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What are the grid conversion ratios?
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What is the formula for mAs?
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RADT465- Image Prod.

ARRT registry review covering Image Production Equip. Op. & QC and Acq. & Eval.

QuestionAnswer
What are the grid conversion ratios? -No grid=1 -5:1=2 -6:1=3 **Equivalent to air gap technique -8:1=4 -10:1/12:1=5 -16:1=6 (Williams Math Review, 2021)
What is the formula for mAs? mA x Seconds= mAs (Williams Math Review, 2021)
What is the 15% rule? ***Applies only to 60-100 kVp range ONLY -Increase kVp 15%, divide mAs by 2 -Decrease kVp by 15%, multiply mAs by 2 (Williams Math Review, 2021)
What are the relationships of SID, SOD, and OID? -SOD+OID=SID -SID-OID=SOD -SID-SOD=OID (Williams Math Review, 2021)
What is the Inverse square law? (I1)/(I2)=(d2)^2/(d1)^2 (Williams Math Review, 2021)
What is the Direct square law? "old" mAs1/"new"mAs2=(d1)^2/(d2)^2 (Williams Math Review, 2021)
What is the Unsharpness formula? Filament size X OID/SOD=Unsharpness (Williams Math Review, 2021)
How do you figure out the Grid Ratio? (formula) Height of Grid material/ Width of Interspace= Grid Ratio (Williams Math Review, 2021)
What is the Grid conversion formula? mAs1/mAs2=Conversion Factor 1/Conversion Factor 2 (Williams Math Review, 2021)
What are the field size multipliers? mAs1/mAs2=From/To 14"x17= 1 10"x12"= 1.25 8"x10" OR 9"x9"= 1.40 (Williams Math Review, 2021)
What is the magnification formula? SID/SOD=MF Image size/Object size= MF ***Fluoro Old input screen size/New input screen size= Fluoro MF (Williams Math Review, 2021)
What is the percentage of magnification factor formula? Image size- Object size/ Object size X 100= % (Williams Math Review, 2021)
What is the formula for patient dose increase in fluoro? Input phosphor #1^2/ Input phosphor #2^2= Pt dose increase (Williams Math Review, 2021)
What is the formula for minification gain? Input Phosphor Diameter^2/Output Phosphor Diameter^2= Mini. Gain (Williams Math Review, 2021)
What is the formula for brightness gain? Magnification gain X Flux gain= brightness gain (Williams Math Review, 2021)
What is the formula for Heat Units? # of exposures X kVp X mA X seconds X GENERATOR= Heat Untis (Williams Math Review, 2021)
What is the multiplication factors for the heat unit formula based on generator? Single Phase= 1 3 Phase, 6 Pulse= 1.35 3 Phase, 12 Pulse/High Frequency= 1.41 (Williams Math Review, 2021)
As DQE goes _______, patient dose goes _______? Up, Down (Image Acquisition Worksheet Day 2, 2021)
EI is ______________ to the exposure of the image receptor? Directly proportional (Image Acquisition Worksheet Day 2, 2021)
S-number is _________________ to the exposure of the image receptor? Inversely proportional (Image Acquisition Worksheet Day 2, 2021)
What is contrast resolution? Ability of a digital imaging system to display changes in gray values; bit depth (Image Acquisition Worksheet Day 2, 2021)
What is spatial resolution? Ability of a system to record adjacent small structures; measured in line pairs/mm (Image Acquisition Worksheet Day 2, 2021)
What is MTF? Describes the contribution of all system components (Image Acquisition Worksheet Day 2, 2021)
What are the technique considerations for casts? -Wet/Plaster= 100% mAs/8-10 kVp -Dry= 5-7 kVP -Fiberglass= 3-4 kVp (Image Acquisition Worksheet Day 2, 2021)
What is DICOM? Digital Imaging and Communications in Medicine interconnects medical digital imaging devices (Image Acquisition Worksheet Day 2, 2021)
What is PACS? Picture Archival Communication System Where all digital images are stored (Image Acquisition Worksheet Day 2, 2021)
What is RIS? Radiology Information System Order entry, pt demographic information (Image Acquisition Worksheet Day 2, 2021)
What is HIS? Hospital Information System Pt demographic information, billing, supplies, order entry for testing (Image Acquisition Worksheet Day 2, 2021)
What is EMR/EHR? Electronic Medical/Health Record Pt medical charts, Medication administration record, supply chain (Image Acquisition Worksheet Day 2, 2021)
What is the single greatest source of acute radiation exposure in diagnostic imaging? Fluoroscopy (Equipment Operation and Quality Control 2, 2021)
How is image quality evaluated? According to image brightness, grayscale, spatial resolution, and distortion (Radiography Prep, pg. 313)
What are the visibility factors? Brightness and grayscale (Radiography Prep, pg. 313)
What are the geometric factors? Spatial resolution and distortion (Radiography Prep, pg. 313)
What are the prime exposure/technical factors used to create an image? milliamperage (mA), exposure time (s), kilovoltage (kV), and SID (Radiography Prep, pg. 313)
