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RADIOLOGY FINAL
LAST. RADIOLOGY. FINAL. THANK GOD.
112
Other
Undergraduate 2
12/12/2011

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Term
radiation
Definition
form of energy carried by waves or a stream of particles
Term
dental radiographer
Definition
anyone who positions, exposes and processes dental x-ray film
Term
why do we use dental radiographs?
Definition
detect diseases, view unseen clinical conditions, basic component of comprehensive care
Term
components of x-ray machine
Definition
tube head, extension arm, control panel
Term
lead collimator
Definition
produces the beam
Term
atom
Definition
smallest unit of matter
Term
particulate radiation
Definition
WITH mass, travels in a straight line
Term
electromagnetic radiation
Definition
no mass, no weight, no electrical charge. travels at speed of light (166,000 miles)
Term
cathode
Definition
supply electrons (negatively charged)
Term
anode
Definition
convert electrons into xray photons (positive)
Term
tungsten target
Definition
focal spot, converts electrons into x-ray photons
Term
copper stem
Definition
carry heart away from target
Term
tungsten filament
Definition
produces electrons when heated
Term
molybdenum cup
Definition
focuses electrons into a narrow beam toward the target
Term
thermionic emission
Definition
release of electrons from the filament 
Term
general radiation
Definition

BRAKING or BREMSSTRAHLUNG

 

slowing of high speed electrons that hit the nucleus

 

70% !!!!

Term
characteristic radiation
Definition

electron dislodges K-shell electron causing ionization

 

30% !!!!

Term
photoelectric effect
Definition
interaction of x-rays with matter; photon is absorbed by the displaced electron
Term
compton scatter
Definition

MOST DAMAGING

 

photon gives up part of its energy, interacts with other atoms until its energy is gone

 

62 % !!!!

Term
coherent scatter
Definition

8 % !!!!

 

"unmodified scatter"

 

no change in atom occurs

Term
x-ray energy completely absorbed
Definition
BAD
Term
no interaction
Definition
GOOD
Term
scatter radiation
Definition
BAD
Term
primary radiation
Definition
radiation that exits the tubehead
Term
secondary radiation
Definition
radiation that hits the patient
Term
kVp rule
Definition
decrease kvp by 15, double exp. time
Term
kvp rule
Definition
increase kvp by 15, decrease by 1/2 step
Term
inverse square law 
Definition
how distance affects the intensity of the x-ray beam
Term
direct theory
Definition
cell damage results when ionizing radition hits critical areas
Term
indirect theory
Definition
cell damage results indirectly; x-rays photons are absorbed
Term
somatic effects
Definition
radiation responsible for poor health (cancer)
Term
genetic effects
Definition
effects of radiation passed onto future generations
Term
radiosensitive cells
Definition
cells that are sensitive to radiation (lymphocytes, young bone, epithelial)
Term
radioresistant cells
Definition

cells that are resistant to radiation 

 

(muscle cells, bone cells, nerve cells)

Term
factors that contribute to radiation injury
Definition
total dose, dose rate, size of radiation, exposure zone, cell sensitivity, age
Term
latent period
Definition
time that elapses between time of exposure to ionizing radiation and the appearance of clinical signs
Term
stochastic effects
Definition
dose related (Cancer, leukemia)
Term
nonstochastic effects
Definition

larger radiation dose

 

hair loss, cataracts, redness of skin, less fertile

Term
critical organs in dental radiography
Definition
lens of the eye, reproduction, fetus, bone marrow, thyroid gland, skin
Term
short scale contrast
Definition
black - white
Term
long scale contrast
Definition
white - many shades of gray - black
Term
maxillary/mandibular topographic
Definition
+65 degrees
Term
maxillary lateral
Definition
right or left +60 degrees
Term
mandibular cross-section
Definition
pid under chin @ -90 degrees
Term
pediatric occlusal films (size 1 or 0)
Definition
+60 degrees or -55 degrees
Term
paralleling technique
Definition
parallel to LONG AXIS of the tooth
Term
bisecting angle technique
Definition

used w/o film holder, decreased exposure time

 

visualize imaginary bisector formed by long axis of tooth

 

 

Term
landmarks for dental radiography
Definition

outer/inner canthus of the eye

ala-tragus line

mid-sagittal line (right and left)

occlusal plane

Term
MORE X-RAYS = 
Definition
DARKER IMAGE
Term
FEWER X-RAYS =
Definition
LIGHTER IMAGE
Term
vertical angulation
Definition
Central ray (CR) must be perpendicular to long axis of tooth & film
Term
composition of film
Definition
film base, adhesive layer, emulsion (one sided), protective layer
Term
typical film package
Definition
waterproof package, black paper, film, lead foil
Term
screen film
Definition

requires use of screen, placed between two intensifying screens.

 

 

when exposed to x-rays, screens covert x-ray energy into light which exposes it

Term
halide crystals
Definition

silver bromide !!!!

 

absorb x-radiation during exposure and store energy

Term
manual processing steps
Definition

DWFWD

 

DEVELOP, WASH, FIX, WASH, DRY!

