs/mm

111
Q

what is the resolution in film? (lp’s)

A

10 lp/mm

112
Q

what is the resolution in mammo? (lp’s)

A

15 lp/mm

113
Q

when insufficient light is produced, the img will be grainy, a condition known as?

A

quantum mottle

114
Q

which artifact occurs when the grid frequency is close to the laser scanning frequency in a computer radiography?

A

Moiré

115
Q

which layer of the imaging plate helps to reduce static electricity?

A

conductive layer

116
Q

which following laser beam diameter produces best spatial resolution?
(50 nm, 100 nm, 150 nm, 700 nm)

A

50 nm

117
Q

what is the bit depth if the dynamic range is 128?

A

7

118
Q

if the bit depth is 9, how many shades of gray will be present?

A

512

119
Q

sm or lg cassette size will produce best resolution?

A

sm

120
Q

log mean of afga and exposure index number is

A

directly proportional

121
Q

what is the normal value of exposure index in Kodak (Carestream)

A

2000

122
Q

what chems are used in digi rad indirect system?

A

cesium iodide & amorphous silicon

123
Q

does slow or fast screen speeds produce the best detail?

A

slow

124
Q

the _____ represents zero or one

A

bit

125
Q

in computer lang ______ is a “word”

A

2 bytes

126
Q

the latent img is formed on the _____ for digi rad

A

radiation detector

127
Q

in digi rad, the brightness of the of the img is determined by

A

pixel values

128
Q

spatial resolution is improved w increased _________ in digi rad

A

matrix size

129
Q

the dynamic range determines the degree of ______ in the img

A

contrast resolution

130
Q

the typical matrix size for digi rad is ______

A

1024 x 1024

131
Q

computed radiography utilizes _______ for latent img formation

A

photostimulable phosphor

132
Q

computers operate using a binary machine language. this lang uses binary digits to compute data. a binary digit is referred to as what?

A

Bit

133
Q

which can be used to adjust img brightness?

A

window level

134
Q

what can be used to adjust img contrast (post processing)?

A

window width

135
Q

the # of shades of gray levels present in a digital img is known as

A

dynamic range

136
Q

pixel size relates to

A

spatial resolution

137
Q

what elements are used in gas lasers

A

He/Ne

138
Q

the # of visible shades of gray in a digi img is determined by

A

bit depth

139
Q

the dynamic range determines the degree of ______ in the img

A

contrast resolution

140
Q

how can you min. quantum mottle?

A

+ mAs, - kVp, slow IR

141
Q

what is contrast resolution?

A

ability to img 2 objects and visually distinguish btw the 2

142
Q

how does fast IR speed affect detail?

A

high noise, low res

143
Q

how does slow IR speed affect detail?

A

low noise, high res

144
Q

if the speed of IR is doubled, how do you maintain density?

A

1/2 mAs

145
Q

whats sensitometry?

A

relationship btw exposure I and blackness (density) on img

146
Q

whats on x-axis for sensitometric curve?

A

LRE

147
Q

whats on Y-axis for sensitometric curve?

A

OD

148
Q

formula for OD?

A

OD=log(Lo/Lt)

Lo-original light, Lt-transmitted light

149
Q

diagnostically useful density range for rad img?

A

0.25-2.5

150
Q

if 36000 light beams strike a film and 36 beams pass thru, what is OD?

A

3

151
Q

rad contrast is the product of ______ contrast and _____ contrast

A

IR & subject

152
Q

how do you calculate slope of the char. curve?

A

calculate avg gradient

153
Q

formula for avg gradient?

A

avg gradient = (OD2-OD1)/(LRE2-LRE1)

154
Q

how are contrast and latitude related?

A

inversely

155
Q

3 principal geometric factors that affect rad quality?

A

sharpness, distortion, blur

156
Q

2 formulas to calculate Magnification Factor (MF)?

A

MF=img size/object size;

MF=SID/SOD

157
Q

4 factors that affect magnification?

A

size, shape, SID, OID

158
Q

shape distortion?

A

unequal magnification of diff portions of same object

159
Q

5 geometric factors that affect distortion

A

object thickness/shape/pos, OID/SID

160
Q

what is spatial distortion?

A

misrepresentation in the img of the actual spatial relationship among objects

161
Q

focal spot blur is ____ on the anode side and ____ on the cathode side of img

A

sm; lg

162
Q

5 geometric factors that affect subject contrast? (or pt factors that affect XR quality)

A

pt thickness, tissue mass density, effective Z, object shape, kVp

163
Q

motion blur is more visible using ____ SID and ____ OID

A

short; long

164
Q

3 factors that control amount of scatter produced?

A

kVp, field size, pt thickness

165
Q

will cone or cylinder produce better contrast?

A

cone

166
Q

f(x) of 1st stage entrance shutter?

A

prevent off-focus rad

167
Q

pt dose is _____ w high ratio grid

A

increased

168
Q

height of pb strips = 12 mm, spaced 1 mm apart. what is grid ratio?

A

12:1

169
Q

crossed/linear; which produces more contrast?

A

crossed

170
Q

formula for Bucky Factor (B)?

A
B = incident remnant XRs/transmitted img-forming XRs, or 
B = pt dosed w grid/pt dose without grid
171
Q

higher the grid ratio the _____ the Bucky factor/contrast improvement factor

A

higher

172
Q

bucky factor increases w ________ kVp

A

increasing

173
Q

purpose of moving grid

A

remove grid lines

174
Q

if grid is off level, will img be over or underexposed?

A

underexposed (light img)

175
Q

how will img appear if grid is off center?

