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Densler - Radiology
Fundamentals of Radiology
17
Biology
Professional
09/09/2008

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Term
Why are X-rays used in radiology?
Definition
X-rays are produced by bombarding a tungsten target with an electon beam. X-rays are a form of electromagnetic energy similar in several respects to visible light. The fundamental difference between X-rays and light rays is their range of wave lengths.

The wave lengths of X-rays being shorter than those of ultraviolet light.

***This useful science of diagnostic radiology is based on this difference, since many substances that are opaque to light are penetrated by X-rays.
Term
Who invented X-rays (test question) and how did he do it?
Definition
Wilhelm Conrad Roentgen - KNOW - TEST QUESTION

in 1895 was experimenting with an apparatus that, unknown to him caused the emission of rays as a by-product. Professor Roentgen names these rays X-rays and he found by using photographic paper he could make a picture of his hand showing details for the bones, soft tissue and a ring he had on. Six years later the first Nobel Prize in Physics was awarded to Dr. Roentgen for his discovery.
Term
How does radiodensity relate to composition? (TEST QUESTION)
Definition
The more dense the composition is the whiter it shows up on film

Spectrum from whitest (most dense) to darkest (least dense)

Lead

Bone

Muscle

Blood

Liver

Fat

Air
Term
How does radiodensity relate to thickness?
Definition
The more thick a material is the whiter it shows up

Ex - compact bone shows up whiter than spongy bone

The view (lateral vs anterior) makes a difference

Ex - Spinous process of vertebrae is harder to see (darker) in a lateral view as opposed to an anterior to posterior view
Term
What is the standard routine chest x-ray?
Definition
Posterior Anterior with the patient standing

The film is pressed up against the chest (want the chest in focus - being closer makes it more focused) and the X-ray goes from posterior to anterior

X-rays travel from behind - enter the back and exit the chest onto the film
Term
How can be lateral chest x-rays be useful?
Definition
In a standard PA chest X-ray it can be difficult to determine the depth of an object that does not belong (for example a bullet)

A lateral chest X-ray can tell one where that bullet is depth-wise
Term
What is the lordotic view?
Definition
Chest X-ray at an angle (the patient leans back away from the X-ray
Term
What can fluoroscopy be used for?
Definition
Gastrointestinal (GI) exams
Term
What is a CT scan?
Definition
Also know as a C.A.T. scan which stands for Computerized Axial Tomography

It’s a special kind of X-ray that can produce "3-D" pictures of a cross section of a part of the body.

CT scans can detect some conditions that normal X-rays cannot. This is useful in preventing unnecessary surgeries
Term
Compare radiolucent and radiodensity
Definition
Radiolucent - shows up as dark because there is less material and the X-rays just pass through (lucent)
Ex - air

Radiodensity - show up as white because there is dense material and the X-rays cannot pass through easily
Term
Compare a lung nodule and a lung mass
Definition
Lung nodule - < 3cm

Lung mass - > 3 cm
Term
What does emphysema look like on a X-ray?
Definition
There is excess air in the chest from the lungs being hyperinflated
Term
What is pneumothorax?
Definition
Air between the lungs and chest

Could occur from something like a punctured lung
Term
What is the silhouette in a chest X-ray?
Definition
It's the heart
Term
What is calcified and calcinosis?
Definition
Calcified just shows up as white and its normal bone

Calcinosis is the formation of calcium deposits in any soft tissue. It is abnormal. The chest X-ray is white where it's not supposed to be.
Term
How much radiation is generated in a MRI (TEST QUESTION)?
Definition
No radiation is used or generated in a MRI
Term
What is a contrast study (TEST QUESTION)?
Definition
Contrast studies involve the use of barium sulfate solutions, air or special dyes, etc. to enhance the X-rays of various parts of the body
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