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RADT 465 Safety

ARRT Registry Review over Safety

QuestionAnswer
What are the four requirements for x-ray production? A source of free electrons, a means of accelerating them, a means of focusing them toward the anode, and a means of decelerating them.
What is an atom? The smallest subdivision of an element.
What is the atomic number of an atom? The number of protons in the nucleus.
What is the atomic mass of an atom? The number of protons and neutrons.
What does the valence number represent? The number of electrons in the last orbital shell.
What are the two interactions that occur in the anode? Bremsstrahlung and Characteristic.
What occurs during a Bremsstrahlung interaction? A projectile electron interacts with the electrostatic charge of the target's nucleus, slows down, changes direction and loses energy in the process.
What occurs during a Characteristic interaction? A projectile electron interacts with an inner shell electron, ionizing the atom and ejecting the inner shell electron. The vacancy is filled by an outer shell electron which releases a characteristic x-ray photon.
Which target interaction is more common? Bremsstrahlung (90-100%).
What does the Bremsstrahlung emission graph look like? A bell curve.
What does the Characteristic emission graph look like? A bar graph.
At what percentage are the greatest number of x-ray produced on a Bremsstrahlung emission graph? 30%
How does an increase in mAs affect Bremsstrahlung emission graphs? The amplitude of the curve rises.
How does an increase in kvp affect the curve of the Bremsstrahlung graph? The amplitude will rise and the curve moves to the right.
How does an increase in distance affect the curve of the Bremsstrahlung graph? The amplitude will decrease.
How does an increase in filtration affect the curve of the Bremsstrahlung graph? The amplitude decreases and the curve moves to the right.
What is the definition of frequency? The rise and fall of the electromagnetic photon.
What is frequency measured in? Hertz (Hz).
What is the definition of wavelength? The distance between two peaks of electromagnetic photons.
What is the relationship between wavelength and frequency? An inverse relationship.
What is the relationship between energy, frequency, and wavelength? Energy is directly proportional to frequency and indirectly proportional to wavelength.
What is occurs during a Compton interaction? An incident photon ionizes an outer shell electron by being partially absorbed, the electron leaves, and the remaining photon energy goes off in another direction as scatter.
What does Compton scatter contribute to? Occupational dose.
What is the photoelectric interaction? An incident photon interacts with an inner shell electron, is completely absorbed, resulting in a photoelectron which releases its binding energy and leaves. The vacancy is filled by an outer shell electron which releases a characteristic photon.
What does the Photoelectric interaction contribute to? Patient dose.
What is the Coherent interaction? A very low incident photon excites an atom, no absorption or ionization occurs and the photon continues in another direction as scatter.
What does the Coherent interaction contribute to? It degrades image quality and is responsible for increasing entrance skin exposure.
What is the SI unit for absorbed dose? Gray (Gy).
What is the SI unit for absorbed dose equivalent? Sievert (Sv).
What is the SI unit for roentgen? Coulomb/kg.
What is the equation used to find equivalent dose? EqD = AD x Wr
What is the equation used to find effective dose? EqF = AD x Wr x Wt
What is the quality factor number for x-rays, gamma rays, and beta particles? 1
What is the quality factor for protons? 5
What is the quality factor for neutrons? 10
What is the quality factor for alpha particles? 20
What is the dose-response relationship for x-rays. Linear Non-threshold.
What is the law of Bergonie and Tribondeau? The law states that immature, rapidly dividing cells are more radiosensitive than mature cells.
What is Linear Energy Transfer (LET)? The amount of energy deposited per unit track length through the body.
What is the oxygen effect or OER? How oxygenated environments can increase the effectiveness of radiation.
What is Relative Biologic Effectiveness (RBE)? The ability of radiation to cause damage to the body.
What is the relationship between RBE and LET? A direct relationship.
What is Radiolysis? Radiation interaction with water which can result in the creation of free radicals.
Why are free radicals dangerous? They can combine to create toxic substances and causes spontaneous cell death.
What interaction causes the most damage to the body and is the most common? Radiolysis.
What dose-response relationship does the eye follow? non-linear, threshold.
What dose-response relationship does the thyroid follow? linear, non-threshold.
What dose-response relationship does the breast tissue follow? linear, non-threshold.
What dose-response relationship does bone marrow follow? linear, threshold.
What dose-response relationship does skin follow? threshold.
What are the Acute Radiation Syndromes from least severe to most? Hemopoietic syndrome, Gastrointestinal syndrome, Central Nervous System syndrome.
What symptoms appear and when does death occur during Hemopoietic syndrome? Symptoms include depression of the immune system and blood clotting at 1-10 Gy. Death occurs within 3-6 weeks. It is the most radiosensitive.
What symptoms appear and when does death occur for Gastrointestinal? symptoms occur after exposure of 10-50 Gy and include nausea, vomiting, fatigue. Death occurs within one week.
What symptoms appear and when does death occur for Central Nervous System syndrome? Symptoms include an increase in intercranial pressure and capillaries bursting after exposure of 50 Gy. Death occurs within hours or days.
Created by: emjohnson4
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