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RADT456 Equip Op/QC
ARRT registry review covering Equipment Operation and Q.C. content area
Question | Answer |
---|---|
Type of x-ray production when a high speed electron passes near or through a tungsten atom, and the electron is attracted to positively charged nucleus, which causes the electron to brake/slow down and be deflected from its course with a loss of energy. | Bremsstrahlung radiation (Pg. 431) |
Comprises 70-90% of the x-ray beam. | Bremsstrahlung radiation (Pg. 431) |
Type of x-ray production that occurs when a high-speed electron encounters a tungsten atom within the anode and ejects a "K" shell electron. At this point, an electron from the "L" shell moves to fill the void. | Characteristic radiation (Pg. 431) |
Comprises 10-30% of the x-ray beam. | Characteristic radiation (Pg. 431) |
True or false: all electromagnetic radiations have the same velocity (186,000 miles per second or 3 x 10^8 m/s), but differ in wavelength. | True (Pg. 432) |
Number of cycles per second and is measured in hertz (Hz). | Frequency (Pg. 432) |
Distance between two consecutive wave crests. | Wavelength (Pg. 432) |
True or false: Higher energy radiations have shorter wavelength and higher frequencies. | True (Pg. 432) |
Radiation that is capable of rearranging atoms in materials. | Ionizing radiation (Pg. 433) |
Principal factor affecting beam quantity. | mAs (Pg. 434) |
Principal factor affecting beam quality. | kV (Pg. 434) |
The gradual decrease in exposure rate as radiation passes through tissues. | Attentuation (Pg. 434) |
Photon interaction with matter where an x-ray photon uses all its energy to eject an inner shell electron, leaving an orbital vacancy (characteristic rays are then produced by filling this void). | Photoelectric effect (Pg. 434) |
Photon interaction with matter where an x-ray photon ejects an outer shell electron of an atom. | Compton scatter (Pg. 434) |
Interaction between a photon and matter where an atom absorbs an x-ray photon, becomes excited, and emits an x-ray photon of identical wavelength in a different direction than the incident photon (NO ionization occurs). | Coherent scatter (AKA: classical, unmodified, or Rayleigh scatter). (Pg. 435) |
Major contributor to patient dose. | Photoelectric effect (Pg. 436) |
Contributes to occupational dose and responsible for fogging an image. | Compton scatter (Pg. 436) |
___________ function to change mechanical energy to electrical energy. | Generators (Pg. 437) |
___________ convert electrical energy to mechanical energy. | Motors (Pg. 437) |
Transformers that increase voltage are called... | Step-up or high voltage transformers (Pg. 440) |
True or false: Transformers and autotransformers require direct current (DC) for operation. | False. Transformers and autotransformers require alternating current or AC. (Pg. 441) |
Degree to which transformers increase voltage is determined by... | Their turns ratio (Number of turns in the secondary/high voltage coil compared to the number of turns in the primary/low voltage coil) (Pg. 440) |
Transformers design types: | Open Core, Closed Core, and Shell Type (Pg. 442) |
Functions to provide kilovoltage selection and operates on the principle of self-induction | Autotransformer (Pg. 442) |
Process that changes non-useful negative half-cycles of a waveform to a useful positive half-cycle (AC to DC). | Full-Wave Rectification (Pg. 442) |
Amount of ripple in single-phase rectification. | 100% ripple (Pg. 442) |
Amount of ripple in Three-Phase/6 pulse rectification | 13% ripple (Pg. 443) |
Amount of ripple in Three-Phase/12 pulse rectification | 4% ripple (Pg. 443) |
Material used for filament within an x-ray tube cathode | Tungsten (Pg. 444) |
Material used for focusing cup within an x-ray tube | Molybdenum (Pg. 445) |
