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Radiology
Test II
90
Science
Professional
11/10/2010

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Cards

Term
How do x-rays differ from gamma rays?
Definition
- only in how they're produced: x-rays are manmade, gamma rays are natural
Term
Alpha and beta radiation differ from gamma in that they are...
Definition
- particulate (have mass and can be weighed)
Term
Gamma radiation and x-rays differ from alpha and beta radiation in that they are...
Definition
- electromagnetic (non-particulate)
Term
Which type of radiation (alpha or beta) is more penetrative and more damaging?
Definition
- beta
Term
Who discovered x-rays, and when were they discovered?
Definition

- wilhelm roentgen

- 1895

Term
Who was the 1st American dentist to use x-rays? When?
Definition

- Edmond Kells

- 1900

Term
How fast do x-rays travel?
Definition
- 186,000 miles per second (the speed of light)
Term
Characteristics of x-rays
Definition
  • non-particulate (no weight, no mass)
  • not affected by magnetic fields
  • travel in straight lines
  • travel as waves
  • expose photographic plates
Term
Describe the dual nature of x-rays.
Definition

wave - can pass through solid objects

 

particle - have so much energy that they knock electrons out of the way (they do not have mass, but produce results as if they did)

Term
What causes damage from x-rays?
Definition
- ionization of water (x-ray photons interact w/ water molecules to form ions (H+ and OH-) and free radicals)
Term
An increase in amperage increases the __ of electrons.
Definition
- number
Term
An increase in voltage increases the __ of electrons.
Definition
- force, speed or pressure
Term
How many times does current change direaction (alternate) in alternating current (AC)?
Definition
- 60 times/second
Term
What is ionization?
Definition
- the production of ions by the removal of outer electrons
Term
What is the amperage used by the UAB SOD?
Definition
- 8 mA
Term
What is the voltage used by the UAB SOD?
Definition

- 70 kVp (70,000 volts)

- this is the peak voltage; electrons are moving at different speeds, but the fastest ones are at 70 kVp

Term
How any impulses or bursts of radiation occur every second?
Definition
- 60
Term
What percentage of electrons that hit the target produce x-rays?
Definition
- 1%
Term
On which end of the cathode ray tube is the filament located?
Definition
- the cathode (negative end)
Term
On which end of the cathode ray tube is the target located?
Definition
- the anode (positive end)
Term
In a cathode ray tube, is the anode negative or positive? The cathode?
Definition

- anode = positive

- cathode = negative

Term
What type of energy is created by the electrons that hit the target but do not create x-rays?
Definition
- heat and light
Term
What type of metal is the filament made out of?
Definition
- tungsten
Term
What does a transformer do?
Definition
- raises or lowers voltage from wall
Term
Which end of the cathode ray tube does the step-up transformer feed?
Definition
- cathode (negative)
Term
Which end of the cathode ray tube does the step-down transformer feed?
Definition
- anode (positive)
Term
How many volts enter the cathode ray tube from the wall?
Definition
- 110
Term
What is the purpose of the aluminum disks covering the lead collimator?
Definition
- to harden the beam of the x-ray, removing soft x-rays that won't expose film but will needlessly expose patient
Term
How thick are the aluminum disks over the lead collimator?
Definition
- 2.5 mm
Term
What device allows for aiming of the beam?
Definition
- the position indicating device (PID)
Term
What type of material is used to insulate the x-ray tube?
Definition
- oil
Term
What happens to the overall energy of the beam as it passes thru the aluminum disks?
Definition
- it gets weaker
Term
Trace the pathway of the beam as it leaves the target.
Definition
  1. passes thru unleaded glass window of x-ray tube
  2. passes thru tubehead seal
  3. passes thru aluminum disks
  4. passes thru lead collimator
  5. passes thru PID
Term
What determines the width of the beam?
Definition
- the diameter of the hole in the lead collimator
Term
What material is the target made out of?
Definition
- tungsten
Term
What are the requirements for a target material?
Definition
  1. high atomic number
  2. high atomic weight
  3. high melting point
  4. low vaporization pressure
  5. good thermal conductor
Term
Which of the requirements for a good target material is not met by tungsten, and how is this overcome?
Definition

- it does not meet the requirement of being a good thermal conductor

- a copper stem is attached to funnel heat away from the target

Term
The __ the focal spot, the sharper the image.
Definition
- smaller
Term
What are the dimensions of the actual focal spot?
Definition
- 1x3mm
Term
What are the dimensions of the effective focal spot?
Definition
- 1x1mm
Term
What principle allows for a reduction in size of focal spot (and thus a sharper image)?
Definition

- the line-focus principle

- the target is angled so that the effective focal spot is smaller than the actual focal spot

Term
What is a penumbra?
Definition
- area of unsharpness (want to keep it as small as possible)
Term
What helps to reduce the size of the penumbra?
Definition
- a smaller focal spot
Term
What is the relationship between object to film distance (OFD) and image quality?
Definition
- the shorter the OFD, the better the quality of the image (sharpness increases and magnification decreases as the distance between the tooth and the film gets shorter)
Term
What is the relationship between target to film distance (TFD) or source to film distance (SFD) and image quality?
Definition
- as SFD or TFD increases, image quality increases (as SFD or TFD increases, magnification decreases and sharpness increases)
Term
Why is it advisable to have a longer PID?
Definition
- to increase the TFD/SFD, thereby decreasing magnification and increasing sharpness
Term
What should be the relationship between the position of the film and the position of the tooth? Why?
Definition

