Fluoroscopic Imaging and Radiography Concepts

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Questions and Answers

What is the primary focus of fluoroscopic imaging?

  • Static imaging of structures
  • Enhancing image resolution
  • Dynamic imaging of physiologic events (correct)
  • Reducing radiation exposure

Which of the following describes size distortion in imaging?

  • The result of incorrect positioning of the object
  • The magnification of an object's true size
  • The misrepresentation of an object's true shape
  • The extension of an object's size beyond its true dimensions (correct)

What is one method caused by shape distortion?

  • Foreshortening
  • Elongation
  • Magnification
  • Both B and C (correct)

Which factors influence magnification in imaging?

<p>Both OID and SID (D)</p> Signup and view all the answers

Which term is defined as the misrepresentation of an object's true size or shape?

<p>Distortion (D)</p> Signup and view all the answers

What role does the glass envelope serve in the vacuum tube?

<p>It creates a vacuum to eliminate air interference. (D)</p> Signup and view all the answers

What materials are used for the filament in the vacuum tube?

<p>Tungsten due to its high melting point. (D)</p> Signup and view all the answers

What phenomenon occurs due to the resistance of the filament?

<p>Thermionic emission resulting in electron release. (D)</p> Signup and view all the answers

What happens to the electrons once they are emitted from the filament?

<p>They accelerate toward the positively charged anode. (D)</p> Signup and view all the answers

How is the space charge effect significant during the x-ray production process?

<p>It allows sufficient electron accumulation before acceleration. (D)</p> Signup and view all the answers

What describes the main role of attenuation in radiography?

<p>It refers to the reduction of radiation intensity as it passes through matter. (B)</p> Signup and view all the answers

Which of the following is NOT a factor influencing image quality in radiography?

<p>Film type used (B)</p> Signup and view all the answers

Which type of image receptor system utilizes a photostimulable phosphor to store and later release latent image data?

<p>Computed Radiography (CR) (B)</p> Signup and view all the answers

What is a consequence of detector saturation in digital radiography?

<p>Production of a uniform blank image (A)</p> Signup and view all the answers

How does fluoroscopic imaging primarily differ from conventional radiography?

<p>It allows real-time visualization of body structures. (D)</p> Signup and view all the answers

Which of the following is not an image receptor system mentioned in the content?

<p>Direct capture system (D)</p> Signup and view all the answers

What is the main feature of a Digital Cassette-less System?

<p>Operates without any film (B)</p> Signup and view all the answers

Which of the following factors is not considered a quality factor for image evaluation?

<p>Texture (A)</p> Signup and view all the answers

Which image receptor system is currently on its way toward obsolescence?

<p>Digital Cassette System (B)</p> Signup and view all the answers

What element is NOT part of the general X-ray process?

<p>Radiation shield (D)</p> Signup and view all the answers

What percentage of the product at the target is x-rays?

<p>1% (C)</p> Signup and view all the answers

What happens to electrons once they strike the target?

<p>They transform into x-ray photons. (D)</p> Signup and view all the answers

What is primarily emitted when electrons collide with the target?

<p>Heat (B)</p> Signup and view all the answers

What is the role of the filament in the x-ray tube?

<p>To emit electrons that are accelerated towards the target. (C)</p> Signup and view all the answers

Which component is responsible for producing x-rays when electrons collide?

<p>The target (D)</p> Signup and view all the answers

What is the primary function of the image receptor (IR) in x-ray production?

<p>To capture and store X-rays for processing (A)</p> Signup and view all the answers

Which component is NOT necessary for producing X-rays?

<p>Lead casing (C)</p> Signup and view all the answers

What distinguishes digital radiography (DR) from computed radiography (CR)?

<p>DR captures images digitally without a cassette (C)</p> Signup and view all the answers

What is the purpose of the focusing cup within the x-ray tube?

<p>To direct and focus the electron beam (A)</p> Signup and view all the answers

Which of the following systems is primarily considered obsolete in x-ray production?

<p>Film-screen (A)</p> Signup and view all the answers

Which factor does NOT affect contrast in imaging?

