SG1 Flashcards
Increased visibility of details is a pros of ___ kVp
Variable
Decreased patient dose is a pros for ___ kVp
Fixed
Increased consistent of IR EXPOSURE is a pros of ___ kVp
Fixed
Small increments change in exposure to compensate for body parts is a pros for ___ kVp
Variable
Lengthen exposure latitude is a pro for ___ kVp
Fixed
Increased contrast images is a pros for ___ kVp
Variable
Increased resolution is a pro for ___ kVp
Variable
Decreased xray tube wear is a pro for___ kVp
Fixed
Decreased patient motion & time settings are pros for ___ kVp
Fixed
Which of the following is/are cons for fixed kVp
A. More scatter
B. Increased image contrast
C. Decreased image contrast
D. Increased tube wear
E. A & B
F. A & C
G. C & D
F- more scatter and decreased contrast
What are the pros for FIXED kVp (6)
- Decreased dose
- More image information
- Increased consistent IR exposure
- Lengthen exposure latitude
- Decreased xray tube wear
- Decreased time setting & pt motion
Which of the following are pros for VARIABLE kVp?
A. Decreased contrast
B. Increase contrast
C. Increase resolution
D. Decrease resolution
E. A & D
F. B & C
F. - increase contrast & resolution
What does a fixed kVp provide?
- Uniform contrast
2.easily remembered kV series to add mAs
To achieve an appropriate image, what is being kept constant, and what is varied
Constant - kVp
Varied - mAs
Technique factors function best when ___
LARGE # being kept constant while a SINGLE factor is varied
What is the goal of exposure systems
Provide method of consistency in quality of images
Variables of exposure systems changes to ___
Thickness of body part
What required that the technical factors for each exposure be recorded, regardless of whether the image is within acceptance limits
Fine- tuning
Variable mAs system depend on ___ (2)
IR Exposure & body thickness
To establish a variable kVp system, what are the three criteria?
- All contrast is acceptable
- Small-part size kVp provide adequate penetration
- Large-part size kVp avoid xs scatter fog
Small-part size kVp ____
A. Provide Adequate penetration
B. Avoid excess scatter fog
A
Large-part size kVp ____
A. Provide Adequate penetration
B. Avoid excess scatter fog
B
What component within AEC measured exposure to IR?
Ionization chamber
What does ionization chamber controlled?
A. Contrast
B. IR Exposure
C. Brightness
D. Kvp
B
What eliminate the radiographer’s need to set mAs
AEC
What is direct action
ionizing particles interact directly with macromolecules (DNA) = inactive or functionally altered
Is direct or indirect action more common? Why?
Indirect –> water more abundant
Direct –> random 1% chance
Effects of direct action
direct energy exchange to DNA = DSB/SSB = apoptosis
What is indirect action
radiolysis of water (breakdown of water from radiation)
How does indirect action occur
x-ray interacts with water = ionization = breaks apart = free radicals –> secondary radiation
What is a free radical
atom with single unpaired electron
Characteristic of free radical
Highly reactive
short life span (1millisecond)
causes cell death
Ways free radicals causes damage
ionization
excitation
creation of toxic substances –> peroxide and superoxide
What is high LET associated with? Is damage repairable?
direct action –> DSB
Repairable? unlikely
What is low LET associated with? Is damage repairable?
point mutation
Repairable? yes –> action of repair enzymes
What is non-threshold relationship
any radiation dose has the capability of producing a biologic effect
What is threshold relationship
below a certain radiation level or dose, no biologic effects are observed
Which relationship best fits
“No radiation dose can be considered absolutely safe”
non-threshold
List cellular effects of irradiation (7)
instant death
reproductive death
apoptosis
mitotic death
mitotic delay
Permanent or temporary interference with function
Chromosome breakage
What causes cellular effects of irradiation
Type of cell reaction from amount of transferred energy to cell’s nucleus
Instant death
given 1000+Gy/s, disrupts cellular form, structure, and chemistry
Reproductive death
given 1-10Gy
What does AEC permits?
adjustment of radiation amount to send termination signal
Many ionization chambers are activated to control_____
exposure
which component of the ionization chamber terminate exposure when appropriate Voltage reached
operation amplifier
to establish exposure system, a variety of technical factor combinations are used, but which factor is being kept the same?
a. mAs
b. kVp
mAs
___kVp provide uniform contrast and easily remembered kV series to add mAs
a. fixed
b. varied
c. optimal
FIXED
What does optimal kVp produce?
