Podiatric Radiography: Equipment & X-Ray Production
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Questions and Answers

What is the primary function of the filament (cathode) within an X-ray tube?

  • To generate electrons through thermionic emission. (correct)
  • To focus the X-ray beam towards the patient.
  • To cool the anode by dissipating heat.
  • To accelerate electrons towards the anode.

In X-ray production, what determines the energy (penetrating power) of the X-ray photons?

  • The voltage applied between the cathode and anode. (correct)
  • The type of collimation used.
  • The atomic number of the filament material.
  • The current flowing through the filament.

Why is a vacuum created inside the glass or metal enclosure(ampolla) of an X-ray tube?

  • To reduce the heat produced during X-ray generation.
  • To increase the speed of electrons traveling from cathode to anode.
  • To minimize the risk of electrical arcing.
  • To prevent emitted electrons from colliding with gas atoms, which would reduce their energy. (correct)

What characteristic of tungsten makes it suitable for use as the anode (target material) in an X-ray tube?

<p>It has a high atomic number. (A)</p> Signup and view all the answers

How would decreasing the anode angle improve the image in X-ray tubes?

<p>Increasing the resolution, while maintaining heat loading capacity. (B)</p> Signup and view all the answers

If an X-ray tube is operated at a higher voltage (kV), what is most likely to occur?

<p>The energy of the X-ray photons increases. (B)</p> Signup and view all the answers

What is the function of the lead housing (blindaje) that encases an X-ray tube?

<p>To absorb scattered radiation and minimize radiation leakage. (C)</p> Signup and view all the answers

What is the primary effect of using filtration (Cu, Al) in the X-ray beam?

<p>It preferentially absorbs low-energy X-ray photons. (A)</p> Signup and view all the answers

How do rotating anodes improve X-ray tube performance compared to stationary anodes?

<p>Rotating anodes allow for greater heat dissipation, enabling higher tube loading. (B)</p> Signup and view all the answers

Which of the following is a primary factor influencing the heel effect in X-ray imaging?

<p>The angle of the anode target. (B)</p> Signup and view all the answers

How does the use of a smaller focal spot size affect radiographic image quality?

<p>Improves image sharpness and detail due to reduced penumbra. (A)</p> Signup and view all the answers

What purpose does the collimator serve in diagnostic X-ray equipment?

<p>Controlling the size and shape of the X-ray beam, reducing patient dose. (B)</p> Signup and view all the answers

In terms of X-ray interactions with matter, what is indicated by Radiación de frenado (Bremsstrahlung)?

<p>Radiation resulting from the deceleration of electrons near the nucleus. (C)</p> Signup and view all the answers

What best describes the effect of increased mA (milli amperage).

<p>Increases quantity of the xray photons, while xray energy remains the same. (B)</p> Signup and view all the answers

What is the typical tube current range in diagnostic X-ray tubes?

<p>20 - 1200 mA (C)</p> Signup and view all the answers

What best describes the reason for using digital radiography?

<p>Digital radiography enhances data collection by displaying consistent quality images over a wide range of exposures, compensating for over/under exposure. (A)</p> Signup and view all the answers

To avoid una imagen inaceptable (unacceptable image), how should the properties of any given X-ray tube be?

<p>The properties of the X-ray receptor should be congruent with the X-ray tube. (D)</p> Signup and view all the answers

If heat is generated at the anode during an X-ray, how many ways are there this heat can be dispelled?

<p>Three, the heat can be dispelled via three means: radiation, conduction and convection. (D)</p> Signup and view all the answers

During X-ray generation, a lot of energy is lost to heat, what is the fraction?

<p>More than 99% of the energy is lost to heat and needs appropriate conduction systems. (D)</p> Signup and view all the answers

In what way is digital subtraction angiography (DSA) useful?

<p>It increases the visibility of iodine filled blood vessels, by subtracting a 'predose' from a 'postdose' iodine contrast, increasing the visibility of blood vessels, and removing bone in the image. (A)</p> Signup and view all the answers

What do direct digital receptors primarily depend on for their functionality?

<p>Integrated detectors within the equipment. (B)</p> Signup and view all the answers

What causes the heel effect?

<p>Variations of the angle of the anode target, which causes variations in the intensity of xray photons. (B)</p> Signup and view all the answers

What is the correct order of steps in standard (non direct, non digital) image receptors?

<p>Detección de la radiacion -&gt; visualizacion -&gt; Archivo. (C)</p> Signup and view all the answers

How does a 'blindaje' protect from radiation?

