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rad test 2
Question | Answer |
---|---|
what is scatter radiation | another factor that can affect the image quality |
how can prevent backscatter | place the cassette on a sheet of lead or using a cassette that have a thin backing of lead |
what is a grid | a device that is placed between the patient and the radiographic film that absorbs non-imaging forming x-rays |
what is a grid made out of | alternating lead strips and spacer material which consists of fibre, aluminum or plastic |
what is a pseudo focused grid | parallel strips perpendicular to the focus of the grid |
what is the focused grid (more probable) | lead strips angled that they focus at the centre point of the grid |
what is the focal point | the centre on a lead strip where the beam is centred under |
what is grid focus | distance from the grid to the source of radiation |
what is it called if the grid is not used properly | grid cutoff |
4 reasons for grid cutoff | 1. focused grid upside down 2. improper centring of the x-ray tube over the grid 3. tilting the tube head laterally or tilting the grid 4. grid not in the focal range |
what will an effective grid provide | reduce the amount of scatter seen on a finished radiograph without showing gridlines |
True of false: the closer the lead strips are placed and the thinner they are, the less they are detected on a rad | true |
what determines the grid efficiency | height, thickness, and number of the lead strips |
what is the grid ratio | difference between the heights of the lead strips compared to the amount of space between 2 strips |
as the grid ratio increases the ___________ also increases | efficiency |
does the grid absorb the secondary radiation or just the primary beam | just the primary beam |
Santes rule is defined as | a formula used when creating a technique chart to estimate the appropriate kVp |
what is the santes rule equation | 2 x tissue thickness (cm) + FFD (40) + grid factor = estimated kVp |
when to utilize a grid | when the patients anatomical area measures over 10 cm |
when not to utilize a grid | when the patients anatomical area measures less then ten, except in cats |
why do we still utilize a grid for felines | prevent scatter radiation hitting the film and causing film fog |
what are technique charts useful for | obtain diagnostic images in a quick and consistent manner |
what does a technique chart help avoid | retakes, saves clinic money, less film, less chemicals and less exposure |
what factors are included when making a technique chart | -speed and brand of film -speed of screens, type of cassettes and ages -FFD -type of grid and ratio -tube rating chart -developer and fixer solutions |
True or false: separate technique charts should be created for different anatomical regions and species? | true |
what are the 6 steps to creating a technique chart | 1. select a patient 2. calculate the kVp for that region 3. select the mAs 4. create a mAs matrix based on machine 5. take exposure 6. create technique chart |
what is the average size of an animal when selecting one for your technique chart | medium size, 18-20kg |
when selecting the mAs is it suggested to use lower _______ (increased contrast) and high ____________ (decreased time) | kVp, mAs |
when selecting the mAs the thorax requires _______ to ________% less than the abdomen and the pelvis will require ________% more mAs | 50-75% 75% |
what is a latent image | an invisible image on the x-ray film after it is exposed to ionizing radiation |
what is radiographic film | a record of remnant radiation |
Layers of x-ray film | -protective coating -emulsion -adhesive -base -adhesive -emulsion -protective coating |
what are the crystals called inside the emulsion layer of a film | silver halide |
what is film latitude | number of shades of grey |
3 basic film groups | 1. fast film (ultra-speed) 2. medium film (standard speed) 3. Slow film (high detail) |
what are intensifying screens | sheets of luminescent phosphor crystals bound together |
layers of a intensifying screen | FILM SIDE -protective coating -phosphor layer -reflective layer -plastic base -back seal CASSETTE SIDE |
the speed of intensifying screens depends on | -crystal size -thickness of phosphor layer -efficiency of reflective layer -dyes in phosphor layer |
3 screen speeds | 1. slow 2. medium 3. fast |
slow screen speeds | -ultra detail -optimum detail -takes a long time |
medium screen speeds | -medium speed -low exposure -good detail |
fast screen speeds | -high speed -less detail -reduced exposure -loss of fine detail |
what does a blocker do | prevents the x-rays to reach that part of the film allowing for an identification label |
how often should screens be cleaned | every 1-3 months |
3 qualities that constitute a good darkroom | clean, organized, lightproof |
3 steps of processing film | Developer, Fixer, Washing/Dryer |
what colour should the developer be and how do you know if it is to be changed | weak tea, if colour changes to a dark coffee colour |
why do we wash the film after the developer and fixer | - removes processing chemicals from the film |
advantages of automatic processor | -minimize human error -produces good quality diagnostic radiographs -less repeats due to processing errors |
all automatic processors consist of.... | film tray, developer, fixer, wash bath, dryer, rollers, basic gears, replenishing pumps |
disadvantages of automatic processors | -chemicals are more concentrated and temperatures are higher |
3 methods of silver recovery | 1. metallic replacement 2. electrolyte recovery 3. chemical precipitation |
what is safe lighting | a small-wattage light bulb and a special filter to eliminate the light from a specific colour spectrum |