A

cutoff across entire img; underexposed, light img

176
Q

how will img appear if grid is place Upside-down?

A

peripheral cut off

177
Q

“archival quality” =

A

permanence

178
Q

4 layers of film

A
  1. supercoat
  2. emulsion
  3. adhesive layer
  4. film base
179
Q

which film causes more rad dose to pt’s and why?

A

single emulsion (less speed, more exposure required)

180
Q

“lateral decentering” means?

A

off-center grid

181
Q

cross-over is unique to _________ film w IS

A

double-emulsion film

182
Q

cross-over is reduced by (2)

A

T-grains & anti-crossover layer

183
Q

XR system where only mAs is selected and factors are auto-adjusted to highest mA and shortest exposure T allowed by high-frequency generator

A

falling load denerator

184
Q

what is cross-over, what does it increase?

A

light from one IS crosses film base & exposes emulsion on opp. side of base ; increases blur

185
Q

film contrast depends on

A

size and distrib. of SHCs

186
Q

ideal temp/humidity to store film?

A

68 F & 40-60% humidity

187
Q

storing film at a high temp causes?

A

fog

188
Q

effect of storing film at low humidity

A

static artifact

189
Q

4 layers of IS?

A
  1. protective layer
  2. phosphor layer
  3. reflecting OR absorbing layer
  4. base
190
Q

what is the diff btw reflecting and absorbing layer in IS?

A

reflecting (+ speed, - detail); absorbing (- speed, + detail)

191
Q

fluorescence?

A

ability of phosphors to emit visible light only while exposed to XRs

192
Q

phosphorescence?

A

when phosphors contin. to emit light after XR exposure has stopped; aka “scree-lag/afterglow” –> fog

193
Q

sensitivity specks w 3+ Ag atoms ea does what?

A

creates a latent img center (appears as density on the img)

194
Q

what does the use of an IS do to pt dose and detail?

A

decreases both

195
Q

how do you check for screen film contact?

A

wire mesh test

196
Q

what happens during developing (is this product acidic or alkaline)

A

(acidic) latent –> visible img

197
Q

what happens during fixing (acidic or alkaline)?

A

removes remaining SHC from emulsion (makes img permanent); alkaline

198
Q

what material is used as fixing agent?

A

ammonium thiosulfate (“hypo”) - alkaline

199
Q

does mAs influence contrast?

A

yes has effect on img quality (not primarily), but has no effect BEAM qual

200
Q

what is the effect of using kVp to manipulate density?

A

low kVp has + differential absorption, high kVp has - differential absorption

201
Q

OD?

A

degree of blackening on the img

202
Q

what effect does focal spot size have on quantity?

A

none

203
Q

what is the change in beam quantity when changing from half wave rectification to a full wave rectification?

A

quant doubles

204
Q

what is the percentage of body habitus for asthenic and hyposthenic

A

asthenic 10%

hyposthenic 35%

205
Q

what is the effect on beam quality when changing from half wave rectification to full wave rectification?

A

no change in quality

206
Q

mAs must be changed __% to produce perceptible change in OD

A

30

207
Q

kVp must be changed __% to produce perceptible change in OD

A

4

208
Q

what causes a histogram analysis error? (3)

A

improper coll., off-focus/scatter, grid cut off

209
Q

high kVp does what to dose?

A

decreases

210
Q

use of AEC does what to dose?

A

reduces

211
Q

are lungs and soft tissue more/less likely to be saturated?

A

(saturated = LOTS of rad) more likely

212
Q

high exposure and low noise determines what in digi?

A

high contrast res

213
Q

how much do you increase kVp to double exposure?

A

15%

214
Q

how much do you increase mAs to double exposure?

A

double

215
Q

what does grid cut off do to the img on a digi system? on film?

A

(digi) low contrast and appearance of quantum mottle

(film) too bright

216
Q

(digi) extreme overexposure can create _____ contrast

A

low

217
Q

what is the appropriate grid frequency for stationary grid in CR?

A

150+ lines/in

218
Q

chems used in PSP?

A

Ba Fluoro Halide, coated w Europium

219
Q

which laser wavelength gives better resolution?

A

long wavelength

220
Q

______ & ______ are the process of ADC

A

sampling, quantization

221
Q

what is a line pair?

A

a high contrast line separated by an interspace of equal width (one line + one interspace)

222
Q

what is spatial frequency?

A

line pairs in a given length (lp/mm)

223
Q

img system w higher spatial frequency will have better what?

A

spatial res

224
Q

modulation transfer f(x) (MTF)?

A

ratio of img to object as a f(x) of spatial frequency (ideal MTF is 1)

225
Q

spatial res in screen film rad is principally determined by?

A

focal spot size

226
Q

the greater the area of TFT, the greater the?

A

DQE

227
Q

what detects the emitted blue light from the IP and amplifies it before sending it to the digitizer?

A

photomultiplier

228
Q

what does the digitizer do?

A

divides the analog img into matrix and assigns ea pixel a # based on brightness

229
Q

what happens to spatial res when you increase FOV?

A

decreases (pixels get bigger)

230
Q

FOV/matrix size, determines what?

A

spatial res

231
Q

speed in digi is determined by what?

A

amount of PSL (photostimulable luminescence)

+ PSL –> + speed –> - rad exposure

232
Q

exposure indicator for fuji?

A

(indirect) S# 200-400

233
Q

exposure indicator for Kodak/Carestream?

A

(direct) Ei 2000

234
Q

Exposure indicator for Afga?

A

(direct) log mean - 2.2