What do digital radiographic images require? Large amount of digital storage space High-bandwidth in PACS High-resolution display monitors (Radiography Prep, pg. 313)
In Digital Imaging, what does kV affect? Penetration (Radiography Prep, pg. 313)
In Digital Imaging, mAs determines what? Dose/receptor exposure (Radiography Prep, pg. 313)
How are brightness and contrast determined in digital imaging? By computer software and monitor controls (Radiography Prep, pg. 313)
State 3 advantages of digital imaging. Image manipulation permits visualization of structures not seen in analog imaging. Digital IRs respond to a wide range of exposures; provide a wide dynamic range Digital images can be shared and/or sent to distant locations (Radiography Prep, pg. 313)
Define long-scale and short-scale contrast. Long-scale: Low contrast; lots grays Short-scale: High contrast; few grays (Radiography Prep, pg. 314)
What is the function of contrast? To make details visible (Radiography Prep, pg. 314)
What does brightness refer to? Principally to the amount of light transmitted by the display monitor (Radiography Prep, pg. 314)
What does subject contrast refer to? Various body tissue densities and thicknesses, which result in differential absorption of the x-ray beam and signal differences within the remnant beam (Radiography Prep, pg. 314)
What is the Reciprocity Law? Any combination of mA and exposure time that will produce a particular "mAs" will produce identical receptor exposure (Radiography Prep, pg. 315)
What are 3 factors that determine production of scattered radiation? 1. Field size/beam restriction 2. Kilovoltage 3. Thickness/volume and density of tissues (Radiography Prep, pg. 318)
A 6 inch Air-gap is the equivalent to which grid ratio? 8:1 grid (Radiography Prep, pg. 320)
X-ray photons can do what 3 things? 1. Penetrate through the part 2. Scatter within the part 3. Be absorbed by the part (Radiography Prep, pg. 321)
When should a grid be used? When the body part is thicker than 10 cm (Radiography Prep, pg. 321)
Grids can be what? 1. Parallel or focused 2. Stationary or moving (Radiography Prep, pg. 323)
What are the 5 Grid errors? 1. Angulation error: angled against lead strips 2. Off-level error: grid surface must be perpendicular to the CR 3. Off-focus error: if the SID is outside lower OR upper limits 4. Off-center error 5. Upside-down grid (Radiography Prep, pg. 323-324)
What is the minimum filtration requirement for x-ray tubes operated above 70 kVp? 2.5 mm Al equivalent (Radiography Prep, pg.328)
Name a few additive pathologic conditions. Ascites R.A. Paget's disease Pneumonia Atelectasis CHF Edematous tissue (Radiography Prep, pg. 331)
Name a few destructive pathologic conditions. Osteoporosis Osteomalacia Pneumoperitoneum Emphysema Degenerative arthritis Atrophic and necrotic conditions (Radiography Prep, pg. 331)
Name 3 Anode heel effect conditions. At short SID With large-size Its With small anode angle x-ray tubes (Radiography Prep, pg. 332)
State the % ripple for each generator. -Single phase -3 Phase, 6 pulse -3 Phase, 12 pulse -High Frequency Single phase: 100% 3 phase, 6 pulse: 13% 3 phase, 12 pulse: 3-4% High Frequency: <1% (Radiography Prep, pg. 333)
What is the smallest unit of computer data? Bit (Radiography Prep, pg. 334)
What is bit depth? Number of bits per pixel (Radiography Prep, pg. 334)
What do window width and window level correspond to? Width: controls shades of gray Level: controls brightness (Radiography Prep, pg. 334-335)
What are causes for image graininess? Underexposure Incorrect processing algorithm/LUT Excess scattered radiation Inadequate beam restriction Grid misalignment; cutoff (Radiography Prep, pg. 337)
What are the 2 types of AEC? Phototimer Ionization Chamber (Radiography Prep, pg. 337)
Digital image resolution improves with what? Smaller pixel size Smaller pixel pitch Larger image matrix Greater pixel density (Radiography Prep, pg. 348)
What is Detective Quantum Efficiency (DQE)? Describes the percentage of incoming x-ray photons that are detected and absorbed by the detector for transformation to the x-ray image (Radiography Prep, pg. 349)
What is quantum mottle? Insufficient number of x-ray photons resulting in noise appearing as graininess (Radiography Prep, pg. 350)
What are factors that affect resolution? -OID (magnification) -SID (magnification) -Focal Spot Size (F.S. blur) -Patient factors (shape/position) -Motion (motion blur) (Radiography Prep, pg. 350)
What are 2 types of image distortion? -Size (magnification) -Shape (elongation/foreshortening) (Radiography Prep, pg. 350)
What is the information required on each x-ray image? -Patient name/ ID number -Side marker, R or L -Examination date -Institution's name (Radiography Prep, pg. 368)
