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Questions and Answers
What is the primary purpose of reducing the penumbra in an X-ray image?
What is the primary purpose of reducing the penumbra in an X-ray image?
Air appears white on X-ray film.
Air appears white on X-ray film.
False
What type of film is used in dental X-rays?
What type of film is used in dental X-rays?
Non-screen film
The width of the penumbra can be calculated using the formula 𝑝 = (D/L) * 𝑙, where 𝑝 is the penumbra width, D is the focal spot size, L is the _____, and 𝑙 is the object-film distance.
The width of the penumbra can be calculated using the formula 𝑝 = (D/L) * 𝑙, where 𝑝 is the penumbra width, D is the focal spot size, L is the _____, and 𝑙 is the object-film distance.
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Match the following techniques with their purpose in improving X-ray image quality:
Match the following techniques with their purpose in improving X-ray image quality:
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Which of the following is NOT a factor in increasing the sharpness of an X-ray image?
Which of the following is NOT a factor in increasing the sharpness of an X-ray image?
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Dense bones allow more X-rays to pass through them compared to soft tissues.
Dense bones allow more X-rays to pass through them compared to soft tissues.
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What is the term for the blurred edge of an object in an X-ray image?
What is the term for the blurred edge of an object in an X-ray image?
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What is the primary function of a small focal spot in an X-ray tube?
What is the primary function of a small focal spot in an X-ray tube?
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The line-focus principle aims to increase image blurring.
The line-focus principle aims to increase image blurring.
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What is emitted as a result of bremsstrahlung radiation?
What is emitted as a result of bremsstrahlung radiation?
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Characteristic X-rays are emitted when an electron from an ____ shell fills a vacancy in the K-shell.
Characteristic X-rays are emitted when an electron from an ____ shell fills a vacancy in the K-shell.
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Match the following types of X-rays with their descriptions:
Match the following types of X-rays with their descriptions:
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What characteristic of diagnostic X-rays is true?
What characteristic of diagnostic X-rays is true?
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Increasing the kilovolt peak (kVp) raises the likelihood of electron penetration into the atomic nucleus.
Increasing the kilovolt peak (kVp) raises the likelihood of electron penetration into the atomic nucleus.
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What effect does the temperature of the filament have on the X-ray tube?
What effect does the temperature of the filament have on the X-ray tube?
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What is the primary purpose of using grids during X-ray imaging?
What is the primary purpose of using grids during X-ray imaging?
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Motion during X-ray exposure can cause blurring in the images.
Motion during X-ray exposure can cause blurring in the images.
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What unit is used to measure X-ray radiation exposure?
What unit is used to measure X-ray radiation exposure?
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The exposure-area product (EAP) is calculated as exposure (roentgen) multiplied by ______ (cm²).
The exposure-area product (EAP) is calculated as exposure (roentgen) multiplied by ______ (cm²).
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Which of the following is a disadvantage of using grids in X-ray imaging?
Which of the following is a disadvantage of using grids in X-ray imaging?
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Match the interaction type with its description:
Match the interaction type with its description:
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What materials are commonly used as filters in X-ray beam filtration?
What materials are commonly used as filters in X-ray beam filtration?
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High-energy x-rays increase patient radiation dose without improving diagnostic quality.
High-energy x-rays increase patient radiation dose without improving diagnostic quality.
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What is the primary use of X-rays in medicine?
What is the primary use of X-rays in medicine?
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X-rays belong to the same category as radio waves and visible light.
X-rays belong to the same category as radio waves and visible light.
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What is the relationship between the energy of a photon and its frequency?
What is the relationship between the energy of a photon and its frequency?
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The main component of the X-ray tube that produces electrons is the ______.
The main component of the X-ray tube that produces electrons is the ______.
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Match the components of X-ray production with their functions:
Match the components of X-ray production with their functions:
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What percentage of the accelerated electron energy is converted to X-ray photons in the X-ray tube?
What percentage of the accelerated electron energy is converted to X-ray photons in the X-ray tube?
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Increasing the atomic number of the anode material decreases the intensity of the X-ray beam.
Increasing the atomic number of the anode material decreases the intensity of the X-ray beam.
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What is the melting point of tungsten, the material used for the anode in X-ray tubes?
What is the melting point of tungsten, the material used for the anode in X-ray tubes?
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What is the energy equivalent of 1 keV?
What is the energy equivalent of 1 keV?
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The power produced during an x-ray study is given in watts, calculated as P = I * V.
The power produced during an x-ray study is given in watts, calculated as P = I * V.