<p>Blocking a portion of the radiation, preventing high voltages, and providing mechanical support. (B)</p> Signup and view all the answers

Why is important to have vacuum within the glass, metal or ampolla (tube)?

<p>If gas were to enter the tube, the electrons will interact and the process cannot occur. (D)</p> Signup and view all the answers

How does filtration primarily function in the X-ray beam?

<p>It allows for the 'hardening' of a beam, by stripping low energy rays, that do not affect image quality. (A)</p> Signup and view all the answers

What can be said about the usage of analogic films?

<p>'What you see is what you get' and all the compensation in the world will not save an overexposed image. (C)</p> Signup and view all the answers

The filtration for tension from 50-70 kV tension should be above?

<p>1.5 mm Al (C)</p> Signup and view all the answers

The detector dynamic range dictates what?

<p>The detector's admission to overexpose. (B)</p> Signup and view all the answers

What is the main function of the generator?

<p>To select the parameters to conduct safe operations and radiation. (D)</p> Signup and view all the answers

There exist 'types of digital image receptors', what is the difference between Direct (DR) and Standard image receptors?

<p>Direct requires integrated detectors in the equipment, while standard receptors require panels. (C)</p> Signup and view all the answers

For direct digital systems compared to standard imaging systems, what is typically not needed?

<p>The image must be processed. (B)</p> Signup and view all the answers

What is the primary advantage of using software for podología (podology)?

<p>Digital images can be adjusted and more easily measured. (B)</p> Signup and view all the answers

What is the purpose of the wolframio anode?

<p>To better retain heat when it reaches high temperatures in the 1000s of degrees Celsius. (A)</p> Signup and view all the answers

Which of the following is a disadvantage of digital systems?

<p>People take more shots. This includes areas that don't need radiation, as the software can 'correct' these. This increases the doses unnecessarily. (B)</p> Signup and view all the answers

How does more corriente (current) lead to more rayos X (xrays)?

<p>More electrons are available to interact with target atoms, therefore, there is more heat and xrays that can occur. (A)</p> Signup and view all the answers

What statements are correct regarding the function of digital systems?

<p>Digital systems may automatically provide parameters that may lead to higher doses. (B)</p> Signup and view all the answers

What are the main components of a cathode?

<p>Filamento and Copa focalizadora. (B)</p> Signup and view all the answers

Aluminum filtration is added to which part to reduce skin damage?

<p>Al should be added towards the start, such as near the tube and the blindaje, to filrate and absorb lower energy rays preventing skin over-exposure; higher energy goes through. (D)</p> Signup and view all the answers

What best describes 'estereotactic digital mammography'?

<p>A 3D image is created to produce a high quality detailed scan to localize lesions. (A)</p> Signup and view all the answers

In terms of digital imaging, what does CR mean?

<p>A system is used that is analagous to film, in that a standard image and then the film is digitalized. (D)</p> Signup and view all the answers

In X-ray equipment schematics, what correctly indicates the location of the filters?

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

If the high tension is connected to the anode and cathode, what would be the correct interpretation?

<p>The electrons would be accelerated from the cathode to the anode (A)</p> Signup and view all the answers

If the electrons are set to impact the anode, which of the following is true?

<p>The electrons must come from the cathode (A)</p> Signup and view all the answers

If the electrons within the tube are set to interact with the nucleus of the wolframio atoms in the anode, what happens?

<p>They generate braking radiation i.e. bremsstrahlung (B)</p> Signup and view all the answers

If electrons are set to impact the anode, what is the percentage of kinetic energy that is converted into x-rays?

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

In an X-ray tube, what could be increased to produce greater cantidad (quantity) of Rayos X (X-rays)?

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

Why is wolframio especially used for the anode?

<p>It can withstand the high temperatures, it has low evaporation, and high thermionic emissivity. (D)</p> Signup and view all the answers

Consider a long and short filament, if we were to double the use of the long one, what would happen?

<p>The heat disipation would increase (A)</p> Signup and view all the answers

If the electrons are dispersed when arriving at the 'mancha focal' or focal spot on the anode, how can we fix this?

<p>Use a metallic concave structure for electrostatic containment, called copa focalizadora (C)</p> Signup and view all the answers

What is the effect of having the 'corona exterior (blanco)' cut at an angle?

<p>It permits one to disipate heat better, without increasing the real focal spot (C)</p> Signup and view all the answers

How does a smaller anode angle impact the image?

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

What is the ideal range for the 'Angulos anódicos'?

<p>5°-15° (A)</p> Signup and view all the answers

Imagine the anode is very rough due to corrosion. What is expected?