Anode materials include... | Graphite/molybdenum disk, tungsten/rhenium alloy focal track, and a copper stem (Pg. 445) |
True or false: An induction motor consists of a stator and a rotor, and is used to rotate an anode. | True (Pg. 445) |
Stators consist of a series of electromagnets and are located _______ | Outside of the glass envelope (Pg. 446) |
Tungsten atomic number | Z = 74 (Pg. 446) |
Tungsten melting point | 3,410 degrees C. (Pg. 446) |
Rotation speeds of an anode | 3,600 to 10,000 RPM (Pg. 447) |
Phenomenon that results in diminished image density at the anode end of an image, and greater density at the cathode end of an image. | Anode heel effect (Pg. 447) |
Effective focal spot always being smaller than the actual focal spot is called... | The Line Focus Principle (Pg. 448) |
Heat Unit formula | HU = mA X time X kV X Generator (Pg. 448) |
Conversion factors for generators in heat unit applications. | Single phase = 1 Three phase/6 pulse = 1.35 Three Phase/12 pulse = 1.41 (Pg. 451) |
Part of x-ray circuit that functions to automatically adjust for any fluctuations in incoming voltage supply. | Line Voltage Compensator (Pg. 452) |
Part of the x-ray circuit that functions to regulate the length of the x-ray exposure. | Timer (Pg. 452) |
Test used to evaluate timer accuracy. | Spinning-top test (Pg. 453) |
Primary/Low voltage circuit components | Main switch/circuit breaker, autotransformer, kV selector switch, line voltage compensator, timer, primary coil of high voltage transformer, and exposure switch. (Pg. 455) |
Secondary/High voltage circuit components: | Secondary coil of high voltage transformer, mA meter, rectifiers, and x-ray tube. (Pg. 456) |
Amount of heat versus x-ray production when photons interact with tungsten target. | 99.8% heat versus 0.2% x-rays (Pg. 456) |
Two dimensional picture element | Pixel (Pg. 457) |
Three dimensional picture element | Voxel (Pg. 457) |
Digital image resolution improves with: | Smaller pixel size, smaller pixel pitch, and larger image matrix (Pg. 458) |
True or false: photostimulable storage phosphors (PSPs) are light sensitive. | False. PSPs are not light sensitive (Pg. 459) |
Artifact that can occur if the direction of lead strips and grid frequency matches the scan frequency of the reader. | Aliasing artifact or Moire Artifact (Pg. 462) |
True or false: If an image plate and its PSP plate has been stored, unused, for 6 hours, the PSP plate should be erased prior to use. | False. It should be erased if unused for 48 hours or more (Pg. 462) |
Process of changing the contrast and density setting on a digital image. | Windowing (Pg. 463) |
Controls the number of shades of gray in an image | Window width (Pg. 463) |
Corresponds to the density and brightness of an image. | Window level (Pg. 463) |
CR resolution is improved by | smaller barium fluorohalide phosphors, narrower width laser beam, and larger monitor matrix (Pg. 463) |
Electronic term for anything that interferes with visualization of an image. | Noise (Pg. 463) |
Terms used to describe the range of grays a digital system is capable of displaying | Dynamic range or contrast resolution (Pg. 466) |
Hounsfield Unit for bone | 1,000 (Pg. 468) |
Hounsfield unit for water | 0 (Pg. 468) |
Hounsfield unit for air | -1,000 (Pg. 468) |
Relationship between the distance the CT couch travels during one x-ray tube rotation and the width of the beam/slice. | Pitch (Pg. 468) |
Pitch value less than 1.0 | Oversampling (Pg. 468) |
Pitch values greater than 1.0 | Undersampling (Pg. 468) |
Four parts to a CT scanner | Couch/Table, gantry, computer, and operating console with display (Pg. 474) |
Typical entrance skin exposure rate for fluoroscopy exams | 2 R/min (Pg. 476) |
Purpose of a CCD on a fluoroscopy unit | converts visible light to an electrical charge (which is sent to the analog-to-digital converter) (Pg. 476) |
Tabletop fluoroscopy dose limit | Must not exceed 10 R/min (Pg. 478) |
