-
who discovered x-rays and when?
Wilhelm Conrad Roentgen in November 8, 1895
-
what are the 3 main parts of an x-ray unit?
. generator/transformer
. control console
. x-ray tube
-
list the 2 sides of the x-ray tube and specify the charge associated with that side
. anode is positive
. cathode is negative
-
anode is
positive
Housing protects and insulates tube
-
cathode is
negative
Filament (-) focusing cup
-
how many cm are there to 1 inch?
2.54 cm
-
what is a detent
locking mechanism for the SID or table bucky
-
what are the 4 requirements for x-ray production
. vacuum
. source of electrons
. target for electrons
. high potential difference between the source and the target
-
what percentage of the kinetic energy is converted to heat , what percentage is converted to x-ray?
99% heat
1% x-ray
-
what is the smallest unit of EM (electromagnetic energy)?
photon
-
define wavelength?
distance from one crest to the next
Shorter Wavelengths = more energy & better penetration = longer gray scale
- Longer Wavelengths = less energy &
- less penetration = shorter gray scale
-
define frequency
number of times per second that a crest passes a given point
-
three types of x-rays
. primary
. scatter(secondary)
. remnant (exit)
-
primary x-ray is
x-ray exiting the tube
-
scatter (secondary) x-ray
what not absorbed
- Once primary beam hits solid matter, what is not absorbed will scatter in many
- directions
-
remnant x-ray
Remainder of the primary been after its been attenuated
Pattern of intensity is what creates the radiographic image
-
define absorption
absorb like a sponge, soaks up the whole beam No exit of beam
-
attenuated
absorption of the x-ray beam
-
exit radiation
the beam that passes through the patient and exposes the film is called exit radiation
the exit radiation is what creates the image
-
white image on film is
what was absorbed
-
black image on the film is
what was exposed
-
shades of gray on the film
what was attenuated
-
latent image
THE INVISIBLE IMAGE ON AN EXPOSED FILM OR PSP PRIOR TO PROCESSING
-
manifest image
A VISIBLE IMAGE AFTER PROCESSING
-
what are 5 radiographic factors
. time(s)
. Milliamperes (mA)
. Millampere per second (mAs)
. Kilovoltage peak (kVp)
. Distance
-
define time(s)
- Duration of the exposure of
- radiation
- Effect on Film
- Longer exposure Time will increase
- Density of Film & Patient Exposure
Shorter exposure Time will decrease Density of Film & Patient Exposure
-
define mA (Milliamperes)
- Quantity of Current to the
- Filament
Milliamperage
- Measure of the current flow rate in the
- x-ray tube circuit and is directly proportional to the tube current.
- Determines the number of electrons
- available to cross the tube (current
- doubles=electrons double).
- Determines the rate at which x-rays are
- produced.
Increase in mA will decrease total exposure time and result in less motion blur.
Decrease in mA will increase total exposure time and result in more motion blur.
-
define mAs (milliamperes per second)
Quantity of radiation exposure
- Product of tube current (mA) and
- time (s).
mAs = mA x s
Controls total amount of radiation exposure
Increase in mAs will increase Density and Patient Exposure
- Decrease in mAs will
- decrease Density and Patient exposure
-
define kVp kilo-voltage peak
Controls Energy of Radiation Beam
Kilovoltage peak is the measure of the POTENTIAL difference across the x-ray tube.
It determines the speed of the electrons in the electron stream.
It determines the energy of the x-ray beam
-
define SID
source to image receptor distance
-
define SOD
source to object distance
-
define OID
object to image receptor distance
-
what are the 3 different measure of distance
-
what is the purpose of a back-up timer when using AEC
Safety Devise Used with AEC to Prevent Over-Exposure of Radiation to the Patient
-
what is density
The amount of blackness of an image
Also known as optical density
Controlled by mAs
Increase mAs = increase blackness
Decrease mAs = decrease blackness
-
Four Principles in Image Quality
Density
Contrast
Detail
Distortion
-
what is contrast
- The degree of difference between
- the light and dark areas of an x-ray
- High contrast = more black and white
-
- Low contrast = overall gray appearance
Controlled primarily by kVp
-
contrast is controlled by
kVp
-
density is controlled by
mAs
-
what is recorded detail
The degree of sharpness of a structural line on an x-ray
-
the main factor that affected detail is
size and focal spot
-
what is distortion
- Refers to a variation in the size and/or shape of the image in comparison to the
- object it represents.
