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OCPM Radiology 2
Quesions
87
Medical
Professional
07/07/2009

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Cards

Term
What is the purpose for the Image Receptor?
Definition
Collect the radiographic information and make an image we can see.
Term
What % of podiatrist are currently using digital radiography?
Definition
~5%
Term
Heavily irradiated areas turn what color?
Definition
Black
Term
What happens to Ionic Ag+1 as it is transformed to Ag0?
Definition
Reduced
Term
What does complete attenuation of X-Rays lead to in the film?
Definition
Clear
Term
T/F What is Film?
Definition
An Image Receptor
Term
What does partial attenuation/transmission lead to in film?
Definition
Gray
Term
T/F Double sided film is Safer and Cheaper?
Definition
FALSE, safer but more costly
Term
What does Emulsion contain?
Definition
Crystalline Silver Halide "grain"
Term
What are the Halides in Siliver-Halide?
Definition
Bromine and Iodine
Term
What can the "grains" be sensitize to in order to hold a "latent" image?
Definition
Radiation OR Light
Term
What is the Atomic arrangement inside Hexagonal Crystal?
Definition
Cubic
Term
What is the somewhat nonrigid crystal with negative surface charge that atoms & electrons may migrate to?
Definition
Sensitivity Speck
Term
What do absorb photons do within the grain?
Definition
Liberate Halide electrons.
Term
T/F Photoelectrons & Compton Electrons are produced that migrate throughout the crystal dislodging other electrons. Some are trapped by sensitivity speck Ag+?
Definition
TRUE
Term
What color is the Latent Image Center?
Definition
Metallic Black
Term
What happens to crystal that have not been irradiated?
Definition
They will remain crystalline and inactive
Term
How many silver atoms are deposited at the Sensitivity Speck (Latent Image Center)?
Definition
<10
Term
T/F Light does the same thing that X-Rays do?
Definition
TRUE
Term
T/F Processing Transformation of Latent Image to Manifest Image is a Catalytic Rxn?
Definition
TRUE, thus given enough time, ALL crystals will be reduced to black grains, though Sensitized Crystals will be the 1st to be reduced.
Term
T/F Over time, most underdeveloped silver halide will be reduced to silver?
Definition
FALSE, ALL
Term
What 2 things are critical to film development?
Definition
Time & Temperature. Ag+1 must be removed from gelatin (via fixation) prior to viewing in light.
Term
What does to much heat do to the Chemestry?
Definition
Supercharge = All Black X-Rays
Term
What does excessive cold do to film development/
Definition
X-Rays are too Light
Term
What is the earliest that you can take a film out of the chemestry?
Definition
When some of the areas have turned clear.
Term
What does the Fixing Bath do?
Definition
Removes all uexposed silver from emulsion. Literally clears unexposed film.
Term
What does the Fix time equal?
Definition
Twice the Clearing Time
Term
T/F Once cleared, you can view the film in Light?
Definition
TRUE
Term
What is in the Developer?
Definition
Na or K carbonate. Provides a Basic media (pH 10-11). Swells gelatin binder & softens emulsion.
Term
What is in the Fixer?
Definition
Acetic Acid - Provides Acid Media (pH 4.0) for hardener & also helps neutralize developer.
Term
What is the intermediate the developer and fixer?
Definition
Water bath
Term
How often do you clean automatic machines?
Definition
Every 2 months, $70-100
Term
What are the temperatures use in Manual and Automatic development?
Definition
Manual 68 degrees optimum, Automatic 80-84 degress
Term
What happens is the film temperature is too high?
Definition
Film gets fog and overdeveloped.
Term
What do you have to check everyday in Ohio in both manual and automatic methods?
Definition
Temp of chemistry.
Term
What is the time difference for development of Manual and Automatic?
Definition
Manual <1 HR, Auto ~90 SECS
Term
What are the Reducing Agents for Developer?
Definition
Metol, Phenidone & Hydroquinone
Term
What are the Activator for Developer?
Definition
Sodium Carbonate (alkaline pH)
Term
What is the Restrainer for Developer?
Definition
Patassium Bromide
Term
What is the preservative for Developer?
Definition
Sodium Sulfite
Term
What is Water in the Developer?
Definition
Solvent
Term
What are the Reducing Agents for Auto Processor?
Definition
Phenidone & Hydroquinone
Term
What is the Hardener for Auto Processor?
Definition
Gluteraldehyde
Term
What is the Fixing Agent?
Definition
Ammonium Thiosulfate ("hypo")
Term
What is the Acidifier & Activatior?
Definition
Acetic Acid
Term
What is the Hardener of the Fixer?
Definition
Aluminum Chloride
Term
What are the 5 General Conciderations for Film Handling & Storage?
Definition
Improper Handling, Heat & Humidity, Light, Radiation and Shelf Life
Term
T/F Film is pressure sensitive?