<p>Brightness settings (B)</p> Signup and view all the answers

What is the primary effect of patient motion on spatial resolution?

<p>Causes blurring (C)</p> Signup and view all the answers

Which aspect influences the sharpness of an image the least?

<p>Patient age (A)</p> Signup and view all the answers

How does the use of grids improve image contrast?

<p>By absorbing scattered radiation (C)</p> Signup and view all the answers

What do window leveling and window width control in imaging?

<p>The intensity of the light representing each pixel (C)</p> Signup and view all the answers

What does the Inverse Square Law indicate about the relationship between intensity and distance?

<p>Intensity decreases as distance increases. (A)</p> Signup and view all the answers

How many gray levels are available with a bit depth of 6?

<p>64 (B)</p> Signup and view all the answers

Which of the following factors directly affects the scale of contrast in an x-ray image?

<p>kVp (B)</p> Signup and view all the answers

If the initial distance is 2 meters and the final distance is 4 meters, what is the ratio of the final intensity to the initial intensity based on the Inverse Square Law?

<p>1:4 (D)</p> Signup and view all the answers

Which condition describes an image that is classified as 'too bright'?

<p>Overexposure leading to loss of diagnostic information (C)</p> Signup and view all the answers

What happens to the primary beam as it passes through the body?

<p>It is either absorbed or scattered. (B)</p> Signup and view all the answers

How does the density of material in the body affect photon attenuation?

<p>Denser materials attenuate more photons than less dense materials. (A)</p> Signup and view all the answers

Which of the following factors influences image quality by affecting the photon quantity reaching the image receptor?

<p>Source-to-image distance (SID) (D)</p> Signup and view all the answers

What is the role of radiolucent materials in X-ray imaging?

<p>They allow photons to pass through relatively easily. (C)</p> Signup and view all the answers

Which equation correctly represents miliampere-seconds (mAs)?

<p>mAs = (mA) x seconds (C)</p> Signup and view all the answers

What effect does increasing the mAs have on the image receptor exposure?

<p>Increases the number of photons at the tube (A)</p> Signup and view all the answers

How does kVp impact the penetrability of x-rays?

<p>Higher kVp increases penetrability (C)</p> Signup and view all the answers

What is the impact of distance on x-ray photon energy as it travels?

<p>Photon energy decreases and the beam diverges with increased distance (A)</p> Signup and view all the answers

What does the '15% rule' indicate regarding kVp adjustments?

<p>A 15% increase in kVp will double the exposure (D)</p> Signup and view all the answers

Which factor is NOT directly expressed by mAs in terms of x-ray production?

<p>Quality of the x-ray photons (A)</p> Signup and view all the answers

Flashcards

Vacuum in X-ray Tube

The removal of air from the glass envelope surrounding the x-ray tube to prevent interference with x-ray production.

Filament in X-ray Tube

A coiled wire made of tungsten, a metal that can withstand extremely high temperatures. It is heated by an electrical current.

Thermionic Emission

The process of releasing electrons from the filament when it is heated to a high temperature.

Electron Cloud & Space Charge Effect

The cloud of electrons that builds up around the filament after thermionic emission. The electrons repel each other creating a negative charge.

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Electron Acceleration in X-ray Tube

Electrons are propelled from the negatively charged cathode (filament) towards the positively charged anode (target) due to electromagnetic attraction.

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Attenuation

The reduction in the intensity of an x-ray beam as it passes through matter.

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Automatic Rescaling

A digital image processing technique that automatically adjusts the brightness levels of an image to optimize visualization.

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Brightness

The amount of light emitted by a source, measured in units of candela.

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Computed Radiography (CR)

A type of digital radiography that employs a photostimulable phosphor plate to capture x-ray photons.

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Contrast

The difference in density between adjacent areas within an x-ray image.

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Distortion

The misrepresentation of an object's true size or shape in an image.

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Magnification

An increase in the apparent size of an object in an image.

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Object-to-Image Distance (OID)

The distance between the object being imaged and the image receptor.

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Source-to-Image Distance (SID)

The distance between the x-ray source and the image receptor.

