Fluoro - Part 2 Flashcards

1
Q

Static imaging system that is used with an optical lens system incorporating a beam-splitting mirror
-light from II output layer exposes photographic film
-requires approx. 1/2 the radiation dose of the cassette spot filming system

A

Photo spot devices

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2
Q

-attached to a port on the optical distributor of an II and can record rapid sequences of images on 35 mm film
-can capture rapid motion
-utilizes very short radiographic pulses

A

Cine radiography cameras

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3
Q

Attached to the front of the II and allows the acquisition of radiographic images
-when an image is required, the operator places cassette directly in front of the II
-radiographic pulse of X-rays is used to create an appropriate exposure

A

Spot film devices

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4
Q

T/F
In digital fluoro, spatial resolution is determined both by the image matrix and by the size of the II

A

True
*spatial resolution is limited by pixel size

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5
Q

What two types of IR are used in digital fluoro?

A

Charge coupled device (CCD)
Flat panel image receptor (FPIR)

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6
Q

T/F
The IR in the digital fluoro system replaces the TV camera tube on the output of the II

A

True

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7
Q

What is the sensing component of a CCD?

A

A layer of crystalline silicon

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8
Q

Mounted on the output phosphor of the II tube and is coupled through fibre optics or a lens system

A

Charged coupled device

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9
Q

Composed of cesium iodide/amorphus silicon pixel detectors
Much smaller and lighter and is manipulated more easily than an image intensifier

A

Flat panel image receptor

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10
Q

T/F
In conventional fluoro, the II is limited by non-uniform resolution and contrast resolution from center to periphery, but digital FPIR is uniform over the entire receptor and does not degrade with age

A

True

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11
Q

What SNR was present in conventional fluoro?

A

200:1

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12
Q

What SNR is necessary for digital fluoro?

A

1000:1

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13
Q

What are some advantages of flat panel display over CRT monitors?

A

-easier to view and manipulate
-better resolution
-lightweight, easy to see
-can be ceiling mounted

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14
Q

Xray exposure is not continuous and has gaps of no exposure between each image frame

A

Pulsed fluoro

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15
Q

T/F
Pulsed fluoro can reduce patient dose and decrease the visibility of patient motion

A

True

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16
Q

T/F
For pulsed fluoro, the xray generator must be capable of switching on and off very rapidly

A

True

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17
Q

Time required for the xray tube to be switched on and reach selected levels of kvp and mAs

A

Interrogation time

18
Q

Time required for the xray tube to be switched off

A

Extinction time

19
Q

The time that the xray tube is energized

A

Duty cycle

20
Q

-reduced dose to patient
-increased image noise

A

Low dose rate

21
Q

-reduced image noise
-increased dose to patient

A

High dose rate

22
Q

What is the principal advantage of digital fluoro exams?

A

Digital subtraction techniques that are possible and the enhanced visualization of vasculature that results from venous injection of contrast material
DSA - digital subtraction angiography

23
Q

T/F
DF provides better contrast resolution through post processing of image subtraction

24
Q

Achieved when an image obtained at one time is subtracted from an image obtained at a later time

A

Temporal subtraction
-mask mode
-time interval difference mode

25
Occurs when patient motion occurs between the mask image and a subsequent image
Misregistration artifact Solution: Pixel shifting - reregistration of the mask Remasking - use another image as the mask image
26
27
What happens with ABC when the generator increases mAs?
-contrast preserved -patient dose increases
28
The ability to resolve fast moving objects
Temporal resolution
29
T/F Fluoro images provide excellent temporal resolution but are relatively noisy
True
30
Digitizing the fluoroscopic images and performing real time averaging in computer memory for display
Frame averaging * individual frames are weighted and averaged into a single display image
31
What is the principal advantage of DF?
Digital subtraction techniques *DSA - digital subtraction angiography
32
Achieved when an image obtained at one time is subtracted from an image obtained at a later time
Temporal subtraction
33
What are the 2 methods commonly used for temporal subtraction?
Mask mode Time interval difference mode (TID)
34
Results in the successive subtraction of contrast filled vessels
Mask mode
35
An initial pulsed exposure is made after injection of contrast media, before the bolus reaches the anatomy under investigation
Mask image
36
Occurs when patient motion occurs between the mask image and a subsequent image
Misregistration artifact Solution: Pixel shifting - reregistration of the mask Remasking - use another image as the mask image
37
Uses two alternating energy xray beams to provide a subtraction image
Energy subtraction
38
Combination of temporal and energy subtraction techniques -filled mask mode procedure
Hybrid subtraction
39
A special application of DSA used to create a map of vascular anatomy that aids the navigation of catheters
Roadmapping
40
Where should the xray tube and II be positioned in relation to the patient?
Xray tube - under II - above