Projection Radiography Flashcards

(46 cards)

1
Q

What are X-rays?

A

Form of electro magnetic radiation (EM)

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2
Q

What is the main difference between EM radiation?

A

Different energy levels of individual photons which is related to wavelength/frequency of photons

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3
Q

What are 4 examples of EM radiation?

A

light
radiant heat
microwaves
radio-waves

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4
Q

What length do wavelengths become visisble?

A

10^-6

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5
Q

What is the wavelength of X-ray & gamma ray?

A

x ray = 10^-10
gamma = 10^-12

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6
Q

When does ionization occur?

A

If radiation with sufficent energy can remove electrons from their shells

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7
Q

Why happens if ionization occurs in humans cells?

A

DNA could be directly damaged or indirectly by formation of free radicals/harmful substances

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8
Q

Why is indirect damage to DNA thought to more damaging?

A

water is more abundant than DNA

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9
Q

Who invented the Crookes tube?

A

Dr. Wilhelm Conrad Roentgen

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10
Q

What are 5 charcteristics of X-rays?

A

invisible
electrically neutral
no mass
travel at speed of light in a vacuum
cannot be optically focused

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11
Q

When are x-rays produced?

A

When rapidly moving electrons that have been accelerated through a potential difference of order 1kV to 1MV strikes a metal target

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12
Q

What are the 3 steps of x-ray production?

A
  1. electrons from hot filament are accelerated onto a target anode
  2. electrons are decelerated on impact & kinetic energy is converted to EM energy
  3. photons produced will have a range of energies (polychromatic)
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13
Q

How much of the energy is converted into x-radiation during the production of x-rays?

A

Less than 1% - rest is converted into internal energy

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14
Q

How is radiation attenuated when it passes through matter?

A

by absorption & scattering

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15
Q

What does attenuation result in?

A

Reduction in intensity of incident radiation beam

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16
Q

What does absorption result in?

A

Transfer of energy from x-ray photon to atoms of material

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17
Q

What does scattering involve?

A

photon deflection from its original course

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18
Q

How do x-rays form the radiographic image?

A

some tissues attenuate more photons than others & therefore beam exiting patient is more intense in some places

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19
Q

What captures the image?

A

An image receptor reacts to x-ray photons
areas of receptor that are subject to more radiation gain more signal (darker on image)

20
Q

What is photoelectric absoprtion?

A

Incident photon interacts with inner shell electron & is completely absorbed
Atomic No (Z)

21
Q

What is compton scattering?

A

interaction between incident photon and outer shell electron & ejects the electron which results in a change in direction

22
Q

What is beam attenuation?

A

Beam emitted from patient contains radiologically significant info to make a diagnosis

23
Q

What are 4 factors that affect amount & type of attenuation?

A

atomic no. of tissue
density of tissue
tissue thickness
energy of x-ray beam

24
Q

Does air have a higher atomic no. than fat or muscle?

A

Yes but it has lower density

25
What does the fewer absorption of photons by air allow for?
More photons to reach the image receptor creating a greater image receptor exposure
26
How does fat compare to muscle?
Lower atomic no. and density
27
Why is muscle easy to distinguish?
Greater attenuator of the beam (increased absorption)
28
What is the greatest absorber of photons?
Bone
29
What are 2 examples of high density contrast agents?
Barium iodine
30
What 4 ways are contrast agents administered?
orally rectally intra-venous intra-arterial
31
What does fluroscopy involve?
Taking multiple low-dose x-ray images in succession to create a real-time "video"
32
What are 3 scenarios that fluoroscopy is used?
Theatre GI system specialized application
33
What happens if radiation exceeds threshold level?
Tissue function will be compromised due to cell death beyond what the tissue can cope with
34
What are 4 reactions that can occur depending on exposure?
Skin reddening Opacity of lens of the eye Permanent sterility ARS
35
What is the severity of the effects proportional to?
Dose recieved over the threshold
36
What are stochastic effects?
Damage to cell's DNA -> somatic or genetic
37
Is there a threshold below which no effects occur?
No
38
What 4 thinsg does legislation include protection for?
patients staff unborn members of public
39
What are the 3 pillars pf reducing radiation risk?
Justification - benefit outweighs risk Optimisation - technical & procedural steps can optimize doses Dose limitation - legal limits exist for staff, public and unborn children
40
What are 3 ways to optimise staff dose?
Less time spent near sources Greater distance from source Behind shielding
41
What are 3 pros of convential radiography?
Accessible Fast Cost effective
42
What are 4 cons of conventional radiography
Limited detail on soft tissue organs limited detection of early diagnosis in bones disease non-specific findings 2D
43
What are 5 clinical applications?
Chest radiography Skeletal trauma imaging imaging for exclusion follow up SPA imaging
44
How can projection radiography assess skeletal trauma?
Presence/absence/complexity of fracture/dislocation relationship of bony fragments
45
What are 3 signs of fracture?
Disrupted cortical outlines Radiolucent lines misalignment of bony fragments
46
What are 2 fractures associated with SPA?
bucket handle classic metaphyseal handle