<p>A higher heel effect (A)</p> Signup and view all the answers

What are the three mechanisms for 'disipation del calor'?

<p>Conduction, radiation, and convection (D)</p> Signup and view all the answers

What is the name for the radiation that escapes the main and primary bundle?

<p>Fuga radiation (C)</p> Signup and view all the answers

Which of the following is true regarding 'filtracion inherente'?

<p>Consists of components such as the tube and 'blindaje' (A)</p> Signup and view all the answers

What is the goal of using filters?

<p>Reduce low energy radiation, 'endurecer el haz' (C)</p> Signup and view all the answers

If the tension increases, what must happen with the filters?

<p>The filter thickness must be incremented (C)</p> Signup and view all the answers

What is the function of the 'generador'?

<p>To give energy to both, the motor and the tube, select parameters, and avoid dangerous configurations for the tube (C)</p> Signup and view all the answers

When selecting parameters, what does the 'mA' primarily control?

<p>Controls the quantity of electrons that are liberated from the filament (D)</p> Signup and view all the answers

When selecting parameters, what does the 'kV' control?

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

What are the 'Receptores de imagen'?

<p>Systems that make an image visible, after going thru the patient (B)</p> Signup and view all the answers

What best describes 'Radiología Analógica'?

<p>Film based standard processes (D)</p> Signup and view all the answers

What best describes 'Intensificador de imagen'?

<p>A fluoroscopy process which amplifies low intensity x-rays (A)</p> Signup and view all the answers

How would you describe 'digital systems'?

<p>Replaces film with digital detectors, requires processing. (D)</p> Signup and view all the answers

What does the acronym 'CR' mean?

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

What does the acronym 'DR' ('Direct Radiography') mean?

<p>Sustituye a los portachasis convencionales por paneles detectores integrados en el equipo (C)</p> Signup and view all the answers

In digital systems, what is true about the 'señal electrica'?

<p>It is proportional to the RX signal on every point/fosforo of the receptor (D)</p> Signup and view all the answers

What is one of the disadvantages of digital systems?

<p>There is a potential increase in dose (B)</p> Signup and view all the answers

Which is more desirable, under exposure, or over exposure in digital systems?

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

While analogic systems showed a bad image if there was a parameter problem, what happens with digital ones?

<p>They always provide a clear image to the user (B)</p> Signup and view all the answers

What happens if there is an 'amplio rango dinamico' on the receptor?

<p>Overexposure situations are admitted (D)</p> Signup and view all the answers

What is a potential con with digital systems?

<p>Comodidad en la toma de imágenes puede conllevar el cubrir una mayor área del cuerpo (B)</p> Signup and view all the answers

The slide references ''radiación de frenado'' and ''colisiones inelásticas'', what is similar about both?

<p>Both involve the interplay between electrons going at great speed against a material (C)</p> Signup and view all the answers

If 'la columna vertebral torácica' is thicker, the slide suggests to point what?

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

What type of tube is shown in the diagram?

<p>A tube with a metallic structure for electrostatic containment called copa focalizadora (A)</p> Signup and view all the answers

According to the information, is the 'efecto talon' always necessarily negative?

<p>It can, in some instances, be helpful (B)</p> Signup and view all the answers

When going computarized, what is eliminated?

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

What is the purpose of an estudio programado?

<p>Facilitate and organize workflow (A)</p> Signup and view all the answers

What happens with the digital images when going from analogic conventional to digital?

<p>The doctor can do more processing and it is easier to transport (D)</p> Signup and view all the answers

If an exposure is repeated, what is true?

<p>It can go unmonitored ,and the user will erase the previous image if wrong (A)</p> Signup and view all the answers

What is a potential problem within digital systems, that doctors should watch out for?

<p>Recorte of a larger area, therefore losing information (B)</p> Signup and view all the answers

What is the filtration minima for tension between 50-70 kV?

<blockquote> <p>1,5 mm Al (D)</p> </blockquote> Signup and view all the answers

If you set both, the filament, and the receptor, too far relative to the object, you should expect what?

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

Considering a scenario where an X-ray tube's filament has undergone significant thinning over time, which of the following adjustments would least compensate for the resulting decrease in electron emission?

<p>Reducing the anode angle to increase the apparent focal spot size. (B)</p> Signup and view all the answers

In a digital radiography system used for podiatric imaging, an unexpected artifact appears consistently across multiple images, but only when using a specific X-ray tube. Despite standard quality control checks passing, which component is the most likely source of this recurring artifact?

