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LMR 201 Pre-Mid Term
Lectures 1-8
144
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Not Applicable
07/12/2023

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Term
Who discovered x-rays?
Definition
Wilhelm Conrad Roentgen
Term
Date x-rays were discovered
Definition
November 8, 1895
Term
What was the paper Roentgen presented to the Wurzburg Physico-Medical Society?
Definition
“On a New Kind of Ray”
Term
Who is credited with inventing the fluoroscope?
Definition
Thomas Edison
Term
The first death in the United States due to x-radiation poisoning was _______.
Definition
Clarence Dally
Term
Nucleus
Definition
center of the atom;
contains the protons and neutrons
Term
protons
Definition
contained in the nucleus;
positive electrical charge;
their number (Z) determines the element
Term
neutrons
Definition
contained in the nucleus;
no charge;
neutron + protons = mass of the atom
Term
electrons
Definition
orbit the nucleus;
have a negative electrical charged
Term
orbital shells
Definition
the electrons' orbiting pathway around the nucleus;
labeled k, l, m (inner most first, outward)
Term
symbol for tungsten
Definition
W
Term
Z# of tungsten
Definition
74
Term
A balanced atom has an equal number of _______.
Definition
protons, neutrons, and electrons
Term
If an atom is missing an electron it is called a(n) _______.
Definition
ion
Term
If an atom has fewer or greater number of neutrons than protons it is called a(n) _______.
Definition
isotope
Term
energy
Definition
the ability to do work;
moving an object against a resistance
Term
potential energy
Definition
energy at rest
Term
kinetic energy
Definition
energy in motion
Term
radiation
Definition
energy in motion;
radiating
Term
ionization
Definition
the removal of electrons from an atom
Term
radioactive enegy
Definition
energy that has sufficient energy to ionize;
requires a very high frequency and is what makes it dangerous since it can cause biological damage
Term
properties of electromagnetic radiation
Definition
travel in a waveform;
travel at the speed of light;
has no mass or charge;
can ionize
Term
2 examples of electromagnetic radiation
Definition
x-rays & gamma rays
Term
properties of particulate radiation
Definition
have mass and charge;
can ionize
Term
2 examples of particulate radiation
Definition
alpha particles & beta particles
Term
characteristics of x-rays
Definition
invisible ionizing photons
no mass or charge
travel in a waveform at the speed of light
travel in a straight but diverging path
highly penetrating
poly-energetic
energy is related to frequency
higher frequency = greater energy = greater penetration
can cause certain crystals to fluoresce (emit a light)
Term
cathode
Definition
negative side of the tube;
contains the filaments
Term
filament
Definition
when heated become the source of free electrons, forming the electron cloud
Term
anode
Definition
positive side of the tube;
contains the focal track
Term
filament circuit
Definition
a separate electrical circuit from the tube circuit;
responsible for heating the filament to the point of thermionic emission
Term
composition of the filament
Definition
98% tungsten & 2% thorium (thorated tungsten)
Term
size of filament determines?
Definition
The electron beam size;
which determines the actual FSS;
which determines the effective FSS
which in turn determines spatial resolution
Term
filaments function
Definition
to provide free electrons by thermionic emission
Term
thermionic emission point of tungsten
Definition
2,200⁰ C
Term
melting point of tungsten
Definition
3,400⁰ C
Term
blooming
Definition
enlarging of the electron cloud size due to the electrons repelling each other
Term
composition of the focusing cup
Definition
molybdenum or nickel
Term
function of the focusing cup
Definition
controls blooming;
has greater negative charge than the total negative charge of the electron cloud;
compresses the electron cloud
Term
air gap
Definition
space between the filament and focal track
Term
What determines the speed of the electrons traveling from the cathode to the anode?
Definition
kVp
Term
composition of the anode
Definition
tungsten & rhenium focal track embedded in a molybdenum disk, with a graphite backing
Term
composition of the focal track
Definition
90% tungsten & 10% rhenium;
provides the surface for the bombardment of electrons, creating x-rays
Term
purpose of the anode spinning
Definition
increases surface area of the focal track; dissipates heat
Term
bevel of the anode & reason
Definition
12 -14 degrees, needed to cover a 17" field of view (FOV) at 40" SID
Term
function of the graphite backing of the anode
Definition
lowers the mass of the anode;
dissipates heat
Term
anode stem
Definition
axel of the anode;
made of molybdenum
Term
description & function of the rotor
Definition
half of an induction motor;
located inside the glass envelope;
spins the anode; 3,400 rpm
Term
description & function of the stator
Definition
half of an induction motor;
outside the glass envelope;
remains stationary
Term
glass envelope composition and function
Definition
Pyrex glass;
vacuum sealed to remove air molecules
Term
tube hosting characteristics
Definition
lead line to prevent radiation leakage
Term
purpose of circulating oil
Definition
electrical insulation & heat dissipation
Term
circuit
Definition
path of electrical current flow
Term
amperage (I)
Definition
number of electrons flowing in a circuit
Term
voltage
Definition
aka electromotive force (emf) or potential difference;
the push behind the electron moving in an electrical circuit
Term
resistance
