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Exposure Factors

Chapter 17 - Lecture - patient as a beam emittor - Attenuation

QuestionAnswer
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
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