Minimum distance between fluoroscopy x-ray source and tabletop | At least 12 inches, preferably 15 inches (Pg. 478) |
Contributing factors for patient dose during fluoroscopy exams | Exposure rate, tissue thickness/density, and length of exposure (Pg. 479) |
Input screen material of today's image intensifier screen | Cesium iodide (Pg. 479) |
The ratio of light photons at the output phosphor to the number at the input phosphor | Flux gain (Pg. 480) |
Formula for minification gain | (Input screen diameter/Output screen diameter)^2 (Pg. 480) |
Formula for total brightness gain | Total brightness gain = flux gain x minification gain (Pg. 480) |
Reduction of brightness, resolution, and contrast around the peripheries of a fluoroscopy image is termed: | Vignetting (Pg. 481) |
Parts of an image intensifier | Input screen, photocathode, electrostatic focusing lenses, accelerating anode, and output screen within a vacuum glass envelope (Pg. 481) |
Function of automatic brightness control on fluoroscopy units | Maintains constant brightness and contrast of the output screen image by adjusting kV and/or mA for differing thicknesses of body parts (Pg. 482) |
What colors (wavelengths) of visible light are panchromatic films sensitive to? | All colors (wavelengths) (Pg. 483) |
What colors (wavelengths) of visible light are orthochromatic films sensitive to? | All colors (wavelengths) but red. (Pg. 483) |
What are the three sizes of spot films in non-digital fluoroscopy? | 70-mm, 90-mm, and 105-mm. (Pg. 483) |
Advantages of flat panel fluoroscopy | Pulsed x-ray beam, decrease in patient dose, increased sensitivity to x-rays (DQE), increased temporal resolution, decreased motion un-sharpness, improved contrast, less spatial resolution (Pg. 485) |
Council that places federal regulations on equipment design, performance, and use | National Council on Radiation Protection and Measurements (NRCP) (Pg. 493) |
Methodical evaluation of imaging components to ensure proper functioning | Quality control AKA QC (Pg. 493) |
Some equipment components that are tested annually | Focal spot size, linearity, reproducibility, filtration, kV, and exposure time (Pg. 494) |
General diagnostic equipment kV should not vary more than _______. | +/- 4 kV (Pg. 494) |
Quality control tool used to evaluate mA station accuracy | Aluminum step-wedge or penetrometer (Pg. 495) |
mAs output (measured in mR/mAs) should be accurate to within _____. | 10% (Pg. 495) |
Timer accuracy should be within ______ of the actual exposure time. | 5% (Pg. 495) |
Term used to describe the relationship between the collimator light field and the actual x-ray field. | Congruence (Pg. 496) |
Relationship between the collimator light field and the actual x-ray field must be in congruence within _____ of the SID. | 2% (Pg. 496) |
Centering indication is require and must be to within what percentage of the central ray? | 1% (Pg. 496) |
How often should collimators be inspected and verified accurate? | Semiannually (Pg. 496) |
Reproducibility tests should register that mAs radiation output does not vary by more than _______. | 5% (Pg. 496) |
What is half-value layer defined as? | The thickness of any absorber that will reduce the x-ray beam intensity to one-half its original value. (Pg. 496) |
Quality control tools used to measure focal spot size. | Pinhole camera, slit camera, or star-pattern resolution devices. (Pg. 497) |
How often should slip-on/clip-on grids be evaluated. | Every 6 months. (Pg. 498) |
Maximum exposure rate in manual fluoroscopy should not exceed _____. | 5 R/min (Pg. 498) |
Maximum exposure rate for fluoroscopy exams in automatic exposure mode should not exceed _______. | 10 R/min (Pg. 498) |
How often should lead aprons, gloves, and thyroid shields be evaluated? | Annually (Pg. 498) |
Kilovoltage accuracy should should be accurate to within _____. | 5 kV (+/-10%) (Pg. 500) |