Definition
anything that impedes electrical flow
Term
Coulomb
Definition
unit of measure of all electron charges in a given area
Term
Ohm's Law
Definition
explains the relationship of voltage (V), amperage (I), and resistance (R);
expressed as V=IR; I = V/R; R = V/I
Term
series circuit (recognize)
Definition
Current/electrons has only one route;
the electrical current must go through 1st “load” to get to 2nd load
Term
parallel circuit (recognize)
Definition
has an alternate route; does not have to go through 1st “load” (light bulb) to get to 2nd load (light bulb)
Term
properties of steady DC
Definition
flows in one direction;
voltage is constant;
cannot be transformed, i.e., cannot be changed for low to high voltage or vice-versa
Term
properties of AC
Definition
flows in alternating (back & forth) directions;
has a negative alternation;
voltage is constantly fluctuating;
can be transformed, i.e., changed from low to high voltage or vice-versa
Term
electromagnetic field
Definition
electron movement (e.g., current) sets up a surrounding electromagnetic field;
Term
mutual induction
Definition
when one conductor induces a current to flow in a second conductor
Term
self-induction
Definition
when the loops of a coiled conductor induces an opposite current in the other loops near it
Term
order of tube (high-voltage) circuitry
Definition
line voltage - auto-transformer - high-voltage transformer - rectifier - tube
Term
order of filament circuitry
Definition
line voltage - step-down transformer - rheostat (mA selected) - filament
Term
components located on the primary side of the tube circuit
Definition
line voltage;
filament circuit;
control panel;
auto-transformer;
1⁰ side of high-voltage transformer
Term
components located on the secondary side of the tube circuit
Definition
2⁰ side of high-voltage transformer; rectifier;
cathode;
anode
Term
step-up transformer & recognize
Definition
converts low-voltage into high-voltage;
has more turns on the secondary side than on the primary side;
has a fixed ratio;
works by mutual induction
Term
step-down transformer
Definition
converts high-voltage into low-voltage;
has more turns on the primary side than the secondary side;
work by mutual induction
Term
auto-transformer
Definition
primary and secondary turns (wires) are the same;
can varying ratios;
steps down line voltage before it goes to the high-voltage transformer
Term
transformer formula
Definition
Vs = Ts
Vp Tp
Term
AC sine wave
Definition
recognize
Term
semi-conductor
Definition
conductor that allows electrical flow in only one direction;
used in rectifiers
Term
rectifier
Definition
device that converts AC into pulsating DC
Term
recognize self-rectification waveform & know ripple
Definition
Term
recognize half-wave rectification waveform & know ripple
Definition
Term
recognize full-wave rectification waveform & know ripple
Definition
Term
recognize a three-phase waveform & know the ripple for a 6-pulse and a 12-pulse
Definition
Term
recognize a high-frequency (H-F) waveform & ripple
Definition
Term
What happens when mA is increased?
Definition
resistance in the filament increases and more
electrons are boiled off, making the electron cloud larger
Term
What percent of the kinetic energy crossing the tube is converted into light & heat?
Definition
greater than 99%
Term
What percent of the kinetic energy crossing the tube is converted into x-rays?
Definition
less than 1%
Term
What happens when kVp is increased?
Definition
faster the electrons cross the air gap and the harder they collide with the focal track, creating stronger x-rays
Term
describe Bremsstrahlung x-ray production
Definition
high speed negative electron comes near the positively charged nucleus and the electron is pulled off it path;
to change direction the electron must break, which creates an x-ray
Term
What factors determine the energy level of a Brems x-ray photon?
Definition
kVp;
energy of the incident electron (random);
how close the incident electron is to the nucleus when it is pulled off course
Term
describe characteristic x-ray production
Definition
an incident electron collides with a k-shell electron of an atom;
if the incident electron's energy is greater than the k-shell electron's binding energy (the energy needed to hold it in its orbit) it dislodges its;
an l-shell electron drops into the k-shell hole, but to drop into the k-shell, the l-shell electron must slow down;
in order to slow down, its excess energy creates and x-ray
Term
What is the binding energy of tungsten's k-shell electron?
Definition
69 keV
Term
What is the binding energy of tungsten's l-shell electron?
Definition
11 keV
Term
What is the energy of a characteristic x-ray photon?
Definition
58 keV
Term
What type of x-rays are produced at below 70 kVp?
Definition
Brems only
Term
What type of x-rays are produced at or above 70 kVp?
Definition
Brems (90%) & characteristic (10%)
Term
x-ray quantity
Definition
number of x-rays produced;
determined by mAs
Term
x-ray quality
Definition
the average energy level of the x-ray photons (i.e., its penetrating ability); determined by kVp
Term
What is it that the FSS controls?
Definition
determines spatial resolution (detail)
Term
the relationship between mA and patient exposure
Definition
mA – direct (proportional)
↑ mA ↑ patient exposure
↓ mA ↓ patent exposure
Term
the relationship between time (s) and patient exposure
Definition
time – direct (proportional)
↑ s ↑ patient exposure
↓ s ↓ patient exposure
Term
the relationship between mAs and patient exposure
Definition
mAs – direct (proportional)
↑ mAs ↑ patient exposure
↓ mAs ↓ patent exposure
