Shared Flashcard Set

Details

Radiology
Beam Restricting Devices
51
Medical
Undergraduate 1
02/12/2008

Additional Medical Flashcards

 


 

Cards

Term
What are the two types of x-rays that are responsible for the OD or ___________ on a film?
Definition
Contrast; Those that pass through the patient without interacting and those that are scattered in patient (compton)
Term
What are the two names for the x-rays that transverse patients?
Definition
remnant or exit
Term
What is the name for x-rays that enter the IR?
Definition
Image forming x-ray
Term
What happens as scatter increases?
Definition
The radiograph loses contrast and appears gray and dull because of fog
Term
What are the three primary factors that influence the relative intensity of scatter?
Definition

Increased kVp

Increased field size

Increased patient thickness

Term
As x-ray energy is increased, what happens?
Definition
The absolute number of compton interactions decreases with increasing x-ray energy, number of photoelectric decreases RAPIDLY
Term

The absolute number of compton interactions ____ and what does this mean?  (As x-ray energy is increased)

 

Definition
Decreases; relative number of compton interactions increases
Term
What happens to the number of photoelectric interactions and what does this mean?  (As energy of x-ray increased)
Definition
Decreases, increased kVp passes right on through and x-rays aren't absorbed by anatomic part
Term
Why can't we take all radiographs with low kVp??
Definition
kVp must be high enough to ensure adequate penetration of the portion of the body being radiographed
Term
As kVp is increased________ aslo increased
Definition
Scattered radiation
Term
_______ and ______ are used to reduce the level of scatter radiation
Definition
Collimators and grids
Term
Why is high kVp-low mAs preferred to low kVp-high mAs?
Definition
High mAs causes much more patient dose
Term
Who has control of field size?  How is it controlled?
Definition
Radiologic technologist; collimators
Term
As field size is____ scatter is _____
Definition
increased, increased
Term
When the beam is collimated, technique may have to be____? 
Definition
Increased, in order to maintain visible detail, make up for removed scattered radiation
Term
Reduced scatter radiation results in ________ radiograph OD. 
Definition
Lower... In order to maintain optimum OD
Term
Why is smaller beam size more important in fluoro?
Definition
Collimation results in better image contrast due to less scatter
Term
Scatter radiation is increased with ______ body parts.  Why is this so?
Definition
Thick... there are multiple interactions of x-rays
Term

True or false.  Increasing patient thickness decreases multiple scatter.

Definition
False
Term
List any method you can think of that would give you control over body thickness
Definition

compression paddles

compression in IVP

doing PA vs. AP

Term
How does the use of compression devices improve spatial resolution?
Definition
by reducing patient thickness and bringing the object closer to IR
Term
How would the use of compression devices affect patient dose?
Definition
Compression reduces patient dose, improves contrast resolution
Term
_____ limit the size of the x-ray field
Definition
Beam restriction
Term
The two reasons to restrict beam are?
Definition

1. Only tissue being examined should be exposed to decrease exposure dose

 

2. Large x-ray fields result in more scatter radiation

Term
The three types of beam restrictors are?
Definition
Aperture diaphragm, cones or cylinders, variable aperture collimator
Term
What does it mean that the aperture diaphragm is the simplest type of beam restrictor?
Definition
Lead or lead lined metal diaphragm attached to x-ray tube head...very simple design. 
Term
How is aperture diaphragm designed?
Definition
Opening in diaphragm usually designed to cover just less than size of IR used
Term
True or False.  The aperture diaphragm is used to cover the area of interest plus 1 cm larger.
Definition
FALSE
Term
What does an unexposed border mean?  What is the Ca. rule on this? 
Definition

The IR receives an image that is 1 cm smaller on all sides.

 

2 sides of borders must be unexposed

Term
Are aperture diaphragms always used alone, and if not, what are they used with?
Definition
Sometimes used with cones and cylinders
Term
The area where aperture diaphragms are most often used is _____
Definition
Trauma
Term
What can cause diaphragm cut off?
Definition
Long axis of diaphragm must be parallel to long axis of IR
Term
Cones and cylinders are considered to be modifications of____
Definition
Aperture diaphragm
Term
How do cones and cylinders work?
Definition
An extended metal structure restricts the useful beam to the required size
Term
What is the normal shape of cones and cylinders?
Definition
Circular
Term
The most common type is _________(cylinder or cone) but it is still often called a ______?
Definition
Cylinder; cone
Term
What is a difficulty of using cones and cylinders?
Definition
Alignment
Term
What is cone cutting?
Definition
If x-ray source, cone, and IR not aligned on same axis.  One side of radiograph may not be exposed, edge of cone interferes. 
Term
True or False.  The openings to cones or cylinders can be adjusted? 
Definition
False
Term
What anatomical structures are cones and cylinders often used for?
Definition
Head and spine
Term
Why is image contrast improved when using a beam-restricting device?
Definition

Reduced scatter radiation

Term
What is the primary reason one uses beam restriction?
Definition
Reduce patient dose, increase contrast
Term
The most commonly used beam restrictor is the ______
Definition
Variable aperture
Term
What is off focus radiation and how is it controlled and presented on a radiograph?
Definition
When projectile electrons stray and interact at positions on anode other than focal spot.  Controlled by first-stage entrance shuttering device that has multiple collimator blades in tube housing.
Term
True False.  The projected light field must coincide with x-ray beam?
Definition
True
Term
Why must the projected light field coincinde with x-ray beam?
Definition
Collimator cut off of anatomic structures may occur
Term
What is the scale for that is marked on the collimator?
Definition
To indicate field size at fixed SID's
Term
What does PBL stand for and how do they work?
Definition

Positive Beam Limiting

Sensing devices in tray identify size and alignment of cassette. 

Term
Can you override PBL?
Definition
Yes, by raising tube
Term
What is added filtration?  What are the most common filtration stations and what are they made of?
Definition
Filtration added to tube housing.  Collimator assembly is added filtration. 
Term
What is the most common added thickness of added filtration?
Definition
1 mm Al
Supporting users have an ad free experience!