When is shielding evident? When reproductive organs are in the collimated primary beam OR within 5 cm of it (Radiography Prep, pg. 368)
What is aliasing "Moire effect"? If the direction of the lead strips and the grid lines per inch match the scan frequency of the scanner/reader (Radiography Prep, pg. 373)
With PSP plates, if they have been inactive for more than 48 hours, what needs to happen? Should be erased prior to use (Radiography Prep, pg. 374)
What is the Nyquist theorem? When the electric signals are sampled for conversion to a digital image, the sampling frequency must be more than twice the frequency of the input signal in order to best duplicate that original signal (Radiography Prep, pg. 375)
Digital imaging has what type of dynamic range/latitude? Wide (Radiography Prep, pg. 380)
What is shuttering used for? To remove the bright unexposed areas outside of the collimated field that contribute to veil glare (Radiography Prep, pg. 380)
Which detector systems have the highest DQE? a-Se TFT's used in direct-capture systems (Radiography Prep, pg. 382)
Bremsstrahlung "braking" radiation comprise _______ % of the x-ray beam? 70-90% (Radiography Prep, pg. 388)
Characteristic radiation occurs at the minimum keV and comprises how much of the x-ray beam? 70 keV 10-30% (Radiography Prep, pg. 388)
What is the velocity of an x-ray? 186,000 miles a second (3 x 10^8 m/s) (Radiography Prep, pg. 389)
When is the photoelectric effect most likely to occur? In absorbers with a high atomic number (Radiography Prep, pg. 391)
What does Compton scatter contribute to an image and pose to personnel? Image fog Radiation hazards (in Fluoro procedures) (Radiography Prep, pg. 391)
Do X-rays have an electrical charge? No, they are electrically neutral (Radiography Prep, pg. 391)
What effect do x-rays have on the air? Ionizing effect (Radiography Prep, pg. 391)
Classical scatter is also known as and occurs with what? Coherent, unmodified, Rayleigh scatter With very-low energies, scatters other ways, no ionization occurs (Radiography Prep, pg. 392)
What is the function of a generator? To change mechanical energy to electrical energy (Radiography Prep, pg. 394)
What are X-ray transformers used for? To increase the incoming voltage to the more useful kilovoltage required for x-ray production (Radiography Prep, pg. 397)
Autotransformers operation on the principle of? Self-Induction (Radiography Prep, pg. 398)
What do transformers & autotransformers require for operation? AC (alternating current) (Radiography Prep, pg. 399)
What principle do transformers operate on? Mutual induction (Radiography Prep, pg. 399)
What is the X-ray tube comprised of? Anode (+) Cathode (-) Glass envelope (vacuum) (Radiography Prep, pg. 408)
What does the anode consist of? Graphite/molybdenium disk with beveled edge Tungsten/rhenium alloy focal track (0.6-1.2 mm) Molybdenium stem (support for anode disk (Radiography Prep, pg. 408)
The induction motor does what? and is composed of what 2 things? Rotates anode Stator (outside glass envelope) Rotor (inside glass envelope) (Radiography Prep, pg. 408
What are 3 characteristics of Tungsten (W)? High atomic # Z=74 High melting point= 3410 Celsius Thermal conductivity for heat dissipation (Radiography Prep, pg. 408)
The filament is heated with what required A and V? 3-5 A 10-12 V (Radiography Prep, pg. 408)
During the production of x-rays, how much of the kinetic energy is converted to x-rays? 0.2% the rest is converted to heat (Radiography Prep, pg. 410)
What is the line focus principle? The effective focal spot is always smaller than the actual focal spot (Radiography Prep, pg. 411)
What % must collimators be accurate of the SID? 2% (Radiography Prep, pg. 413)
What are 4 causes of X-ray tube failure? 1. Vaporized Tungsten 2. Pitted Anode 3. Cracked Anode 4. Gassy Tube (Radiography Prep, pg. 415-416)
What are the types of X-ray timers? Mechanical Synchronous Impulse Electronic mAs AEC (Radiography Prep, pg. 422)
What are the components of the Primary/Low-Voltage circuit? Main Switch/Circuit breaker Autotransformer kV selector switch Line voltage compensator Timer Primary coil of high voltage transformer Exposure switch (Radiography Prep, pg. 424)
What are the components of the Secondary/High-Voltage circuit? Secondary coil of the high-voltage transformer mA meter (grounded at midpoint of the secondary coil) Rectifiers X-ray tube (Radiography Prep, pg. 425)
What are some advantages of Flat Panel Fluoroscopy? Pulsed x-ray beam Decreased patient dose Increased sensitivity to x-rays (DQE) Increased temporal resolution; decreased motion unsharpness Improved contrast resolution (Radiography Prep, pg. 451)
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