<p>The X-ray tube's anode, featuring pitting that gives rise to areas of altered X-ray production. (C)</p> Signup and view all the answers

You are tasked with optimizing image quality while minimizing radiation dose in a podiatric X-ray unit utilizing digital radiography. Which strategy would best leverage the advantages of digital receptors over traditional film-screen receptors?

<p>Employing post-processing algorithms to enhance contrast and reduce noise, to compensate underexposure (C)</p> Signup and view all the answers

In digital subtraction angiography (DSA) for podiatric vascular assessment, the initial 'mask' image is imperfect due to unexpected patient movement during acquisition. How would sophisticated motion-correction algorithms most effectively improve the diagnostic utility of subsequent subtracted images?

<p>By re-registering the mask image to better align with subsequent frames before subtraction. (D)</p> Signup and view all the answers

An X-ray technologist consistently notes that podiatric radiographs taken using a specific digital radiography unit appear 'grainy' despite adjustments to mAs and kVp. Knowing that 'quantum mottle' increases graininess, what is the most effective strategy to mitigate this issue, assuming all equipment is functioning per manufacturer specifications?

<p>Increase the mAs to increase the number of photons reaching the receptor. (D)</p> Signup and view all the answers

Flashcards

What is a ray of electrons?

High-energy electron stream directed at a target.

What is needed to produce X-Rays?

A source of electrons, a target material, and acceleration.

What is an X-ray tube?

A tube with a vacuum, cathode and anode.

What does an X-Ray tube do?

It converts electrical energy into heat and X-rays.

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What is a Heated Filament (Cathode)?

Emits electrons when heated.

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What is the role of the anode (target)?

A high atomic number material that abruptly decelerates electrons.

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Define 'Voltage' in X-ray production.

Energy applied to accelerate electrons.

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What about vacuum inside the X-Ray tube?

It prevents collisions with gas molecules; essential for electron flow.

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Interaction with the nucleus?

When electrons are emitted, some interact with the nucleus causing radiation

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Interaction with inner electrons?

When electrons are emitted, some interact with electrons generating radiation

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What is the cathode's role?

Negative electrode in the X-ray tube.

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What makes up the cathode?

It is made of a filament and focusing cup.

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What is the Focal Spot?

Area where electrons strike the anode.

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Why use a smaller focal spot?

The effective focal spot is smaller, increased image sharpness.

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What is a focusing cup?

It prevents lateral dispersion of electrons.

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What is the anode?

Positive electrode of the X-ray tube.

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What is the nature of anodes?

Stationary or rotating.

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How is heat dissipated from the anode?

Heat is dissipated by radiation, conduction, or convection.

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What is the Anode Angle?

It is a measure of the actual focal spot size.

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What is the Anode Heel Effect?

When the radiation intensity is less on the anode side.

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Compensating for uneven thickness.

It is used to compensate for variations in body part thickness.

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What is Tube Shielding?

Lead housing that reduces radiation leakage.

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Filtering with material thickness.

It absorbs low-energy X-rays.

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Patient skin dose reduction.

It reduces patient skin dose.

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What is the X-ray Generator?

Selects exposure parameters and supplies power.

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Functions of mA and kV.

mA controls electron release; kV accelerates towards the anode.

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About Recepetors of image

Systems that make an image where radiation emerges and traverses the patint

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What are analog receivers?

Film based systems, intensifier systems and more

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Digital technology

CR systems read the chassis and project it to a digital unit

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Details of System Digitales CR

Imaging plate that recieves an a laser and an digital screen

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What is 'signal'?

In digital form, a way to read a chart.

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Transicion from radiology convenction...

Detects more issues than conventionnal systems .

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Study Notes

Physical characteristics of podological radiodiagnostic equipment

Introduction

  • Radiography involves an X-ray generator, an object or patient, and an image receptor to create an image for diagnostic purposes.
  • Production of X-rays involves transmission through an object from a tube, resulting in an image formation.

Key Elements for X-Ray Production

  • A focused beam of electrons with high kinetic energy must be created.
  • The use of a target made from a high atomic number element.
  • Direct the electron beam towards the target, allowing for impact and energy loss.

How to Produce X-Rays

  • Production of X-rays requires a source of electrons, a filament (cathode), a target material for electron collision, and a voltage system to accelerate the electrons to Blanco (anode).
  • When electrons move at high speeds through a material, interactions occur
  • With the nucleus, it involves radiation of Bremsstrahlung also known as radiative collision
  • With electrons in the cortex, it involves characteristic radiation also known as inelastic collisions.

