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Final Exam RA222

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Question
Answer
Minification Gain   Diameter of input phosphor/Diameter of output phosphor; Squared  
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How does multifield image intensification work?   Reduces the field of view thereby magnifying the image The electron focal spot moves further from the output phosphor.  
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Function of the television monitor   Convert light image of fluoroscopy tube to electrical signals.  
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Conversion factor   Output phosphor illumination/input exposure rate  
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Vignetting   Decrease in image brightness and sharpness. Fuzzy on images at edges.  
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Flux Gain   Number of output light photons/Number of input x-ray photons  
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Brightness gain   Minification gain x Flux gain  
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Ascities   Accumulation of fluid in abdomen  
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Pulmonary embolism   Blood clot that becomes lodged in the lungs  
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Pulmonary edema   Swelling and fluid in air sacs and bronchioles  
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Emphysema   Loss of elasticity of lung tissue. Hyperinflation of air sacs. Destruction of alveolar walls  
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Pleural Effusion   Fluid in pleural space  
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Tabletop exposure fluoroscopic   Max 10 R/min  
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Cardinal rules of radiation protection   Time--As short as possible. (Time doubled = Exposure doubled. Distance--Large as possible between source of radiation and patient Shielding--Shield between radiation source and Patient.  
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MRI Scanner   Inveted by Dandian. first used in 1974 for rat tumor  
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Matrix   Rows and columns of pixels  
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Fluoroscopy   Examining moving internal structures and fluids. (Dynamic studies)  
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Dynamic   Motion; fluoroscopic images "moving"  
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Quantum mottle   Grainy appearance. Caused by too few electrons.  
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NMR   Nuclear magnetic resonance. Magnetic fields and radiowaves cause atoms to give off radio signals.  
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HIS/RIS   Hospital Information Systems/Radiology Information Systems. Provides worklists and reports. No manual entry of data  
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ALARA   As Low As Reasonably Achieveable  
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Path of x-ray   Patient, Glass envelope, Input Phosphor, Photocathode, Electrostatic Lenses, Anode, Output phosphor  
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Inverse square law   The intensity of radiation is inversely proportional to the distance squared. If distance is doubled then patient exposure is reduced 4 times  
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Quality Assurance (QA)   Overall patient care in radiology department  
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Quality Control (QC)   Technical elements that affect image quality  
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Radiation Control for Health and Safety   1968  
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X-ray equipment standards developed in   1974  
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Consumer patient radiation health and safety act   1981  
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Recommendation for QA programs published   1978-1979  
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Filtration (Beam quality)   Most important patient protection. 2.5 mm of Al. Single phase 70 kVp 1.6. 3-phase/high frequency 70 kVp 2.0  
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Collimation-Beam alignment   distance & Alignment not exceed 2% of SID. Centering 1% of SID "Coin test"  
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Focal spot size   Determines spatial resolution. Test with pinhole camera, star pattern, or slit camera (most effective)  
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Linearity   Produce same mAs no matter what mA and time used. Within 10%  
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Reproducibility   Produce same technique (kVp, mA, time) Produce same density and contrast. Reproducible within 5%. Dosimeter used for testing.  
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Back up timer   Terminates exposure at 6 seconds or 600 mAs  
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Illuminators (View Boxes)   Variation not to exceed 10%  
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Film screen contact   Test with wire mesh pattern. Check for contact or blurring  
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Aneurysm   A sac formed by local enlargement of a weakened arterial wall  
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Angiography   Radiographic demonstration of blood vessels after the introduction of contrast medium  
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Arteriography   Radiographic examination of arteries after the injection of a radiopaque contrast medium.  
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Atherosclerosis   A pathological condition of thickening and hardening of arterial walls leading to a loss of elasticity  
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Biplane imaging   Two x-ray exposures planes 90 degrees from another, usually frontal and lateral  
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Catherization   Introduction of a catheter into the body cavity, organ, or vessel to inject or remove fluid. In radiology the injection of contrast media for diagnosis.  
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Claudication   Cramping of the leg muscles after physical exertion because of a chronically inadequate blood supply  
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Digital Subtration Angiography DSA   Use of digitally recorded x-ray images to produce subtraction images of vessels.  
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Hematoma   Collection of extravasted blood in an organ or a tissue space  
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Occlusion   Obstruction or closure of a vessel, such as a coronary vessel, as a result of foreign material, thrombus, or spasm.  
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Percutaneous   Introduced through the skin  
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Percutaneous Transluminal Angioplasty   Surgical correction of a vessel from within the vessel using catheter technology.  
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Seldinger Technique   Seldinger developed a method for arterial access using a catheter. The ideal puncture is in the femoral artery. An 18 gauge needle containing an inner cannula pierces through the artery. The needle is withdrawn slowly until there is blood flow. The ne  
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Stenosis   Narrowing or constriction of a vessel, an orifice, or other type of passageway  
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Venography   Radiographic study of veins after the injection of radiopaque contrast medium  
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Tomography   Radiographic technique that shows a single plane of tissue by blurring images of structures above and below the plane of interest  
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Fulcrum   Point of axis of rotation for a tomographic motion  
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Exposure Angle   Degree of arc angulation described by the movement of the x-ray tube and cassette during a tomographic motion  
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Curie   Standard of measurement for radioactive decay; based on the disintegration of 1 gram of radium at 3.731010 disintegrations per second  
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Gamma Cameras   Device that uses the emission of light from a crystal struck by gamma rays to produce an image of the distribution of radioactive material in a body organ  
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Geiger Counter   Used to detect the amount of radiation present  
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Half-life   Term used to describe the amount of time that a physical quantity has decreased to half its original value  
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Scintillate   To emit photons  
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Tracer   A radioactive isotope that allows a biological process to be seen.  
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X-ray dyes vs. MRI dyes   X-ray uses radiation, blocks x-ray from passing thru area exposed, and has a reaction risk. MRI uses no radiation, alters magnetic field in tissue examined, and risk of reaction is slim to none.  
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Aphasis   Abnormalties of function related to speech  
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Agonal breathing   labored breathing, gasping, shallow slow, irregular inspirations followed by irregular pauses.  
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Positioning coils   amplify signal, focus magnetic field on area of interest  
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Bore   Opening  
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Resistive magnet   Electrify to create magnetic field. Once power turned off magnetic field is gone  
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Permanent magnet   Magnetic field is always present  
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Super conducting   Similar to resistive magnet. Magnet wrapped with coil of wire. Wire is continually cooled  
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MRI   Uses magnetic fields and radiowaves/frequencies to create images  
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MRI Scanner Invented in   1970, but first used in 1974 to image a rat tumor  
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Repeat analysis   Purpose to catch any equipment malfunctioning that may be occuring at a slow rate  
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Data Collection   Purpose to check for any changes or fluctuation from required range  
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