 

6 min, .5 min, 10 min, 20 min

Term
automic processing steps
Definition

DFWD

 

develop fix wash dry

Term
too cold =
Definition
underdeveloped
Term
too warm = 
Definition
over developed
Term
temp change =
Definition
cracked 
Term
yellow/brown stains = 
Definition
insuffient times or chemicals
Term
developer chemicals
Definition

ADRP

 

accelerator - sodium carbonate - alkaline environment, softens emulsion

 

developing agent - (reducing agent) metol or elon builds gray tones, hydroquinone builds contrast

 

restrainer - potassium bromide - shrinks and hardens emulsion

 

preservative - sodium sulfite - prevents chem. breakdown

Term
fixer chemicals
Definition

AFHP

 

acidifer - sulfuric acid or acetic acid - stops developer by neutralization

 

fixing agent (hypo) - sodium or ammon. thiosulfate - clears crystals

 

hardener - potassium alum - shrinks emulsion

 

preserative - sodium sulfite - slows deterioration of chemicals

Term
replenishment of chemicals
Definition
6 oz of developer, 3 oz of fixer
Term
film storage
Definition

HUMIDITY : 30-50% 

 

TEMPERATURE OF ROOM : 50-70%

Term
DARK ROOM STORAGE
Definition

HUMIDITY: 50-70%

 

TEMPERATURE OF ROOM: 70%

Term
vertical angulation errors
Definition

elongation

foreshortening

Term
horizontal angulation errors
Definition
overlapping of contact points
Term
safe light
Definition
min. of 4 ft from work space !!!!
Term
over exposure appears
Definition
DARK
Term
under exposure appears
Definition
LIGHT
Term
no exposure
Definition
CLEAR
Term
processing errors (abbrevations)
Definition

light - under (developed)

 

dark - over (developed)

Term
location
Definition
periapical, inter-radicular, edentulous, pericoronal
Term
shape of lesions
Definition

unilocular - small and nonexpansile

 

multiocular - multiple compartments and expansile

Term
borders of lesions
Definition

corticated - definite borders

 

uncorticated - fuzzy borders

Term
buccal and lingual caries
Definition
HARD TO SEE ON RADIOGRAPHS!
Term
root surface caries
Definition
only the roots, bone loss/gingival recession
Term
recurrent caries 
Definition
adjacent to preexistent restorations
Term
rampant caries
Definition

affects numerous teeth

 

seen in kids with poor diet habits or adults with decreased salivary flow

Term
incipient caries
Definition

less than halfway through the thickness of enamel

 

class I

Term
moderate caries
Definition

more than halfway through the thickness of enamel but does not include the CEJ

 

class II

Term
advanced caries
Definition

extends to or through the DEJ and into the dentin but does not extend through the dentin more than half the distance to the pulp

 

class III

Term
severe caries
Definition

through enamel, through dentin, more than half the distance towards the pulp

 

class IV

Term
buccal object rule (BOR)
Definition

aka "tube shift technique"

 

two radiographs of same area exposed at different horizontal angulation (mesially or distally)

Term
SLOB RULE
Definition
same lingual; opposite buccal
Term
right angle technique
Definition
two radiographs; one PA and one occlusal
Term
BAMA*
Definition
buccal always moves away
Term
difference between intraoral and pano relating to tubehead movement
Definition

intraoral: tubehead is still, angulation is variable, collimator is round or rectangular

 

panoramic: tubehead moves, angulation is set, collimator is narrow, vertical slit

Term
tomography
Definition
imaging of one layer or section of the body while blurring images from structures in other planes (pano)
Term
focal trough
Definition
"image layer" 3D curved zone in which structures are clearly demonstrated on a pano
Term
intensifying screens
Definition

calcium tungstate = blue light

 

rare earth = green light ; requires less x-rays; faster

Term
common errors of pano
Definition

ghost images

 

lead apron artifact (shark fin)

 

patient positioning

Term
digital radiography
Definition
filmless imaging system using a sensor & computer
Term
analog image
Definition
radiographic image produced by conventional film
Term
digital image
Definition
image composed of pixels (storage phosphors)
Term
pixel
Definition
discrete unit of information
Term
sensor
Definition

small detector that is placed intraorally to capture image 

 

(CCD, CMOS-APS, CID)

Term
CCD - charged coupled device
Definition

solid-state detector used in many devices

 

contains silicone chip sensitive to x-rays or light

Term
direct digital imaging
Definition
intraoral sensor placed in mouth and exposed to radiation 
Term
indirect digital imaging
Definition
scanning traditional radiographs (lengthy process)
Term
storage phosphor imaging
Definition

wireless digital radiography system

 

reusable imaging system plate coated with phosphor instead of a sensor

 

image is transfered to computer screen

 

less rapid than direct digital imaging

Term

CMOS-APS vs CCD

 

 

 

Definition
CMOS-APS is more durable, less $$$
Term
CID
Definition

charged injection device

 

similar to CCD

 

no computer required !!!!

 

works in conjuction with intraoral video camera system

Term
what reactions must occur for gag reflex to initiate?
Definition

cessation of respiration (patients cant gag if they can't breathe)

 

contraction of muscles in the throat and abdomen

Term
what can the operator do to lessen the gag reflex
Definition

expose quickly

 

avoid the palate

 

reduce tacticle stimuli (salt on the tongue, ice water, topical anesthetic)

Term
developmental disability
Definition
substaintial impairment of mental or physical functioning that occurs before the age of 22 and is of indefinite duration
Term
edentulous patients:
Definition
14 PA's may be given; 6 anterior, 8 posterior *(size 2 film)*
Term
what types of surveys are done on edentulous patients?
Definition
dental radiographic
Term
occlusal projections:
Definition

maxillary:

 

topographic

lateral

pediatric

 

mandibular:

topographic

cross sectional

pediatric

Term
more mA = less exposure time
Definition
less mA = more exposure time
Term
what happens at tungsten target?
Definition

cathode ray electrons strike the tungsten atoms

 

kinectic energy is converted to x-ray photons through either characteristic radiation or general radiation

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