X-Ray Tube

  • Radiation is generated in the x-ray tube and consists of a generator, a high voltage, a system to focus, an ampoule, an anode, a cathode, rays, a filament and electrons.

Components

  • Generators, tube, controls for collimators, connectors, rotor, anode, cathode, filaments(foci), collimators, cupola focusing.

Tube Components

Ampoule

  • The tube is made of a glass/metal ampoule, which has had all the air sucked out
  • This creates a vacuum so that the electrons do not interact with atoms

Cathode

  • The cathode is the negative electrode in the X-ray tube and comprises a filament and cupola focusing device.
  • Filaments are metallic wires coiled in the shape of a spiral that discharges electrons through the thermionic effect/Edison effect, using electricity
  • Electrons gain energy to escape when applied to metal that form a cloud of charge around the filament and create electric current in the tube when accelerating towards the anode.
  • Tungsten (W) is used for filaments due to its high melting point, low evaporation and high thermionic emissivity.
  • Most X-ray tubes have 2 filaments and a cathode of normal size.
  • Two filaments of different sizes give large and small foci.
  • The small focus provides better image quality, but a lower number of electrons and a slower shutter speed (possibility of movement).
  • Lower image quality, with a greater geometric penumbra, but have less trigger time.

Cupola Focusing

  • The cupola of focus is a metal structure housing the filament.
  • Its function consists of preventing the scatter of beams of electrons, this would cause an excessively wide focal mark.
  • Higher current leads to a higher temperature, creating more electrons.

Anodes

  • Anodes are where electrons are directed to after being generated in the filament using the energy of potentia.
  • They can be stationary or rotating.
  • Rotating anodes are more popular as they last longer and can withstand greater amounts of heat.
  • The dissipation of heat from the anode is done through radiation, conduction or convection.
  • Due to the high amount of radiation of Bremsstrahlung created, Wolframio(W) as a high atomic number (Z)
  • Since It endures high tempatures, it has a high melting point.
  • Low Evaporation does not endager vacuum conditions.
  • High thermal conductivity quickly eliminates the produced heat.
  • The tungsten target is normally alloyed with rhenium and deposited into a thin layer on the molybdenum disk, and this is overlaid on graphite on the surface.
  • The inclination or angle of the cutting-edge in the anode allows better dissipation of heat.
  • Smaller anodic angles provide high picture resolution
  • Anodic angles typically range from 5° to 15°.

Heel effect

  • Intensity of the radiation emitted by the cathode is greater than that emitted by the anode.
  • A column vertebral torácica supports the body, allowing that patients thicker parts face towards the cathode.

Shielding tube

  • The tube is encased in lead to focus photons (primary beam) throught the window.
  • The lead reduces emissions in undesirable areas to 1mGy/h at lm of a metre when power is at its max, it also protects against high voltage and electric shock.
  • The shielding serves as a support for the RX tube.

Filters

  • Material often composed of cupper, aluminum reduces lower energy radiation for imaging production.
  • Hardens beams of radiation
  • Filtration increase the average energy in X-rays that hardens rays
  • Filtration also produces attenuation.
  • The amount that filters depends on whether it was already present and whether it was added
  • Inherent filtration refers to tubes already present, and added filtration contributes addition filtration.
  • Total filtration is when inherent and added are combined
  • There is a minimal filtration level like >1.5mm AI between 50-70kv ->2.5mm Al that has tensions that exceed 70 kV an infiltration of interventions of 4 to 5 mm Al.

Generators

  • Generators select parameters of the exposure at a control panel, this system supplies power to the tube and the rotating anodes.
  • Prevent combinations of parameters that threaten the x ray tube.
  • Energy is used for removing electrons from a filament, to create a current or Voltaje (kV)

Receptors

  • Receptors allows visible imaging from primary radiation exiting an XRay tube
  • Analogics
  • Card-film creates conventional radiology using images as screen
  • Digital
  • CR is a chassis of cards using digital imagine in conventional systems that are analog
  • DR is a digital image where integrated signals are in interventional systems with mammographys that may occur during conventional use.
  • The process includes patient preparation, placing, imaging, imaging control, patient control for future filing.
  • A negatoscopio is used to view images
  • X-rays produce a photo electrical image that produces 3,000 lights by electrones to produce the intensificator.
  • These image is amplified using intenitification.
  • A system of intensifying image is made upon a screen of TV with the camera

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Description

This lesson explores the physical characteristics of radiodiagnostic equipment used in podiatry. It details the key elements and processes involved in X-ray production, including electron beams, targets, and voltage systems. Learn how interactions at the atomic level lead to the formation of diagnostic images.

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