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chapter 8 fosbinder

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Question
Answer
What type of radiation produces an image of body parts in direct exposure radiography?   transmitted and exit radiation  
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why does direct exposure radiography increase patient dose?   because without screens the total amount of energy exposing film is radiation  
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What does direct exposure film do to recorded detail?   increases it.  
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define- intensifying screens   Device found in cassettes that contain phosphors that convert x-rays in to light which then exposes film  
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What do the phosphors in intensifying screens do?   They are a chemical that emits light when struck by radiation.  
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what is the purpose of intensifying screens?   to decrease patient dose  
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What percentage of screens can be exposed by light and x-rays?   90-99% light and 10% x-rays  
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What does an intensifying screen do to recorded detail?   decreases recorded detail  
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What are the 4 layers of the screen?   1.protective layer (closest to film) 2.phosphor layer 3.reflecting or absorbing layer 4.base layer (farthest from film/closest to the cassette)  
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what is the base layer made of?   polyester plastic or cardboard  
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3 characteristics of the base layer   1.flexible and chemically stable and provides support/stability for phosphor layer. 2.chemically inert 3.radiolucent  
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Does a screen have both a reflective layer and an absorbing layer?   No. one or the other but not both.  
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What does the reflecting layer do?   It's used to reflect light back toward the film.  
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What does the absorbing layer do?   It consists of a light absorbing dye that absorbs low wavelength light photons directed toward the phosphor layer.  
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how does the reflective layer of the intensifying screen effect the efficiency of the screen?   increases efficiency  
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How does the reflective layer of the intensifying screen effect the overall recorded detail of the image?   decreases recorded detail  
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How does the absorbing layer of the intensifying screen affect the recorded detail of the image?   increases recorded detail  
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What is the phosphor layer known as?   The active layer  
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Why is the phosphor layer the most important screen component?   because it contains phosphor materials that absorb transmitted radiation and converts them to visible light.  
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What is the protective layer made of?   Plastics and protects fragile phosphor material beneath it.  
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What will happen if there is damage to the protective layer?   May result in the removal of underlying phosphors. This could create a negative density which causes a white area on the film.  
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Dirt/dust on the screen results in what type of negative density?   white dots/specks  
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the negative density of white lines on a film are the result of?   Scratches that result in loss of phosphors in that area of the screen.  
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What are the 3 characteristics of phosphor material?   1.high atomic number 2.conversion efficiency 3.luminescence  
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Why is a high atomic number required for phosphor material?   to ensure interaction with x-ray photons  
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what is conversion efficiency?   Refers to the number of light photons that are generated for every x-ray photon.  
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What is luminescence?   The production of light from the phosphor upon interaction with a x-ray photon.  
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What are the 2 types of luminescence?   1.fluorescence (good) 2.phosphorescence (bad)  
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What is fluorescence?   The desired type of luminescence. The ability of phosphors to instantaneously produce visible light when exposed to x-rays.then stops when exposure ceases.  
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What is phosphorescence?   When screen phosphors continue to emit light after x-ray exposure stops. known as screen lag/afterglow.  
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how does afterglow affect density on the image?   increases density  
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What is spectral emission?   Color of light emitted by a particular intensifying screen due to the phosphors used. Different phosphors will emit different colors when stimulated.  
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what is spectral sensitivity?   The color of light to which a particular film is most sensitive.  
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What type of film is sensitive to blue light?   panchromatic  
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What type of film is sensitive to green light?   orthrochromatic  
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What is spectral matching?   Correctly matching the color sensitivity of film to color emission of intensifying screens.  
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If a blue emitting intensifying screen is paired with orthochromatic film,what will occur to the image after exposure?   No image will be recorded  
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what is the chemical equation for calcium tungstate phosphors?   CaWO4  
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What color light does Calcium tungstate phosphors emit?   blue light  
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what % of x-rays are converted into light by calcium tungstate phosphors?   3-5%  
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what % of x-rays are converted into light by rare earth screens?   15-20%  
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what are the 3 types of rare earth screens?   1.gadolinium 2.lanthanum 3.yttrium  
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What type of light does lanthanum and yttrium emit?   blue light  
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what type of light does gadolinium emit?   green light  
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What is the intensification factor?   Refers to a measurement of an intensification screen's ability to intensify the x-ray beam. It can also be used to determine how much patient dose is reduced.  
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what is screen speed/relative speed?   The ability of the intensifying screen to produce light and therefore produce light and therefore produce radiographic density.  
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what is the relationship between screen speed and recorded detail?   inverse-increased screen speed = decreased recorded detail  
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what are the 10 factors effecting screen speed?   1.size of phosphor crystals 2.thickness of phosphor layer 3.materials used 4.distribution 5.kvp 6.temperature 7.presence of reflecting layer 8.light absorbing layer/dyes 9.absorption efficiency 10.conversion efficiency  
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what does the size of the phosphors do to recorded detail?   the larger the phosphor, the more divergence of light,therefore there is a decrease in recorded detail.  
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what does the thickness of the phosphor layer mean for screen speed?   The thicker the phosphor layer means that there are more phosphor crystals present= more efficient at producing light= increases screen speed  
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how does distribution of the phosphors effect the intensifying screen?   smaller phosphors and a more dense concentration limits the amount of divergence of light which will increase recorded detail.  
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how does kvp effect intensifying screens?   phosphors within the intensifying screens have high atomic numbers, therefore increasing kvp will increase light producing interaction with the phosphors.  
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what effect does temperature have on intensifying screens?   increasing temperature causes significant damage to the phosphors and will impede light production.  
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What does the reflecting layer in a screen do?   reflects light back toward film and increases speed of screen  
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what does the absorbing layer in a screen do?   absorbs light that would otherwise reach film and decreases speed of scree. which would increase recorded detail.  
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what is absorption efficiency?   the ability of the screen to absorb the incident photon.  
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increasing the atomic number of the phosphors in screens does what to absorption?   increases absorption of incident photons  
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what is the absorption percentage for rare earth?   60%  
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what is the absorption percentage for calcium tungstate?   30-40%  
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What is conversion efficiency?   refers to how well screen phosphors convert incident photons to light  
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what produces more light rare earth or calcium tungstate?   Rare earth because it produces 3-4 times more light  
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what does decreasing the thickness of the phosphor layer do to recorded detail?   increases recorded detail  
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what is the average fast screen speed?   400SS  
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What is the average slow screen speed?   100SS  
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What is the relationship between mAs and screen speed?   inversely related.  
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what is the mAs conversion formula?   mas1/mas2=SS2/SS1  
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What type of screens are AECs usually calibrated to work with?   generally fast screen speeds  
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what would happen if a detail screen was used with AEC?   Decreased density since AEC usually work with fast screen a when paired with a slow speed the image would come out under developed.  
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What is quantum mottle/image noise   when very low number of photons are used to produce image density, image appears mottled/blotchy.  
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how does increased screen speed affect quantum mottle and recorded detail?   increases quantum mottle and decreases recorded detail  
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what can you do to correct quantum mottle?   increase mAs while using a slower screen speed OR increase mAs and decrease kvp while using increased screen speed.  
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5 qualities of the cassette/container for film and screen   1.front is made of material with low atomic numbers to allow x-rays to pass 2.light proof 3.light weight 4. rigid/sturdy 5.promotes good film screen contact  
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what is used to test good film and screen contact?   wire mesh tool  
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what is the photographic formula?   PE= mA X time X kvp^2 X SS / SID^2 X GCF  
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