Shared Flashcard Set

Details

Test 1 Study Guide Sping 2012
Bushong Chapters 11, 12, 13, & 14
90
Health Care
Not Applicable
02/18/2012

Additional Health Care Flashcards

 


 

Cards

Term
What are 6 different types of IRs?
Definition

1. Film

2. Fluoroscopic I/I

3. TV

4. Laser Image

5. Solid State Detector

6. CR Plate

Term
What are 6 types of specialty film?
Definition

1. Direct Exposure Film

2. Mammography Film

3. Video Film

4. Duplication Film

5. Subtraction Film

6. Dental Film

Term
What are the two primary parts of x-ray film?
Definition

1. Base

2. Emulsion

Term
___________ _________ refers to a film that has a base layer that maintains its size and shape during use and processing so that no dimension of the film is changed. The base of the film is responsible for this characterisitic.
Definition
Dimensional Stability
Term
Between the emulsion and the base is a thin coating of material called the ________ layer, which ensures uniform adhesion of the emulsion to the base.
Definition
adhesive
Term
The ________ layer allows the emulsion and the base to maintain proper contact and integrity during use and processing.
Definition
adhesive
Term
The emulsion is enclosed by a protective covering of gelatin called the ________.
Definition
overcoat
Term
The ________ protects the emulsion from scratches, pressure, and contamination during handling, processing, and storage and allows for relatively rough manipulation of x-ray film before exposure.
Definition
overcoat
Term
Another name for overcoat:
Definition
supercoat
Term
What are the 7 layers of double emulsion film? (in order)
Definition

1. Overcoat (Supercoat)

2. Emulsion

3. Adhesive

4. Base

5. Adhesive

6. Emulsion

7. Overcoat (Supercoat)

 

Term
What are the 4 layers of x-ray film? (in this case, single-emulsion film)
Definition

1. Overcoat (Supercoat)

2. Emulsion

3. Adhesive Layer

4. Base

Term
What is lucency?
Definition
It is the ability of a material to allow light to pass through. The material is almost transparent.
Term
What are two reasons why manufacturers tint film blue?
Definition

1. To reduce the radiologist's eyestrain and fatigue

2. To increase the radiologist's efficiency and accuracy

Term
What is the progressive history of the material of x-ray film?
Definition

1. Glass

2. Cellulose Nitrate

3. Cellulose Triacetate

4. Polyester

5. Computed Radiography (no film)

6. Digital Plate IRs (no film)

Term
What are 4 advantages that polyester base film has over other types?
Definition

1. More resistant to warping from age
2. It is stronger

3. Better dimensional stability

4. Thinner than previous bases

5. (Bonus: it is not flammable)

Term
What is the "heart" of the film?
Definition
The emulsion
Term
What are the two primary components of film emulsion?
Definition

1. Gelatin

2. Silver Halide Crystals

Term
This material makes up part of the film emulsion. It's principle function is to provide mechanical support for silver halide crystals by holding them uniformly dispersed in place. What material is it?
Definition
Gelatin
Term
What is the "active ingredient" of the film emulsion?
Definition
Silver Halide Crystals
Term
The ______ _____ is the invisible image present on the x-ray film after exposure before being processed.
Definition
latent image
Term
The shape and latice structure of silver halide crystals are not perfect. There is a chemical imperfection in the crystals that causes photoelectrons and silver ions to be attracted to something called the ___________ ______, where the phoelectrons and silver ions form a latent image center of metallic silver.
Definition
sensitivity center
Term
What is the latent image called after final processing is complete?
Definition
Manifest Image
Term
What are the four primary film screen characteristics?
Definition

1. Intensification Factor

2. Speed
3. Image Noise

4. Spatial Resolution

Term
Screen _____ is defined as how efficiently x-rays are converted into visible light.
Definition
speed
Term
_________ is the exposure of an emulsion caused by light from the opposite radiographic intensifying screen.
Definition
Crossover
Term
The proper matching of the sensitivity of a film emulsion to the light spectrum emitted by the radiographic intensifying screen is called what?
Definition
Spectral Matching
Term
What are the 5 major film handling considerations?
Definition

1. Heat and Humidity

2. Light

3. Radiation

4. Shelf Life

5. Handling and Storage

Term
What is the sequence of film development?
Definition

1. Developing

2. Fixing

3. Washing

4. Drying

Term
What did the term wet reading originate from?
Definition
Back when film was the sole IR medium being used, radiologists would sometimes examine x-rays  while the film was still wet if the pt. was in critical condition.
Term
What happens during film processing?
Definition
The film is wetted to permit chemicals to pass through the overcoat and develop the latent image into the manifest image. The film is placed in fixer to harden the protective coating, any remaining chemicals are washed off, and the film is then dried.
Term
What are the 5 major components of the automatic processor?
Definition

