Quiz Questions Flashcards

(40 cards)

1
Q

Which material results in the highest number of photon interactions?

A

Metal

Metal is dense and has a high atomic number, interacting with most incident photons.

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2
Q

What materials will result in the highest x-ray attenuation reading?

A

Metal

Metals are effective at attenuating x-rays due to their density and atomic structure.

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3
Q

During a CT scan with a radiation dose of approx 3,000 mGy, which two effects may occur?

A

Epilation, cancer

Deterministic effects like cataracts and decreased fertility can occur at this dose if specific areas are directly exposed.

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4
Q

Which radiation interaction does not result in ionization of an atom?

A

Coherent Scattering

Ionization is the process through which an electron interacts with a photon and is ejected out of th atom. Coherent scattering changes the direction of the incoming photon but no ionization takes place

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5
Q

Which dose quantity is most useful for projecting the risk of radiation-induced cancer?

A

Effective dose

Effective dose is commonly used to project the risk of radiation-induced cancer from radiology procedures. This is possible because effective dose is calculated using the tissue weighting factor, which is based on radiosensitivity of individual tissues. If a tissue has a high risk of developing cancer, this results in a higher tissue weighting factor and larger effective dose.

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6
Q

Effective dose and equivalent dose are measured in which units?

A

Sieverts (Sv) or Millisievert (mSv)

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7
Q
A
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8
Q

What is absorbed dose?

A

The most basic measurement of radiation dose absorbed in a person, referring to the energy of radiation absorbed by the person, measured in gray (Gy) which equals 1 joule per kilogram (J/kg) of tissue.

Absorbed dose is crucial for understanding the effects of radiation on human tissue.

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9
Q

Radiation exposure is calculated in units of?

A

Coulombs/Kilogram (C/kg).

Exposure measures the amount of ionization created in air from x-ray, with roentgen being a familiar unit in traditional systems.

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10
Q

What effect does a low atomic number have on attenuation?

A

Results in minimal attenuation.

Materials with low atomic numbers allow most photons to pass through without interaction.

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11
Q

What results from photoelectric absorption?

A

Total absorption of the photon, leaving no photon to be scattered.

This process is significant in radiology for understanding how x-rays interact with matter.

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12
Q

What happens when kilovoltage peak (kVp) is increased for a CT procedure?

A

Decreased attenuation.

Increasing kVp reduces the percentage of photons attenuated but increases the total number of absorbed photons due to higher beam intensity.

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13
Q

What is a likely reason for a CT examination exceeding the dose notification value?

A

Increased milliamperage (mA).

The CTDI used for the scan is affected by high mA, leading to dose alerts.

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14
Q

What should a technologist do upon receiving a ‘dose alert’ during a CT scan?

A

Review the exposure parameters.

This ensures safety and compliance with dose notification values.

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15
Q

How does increasing kilovoltage peak (kVp) affect patient dose?

A

Increased patient dose.

Higher kVp can lead to greater radiation exposure for the patient.

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16
Q

What does automatic dose modulation with variable milliamperage (mA) depend on?

A

Patient attenuation readings acquired during the scout images.

This allows the scanner to adjust mA throughout the scan for optimal dosing.

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17
Q

What is the main purpose of traditional lead shielding?

A

To reduce scatter radiation absorption outside of the exposure field.

Lead shielding is essential for protecting patients and personnel from unnecessary radiation exposure.

18
Q

What is attenuation in the context of x-ray beam?

A

Attenuation refers to any interaction in which the x-ray beam decreases in intensity.

Attenuation can occur due to various interactions, including coherent scattering, Compton scattering, and photoelectric absorption.

19
Q

Which three processes can cause attenuation of the x-ray beam?

A
  • Coherent scattering
  • Compton scattering
  • Photoelectric absorption

These processes remove photons from the useful beam and lead to attenuation.

20
Q

What do Bremsstrahlung and characteristic radiation refer to?

A

Bremsstrahlung and characteristic radiation refer to the x-ray production processes in the x-ray tube.

They are not interaction mechanisms in matter.

21
Q

How is the number of ionization events in air described?

A

Exposure.

Exposure is a measure of ionization events caused by x-rays in air.

22
Q

What does Air Kerma refer to?

A

The energy of ions created in air from x-rays.

KERMA stands for kinetic energy released per unit mass.

23
Q

What does the acronym KERMA stand for?

A

Kinetic Energy Released per unit mass.

KERMA is measured in Gray (Gy) and Milligray (mGy).

24
Q

What is the unit of measurement for KERMA?

A

Gray (Gy) and Milligray (mGy).

25
What is the medical term for hair loss?
Epilation or alopecia.
26
How does changing the total beam collimation from 8mm to 16mm affect patient dose?
Decrease patient dose ## Footnote Increasing the total beam collimation decreases patient dose by creating less penumbra.
27
What happens to patient dose when a larger less collimated beam is used?
Decreases patient dose ## Footnote A larger beam results in less penumbra.
28
What is the computed tomography dose index (CTDI) calculated using?
Dose data collected from cylinder phantoms
29
What is the purpose of the 'dose Notification'?
Make the technologist aware that a high CTDI will be used
30
What effect does decreasing the beam width during a CT study have on patient dose?
Increase patient dose ## Footnote Decreasing the beam width increases penumbra radiation outside of the useful beam.
31
What is the primary consequence of not centering the patient in the isocenter of the scanner while using a fixed mA?
Out of field artifact ## Footnote Incorrect patient positioning affects patient dose only when auto-mA is used.
32
What happens to patient dose when incorrect positioning occurs with variable mA?
Increase in patient dose ## Footnote The patient appears larger on scout images, prompting the scanner to increase mA.
33
When using a fixed mA, what changes in image quality occur due to incorrect patient positioning?
No change in contrast resolution, no beam hardening, no magnification ## Footnote These aspects remain unaffected on the helical images.
34
What can cause a computed tomography dose index (CTDI) value to exceed the normal range?
* Large patient * Equipment malfunction * Incorrect technical settings ## Footnote These factors can contribute to an elevated CTDI value.
35
What does a technologist receive when the computed tomography dose index (CTDI) for the scan exceeds the predetermined dose notification value?
A dose notification ## Footnote The dose notification is based on the CTDI being used for the scan.
36
What is the typical experience of technologists regarding dose notifications?
Many technologists have never seen a dose notification ## Footnote This is because the threshold values for notifications are usually very high.
37
What is the term for changing tube output between projections when using automatic dose modulation?
X-Y axis modulation
38
What is z-axis modulation in the context of automatic dose modulation?
Changing the mA between each slice ## Footnote This involves changing the mA from superior to inferior.
39
What does x-y axis modulation refer to?
Changing the mA within the slice between the projection ## Footnote This involves changes from anterior to posterior and right to left.
40
What technical variable does automatic tube current modulation (ATCM) modify during the CT exposure?
mA