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Foreshortening

A type of distortion where objects appear shorter than they actually are.

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Exposure

The amount of exposure an image receptor receives during an x-ray exam. It directly affects the darkness or lightness of the image.

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Exposure Latitude

The range of exposures that can be used to produce an acceptable image. A large exposure latitude means the system can tolerate a wider range of exposures, making it more forgiving of technical errors.

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X-ray Process

A process where x-rays are produced and captured to create an image of the inside of a patient's body.

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X-ray Tube

The device that produces X-rays, consisting of a cathode (filament) and an anode (target).

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Digital Radiography (DR)

A system that captures x-ray information directly using a digital sensor, producing an image without film or cassettes.

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Image Contrast

A measure of the difference in density between adjacent areas on an X-ray image, determining how well we can distinguish between different tissues.

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X-ray Production

The conversion of high-speed electrons into x-ray photons when they collide with the target.

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Target

The specific point within the x-ray tube where electrons hit and generate x-rays.

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X-ray Beam

A bundle of x-ray photons that exit the x-ray tube.

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Contrast: What is it?

The difference in density between adjacent areas on an x-ray image. Think of it as the visibility and separation between different structures.

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Half-Value Layer

The amount of attenuating material needed to reduce the x-ray beam's intensity by half. This reflects the beam's penetrating power.

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Spatial Resolution

The sharpness with which objects are represented on an image. This makes the details of the image clearer or more defined.

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Motion: Effect on Spatial Resolution

Patient movement during an x-ray can blur the image, making it difficult to see structures clearly.

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Focal Spot Size & Spatial Resolution

A smaller focal spot size in the x-ray tube creates sharper images, allowing for a more detailed view. Larger focal spots give quicker exposures.

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Inverse Square Law

The inverse square law states that the intensity of radiation decreases proportionally to the square of the distance from the source. It means that as the distance doubles, the intensity decreases by a factor of four.

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Exposure Maintenance Formula

The exposure maintenance formula ensures that the exposure level remains constant even when the distance between the x-ray source and the image receptor is changed. It states that the mAs value should be adjusted proportionally to the square of the distance change to maintain the same level of exposure.

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kVp and Contrast

kVp affects the penetrability of the x-ray beam and ultimately influences the contrast of the image. High kVp (greater energy) produces a 'long scale' of contrast, where many shades of gray are visible. Low kVp produces a 'short scale' of contrast, with fewer shades of gray and more distinct black and white areas.

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How does bit depth affect image quality?

Bit depth refers to the number of bits used to represent each pixel in a digital image. Higher bit depth allows for a greater range of gray levels (from black to white). For example, 8-bit depth allows for 256 shades of gray, while 10-bit depth allows for 1024 shades of gray.

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Radiopaque

Materials that absorb a large amount of radiation and prevent most x-rays from passing through. They appear bright white on an x-ray image.

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Radiolucent

Materials that allow most x-rays to pass through with ease. They appear dark on an x-ray image.

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Grid

A device that reduces scatter radiation, which improves image quality, but increases the patient's radiation dose.

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mAs

The amount of x-ray photons produced at the tube. It controls the overall darkness (density) of the image.

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kVp

Controls the penetrating power of the x-ray beam. Determines the contrast between different tissues.

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Distance

The distance between the x-ray source and the image receptor. Affects the intensity and divergence of the beam.

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Study Notes

Vacuum

  • The glass envelope (bulb) creates a vacuum which removes all air so gases may not interfere with production of x-rays.

Source of Electrons

  • The filament is a coil of thin tungsten wire due to its high melting point
  • Two filaments, one long, one short, depending on the exposure and detail
  • Filament creates resistance to the flow of electrons into the tube from the current
  • This resistance creates heat
  • The heat creates a thermonic emission
  • Electron cloud
  • Space Charge Effect

Method to Accelerate Electrons

  • Once the tube has heated from the current supplied, and the thermionic cloud has produced a space charge effect, the electrons are accelerated with high amounts of voltage
  • The negatively charged electrons (-) shoot toward the positively charged anode (+) because opposites attract
  • (a law of magnetism)

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