問題一覧
1
invented x-ray grid in 1913
Dr. Gustav Bucky
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working ability of a grid is described, ratio of height
Grid Ratio
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Grid Ratio used for Greater than 90 kVp - for 20-40 kVp (mammography)- for 70-90 kVp -
- 12:1 - 5:1 - 8:1
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ratio of incident radiation
Bucky Factor
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no actual grid, latest innovation for scatter radiation
Virtual Grid
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strips are slightly angled, used at specified focal distance
Focused Grid
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used for short or long distance
Parallel Grid
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eliminates fine grid lines
Moving Grid
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Layers of Intensifying Screen BRLP
- Base - Reflective Layer - Luminescent Layer/Phosphor Layer - Protective Layer
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What phosphor layer emits blue light? CT & LO
- Calcium Tungstate - Lanthanum Oxybromide
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What phosphor layer emits green light? G.0
Gadolinium Oxysulfide
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Rare Earth Elements GLY
Gadolinium Lanthanum Yttrium
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* film sensitive to UV, Blue, Green Light * film sensitive to UV & Blue Light
- Orthrochromatic Films - Conventional Films
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2 Processing Errors that affect density
- Underdevelopment - Overdevelopment
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processing that requires rigorous quality control
Automatic Processing
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controls density of radiograph
mAs
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What Scatter is Decreased, Contrast is what?
Increased
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magnifying the anatomical structure, usually caused by increased OID
Size Distortion
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can be controlled by proper exposure factor
Magnification
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misinterpretation of shape, controlled by alignment of beam, referred as true distortion
Shape Distortion
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Influencing factors of shape distortion include: CB
- Central ray angulation - Body part rotation
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central portion of the beam
Central Ray
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number used to change one set of units
Technique Conversion Factors
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alters intensity of beam
SID
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- compromise visibility of detail - degree of overall blackening
Density
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describe concept of density displayed on soft copy monitor, amount of luminescence
Brightness
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describe the digital processing that produce change
Window Level
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5 Factors affecting density KFABA
- kVp, mAs - focal spot - anode heel effect - beam restriction - anatomical part
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effect that alters intensity
Anode Heel Effect
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great deal of influence on IR and film density
Anatomical Part
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affects recorded detail, fails enough time for image to form
Motion
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* patient based artifact that occur with voluntary and involuntary movement * under the direct control of patient * not under the control of patient
- Motion Artifact - Voluntary Motion - Involuntary Motion
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technique used to track movement of objects with xrays ex. cartilage
X-ray Motion Analysis
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instrument that provides a read of amount of blackening or density
Densitometer
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unwanted absorption of x-rays via an x-ray grid
Grid Cut Off
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to minimize distortion
Target Object Film Alignment
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Use only the SID distances of?
40” 56” 72”
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What do with mAs when distance increases? when distance decreases?
- double mAs - halve mAs
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Restricting beam does what? RN, RA, RO
- reduce number of photons - reduce amount of scatter radiation - reduce overall IR exposure & film density
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Scatter rad is produced when? HL
- high kVp - large anatomic size
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can alter absorption characteristics of anatomic part
Pathologic Conditions
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- conditions that increase absorption characteristics, making it difficult to penetrate - conditions that decrease the absorption characteristics, making part easier to penetrate
- Additive Diseases - Destructive Diseases
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BEST METHODS IN REDUCING MOTION IN ORDER
1st - Communication 2nd - Reduce Exposure Time 3rd - Immobilization
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major controller of image resolution and penumbra
Focal Spot Size
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- what focal spot reduces bluriness or penumbra effect and is used where spatial resolution is important (mammography) - what focal spot results in more unsharpness and reduced recorded detail, used when shorter exposure time is prio
- Small Focal Spot - Large Focal Spot
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The ________ between source or focal spot, object, part and image receptor are critical in establishing sufficient recorded detail
Distance
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when OID is decreased, resolution is ________ when SID is increased, resolution and recorded detail is ________
- increased - increased
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distance between focal spot and radiographic film
Focal Film Distance
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- lower x-ray beam intensity - need higher mAs to prevent underexposure
- Greater FFD - Longer FFD
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commonly classified by speed
Film/Screen Combination
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Slow Film Screen Combination equals to better or worse resolution?
Better
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helps control geometric distortion and grid cut off
Tube-object film alignment
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degree to which radiation is attenuated, depends on cell component, relative atomic no, thickness, cell density
Patient Factors
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- anything that changes the nature of radiation beam - purpose is scatter control
Beam Modification
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- filtration from components of x-ray tube - filtration from interchangeable metal sheets
Inherent Filtration Added Filtration
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filtration used in mammography
Beryllium
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Diagnostic X-ray Beams are _________ (meaning spectrum of many diff energies)
Polychromatic
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substance that attenuates the beam to a different degree than surrounding tissue
Contrast Media