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Exposure Factors
Chapter 17 - Lecture - patient as a beam emittor - Attenuation
Question | Answer |
---|---|
How does atomic number affect attenuation? | Higher atomic number materials attenuate a greater percentage of the beam than low atomic number materials |
How does tissue density affect attenuation? | The denser the absorbing material, the greater the attenuation |
What elements are the human body mainly comprised of? | Hydrogen, Carbon, Nitrogen, and Oxygen |
What are the differences between air, fat, muscle and bone with respect to their attenuation and the resultant image? | Attenuates radiation least to most: Air, fat, muscle, and then bone Image Receptor exposure least to greatest: Bone, muscle, fat, and the air |
Why do some pathological conditions affect the attenuation of the x-ray beam? | Certain conditions can increase or decrease tissue thickness, or alter tissue composition → in return affects the degree of radiation absorption (attenuation) |
How does an additive disease affect attenuation? | Additive disease causes increase in thickness, atomic number, and/or tissue density = greater attenuation of the x-ray beam |
How does a destructive disease affect attenuation? | Destructive disease causes decrease in thickness, atomic number, and/or tissue density = less attenuation of the x-ray beam |
Is Edema additive or destructive and does it increase or decrease attenuation? | Additive; increase in tissue thickness which equals greater attenuation and less image receptor exposure |
Is congestive heart failure additive or destructive and does it increase or decrease attenuation? | Additive; Lung tissue density is increased and heart is enlarged which equals greater attenuation and less image receptor exposure |
Is pneumonia additive or destructive and does it increase or decrease attenuation? | Additive; Inflammation of lung tissue causes fluid to fill alveolar spaces which has a greater tissue density than normal air present which equals greater attenuation and less image exposure |
Is ascites additive or destructive and does it increase or decrease attenuation? | Additive; fluid accumulation within the peritoneal cavity causes an increase in tissue thickness which equals greater attenuation and less image receptor exposure |
Is Paget's disease additive or destructive and does it increase or decrease attenuation? | Additive; an increase in bone cell activity which results in new bone growth results in an increase in bone thickness which equals greater attenuation and less image receptor exposure |
Is atrophy additive or destructive and does it increase or decrease attenuation? | Destructive; diminished body tissue resulting in reduced thickness of part/body equals less attenuation and greater image receptor exposure |
Is emphysema additive or destructive and does it increase or decrease attenuation? | Destructive; the overdistention of lung tissues by air results in a decrease in lung tissue density which equals less attenuation and greater image receptor exposure |
Is a pneumothorax additive or destructive and does it increase or decrease attenuation? | Destructive; free air in pleural cavity displaces normal lung tissue and results in decreased density which equals less attenuation and greater image receptor exposure |
Is degenerative arthritis additive or destructive and does it increase or decrease attenuation? | Destructive; inflammation of joints results in a destruction of adjoining bone tissue and decreases composition of the part which equals less attenuation and greater image receptor exposure |
Is osteoporosis additive or destructive and does it increase or decrease attenuation? | Destructive; the defect in bone production causes a decreased composition of bone which equals less attenuation and greater image receptor exposure |
The reduction in the total number of x-ray photons remaining in the beam after passing through a given thickness of material | Attenuation |
The thicker the body part being radiographed, the ______ the attenuation will be | greater |
In order to provide a sufficient number of x-ray photons for interaction with the image receptor, what must be done to the original quantity and quality of the photons (technique) when you have increased body part thickness? | The original quantity and quality of the photons (technique) must be increased |
As an x-ray beam passes through a patient, the beam is _________ | Attenuated |
In the diagnostic x-ray range, attenuation is either the result of? | Absorption or Compton scattering |
Do higher atomic-number materials attenuate a greater or lesser percentage of the beam than low-atomic-number materials? | Greater |
Effective atomic number of Air | 7.78 |
Effective atomic number of fat | 6.46 |
Effective atomic number of water | 7.51 |
Effective atomic number of muscle | 7.64 |
Effective atomic number of bone | 12.31 |
The quantity of matter per unit of volume measured in kilograms per cubic feet | Density |
The study of diseases | Pathology |
True or False? Fluid will absorb more radiation than air | True |
A disease that causes the affected body tissue to decrease in thickness, effective atomic number, and/or tissue density which results in less attenuation of the x-ray beam is what kind of condition? | Destructive Condition |
A disease that causes the affected body tissue to increase in thickness, effective atomic number, and/or tissue density, resulting in a greater attenuation of the x-ray beam, is what kind of condition? | Additive Condition |
An encapsulated infection that increases tissue thickness and may alter composition, particularly in the lungs | Abscess |
Swelling that causes an increase in tissue thickness and may alter composition if it occurs in the Lungs | Edema |
An abnormal new growth in tissues that results in an increase in tissue thickness and may alter composition, particularly in the lungs or bones, or when calcification results | Tumor |
A collapse of the lung resulting in airlessness of all or part of the Lung tissue | Atelectasis |
The chronic dilatation of the bronchi resulting in peribronchial thickening and small areas of atelectasis which causes an increase in lung tissue density | Bronchiectasis |
An enlargement of the Heart | Cardiomegaly |
When the Heart is in failure and cardiac output is diminished, resulting in backward failure or increased venous congestion in the Lungs | Congestive Heart Failure |
Pus in the Thoracic Cavity causing an increase in tissue density | Empyema |
When the pleural cavity fills with either blood or serous fluid, displacing normal lung tissue | Pleural effusions (hemothorax or Hydrothorax) |
The inhalation of dust particles which can cause fibrotic (scarring) changes | Pneumoconiosis |
The removal of a lung | Pneumonectomy |
Inflammation of the lung tissues causing fluid to fill in the alveolar spaces | Pneumonia |
When fluid fills the Interstitial lung tissues and the alveoli | Pulmonary edema |
A large dilatation of the aorta | Aortic aneurysm |
Fluid accumulation within the peritoneal cavity | Ascites |
Fibrotic changes in the liver which can cause the Liver to enlarge and ascites can result | Cirrhosis |
An overgrowth of the hands, feet, face, and jaw as a result of hypersecretion of growth hormones in an adult | Acromegaly |
A chronic bone infection | Chronic Osteomyelitis |
A dilatation of the fluid-filled cerebral ventricles causes an enlargement of the head | Hydroceophalus |
The spread of cancer to bone | Osteoblastic Metastases |
A tumor arising in the bone | Osteochondroma |
An increase that occurs in bone cell activity, which leads to new bone growth | Paget's Disease |
An increase in hardening as a result of a chronic inflammation in bone | Sclerosis |
A psychological eating disorder that results in an extreme weight loss | Anorexia Nervosa |
A wasting away of body tissue with diminished cell proliferation | Atrophy |
A generalized wasting away of body tissue | Emaciation |
The overdistention of the lung tissues by air | Emphysema |
Free air in the pleural cavity which displaces normal lung tissue | Pneumothorax |
A psychological disorder resulting in abnormal swallowing of air | Aerophagia |
An obstruction in the bowel results in the abnormal accumulation of air and fluid | Bowel obstruction |
Death of bone tissue | Aseptic Necrosis |
Inflammation of the joints resulting in a destruction of adjoining bone tissue | Degenerative Arthritis |