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Fluoroscopy
All you have wanted or needed to know about fluoroscopy
87
Health Care
Undergraduate 2
05/16/2010

Additional Health Care Flashcards

 


 

Cards

Term

 

 

How much is the occupational dose per quarter?

Definition

 

 

 

1,250 mRem

Term

 

 

 

What is the occupational dose for pregnant techs?

Definition

 

 

 

500 mRem/term

Term

 

 

In a radiology department, what is the amount needed to make an area restricted?

Definition

 

 

 

Any area that emits 100mRems per hr at 1ft

Term

 

 

In terms of somatic effects, if you give 300 to 500 rads what will the patient have?

Definition

 

 

 

erythema

Term

 

 

 

How many rads will give you sterility?

Definition

 

 

 

 

500 rads or 5 Gy

Term

 

 

 

Genetically Significant Dose

Definition

 

 

 

If received by all individuals, produces the same total genetic effect on the entire population.

Term

 

 

What factors are important in biological effects?

Definition

 

 

 

  • Dose rate to which the tissue is exposed
  • Total dose received by the tissue
  • Type of cells irradiated
Term

 

 

What determines a cell's sensitivity?

Definition

 

 

  • the number of undifferentiated cells within
  • degree of mitotic activity
  • length of proliferation time
Term

 

 

 

Law of Bergonie and Tribondeau

Definition

 

  • Immature or young cells and tissues have increased radiosensitivity
  • High metabolic rate increases radiosensitivity
  • High proliferation and fast growth rate increases the radiosensivity
Term

 

Which cells are most radiosensitive?

 

Which cells are the least radiosensitive?

Definition

In order from most sensitive to lease:

lymphocytes, red blood cells

epithelial, endothelial cells

connective tissue cells

bone cells

nerve cells

brain cells

muscle cells

 

Look for most fluid= increased sensitivity

Decreased fluid= decreased sensitivity

Term

 

 

 

How can you tell if cataracts is radiation induced?

Definition

 

 

It appears on the posterior lens of the eye

Term

 

 

Stochastic effects def?

 

Is it likely to be threshold or non-threshold?

Definition

 

The probability of an effect occuring, rather than its severity.

 

 

Likely to be threshold, non-linear

Term

 

 

Nonstochastic Effects definition?

 

Threshold vs Nonthreshold?

Definition

 

 

Deterministic effect. When severity varies with dose until it reaches a threshold for a symptom to occur.

 

Cataracts, skin damage, bone marrow disorder.

 

Likely a linear, non-threshold

Term

 

 

If you receive a dose of 500mr/hr at 1ft, how much would you recieve at 2 ft?

Definition

 

 

100mr/hr

 

if you double your distance, you will decrease your dose by a 1/4

Term

 

 

 

At what angle of scatter do you recieve the most radiation?

Definition

 

 

 

135 degrees, gonad level strength

Term

 

 

 

What is an example of an acceptable fluro phantom?

Definition

 

 

 

7.9" lucite

9" of water

Term

 

 

What personnel monitoring device provides a permanent record?

Definition

 

 

 

Film badges

Term

 

 

Does the maximum permissive dose include radiation that may be recieved from other non-work sources?

Definition

 

 

 

No it does not include radiation from other non-work sources such as background and dental and medical exams.

Term

 

 

What is the timeline for checking your dosimeter?

Definition

 

 

Recommended change/checking once a month.

 

Must NOT exceed a calendar quarter.

Term

 

 

What is the difference betweena high radiation area and a radiation area?

Definition

 

High radiation area= 100 mRems/hr at 1 ft

 

Radiation area= 5 mRems/hr at 1 ft

Term

 

 

How do you calculate your maximum permissable dose?

Definition

 

 

5(n-18)rems

 

n= your age

 

5(26-18)rems= 40 rems

Term

 

 

Does air produce scatter radiation?

Definition

 

 

 

Yes

Term

 

 

 

Kerma

 

Measured in?

Definition

 

 

Kinetic Energy Released in Matter

 

Measured in Gy, same as Air Kerma

Term

 

 

Dose in air is recorded in?

 

Occupational dose is recorded in?

 

Absorbed dose is recorded in?

Definition

 

 

Dose in air= roentgens

 

occupational dose= rems or sieverts

 

absorbed dose= rads or grays

Term

 

 

What is the optimal viewing distance?

Definition

 

 

 

12-15"

Term

Rods vs Cones

 

What do they look like?

 

Photopic vs Scotopic?

 

Daylight vs Night time vision?

Definition

 

Rod looks like a candle. Cone looks like umbrella.

 

Rod uses scotopic vision. Cones use photopic vision.

 

Rod responsible for nightime vision. Cones use daylight.

Term

 

Rods and Cones can be found in the...?

 

Rods are located where?

Cones are located where?