lower contrast and minimum patient exposure
What is the objective to establish optimal kVp
determine highest kVp and lowest contrast within acceptable limits
What should be avoided near chamber location for AEC?
too tight and too wide collimation
Why avoid tight collimation near chamber location of AEC
to avoid overexposed image since the chamber will mistake the tissue to be extremely dense
Why avoid wide collimation near chamber location of AEC
avoid underexposed image since wide collimation results in scatter radiation, causing AEC to terminate early
Which of the following will result in underexposed image?
a. tight collimation
b. wide collimation
c. too short back-up timer
d. too long back-up timer
e. A & B
f. B & C
g. A & D
F - wide collimation & too short timer
Which of the following will result in overexposed image?
a. tight collimation
b. wide collimation
A
Which AEC component can prevent overexposure
back-up timer
How much % is anticipated manual exposure time?
150
Because displayed images do not proved any visual cues of overexposure, manufacturers developed:
a. Rescaling
b.Target Exposure
c. Deviation Index
d. Exposure Indicators
Exposure Indicators
The Target Exposure Indicator is derived from the:
a. Pixel Value
b. Log of Median
c. Speed Class
d. Look Up Table (LUT)
a. Pixel Value
What does exposure indicator represent?
a. LUT
b. speed class
c. IR exposure
C - IR exposure
high EI = ____ exposure
low EI = ____ exposure
excess
insufficient
Target EI represents _____ at ____ for specific ____
exposure
IR
speed class
______ can be used by all manufactures regardless of their specific method for calculating EI
deviation index
what is the unit for DI?
microgray
microgray unit must be included in ____
dicom header
What information must be included in DICOM HEADER for every image
- DI readout
- EI delivered (in microgray)
What can lead to a corrupted DI and EI
errors in histogram analysis
Can a corrupted EI cause corrupted DI readout?
yes
Deviation Index is ____
a. direct measurement of patient dose
b. direct indicator of IR dose
c. direct measurement of IR dose
B - direct indicator of IR dose
Which of the following can be roughly extrapolated (estimated)?
a. IR dose
b. pt dose
B - pt dose
What are the factors that can raise or lower the deviation index (4)
- poor collimation
- unusual body habitus
- presence of prosthetic device
- presence of gonadal shielding
What does speed class express
its sensitivity to radiation exposure
what made up of speed class
inherent speed of IR & digital processing speed
When is inherent speed important
at the image acquisition state
which speed class assume average exposure of 20 microgray?
a. 100
b. 200
c. 400
100
which speed class has remnant xray beam exposure at 10 microgray
a. 100
b. 200
c. 400
200
which speed class has remnant xray beam exposure at 5 microgray
a. 100
b. 200
c. 400
400
What is the speed class manufacture usually set to reduce chance of quantum mottle
a. 100
b. 200
c. 400
200
An underexposed image will have a DI ___
a. less than -1
b. more than 1
c. less than 0
A - less than -1
An underexposed image should not be repeated unless:
a. radiologist finds unacceptable amount of mottle present
b. saturation present
c. supervising technologist tells u to repeat
d. exposure indicator number indicated underexposed
a. radiologist finds unacceptable amount of mottle present
An overexposed image should not be repeated unless:
a. The radiologist finds an unacceptable amount of mottle present
b. When the lead technologist tells you to repeat it
c. When saturation occurs and there is a loss of data
d. The exposure indicator number indicates an overexposure
c. When saturation occurs and there is a loss of data
overexposed images can be fixed through ____
windowing
how do you tell if an image is over-processed but not saturated
if details can be seen in dark portions of the image
an electrical phenomenon that occurs at the detector when the dexels in a particular area have reached the maximum electrical charge that they can store is termed:
a. saturation
b. overexposure
c. underexposure
d. quantum mottle
A - saturation
Nearly all DR & CR machines can operated at a speed class of 350-400 without the appearance of ____
a. substantial saturation
b. substantial mottle
c. distortion
d. spatial resolution
B
What does saturation represent
complete loss of data
Where and when does saturation occur
where - at detector
when - dexels reach maximum electrical charge they can store
why further increase in exposure cannot be measured?
all dexels reach max electrical charge AND tissues display as pitch black
Is true saturation often occur?
no
why true saturation is rare occurence
bc it requires 10 times normal radiographic technique
A deviation index of 3.0 would show:
a. 26% overexposure
b. 100% overexposure
c. 63% of target exposure
d. 59% overexposure
100% exposure