- the film and the long axis of the tooth should be parallel

- otherwise, the image will show a distortion of tooth length

Term
What is the unbreakable rule? Why?
Definition

- the beam should be perpendicular to the long axis of the tooth

- otherwise, the tooth length will be distorted

Term
What are the shadowcasting rules?
Definition
  1. small focal spot
  2. short OFD
  3. long TFD
  4. film and tooth parallel
  5. beam and film perpendicular
Term
What is Bremsstrahlung?
Definition
- "braking" of high speed electrons when they hit tungsten target
Term
How does bremsstrahlung create x-rays?
Definition

- if a bombarded electron (from the filament) passes near the nucleus of a tungsten atom (in the target), it will slow down or stop

- the energy lost by the electron in slowing down is transferred to x-ray energy

Term
In bremsstrahlung, the greater the reduction in the speed of a bombarded electron, the __ the energy of the x-ray.
Definition
- greater (the complete stopping of a bombarded electron would yield the greatest x-ray energy)
Term
What causes characteristic radiation?
Definition

- a bombarded electron collides with an electron in the K shell of a tungsten atom, ejecting it from orbit

- when electrons in outer orbits slow down to transfer to and occupy the empty K shell, they give off x-ray energy

Term
What is ALWAYS the voltage of x-rays created by characteristic radiation?
Definition
- 70 kVP (70,000 volts)
Term
What term is used to describe the uniformity of voltage created by characteristic radiation?
Definition
- monochromatic
Term
To make x-rays from a tungsten target, what voltage should the x-ray machine be set on? Why?
Definition

- 70 kVp (70,000 volts)

- that is how much energy is required to knock an tungsten electron out of its K shell

Term
What percentage of x-ray interaction with human tissue is Thompson/classic/coherent/elastic/unmodified scatter?
Definition
- 10%
Term
How much absorption occurs in Thompson/classic/coherent/elastic/unmodified scatter?
Definition
- none
Term
How much loss of energy in the x-ray photon occurs in Thompson scatter?
Definition
- none
Term
What percentage of photon-tissue interactions result in compton scatter?
Definition
- 60%
Term
What is Compton scatter?
Definition
- there is some scatter and some absorption of x-ray photon by human tissue
Term
What is a Compton electron?
Definition
- an electron from an atom in human tissue that is displaced by an x-ray photon
Term
What happens to the energy of the x-ray photon in Compton scatter?
Definition
- it loses some energy (but retains some, too) and continues on as a weakened photon
Term
Compton scatter only occurs when an electron is displaced from a(n) __ shell.
Definition
- outer
Term
What percentage of photon-tissue interactions result in the photoelectric effect?
Definition
- 30%
Term
What causes a photoelectric effect?
Definition
- the direct hit of an inner shell electron by the x-ray photon
Term
What happens to the inner shell electron in the photoelectric effect?
Definition
- it is ejected and gives off light
Term
What happens to the x-ray photon in the photoelectric effect?
Definition
- it ceases to exist, having transferred all its energy to the ejected electron
Term
How much absorption occurs in the photoelectric effect?
Definition
- 100%
Term
What two things can ionization produce?
Definition
- charged ion pairs or free radicals
Term
How many impulses of radiation are produced in 2/3 second?
Definition
- 40
Term
What is the difference between x-rays and the rest of the electromagnetic family?
Definition
- x-rays produce ionization
Term
What unit is used to describe the quantity of the beam?
Definition
- amperes
Term
What unit is used to describe the quality of the beam?
Definition
- voltage
Term
What effect does an increase in amperage (mA) have on an x-ray?
Definition
- it affects the quantity of the beam, increasing the number of photons
Term
What effect does an increase in exposure time have on an x-ray?
Definition
- it affects the quantity of the beam, increasing the number of photons
Term
What affect does an increase in voltage (kVp) have on an x-ray?
Definition

- it affects both the quantity and quality of the beam, increasing the number of photons and decreasing their wavelengths

 

Term
What effect does aluminum filtration have on an x-ray?
Definition
- it affects the quantity and quality of the beam, decreasing the number of photons and allowing only those with shorter wavelengths to pass thru
Term
What effect does distance have on an x-ray?
Definition
- it affects the quantity of the beam: greater distance means fewer photons reach target
Term
An increase in the number of photons results in a(n) __ in film density.
Definition
- increase
Term
Film density is affected by which variables?
Definition

- all of them (since all of them affect the number of photons reaching the film)

- mA, exposure time, kVp, aluminum filtration, and TFD

Term
Which variables affect the quality of the beam?
Definition

- kVp (directly proportional)

- aluminum filtration (inversely proportional)

Term
Is film density affected by the quality or quantity of the beam?
Definition

- trick question, sucker. it's affected by both.

- increased quantity and increased quality both result in increased density (blackness)

Term
An increase in thickness of aluminum filtration results in __ density.
Definition

- decreased

- even though it eliminates weaker photons, it reduces the total number of photons

Term
Which scale of contrast (long or short) do dentists want?
Definition
- short (i.e., very white enamel, very dark decay)
Term
Which scale of contrast (long or short) includes many shades of grey?
Definition
- long
Term
Which variables affect film contrast?
Definition
- kVp and aluminum
Term
Low visual contrast is associated with which scale (long or short)?
Definition
- long
Term
What effect does an increase in kVp have on contrast?
Definition
- it produces a long scale (many shades of grey, low visual contrast)
Term
What effect does an increase in aluminum filtration have on contrast?
Definition
- it produces a longer scale (many shades of grey, low visual contrast)
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