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Principles of Exposure
Exam #2 Chapter 26
39
Anatomy
Undergraduate 1
09/30/2017

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Cards

Term
Reciprocity Law
Definition
The density on an x-ray film should remain unchanged as long as the intensity and duration of the x-ray exposure remains unchanged.
Term
Definition of the 15% rule:
Definition
An increase in or decrease in kVp by 15%, will result in the same density/IR exposure as doubling or halving the mAs.
Term
How can the 15% rule be used in a practical setting?
Definition
Term
 The definition of the inverse square law is:
Definition

"The intensity of the beam is inversely proportional to the square of the distance from the source."

Term
Formula for Grid Conversion Factor
Definition

mAs with Grid

mAs without Grid

Term
Grid Ratio
Definition

h (height of lead strip)

D (interspace width)

Term
What is the formula to determine the new mAs when you add or take away a grid?
Definition

CF To        X mAs

CF From                

Term

CF for no grid

5:1

6:1

8:1

10:1 or 12:1

16:1

Definition

no grid=1

5:1=2

6:1=3

8:1=4

10:1 or 12:1=5

16:1=6

Term
If 30mAs is the technique needed to obtain a radiograph using an 8:1 grid, what mAs would be required if a 12:1 grid is used?
Definition
37.5 mAs
Term
If a radiograph made using a 6:1 grid had to be repeated without a grid, what mAs would be needed if the original mAs was 15?
Definition
5 mAs
Term
Formula for the new mAs law:
Definition

mAs1 =  D1   (All of distance squared)

mAs1 =   D2                                     

Term

Calculate the following using the new mAs formula:

Old mAs=30

New Distance=40

Old distance=72

Definition
9.3 mAs
Term

Calculate the following using the new mAs formula:

Old mAs=12

New Distance=52

Old distance=64

Definition
7.9 mAs
Term

Calculate the following using the new mAs formula:

Old mAs=200

New Distance=48

Old distance=40

Definition
288
Term

Use the 15% rule to find the new kVp with the change in mAs (goal: keep same density/IR exposure)

 

Original mAs=10

Original kVp=70

New mAs=5

Definition
New kVp 80
Term

Use the 15% rule to find the new kVp with the change in mAs (goal: keep same density/IR exposure)

 

Original mAs=25

Original kVp=75

New mAs=50

Definition
New kVp=64
Term

Use the 15% rule to find the new kVp with the change in mAs (goal: keep same density/IR exposure)

 

Original mAs=4

Original kVp=100

New mAs=8

Definition
New kVp=85
Term

Use the 15% rule to find the new kVp with the change in mAs (goal: keep same density/IR exposure)

 

Original mAs=24

Original kVp=66

New mAs=12

Definition
New kVp=76
Term

Use the 15% rule to find the new mAs to keep same density/IR exposure, with the given change in kVp

 

Original mAs=12

Original kVp=70

New kVp=80

Definition
New mAs=6
Term

Use the 15% rule to find the new mAs to keep same density/IR exposure, with the given change in kVp

 

Original mAs=10

Original kVp=90

New kVp=80

Definition
new mAs=20
Term

Use the 15% rule to find the new mAs to keep same density/IR exposure, with the given change in kVp

 

Original mAs=120

Original kVp=70

New kVp=80

Definition
New mAs=60
Term

Use the 15% rule to find the new mAs to keep same density/IR exposure, with the given change in kVp

 

Original mAs=60

Original kVp=88

New kVp=78

Definition
New mAs=120
Term
Formula for Magnification
Definition

I =

O •  M

Term
Formula for distance:
Definition

SID=

M • SOD

Term

Calculate the following using the Inverse Square Law

 

I1=90

D1= 40

D2=72

Definition
I2=27.8
Term

Calculate the following using the Inverse Square Law

 

I1=120

D1= 56

D2=68

Definition
I2=81.4
Term

Calculate the following using the Inverse Square Law

 

I1=5

D1= 30

D2=82

Definition
I2=.67
Term

Calculate the following using the Inverse Square Law

 

I1=250

D1= 48

D2=40

Definition
I2=360
Term
Formula for mAs:
Definition

mAs =

mA • sec

Term
Name the 8 influencing factors affect Receptor Exposure  and state whether they are directly or inversely related.
Definition
  1. mAs-direct
  2. kVp-direct
  3. SID-indirect
  4. Grids-indirect
  5. Filtration-indirect
  6. Beam restriction-indirect
  7. Anode Heel Effect-indirect
  8. Patient factors-indirect
Term
Explain the effect of mAs  on density/IR receptor.
Definition

Adequate mAs ensures enough photons reach the IR to capture anatomic detail of the part.

 

Not enough mAs= a noisy, underexposed image.

Term
Reciprocity
Definition
The same mAs can be achieved by varying either mA or seconds.
Term
Explain the effect of kVp on density/IR receptor.
Definition

Increasing the kVp means that more photons will make it through the body and reach the IR.

 

When the kVp is increased, the voltage that drives the electrons across the tube in increased.  Higher voltage means electrons go faster.  Electrons hitting the anode with more speed create x-ray photons with higher energy (which allow them to penetrate the tissue more easily)

Term
Explain the effect of SID on density/IR receptor.
Definition

X-rays are electromagnetic energy and diverge (fan out) in a predictable pattern from the source.

 

Remember, when you double the distance, the intensity will be a quarter of it's original strength.

 

When you decrease the distance by half, the intensity is 4 times the strength.

Term
Explain the effect of a Grid  on density/IR receptor.
Definition

Adding a grid and not increasing mAs can result in an under-exposed IR.

 

The function of a grid is to clean up scatter.  When a grid is used, some useful beam is absorbed within the lead strips.  The grid is placed between the patient and the IR.  Because the grid iss truck by x-rays before they can strike the IR, it is necessary to use more x-rays to ensure enough reach the IR

Term
Explain the effect that Filtration on density/IR receptor.
Definition

Filtration effects IR exposure as a result of absorbing some of the useful beam.

 

A compensating filter can be used to ensure that too many photons do not reach the IR where an anatomic area is thinner in one area than another (An example would be a wedge filter used for a foot exposure.)

Term
Explain the effect of Bream Restriction on density/IR receptor.
Definition

Restricting the beam (collimating), means that fewer x-ray photons strike the patient.  

 

This also means that less scatter is produced, and fewer "stray" x-ray photos will strike the IR.

 

Increasing the beam restriction=less IR exposure

Term
Explain the effect of the Anode Heel Effect on density/IR receptor.
Definition

Some of the x-rays that are created at the anode are absorbed by the "heel" of the anode.

 

This happens as a result of the angle of the anode.  The anode is angled to create a smaller effective focal spot with a wider actual focal spot.  This is known as the "line focus principle".  The result is increased detail, but a side effect is fewer photons on the anode side of the beam and more photons on the cathode side of the beam.

Term
Explain the effect of patient factors on density/IR receptor.
Definition

Patient size and pathology can affect the IR exposure because more tissue for the x-rays to penetrate.  

 

If the kVp and/or mAs is not increased to compensate, the IR will be underexposed  and vice versa for subtractive pathology.

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