Test 3 Flashcards

0
Q

How and why do technique systems provide consistent image quality

A

By reducing variability so you can reduce repeats and avoid excessive or dose

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1
Q

What is the primary goal of technique systems

A

To provide consistent image quality

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2
Q

What are the advantages of a Fixed kV

A
Decrease or dose
Provide more information on image
Consistent image contrast and density
Wide exposure latitude
Reduce tube wear
Decreased time settings=less motion
Easy to remember
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3
Q

Disadvantages of a fixed Kv

A

More scatter
Lower contrast
Less visibility (grayer image)

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4
Q

Advantages to a variable Kv

A

Permit small incremental changes with changing body part thickness
Higher image contrast
Enhanced visibility of fine detail
Increased perception of resolution

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5
Q

Disadvantages of a variable Kv

A
Increased or dose
Less info on image
Inconsistent image contrast and density
Narrow exposure latitude
Increased tube wear
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6
Q

What are computerized exposure control systems

A

It utilizes vast databank of technique systems
Inherent part of control console
Tech chooses exam and computerized factors appear
Factors may be modified to meet non routine conditions

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7
Q

7 steps to building a technique chart

A
  1. Produce phantom images - measure part ️size
  2. Select optimal phantom image - selected by radiologist
  3. Extrapolate technique chart - use 15% rule and adjust for part thickness
  4. Phantom testing
  5. Clinical trials
  6. Clinical fine tuning
  7. Ongoing fine tuning o
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8
Q

What is AEC

A

It is sensors in the Bucky that stops exposure when image reaches appropriate density

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9
Q

Advantages of AEC

A

Fewer repeats
Decreased pt exposure
Increased efficiency of dept

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10
Q

Limitations of AEC

A

Requires skill techs - positioning and knowledge of AEC devices

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11
Q

How does tech control time with AEC

A

Higher MA = shorter time

Lower MA = longer time

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12
Q

What tech factors does tech set when using AEC

A

MA KV AND SID

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13
Q

What are two types of AEC devices

A

Phototimers

Ionization chambers

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14
Q

Characteristics of Phototimers

A

Located behind the IR
“Old fashioned”
Photomultiplier tube and fluoroscopic screen
Terminates when appropriate amount of LIGHT from screen reaches the photomultiplier tube

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15
Q

Characteristics of ionization chamber

A

Located between pt and IR
“Modern”
Gas filled ionization chamber
Terminates exposure when proper amount of RADIATION is detected by ionization o air in chamber

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16
Q

What is another name for the two AEC devices

A

Phototimers

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17
Q

Why are the two most important decisions when using AEC

A

Patient positioning
Detector/chamber/cell selection
* detector must sample radiation coming directly from area of interest

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18
Q

Without proper ________ of _________ AEC may actually increase repeats and or dose

A

Knowledge of positioning

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19
Q

What are 5 causes of improper image density when using AEC

A
  1. Inaccurate positioning(#1 cause)
  2. Poor collimation
  3. Wrong “speed” IR (film/screen)
  4. Equipment failure
  5. Pt conditions
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20
Q

What is minimum response time (MRT)

A

Lag time between AEC recognizing enough radiation, sending signal to terminate exposure , and switch thrown to end exposure

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21
Q

What is the equipment limitation for MRT in older and newer equipment

A
Older = 30 millisec
Newer = 1 millisec
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22
Q

What is the upper limit set by the safety device on AEC

A

600 mAs

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23
Q

What would cause the back up tune to activate

A
Excessively large pt
Wrong detector selected
Wrong tube selected
Incorrect tube/Bucky alignment
Incorrect back up timer setting
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24
Q

T/F in order to produce the correct density the radiation reaching the AEC chamber must come from the part of interest

A

True

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25
Q

T/F increased scatter will produce an overexposed image when using AEC

A

False (underexposed)

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26
Q

Will a photocell covered by heavy absorber produce an overexposed, underexposed, or no change image

A

Over exposed

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27
Q

When the primary beam strikes the photocell will that produce an overexposed underexposed or no change image

A

Underexposed

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28
Q

When you want to image bone but the photocell is covered by soft tissue …. Overexposed underexposed or no change

A

Underexposed

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29
Q

Using table Bucky but selected wall Bucky…… Overexposed underexposed or no change

A

Overexposed

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30
Q

Imaging an AP lumbar spine but have selected outer chambers…… Overexposed underexposed or no change

A

Underexposed

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31
Q

Poor collimation when imaging an obese pt and using a high Kv…. Overexposed underexposed or no change

A

Underexposed

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32
Q

What is photographic properties

A

The visibility of recorded detail

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33
Q

What is geometric properties

A

The sharpness I recorded detail

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34
Q

Why is radiographic density

A

The amount of overall blackness produced on the processes image

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35
Q

What is radiographic contrast

A

Is the degree o difference or ratio between adjacent densities

Scale of contrast
Long scale=low contrast
Short scale=high contrast

36
Q

What does radiographic density determine

A

The completeness o the image recorded upon the radiographic film.
It is the overall blackening of the film caused by the intensity of radiation

37
Q

What are the 2 controlling factors that affect density

A

Milliamperage and time

38
Q

What 9 things influence density

A
kvp 
SID
Grid
Film screen speed
Collimation
Anatomic part (thickness of part)
Anode heel effect
Tube filtration
Film processing
39
Q

MA and exposure time control the _______ of radiation reaching the image receptor

A

Quantity

40
Q

MAs and density have what kind of relationship

A

Proportional (direct)

Double mAs double density

41
Q

To make a visible change in density the minimum amount of change in mAs is approximately ________

A

30%

42
Q

How does kvp influence density?