Definition

 

Rods and cones can be found in the retina.

 

Rods are located on the periphery?

 

Cones are located in the fovea centralis?

Term

 

 

 

What is the integration time?

Definition

 

 

 

.2 seconds

Term

 

 

20/20 vision

 

Cones vs Rods

Definition

 

 

 

Cones: 20/20 vision

 

Rods: 20/200 visions

Term

 

 

Spatial Resolution is measured in?

Definition

 

 

 

Line pairs per mm

Term

 

 

 

Mammography needs highest line pairs, pixels, and resolution.

Definition

 

 

FOr my info :)

Term

 

 

At 80 kv and 1 mA radiation exposure should not exceed what?

Definition

 

 

2.2 rads/min

 

 

Beam intensity at tabletop should not exceed 2.2 rads/min for every mA at 80 kVp.

Term

 

Occupational dose for radiation workers is?

 

 

Occupational dose for pregnant techs?

Definition

 

 

5000 mRem/year

 

500 mRem/term

Term

 

 

What is the shielding for a bucky slot cover?

Definition

 

 

 

Atleast .25 mm Pb equivalent

Term

 

 

 

Gonadal shielding should be?

Definition

 

 

.5 mm Pb equivalent!!

 

Watch for the equivalent. He will likely have answers without the equivalent on it.

Term

 

 

 

What is the best gonadal support for men?

Definition

 

 

 

Shaped contact shield with an athletic support

Term

 

 

 

Room lighting in fluro should allow for _________ vision.

Definition

 

 

 

Photopic vision

Term

 

 

 

Is it possible to exceed 5rads/min

Definition

 

 

Yes

 

Notes state "May not exceed 5rads/min"

Term

 

 

 

Is it possible to exceed 10rads/min?

Definition

 

 

No

 

Notes state "Shall not exceed 10rads/min"

Term

 

 

 

Half Value Layer

Definition

 

 

Characterizes the quality of the beam.

 

We want 1/10th value layer.

Term

Filtration

 

At 80 kV, must be __________

 

 

At 125 kV, must be __________

Definition

 

 

80= 2.5 mm Aluminum equivalent

 

125= 3 mm Aluminum equivalent

Term

 

T/F

 

Virtual image exists in all units of fluoroscopy.

Definition

 

 

True

Term

 

 

If a 10 gram volume of tissue is given an absorbed dose of 3 rads, what is the integral dose?

 

Definition

 

 

 

30 gram-rads.

 

The integral dose is the total dose given to that tissue.

Term

 

A patient receives a skin dose of 5 rads/slice in CT. 10 slices are performed.

 

What is the absorbed dose?

 

What is the integral dose?

Definition

 

 

Absorbed= 5rads

 

Integral dose= 50 rads

 

Integral dose= surface x dose   or    dose x volume

Term

Integral absorbed dose

 

mGy= amount ________ by patient

 

cGycm2= amount ______ by patient

 

 

Which is the integral exposure?

Definition

 

The amount absorbed by a patient is recorded as mGy.

 

 

Th amount GIVEN to the patient overall is recorded as cGycm2

 

cGycm2 is the integral dose

Term

 

 

Low Fstop #= _____ light

                    _____ aperature

 

 

High Fstop #= _______ light

                     _______ aperature

Definition

 

Low= more light, large aperature

 

 

High= less light, small aperature

Term

 

 

The higher the frame rate, the _______ the dose.

Definition

 

 

higher

Term

 

 

 

Frame Rate

Definition

 

 

 

The number of exposures per second

Term

 

 

If you have 525 lines, will increasing the size of the tv improve the image?

Definition

 

 

No

Term

640 x 480

 

What does the 640 represent?

What does the 480 represent?

 

How many dots/row?

How many rows from top to bottom?

How many pixels?

Definition

 

640= Horizontal

480= Vertical

 

640 dots/row

480 rows from top to bottom

640x480= 307,200 pixels

Term

 

 

Definition of Plumbicon

Definition

 

 

 

A variable gain tv camera

Term

 

 

 

Plumbicon vs Vidicon

Definition

 

 

 

Plumbicon                              Vidicon

 

Variable Gain                          Fixed Gain

No Lag                                   Lag

Term

 

 

 

Definition of Vidicon

Definition

 

 

 

A fixed gain tv camera. Operates at 60 hz.

Term

 

 

 

What is the diameter of a vidicon camera?

Definition

 

 

1".

 

The exact size of the output phosphor window.

Term

 

 

 

What is the most common tv tube in fluoroscopy?

Definition

 

 

 

Vidicon

Term

 

 

What is it called when you have a montoring system that operates through internal connections tube.

Definition

 

 

 

Closed circuit tv

Term

 

 

Vignetting

 

(Know exact definition)

Definition

 

 

Decrease of brightness at the periphery, and increase of brightness at the center of the image.