-
what are the two types of distortion
size affected by OID
shape affected by angulation of table or part
-
what is the main factor that controls distortion
OID object to image receptor distance
-
what does ALARA stand for
As low as reasonably achievable
- your goal is to keep all exposures of
- radiation to the patient
-
what are the most common of cassettes in inches
8 x 10
10 x 12
14 x 17
-
what are the 3 cardinal rules for radiation safety
1.TIME
2.DISTANCE
3.SHIELDING
-
Radiation Safety
1.TIME Decrease time will decrease exposure
2.DISTANCE Inverse square law
- 3.SHIELDING
- Lead aprons
- Thyroid Shields
- Gonad Shields
-
Inverse Square Law
- The intensity of the radiation is INVERSELY proportional to the SQUARE of the
- Distance
Radiation exposure is inversely (opposite) to the distance squared
-
what is a dosimeter
Device for monitoring radiation exposure
-
where is the dosimeter worn
Worn at collar level outside of lead apron.
-
TLD
thermoluminescent dosimeter (read by heat)
-
what type of dosimeter do we wear in x-ray
OSL-optically stimulated luminescence (read by laser)
-
what is the maximum radiation dose for an occupationally exposed person 18 years age and older
- For X-ray Techs, the maximum radiation dose per year is 5 rem or
- 50mSv
-
what is the most critical period during pregnancy to be exposed to radiation
first trimester
-
Anatomic Position
- Refers to the pt. standing erect with the face & eyes directed forward, arms
- extended by the sides with the palms of the hands facing forward, heels
- together, and toes pointing anteriorly.
- Professionals in medicine always describe the body, a body part, or movement as though it
- were in anatomical position
-
Anatomy is the study of
science of the structure of the body
-
Physiology is the study of
study of the function of the body organs
-
Sagittal Plane
- Divides the entire body or any part of
- the body into right & left segments
-
Coronal Plane
- Divides the entire body or a body part
- into anterior & posterior segments
- Passes from one side to the other (right
- to left or left to right)
-
Midsagittal Plane
Divides the body into EQUAL right & left halves
-
Midcoronal Plane
- Passes through the midline of the body,
- dividing it into EQUAL
- anterior & posterior halves
- Often referred to as the Midaxillary
- Plane
-
Horizontal Plane
- Passes crosswise through the body or a body part at
- right angles to the longitudinal axis
Divides the body into superior & inferior portions
Referred to as a transverse or axial plane
-
Longitudinal Plane
- Runs lengthwise in the direction of the long axis of the body or any of its parts
- (regardless of its position)
-
cephalic
towards the head
-
caudal
away from the head
-
-
proximal
anterior towards the source
-
lateral
referring to the side
-
medial
towards the center
-
decubitus
horizontal ray laying down
-
projection
the path of the CR from the radiographic tube and through the patient to the IR
-
what anatomy makes up the mediastinum
- heart
- great vessels
- trachea
- esophagus
NOT the lungs
-
what are the 4 chambers of the heart
-
how many lobes does the left lung have
2
-
how many lobes does the right lung have
3
-
carina
the trachea divides into right and left primary branches at the carina tracheal bifurcation
-
what are the two projections of the chest x-ray
PA and Lateral
PA the heart is closest to the IR
-
SID used for the chest x-ray
72 reduces magnification
-
what respiration is used in chest x-ray
2nd and hold
-
what body plane is centered / perpendicular to the IR for the PA chest
midsagittal T7
-
what body plane is centered / perpendicular to the IR for the lateral chest
midcoronal T7
-
why do we have the patient to roll their shoulders forward for PA chest
rotate the scapula out of the lung field
-
how many posterior ribs should be seen on a PA chest
10
-
how can you tell if a PA chest has rotation to it
if space between clavicle and manubrium space
-
what projection should be used if the patient is unable to stand for a chest exam
decubitus to view air fluid levels
-
what is the anatomy of interest for the lordotic chest x-ray
apices of the lungs without super clavicles
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