A

It alters the energy and amount of penetrating ability of the xray beam

43
Q

Electron speed is determined by_______

A

The voltage

44
Q

As the voltage increases

A

The electrons travel faster
The greater the energy of the X-rays produced
The greater the penetrating ability of the X-rays

45
Q

Changing the Kv by 15% will have the same effect on density as

A

Doubling or doing the mAs by half

46
Q

Using the 15% rule

A

To increase density - add 15% to kvp
To decrease density - subtract 15% from kvp
To maintain density - when increasing Kv by 15% divide mAs by 2 when decreasing Kv 15% multiply mAs by 2

47
Q

When would you change kvp to change density

A

When change is contrast Is also desired

48
Q

SIDS effect on density

A

Inverse square law - doubling SID decreases density to 1/4

49
Q

The inverse square law states that the intensity o the xray bean is ________ _________ to the square of the distance from the source

A

Inversely proportionate

50
Q

As SID increases density _______

As SID decreases density _______

A

Decreases

Increases

51
Q

When SID is increased what must be done to maintain density

A

Increase mAs

52
Q

Exposure maintenance formula (SID and density)

A

MAs 1 = SID1^2
-–—— ———
MAs 2 SID 2^2

53
Q

If adding a grid the mAs must be ________

A

Increased

54
Q

Formula for grid and mAs

A

Mas1 = GCF1
——- ——-
Mas2 GCF2

55
Q

Grid conversation factors

A

No grid ➡️ 1x

5: 1➡️2x
6: 1➡️3x
8: 1➡️4c
12: 1➡️5x
16: 1➡️6x

56
Q

A radiograph was taken without a grid using 3.2 mAs. If an 8:1 grid is used what would the new mAs be?

A
  1. 2 mAs ; 8:1 grid : GCF 4

3. 2 x 4 = 12.8

57
Q

The greater the speed of the film screen the ________ the amount of density produced on radiograph

A

Greater

58
Q

Increasing the film screen speed requires a _______ to be made to the mAs

A

Decrease

59
Q

Film screen systems are classified by their

A

Relative speed factor (RS)

60
Q

Formula for film screen and mAs

A

MAs 1 = RS 2
——– ——–
MAs 2. RS1

61
Q

A thick body part absorbs more radiation which will reflect (more or less) density

A

Less

62
Q

A thin body part transmits more radiation which will reflect (more or less) density

A

More

63
Q

To maintain density when imaging a thicker body part the mAs needs to be

A

Increased

64
Q

For every change in part ️thickness of 4 cm the mAs must be adjusted by a factor of

A

2x

65
Q

When using a fixed mAs and variable kvp each cm increase in pt ️thickness requires a(n)

A

Increase in 2 kvp

66
Q

There is a decrease in the primary xray beam intensity in the (cathode or anode) side of the tube

A

Abide

67
Q

Place the thickest part under the (cathode or anode) end will help decrease visibility of the anode heel effect

A

Cathode

68
Q

Density is one of two ________ properties that comprise visibility of detail

A

Photographic

69
Q

What is the range of densities visible to the human eye

A

Photographic optical .25-2.5

70
Q

Which is worse to be too dark or too light in density

A

Too light

71
Q

The controlling factor for density is the

A

MAs

72
Q

The text indicates there are ______ potential factors affecting density with _____ being negligible

A

13

2

73
Q

T/F a dark radiograph has recorded too much information

A

True

74
Q

Whenever s choice must be made between excess and insufficient density the wise decision is always the choice of the lighter image

A

False

75
Q

T/f an AEC system controls time not milliamperage

A

True

76
Q

T/f the configuration of the generator is another important consideration in how kvp affects density

A

True

77
Q

When in doubt it is advisable to adjust density by a step at a time

A

False

78
Q

T/f as SID Increases density decreases

A

True

79
Q

T/f as OID increases density increases

A

False

80
Q

t/f as filtration increases density decreases

A

True

81
Q

T/f Restricting the primary beam increases density

A

False

82
Q

The density of the radiographic image is the

A

Easiest prime technical factor to evaluate
Result o black metallic silver deposited on the radiograph
Degree of overall blackness

83
Q

The _______ factors should be used as the principal method for adjusting radiographic density

A

Controlling

84
Q

Which generator produces the least amount of radiographic density

A

Single phase, 2 pulse

85
Q

Which generator produces the greatest amount of radiographic density

A

A high frequency generator

86
Q

Which factor influences the average energy of photons reaching the radiograph film

A

Kvp

87
Q

The 15% rule changes

A

Density and contrast

88
Q

The relationship between exposure and SID is

A

Inversely proportional