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Fluoroscopic Examinations: Reducing Patient Dose
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Fluoroscopic Examinations: Reducing Patient Dose

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Questions and Answers

Use ______ fluoroscopy to reduce patient dose by as much as 90 %.

intermittent

The ______ feature holds the last image obtained in digital storage and displays it on the monitor.

last-image-hold

Avoid the ______ mode, which can increase patient dose between 2 and 10 times that of the standard mode.

magnification

Keep the patient-to-______ intensifier distance as short as possible during mobile fluoroscopic studies with a C-arm.

<p>image</p> Signup and view all the answers

Reduce the number of ______ films and reduce the spot film size to minimize radiation exposure.

<p>spot</p> Signup and view all the answers

Radiographers can minimize exposure to department visitors by ensuring that all ______ doors remain closed during radiographic procedures.

<p>examination room</p> Signup and view all the answers

Visitors should move at least ______ m away from the source of radiation during mobile radiographic procedures.

<p>2.5</p> Signup and view all the answers

Visitors who want to accompany patients or observe a radiographic examination should remain behind a ______ barrier or wear protective apparel, or both.

<p>protective</p> Signup and view all the answers

The ______ concept should be used during all diagnostic x-ray procedures.

<p>ALARA</p> Signup and view all the answers

Using high ______ and low milliampere-second exposure factor is the most effective method of reducing patient exposure.

<p>kilovolt</p> Signup and view all the answers

The ______ of radiation emitted by the x-ray source is primarily controlled by mAs.

<p>quantity</p> Signup and view all the answers

High-speed ______ receptor systems can reduce patient exposure by requiring a lower mAs value.

<p>image</p> Signup and view all the answers

Proper ______ can reduce the patient's entrance skin dose by as much as 90 %.

<p>filtration</p> Signup and view all the answers

The ______ program recommends using high kilovolt and low milliampere-second exposure factor for radiographic examinations.

<p>ALARA</p> Signup and view all the answers

Excessive ______ can produce images that may be of poor diagnostic quality.

<p>kilovolt</p> Signup and view all the answers

Computerized radiographic (CR) and direct to digital radiographic (DR) systems are more critical in controlling ______ exposure.

<p>patient</p> Signup and view all the answers

The exposure control principle 'As Low As Reasonably ______' is used to minimize radiation exposure.

<p>Achievable</p> Signup and view all the answers

Shielding materials with a high atomic number are best for ______ because they allow for the greatest amount of photoelectric absorption.

<p>shielding</p> Signup and view all the answers

Radiographers should keep the time of exposure to radiation as ______ as possible.

<p>short</p> Signup and view all the answers

The equation Total exposure = Exposure rate x ______ indicates that exposure is directly proportional to ______.

<p>time</p> Signup and view all the answers

Shielded booths are required for protecting the area around the control panel of ______ units.

<p>radiographic</p> Signup and view all the answers

The ALARA principle is used to minimize ______ dose reduction.

<p>radiation</p> Signup and view all the answers

The walls of the examination room are designed to protect ______ from unnecessary exposure.

<p>personnel</p> Signup and view all the answers

Processor Quality Control is used to determine if the ______ is working optimally.

<p>processor</p> Signup and view all the answers

Study Notes

Minimizing Radiation Exposure

  • Fluoroscopic collimation reduces patient dose by reducing the size of the x-ray beam.
  • Fluoroscopic shutters also reduce patient dose by limiting the size of the x-ray beam.
  • Intermittent fluoroscopy can reduce patient dose by up to 90%.

Image Acquisition Techniques

  • Using the last-image-hold feature reduces total fluoroscopic time by 50-80%.
  • Avoiding magnification mode reduces patient dose, as it can increase dose by 2-10 times.

Patient Protection

  • Keeping the patient-to-image intensifier distance short reduces source-to-skin distance.
  • Reducing the number of spot films and spot film size reduces patient dose.

Visitor Protection

  • Keeping examination room doors closed during radiographic procedures minimizes exposure to visitors.
  • Visitors should leave the area or move at least 2.5m away from the source of radiation.

Personnel Protection

  • Keeping exposure time short minimizes radiation exposure, as exposure is directly proportional to time.
  • Shielding with materials of high atomic number reduces radiation exposure.

Quality Control Program

  • A quality control program involves three steps: Acceptance Testing, Routine Performance Evaluation, and Error Corrections.

Quality Control Tests

  • Processor Quality Control (Sensitometry) determines if the processor is working optimally.
  • System Constancy Test assures that the radiographic system is operating consistently.

Radiation Protection

  • The ALARA (As Low As Reasonably Achievable) concept should be used during diagnostic x-ray procedures.
  • Using high kilovolt (peak) and low milliampere-second (mAs) exposure factor reduces patient exposure.
  • Using high-speed image receptor systems reduces patient exposure.
  • Proper filtration removes lower energy x-rays from the primary beam, reducing patient entrance skin dose by up to 90%.

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Description

This quiz covers techniques to reduce patient dose during fluoroscopic examinations, including collimation, intermittent fluoroscopy, and the last-image-hold feature.

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