what are the 8 technical errors of xrays | -increased film density (too dark) -decreased film density (too light) -black marks or artifacts -white marks (artifacts) -grey film -distorted or blurred rad -linear artifacts -miscellaneous artifacts |
what causes black marks on films for technical errors | -film scratches -static electricity -top of film black -defective cassette |
what cause white marks on films for technical errors | -dirt or debris -crack in screen -contrast medium on a tabletop, skin or cassette |
what are the 9 processing errors of xrays | -increased film density -decreased film density -fogged film -yellow rads -white spots -black spots -air bells -reticulation -brittle radiographs |
what causes fogged film on rads | -light leak -improper safe light -over developed |
what causes yellow rads | not left in fixing solution long enough |
what causes white spots in rads in processing errors | -defective screen -debris on film |
what causes black spots in rads in processing errors | -static electricity -scratches |
what causes reticulation in rads | -solution have an uneven temperatures in the tanks -solutions not stirred in manual processing |
what causes brittle rads | -drying time too high -drying time too long |
what are the two types of digital imaging | 1. computed radiography (CR) 2. digital radiography (DR) |
what is the difference between DR and CR | how the latent image is processed |
what is the quality of the image related too | -resolution -image noise -pixel size and number -field of view |
advantages of CR systems | -elimination of wet processing and processing chemicals -wide latitude -shorter wait times for images -environment advantage |
disadvantages of CR systems | -sensitive to fogging and must be stored properly -extra pieces of equipment -plates susceptible to cracking |
two main factors with producing and viewing the digital image | -algorithm -histogram |
advantages of digital imaging | -improved contrast resolution -environmental advantages -shorter wait times to view images |
disadvantages of digital imaging | -motion artifacts -insufficient views -safety concerns |
what does DICOM file stand for | Digital imaging communications in medicine |
what does pacs system stand for | picture archive and communication system |
what is the primary function of a fluoroscopy | provide dynamic real time imaging of the anatomy |
disadvantages of fluoroscopy | -radiation induced injuries -development of radiation induce cancer -higher doses of radiation |
what is a CT scan used for | -technique that provides a distinct image of any selected plane throughout the body |
benefits of a CT scan | -procedures is painless -can image bone -minimal side effects |
disadvantages of CT scan | -increase of radiation exposure -expensive for the client -sedation required |
what is a mammography used for | examine the breast tissue for early detection of cancer and other breast diseases |
what does MRI stand for | Magnetic Resonance Imaging |
what does NMRT stand for | nuclear magnetic resonance imaging |
what does MRT stand for | magnetic resonance tomography |
what is an MRI used for | visualize internal structures of the body in detail |
advantages of MRI | -can image blood flow -non invasive -superior resolution |
precautions of MRI | -magnet can pose health hazards -need ear protection |
What is nuclear scintigraphy | -non-invasive imaging procedure that will provide information about the function of a specific organ but not anatomical details about the structure |
how does nuclear scintigraphy work | -radio active agents are injected into blood stream -tracers are carried to the area of the body with the greatest blood flow -energy is given off in the form of gamma rays detected by a special camera |
how long must the animal be quarantined for after being injected with a radioactive tracer | 12-72 hours |
what is the endoscope used for | examine the mucosa of the esophagus, stomach, and upper intestines |
what can the endoscope help diagnose | foreign bodies, ulceration, neoplasia, biopsies, inflammation |
two types of endoscopes and what they r used for | rigid: colonoscopy flexible: bronchoscopes |
what is a contrast study | radiographic procedure used to supplement or confirm abnormalities on survey radiographs |
what does a contrast study help diagnose | help make a diagnosis when there is not enough contrast to visualize the body part |
2 types of positive contrast media | barium sulfate preparations (soft tissue) and iodine preparations (urinary tract, vessels) |
procedure for barium sulfate test | 1. patient is fasted 2. patient is put on IV fluids 3. surgery rads are required (R/L LAT Abdomen and V/D) 4. rads are taken after administration of barium sulfate until diagnosis is made or it reaches the colon 5. 24hr rads may be warranted |
what is negative contrast media | carbon dioxide gas absorbs few x-rays that tissue and has a lower specific gravity, therefore more radiolucent and provides a negative contrast |
Define: acoustic shadow | occurs when a structure prevents the transmission of sound waves to greater depths so structures distal to the object are not seen |
Define: echogenicity | the intensity in which a substance is able to reflect echoes |
Define: anechoic | no echoes are detected |
Define: hyperechoic | structures that produce bright white echoes |
Define: hypoechoic | transmits only a few echoes and appears a grey colour |
Define: isoechoic | returning waves of normal amplitude |
Define: attentuation | a reduction of the intensity of transmission through a material due to absorption and scattering |
Define: AFAST | abdominal focused assessment with sonography for trauma |
Define: TFAST | thoracic focused assessment with sonography for trauma |