1. Transport

2. Temperature

3. Circulation

4. Replenishment

5. Dryer

Term
Besides the typical automatic processor, what are some other types of processing units? (Name 4)
Definition

1. Rapid Processing

2. Extended Processing

3. Daylight Processing

4. Dry Processing

Term
What are 7 advantages of dry processing?
Definition

1. Elimination of handling, maintenance, and disposal of chemicals

2. No darkroom required (space saved)

3. No plumbing required

4. Less environmental impact

5. Reduced capital cost

6. Reduced operating cost

7. Higher throughput

Term
What is the major ingredient in intensifying screens?
Definition
phosphor
Term
What was the original active substance in intensifying screen phosphor?
Definition
Calcium Tungstate
Term
What are the 3 basic rare earth crystals?
Definition
gadolinium, lathanum, and yttrium
Term
What are the layers of the intensifying screen?
Definition

1. Protective Coating

2. Phosphor

3. Reflective Layer

4. Base

Term
What are the 4 major characteristics of the protective layer?
Definition

1. Protects against abrasion and damage caused by handling

2. Helps to eliminate static electricity

3. Provides a surface for routine cleaning without disturbing the active phosphor

4.  Is transparent to light

Term
The emitted visible light in response to some outside stimulation is called:
Definition
luminescence
Term
If visible light is emitted only while the phosphor is stimulated, the process is called ____________.
Definition
fluorescence
Term
If phosphor continues to emit light after stimulation, this is called _______________, ______ ___, or _________.
Definition
phosphorescence, screen lag, or afterglow
Term
What are the 3 primary characteristics of intensifying screens?
Definition

1. Screen Speed

2. Image Noise
3. Spatial Resolution

Term
What are 6 properties of radiographic intensifying screens that the radiographer cannot control?
Definition

1. Phosphor Composition

2. Phosphor Thickness

3. Reflective Layer

4. Dye

5. Crystal Size

6. Concentration of phosphor crystals

Term
What are 3 properties that affect the radiographic intensifying screen that the radiographer can control?
Definition

1. Radiation Quality

2. Image Processing

3. Temperature

Term
What is film speed?
Definition
It is the sensitivity of the screen-film combination to x-rays and light.
Term
What is image noise?
Definition
It is an intensifying screen characteristic that reduces contrast. It is mostly caused by fast screens and high kVp.
Term
_______ resolution can be defined as how small an object can be imaged.
Definition
Spatial
Term
The _______________ factor is the rate of exposure without a screen to that with a screen to produce the same optical density.
Definition
intensification
Term
What is the "Detective Quantum Efficiency" - DQE?
Definition
It represents the probability that an x-ray will be absorbed by a radiographic intensifying screen.
Term
What is "Conversion Efficiency" - CE?
Definition
It represents the amount of light emitted by each x-ray absorbing event.
Term
IF = ____ / ____
Definition
IF = exposure required without screens / exposure required with screens
Term
What is the principle advantage of rare earth intensification screens?
Definition
speed
Term
What are the 6 most common causes of poor screen film contact?
Definition

1. Worn radiolucent foam

2. Loose, bent, or broken hinges

3. Loose, bent, or broken latches

4. Warped screens caused by excessive moisture

5. Warped cassette front

6. Foreign matter under the screen

Term
________ resolution can be defined as the ability to image adjacent similar tissues.
Definition
Contrast
Term
More black and white = (high/low) contrast
Definition
high
Term
More shades of gray = (high/low) contrast
Definition
low
Term
Name 8 factors that can affect image contrast:
Definition

1. mAs

2. Anode Heel Effect

3. Distance

4. Filtration

5. Processing

6. Anatomical Part

7. Beam Restrictors

8. Grids

Term
Name 3 factors that contribute to increased scatter radiation:
Definition

1. Increased kVp

2. Increased patient thickness

3.  Increased field size

Term
What two types of x-rays are responsible for the optical density and contrast of a radiographic image?
Definition

1. Those that pass through the patient without interacting with the patient

2. Those that are scattered within the patient through compton ineraction

Term
What is the purpose of beam restricting devices?
Definition
A beam restricting device's purpose is to improve image contrast by minimizing scatter radiation by limiting the x-ray field size to only the anatomy of interest.
Term
What are the two major effects of using beam restricting devices?
Definition