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What is the term for the thickness of material that reduces the intensity of radiation by half?
What is the term for the thickness of material that reduces the intensity of radiation by half?
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The linear attenuation coefficient (μ) depends on the energy of x-rays, atomic number (Z), and ______.
The linear attenuation coefficient (μ) depends on the energy of x-rays, atomic number (Z), and ______.
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Match the kVp values with their respective x-ray studies:
Match the kVp values with their respective x-ray studies:
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Which of the following describes Bremsstrahlung?
Which of the following describes Bremsstrahlung?
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The intensity of an X-ray beam increases exponentially as it passes through matter.
The intensity of an X-ray beam increases exponentially as it passes through matter.
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What happens during the photoelectric effect with X-rays?
What happens during the photoelectric effect with X-rays?
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What are the two main categories of health effects from radiation?
What are the two main categories of health effects from radiation?
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Stochastic effects of radiation can result in cancer development after a lag period of at least 5 years.
Stochastic effects of radiation can result in cancer development after a lag period of at least 5 years.
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What type of imaging technique is used for real-time visualization of patients?
What type of imaging technique is used for real-time visualization of patients?
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In tomography, a picture (graph) of a __________ is produced.
In tomography, a picture (graph) of a __________ is produced.
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Which imaging technique utilizes strong magnetic fields and radio waves?
Which imaging technique utilizes strong magnetic fields and radio waves?
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Match the following imaging techniques with their characteristics:
Match the following imaging techniques with their characteristics:
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The primary advantage of CT scans is their ability to display two-dimensional images of the body.
The primary advantage of CT scans is their ability to display two-dimensional images of the body.
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What is the primary use of fluoroscopy?
What is the primary use of fluoroscopy?
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Study Notes
X-ray Production and Types
- X-rays are electromagnetic radiation with very short wavelengths, enabling high penetration power
- X-rays are produced when energetic electrons interact with matter, converting kinetic energy into electromagnetic radiation
- Main components of an X-ray tube include:
- A source of electrons (cathode/filament)
- An evacuated space (glass envelope)
- A high positive potential (kV) to accelerate electrons
- A target (anode) where electrons strike
- The number of X-ray photons produced is controlled by tube current and time (mAs)
- Energy of X-ray photons depends on frequency (E=hv=hc/λ) (h=Planck's constant, c=speed of light, λ=wavelength, υ=frequency)
X-ray Interaction with Matter
- Photoelectric effect (PE): High-Z elements, low energy photons. Photon energy is completely transferred to an electron. The electron leaves the atom, ionizing surrounding atoms. Bone absorbs X-rays much better than soft tissue because of PE (higher Z).
- Compton scattering (CS): Low-Z elements, moderate energy photons. Only part of photon energy is transferred to the electron, and the remainder is scattered. More likely at higher energy levels (e.g., ≥30 keV in water/soft tissue). More likely than PE in bone at ≥100 keV
- Pair production: High energy photons, rare occurrence. High energy photons convert into electron-positron pairs in the vicinity of the nucleus. Annihilation radiation produces two new photons.
X-ray Image Quality
- Penumbra: Blurred edge of an object in an X-ray image. Calculated by (P=D*L/l)
- Focal spot size (D) and object to film distance (l) impact penumbra reduction. Ideally, smaller focal spots and larger object–image distances are preferred.
- Grids: Reduce scatter radiation and improve image contrast by absorbing scattered rays before reaching the film. Thicker body parts produce more scatter radiation.
- Contrast media: Iodine and barium-based compounds and air are used to highlight specific anatomical structures for better visualization.
Fluoroscopy
- Continuous acquisition of X-ray images over time (real-time). Useful for tracking motion (e.g., heart).
- Uses X-ray detector systems to rapidly acquire images.
Computed Tomography (CT)
- Uses X-rays rotated around the body to create cross-sectional images.
- Detects transmission data to provide detailed tomographic images.
- 3-D slices remove superposition of anatomical structures.
X-ray Exposure Units and Risks
- Exposure is measured in roentgens (R).
- Exposure-area product (EAP) considers both exposure and area for exposure calculations.
- Radiation risk is associated with energy deposition in tissues. Deterministic effects follow high doses, resulting in immediate damage; stochastic effects follow low doses, potentially leading to cancer development.
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Description
Test your knowledge on X-ray imaging techniques and principles. This quiz covers topics such as penumbra reduction, film types used in dental X-rays, and factors affecting image quality. Challenge yourself with questions that delve into the functions of focal spots and the types of X-rays.