Term
relationship between kVp and patient exposure
Definition
kVp = inverse
↑ kVp ↓ patient exposure
↓ kVp ↑ patient exposure
Term
relationship between SID and patient expsoure
Definition
if not compensated for - inverse to the square of the distance
↑ SID ↓ patient exposure
↓ SID ↑ patient exposure
if compensated for, no change
Term
beam intensity
Definition
number of x-ray photons in the beam; quantity
Term
Primary (1⁰) beam
Definition
x-ray photons that have exited the tube, but have not hit the patient;
aka incident beam
Term
incident beam
Definition
x-ray photons that have exited the tube, but have not hit the patient;
aka primary beam
Term
Secondary (2⁰) beam
Definition
x-ray photons that exit the patient, but have not hit the IR;
aka exit beam
Term
exit beam
Definition
x-ray photons that exit the patient, but have not hit the IR;
aka secondary beam
Term
attenuation
Definition
decrease in the number of x-ray photons in the 1⁰ beam as it goes through the patient and becomes the 2⁰ beam
1⁰ beam minus 2⁰ beam = attenuation;
absorbed dose + scattered that misses the IR are the reasons for attenuation
Term
direct transmission
Definition
photons pass through the patient unaffected;
image carrying photons, “the good stuff”
Term
indirect transmission
Definition
photons collide with atoms within the photons collide with patient’s tissue and changes direction;
called scatter
Term
absorption
Definition
photons that transfer all their kinetic energy into the tissue;
patient dose
Term
scatter
Definition
misdirected x-rays due to collision with an atom's electrons;
is the source of exposure to the radiographer
Term
filtration
Definition
removes the "soft" weak photons ("hardening the beam");
the purpose of filtration is to save the patient exposure to weak photons that have no opportunity to penetrate to the IR
Term
inherent filtration
Definition
filtration done by the components of the tube
glass
circulating oil
mirror
Term
added filtration
Definition
filtration that is added by the manufacturer; sheets of aluminum
Term
total filtration
Definition
inherent filtration + added filtration
Term
relationship between attenuation and part thickness
Definition
↑ tissue thickness (more atoms stacked)
↓penetration
↑ absorption
↑ scatter
Term
relationship between attenuation and part denseness
Definition
↑ tissue denseness (more atoms packed together)
↓penetration
↑ absorption
↑ scatter
Term
3 types of interaction with x-ray photons and tissue
Definition
coherent (classical)(Thompson) scattering
Compton (incoherent) scattering
photoelectric (effect) absorption
Term
describe coherent or Thompson or classical scatter
Definition
incident x-ray photon collides with an outer shell electron;
electron absorbs all the incident photon’s energy;
electron vibrates due to its excess energy;
rids itself of the excess energy by emitting an x-ray photon;
the secondary x-ray has the equal energy as the incident photon (no net loss of energy), but is now traveling in a different direction
Term
describe Compton scattering
Definition
incident x-ray photon interacts with an outer shell electron; outer shell electron does not absorb all the photon’s energy, but it does absorb enough energy to be ejected from its orbit; ejected electron is called a recoil or a Compton electron; the x-ray photon, with its degraded energy, continues in a different direction
Term
describe photoelectric effect (absorption)
Definition
an incident photon interacting with an inner shell electron, usually in the k-shell;
the inner shell electron absorbs all the energy of the incident photon;
causes the k-shell electron to be ejected from its orbit;
the ejected electron is called a photoelectron;
an l-shell electron moves in to fill the hole left in the in the k-shell, l-moves into m-shell, and so forth;
each time an electron shifts it must slow down, and to do so it creates an x-rays;
the incident x-ray's energy is divided over the weaker created x-rays and they are absorbed by the patient
Term
difference between characteristic x-ray production and photoelectric effect (absorption)
Definition
characteristic x-ray production is an interaction between an incident electron and a k-shell electron in the anode;
photoelectric effect is an interaction between an incident x-ray photon and a k-shell electron inside the patient
Term
relationship between Zeff and attenuation
Definition
↑ tissue Zeff (the larger atoms)
↓ penetration
↑ absorption
↑ scatter
Term
cascade effect
Definition
during a photoelectric absorption, the movement of the l-shell electron into the k-shell hole, then the m-shell electron into the l-shell hole, etc.;
this shifting is called the cascade effect
Term
fluorescent yield
Definition
during a photoelectric absorption, several x-rays are created by the shifting electrons moving into vacant hole;
the total energies of these x-rays is called fluorescent yield
Term
6 radiographic quality factors
Definition
IP exposure (indicator number)
Brightness (density)
Contrast (dynamic range)
Spatial resolution (detail)
Noise
Distortion
Term
indicator numbers (indices)
Definition
a number determined by the digital processor which indicates the amount of exposure to the IP;
the only way to tell if the IP is properly exposed
Term
8 factors that affect IP exposure
Definition
mAs (mA & s)
kVp
SID
OID
filtration
beam restriction (collimation)
patient factors
anode heel affect
Term
4 patient factors that affect IP exposure
Definition
part thickness
part denseness
Zeff
pathology
Term
What is the relationship of mAs to IP exposure?
Definition
direct proportional relationship