1. Reduced scatter radiation

2. Improved image contrast

Term
What are the 3 types of beam restricting devices?
Definition

1. Aperture diaphragm

2. Cones or cylinders

3. Variable-aperture collimator

Term
What is the collimator rule?
Definition
The size of the collimated x-ray field should be adjusted to the smallest reasonable size that will include the portion of the body to be imaged, and it should never be larger than the size of the film/IR.
Term
What is PBL?
Definition
It stands for "Positive Beam Limiting". It is a type of collimator capable of sensing the size of a cassette in the bucky and automatically collimating the x-ray beam to the size of the receptor.
Term
What is the primary purpose of a grid device?
Definition
A grid's primary purpose is to improve image contrast by cleaning up scatter.
Term
What is the difference between the grid and other beam restricting devices?
Definition
The grid is the only device that cleans up scatter radiation in-between the patient and IR.
Term
A ____ is a carefully fabricated series of section of radiopaque material alternating with sections of radiolucent material.
Definition
grid
Term
Who invented the grid? When did he invent it?
Definition
Gustav Bucky; 1913
Term
What typical thickness of a body part should you start to consider the use of a grid?
Definition
> 10 cm; typically anything as big or bigger than the knee on an average patient
Term
What is grid frequency?
Definition
Grid frequency is the # of grid strips (grid lines) per inch or centimeter; higher grid frequency = more exposure required
Term
What is the grid ratio formula?
Definition
Grid Ratio = h/D (h = height of grid / D = width of interspace material)
Term
How do you determine the % x-ray absorption?
Definition
% x-ray absorption = (width of grid strip / width of grid strip + width of interspace) x 100
Term
When referring to grids. What does clean-up mean?
Definition
It means that the grid absorbs the scatter radiation - thus cleaning it up.
Term
What is grid ratio?
Definition
A grid ratio is the height of the grid divided by the interspace width. High-ratio grids are more effective in cleaning up scatter radiation than are low-ratio grids. This is because the angle of scatter allowed by high-ratio grids is less than that permitted by low-ratio grids.
Term
What is the formula for grid frequency?
Definition
Grid Frequency = 10,000 μm/cm ÷ (T+D) μm/line pair; T = thickness of grid strip, D - the width of the interspace material 
Term
What kind of interspace material is used?
Definition
plastic fiber or aluminum
Term
What is the purpose of the interspace material?
Definition
To maintain precise separation between the delicate lead strips within the grid
Term
Define contrast improvement factor (K):
Definition
The contrast improvement factor (K) is the ratio of the contrast of a radiograph using a grid vs the contrast of the same radiograph without a grid.
Term
When a grid is used, the radiographic technique must be increased to produce adequate OD. This is known by what two names?
Definition

1. Bucky Factor

2. Grid Conversion Factor (GCF)

Term
What is grid selectivity?
Definition
selectivity of a grid is the ratio of transmitted primary radiation through the grid to transmitted scatter radiation through the grid.
Term
Name 4 types of grids:
Definition

1. Parallel

2. Crossed
3. Focused

4. Moving

Term
What are 4 common grid problems?
Definition

1. Off-level

2. Off-center

3. Off-focus

4. Upside-down

Term
What are 2 types of moving grids?
Definition

1. Reciprocating

2. Oscillating

Term
What is the focal distance/grid radius?
Definition
It is the distance between the grid and the convergent line or point. It determines the focal range.
Term
What is the focal range of a grid?
Definition
The recommended range of SIDs in which the grid can be used as determined by the focal distance/grid radius.
Term
Describe grid focus:
Definition

  If imaginary lines were drawn from each of the lead lines in a linear

 focused grid, these lines would meet to form an imaginary point called the

 convergent point. If points were connected along the length of the grid,

they would form an imaginary line called  the convergent line. Both the

 convergent line and the convergent point are important because they

 determine the focal distance of the focused grid.

Term
What are the general rules of grid characteristics?
Definition

1. High ratio grids have high contrast improvement factors.

2. High frequency grids have low contrast improvement factors.

3. Heavy grids have high selectivity and high contrast improvement factors.

Term
What are the 2 components of "Visibility Detail"?
Definition

1. Contrast

2. Density

Term
What are the components of a conventional image receptor?
Definition

1. Cassette

2. Radiographic Intensifying Screen

3. Film

Term
The contrast of an IR is _________ proportional to its exposure latitude.
Definition
inversely
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