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Grids
Grids Review
Question | Answer |
---|---|
what is the energy of the scattered xrays 1 meter from the pt. | .1% or 1/1000 of primary beam |
what are the patient factors that affect scatter radiation | -tissue density -size of part -atomic # of tissue -atomic mass of tissue -beam restriction *barium causes more scatter |
what percentage of scatter makes up the useful density on a chest xray | 50% |
what percentage of scatter makes up the useful density on a abdomen xray | 90% |
what happens if you have too much scatter | -fogs image -reduces contrast -reduces visibility of detail |
what is the purpose of an xray grid | improves contrast by reducing the amount of scatter reaching the IR |
where is the grid located | between the patient and the IR |
when should we use a grid | -kVp higer than 60 -part thicker than 10-12 cm -pathology such as edema or ascites |
how are grids constructed | alternating radio-opaque lead and radiolucent interspace(aluminum,carbon fiber,or plastic fiber) |
what causes grid cutoff | loss of density due to absorbtion of unatenuated beam from pt |
_________ grids cause grid cutoff on the periphery, but you can use any SID | parallel grid |
__________ are the most commonly used grid. eliminates grid cutoff on periphery, but has limited SID(SID must be in focussing range to avoid cutoff) | focussed grids |
cross type grid | can only be used in stationary bucky and provides no positioning lattitude |
grid ratio | -determines grid efficiency along with amont lead in grid -R=H/D (H=heigt of strips, D=interspace distance) -ratio range=2:1-16:1 |
grid frequency | -number of grid lines per unit of measurement -60-196 per inch or 152-498 per cm -80-103 lines/in or 203-261 lines/cm is common |
what kind of grids are used for mobile imaging | -stationary -clip on -grid cassettes |
potter bucky diaphragm | -grid is held inside bucky -recipricating or oscilating -motion statrts before exposure and ends after and is used to blur out grid lines |
bucky factor | -measures grid quality by analyzing pt dose with a grid vs. dose w/o a grid -exit radiation vs radiation that actually forms image |
when using a grid what must we do | increase mAs or kVp |
using a grid does what to our gray scale | shortens it |
contrast improvement ability | -measures grid quality by analyzing contrast with a grid vs. contrast w/o a grid -increased contrast improvement ability=increased contrast |
what are the types of grid positioning errors | -upside down -off level -off center -off focus |
causes severe peripheral cut-off and is the least common of grid errors | upside down grid |
an angled grid or tube, causes cut-off over entire image due to oblique nature, CR cuts across or perpendicular to grid lines and is the most common of all grid errors | off level grid |
causes cut-off of entire image with more on one side | off center(lateral decentering)grid |
causes cut-off on periphery of image | off focus grid |
stroboscopic effect | -in moving grids -motion of the grid is frozen -when using exposure time shorter than grid movement -reciprocating mechanism may be broken |
what are some alternate methods of reducing scatter | -in film screen, you can use a backwards cassette -air gap technique |
what is the rule for distance when using the air gap tecnique | for every inch of OID you must increase SID by a foot |
focusing distance | specific range of SID's that can be used for focused grids |