Direct – both move in the same direction
↑ mAs ↑ IP exposure
↓ mAs ↓ IP exposure

proportional – both move in equal amounts
double mAs – double IR exposure
halve mAs – halve IP exposure
Term
What is the relationship of kVp to IP exposure?
Definition
direct relationship

Follows the 15% rule

↑ kVp by 15% ↑ IP exposure by 100%
↓ kVp by 50% ↓ IP exposure by 50%
Term
What is the relationship of SID to IP exposure?
Definition
inverse relationship

follows the inverse-square law

if not compensated for:
↑ SID ↓IP exposure
↓ SID ↑IP exposure

if compensated for, no affect on IP exposure
Term
inverse-square law (defintion)
Definition
intensity of the beam is inversely proportional to the square of the distance

if not compensated for:
double SID = intensity decreases to 1/4
half SID = intensity increase by factor of 4

if compensated for:
double SID = increase mAs x 4
halve SID = decrease mAs to 1/4
Term
inverse law formula
Definition
non-compensating formula
id2 x ID2
like goes with like


compensating formula
iD2 x Id2
if you need to change your mAs to compensate, change their partners
Term
What is the relationship of SID to IP exposure?
Definition
inverse relationship

↑ OID ↓ IP exposure
↓ OID ↑ IP exposure
Term
Why does the inverse-square law work?
Definition
the divergence of the beam "thins" the beam
Term
Why does the (OID) "air-gap" technique
Definition
as OID increases the angle of deflection needed for scatter to miss the IR becomes less and less

"scatter pie"
Term
What is the relationship between OID and IP exposure?
Definition
inverse relationship

↑ OID ↓ IP exposure
↓ OID ↑ IP exposure
Term
What relationship does field size have on IP exposure?
Definition
direct relationship

↑ field size ↑ IP exposure
↓ field size ↓ IP exposure
Term
What relationship does filtration have on IP exposure?
Definition
inverse relationship

↑ filtration ↓ IP exposure
↓ filtration ↑ IP exposure

Why? filtration by definition is to "remove"
Term
What relationship does anode heel effect have on IP exposure?
Definition
intensity of the beam is greatest under the cathode - "fat cat"
Term
What relationship does part thickness have on IP exposure?
Definition
inverse relationship

↑ part thickness ↑ atoms ↓ IP exposure
Term
What relationship does part denseness have on IP exposure?
Definition
inverse relationship

↑ part denseness ↑ atoms ↓ IP expos
Term
What relationship does part's Zeff have on IP exposure?
Definition
inverse relationship

↑ part Zeff ↑ size of atoms ↓ IP exposure
Term
What relationship does pathology have on IP exposure?
Definition
additive pathologies ↑ atoms ↓ IP exposure
subtractive pathologies ↓ atoms ↑ IP expsoure
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