Term

 

Which of the following units represent resolution?

 

1.) Line pair per cm

2.) kV

3.) Line pair per mm

4.) mAs

Definition

 

 

3.) Line pair per mm

Term

 

 

What is the term used in measuring the dose rate?

Definition

 

 

Roentgen (air)

Term

 

 

What is the formula to measure the dose increase?

Definition

 

 

                  Dose increase= (Original mode)2

                                        (magnification mode)2

Term

 

 

At the original mode of 9", you switch to 6". What is the dose increase?

 

A.) 1/2

B.) x2

C.) x3

D.) x4

Definition

 

 

                             x= 92= 81= 2.25 Dose increase

                                 62   36

 

 

Answer B.) x2

Term

 

 

Focusing lens are _____ charged.

Definition

 

 

 

Positively

Term

 

 

What is it called when the electrons leave the photo cathode and move to the output phosphor?

Definition

 

 

 

Minification

Term

 

 

Minification Gain formula

Definition

 

 

                      MG= (Area of input window)2

                             (Area of output window)2

 

 

 

Area of output window is always 1"

Term

 

If an image intensifier has a flux gain of 50 and you are using a 9" diameter mode, what is the brightness gain?

Definition

BG= FG x MG

 

 

                                 x= 50 x 9(2)

                                            1 (2)

 

                                x= 4050

Term

Choose one

 

The (mA  or   mAs) is controlled by the machine?

Definition

 

 

 

mA

 

 

(mAs does not apply)

Term

 

 

In fluorscopy, the xray output dose is diectly proportional to ______ used

Definition

 

 

 

mA

Term

 

 

Fluoroscopy uses a min of _ __ mA and a max of ___ mA.

 

 

Radiography uses ______ mA

Definition

 

 

Fluoro= .5 mA to 5mA

 

Radiography= 100mA or higher

Term

 

 

Brightness Gain

 

definition and formula

Definition

 

 

Combined effect of flux gain and minification gain

 

 

 

BG= FG x MG

Term

 

 

Grid ratio in fluoroscopy is always ______.

Definition

 

 

 

8:1

Term

 

 

Input layer/phosphor is made of ________

 

 

Output layer/phosphor is made of ________

Definition

 

 

Input= Cesium Iodide

 

 

Output= Zinc Cadmium Sulfide

 

Term

 

 

Image intensifier increases light ________

Definition

 

 

 

3-5,000 x more light

Term

Name where the location is for each action:

 

  • Conversion of xrays into light
  • Conversion of light photons into electrons
  • Accleration/focusing of electrons
  • Conversion of electrons into light
Definition

 

Xrays to light= input phosphor

 

light to electrongs-= photocathode

 

speed up electrons= focusing or electronic lenses

 

electrons into light= output phosphor

Term

 

The dstance from target (xray anode) to panel (patient) shall not be less than ___________.

Definition

 

 

 

12"

Term
Calculate magnification factor and % if the SID is 72" and the OID is 3"
Definition
MF= SID/SOD
%= (MF-1) x 100

SOD= 72"- 3" or 69

72/69= 1.04
1.04-1 x 100= 4%
Term
ESE should not exceed _________

Interventional allows up to __________
Definition
10R/min or 20R/min for interventional.
Term
Dose Limits for:

Skin and Thyroid:
Extremities=
Lens of eye=
Definition
Skin= 50 Rem/yr (500mSv)
Extremities= 50 Rem/yr (500mSv)
Lens of Eye= 15 Rem/yr (150mSv)
Term
Scatter radiation intensity 1 meter from the patient is approx ____ of the intensity of the useful beam at the patient.
Definition
.1%
Term
Myleogram injections are made in the______ space.
Definition
Subarachnoid space, intrathecal injection only!
Term
Myelogram injection is made at what vertebral spot?

Where does the spinal cord end?
Definition
Intrathecal injection at L3/L4

Cord ends at L1/L2
Term
120 seconds of fluoro gives approx_____ rads
Definition
5-15 rads
Term
Conversion factor
Definition
CF= lux (cd/m2)- output light
----------------------
Entrance dose (R)- dose measured in front of input phosphor
Term
Flux Gain
Definition
Flux Gain=
Energy of e striking the output phosphor
-----------------------------
Energy of e emited from the photocathode
Term
Kell Factor
Definition
Ratio between the vertical and horizontal resolutions
Term
Image recording synchronization
Definition
The coordination of the shutter opening to teh exposure of film or digital recording
Term
Members of the public:

______ mRem/yr

No more than __mrem in any one hour in unrestricted ares from external sources.
Definition
100 mRem/yr (.1 Rem)

2 mRem an hour
Term
How many rads for temporary sterility?

For permanent?
Definition
30 rads for temporary

500 rads for sterility
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