Definition
TRUE, avoid creasing, rough handling or dirt on hands.
Term
What temp to store film?
Definition
< 20 degrees C (68 degrees F)
Term
What does increased humidity cause?
Definition
Fog
Term
What does decreased humidity cause?
Definition
Inc. Static Risk
Term
What does Static Cause?
Definition
Static Tree Branch, must reshoot
Term
T/F Any safelight will do as long as you use it correctly?
Definition
FALSE, must match the film type
Term
What should you keep loaded X-Ray cassettes away from?
Definition
The X-Ray unit.
Term
What does aging of film result in?
Definition
Loss of speed & contrast and fog
Term
How should you store the film?
Definition
Lead box, Upright
Term
T/F Film that has been shot will be less sensitive that film that has not yet been shot?
Definition
FALSE
Term
What is the ability of crystals of certain inorganic salts (phosphors) to emit light when excited by X-Rays?
Definition
Fluorescence (Glow)
Term
What do Intensifying Screens do?
Definition
Absorb X-Ray photons & emit many more visible light photons which then expose film
Term
What is the ability of crystals of certain inorganic salts (phosphors) to continue to emit light after being excited by X-Rays?
Definition
Phosphorescence (Afterglow)
Term
What is the primary fx of intensifying screens?
Definition
decrease dose 20-50x, shorter exposure times, facilitate radiography of thick body parts which otherwise require high exposure and Decrease risk of motion blurring
Term
T/F Intensifying Screen help with image sharpness?
Definition
FALSE
Term
What are the 4 Basic Layers of Intensifying Screens?
Definition
Base (plastic or cardboard), Relextive (titanium dioxide) or Absorptive, Phosphor (varying thickness) and Protective (plastic)
Term
T/F Rare earth phosphors absorb and convert X-Rays more efficiently than conventional phosphor?
Definition
TRUE
Term
What is the enemy of Sharpnes?
Definition
Light Diffusion
Term
What does the Reflective Layer account for?
Definition
Shorter exposure time, but not as sharp.
Term
What is the Intensifying Factor?
Definition
IF = Exposure requires w/o screens/Exposure required w/ screens (Typically IF's range is from 30-50)
Term
What is the end result of the difference between Direct and Screen Film?
Definition
1/50 amount of radiation with the same amount of Blackening with screen film.
Term
What is Absorption Efficiency/
Definition
Percentage of X-Ray Photons absorbed by the screen.
Term
What is Conversion Eficiency?
Definition
How many light photons are produced by each absorbed X-Ray (ration light liberated to X-Ray energy absorbed)
Term
Calcium Tungstate produces light in what spectral region?
Definition
Blue (can be used with standard X-Rays, Quck Glow, min Afterglow, 3-5% Conversion Efficiency)
Term
T/F Film that is Double Sided with be Faster, but not as Sharp?
Definition
TRUE
Term
T/F Increases size of phosphor crystals and thickness of the layer equals what?
Definition
More photons absorbed emitting more light per unit time.
Term
T/F Speed of Calcium Tungstate screen is inversely related to its ability to record detail?
Definition
TRUE, Higher Speed = Less Detail
Term
What does a absorbing layer and dye in the phosphor layer cause?
Definition
Decreased Screen Speed, Increased Recorded Detail and Patient Dose
Term
What do Podiatrist have to deal with concerning cassettes that most doctors don't?
Definition
Almost all X-Rays are taking weight-bearing that eventually cause cassette warping.
Term
What are the 2 Rare Earth Elements used with film?
Definition
Gadolinium, Lanthanum Oxy..., and Yttrium Oxysulfide
Term
T/F The X-Ray to light conversion efficiency of Rare Earth Phosphors is significantly greater than calcium tungstate?
Definition
TRUE
Term
What is the Conversion Efficiency of Rare Earth Elements?
Definition
20% (compared to 5% of Calcium Tungstate)
Term
What colors of light do the Rare Earth Elements emit?
Definition
Gadolinium = Green light, Lanthanum = Blue light and Gadolinium + Yttrium = Blue/Green light.
Term
T/F Lanthanum = Lower Conversion efficiency?
Definition
FALSE, 60% as opposed to 5-40%
Term
T/F Rare Earth can give just as detailed images as the Fine Detail mediums?
Definition
TRUE
Term
Why don't they us Rare Earth Elements all the time?
Definition
Expensive
Term
What color of light do you use for Blue or Green sensitive films?
Definition
Amber or Red respectively
Term
What is important to match with the Rare Elements?
Definition
Spectral wavelengths
Term
What are the benefits of Screen film?
Definition
Enhanced light sensitivity, Higher contrast, short gray scale & latitued. Singles are cheaper, better detail, but slower. Doubles are the opposite.
Term
What are the benefits of Non-screen Film?
Definition
Enhances X-Ray sensitivity, Thick emulsion than screen, lower contrast, long gray scale & latitiud, but Greater detail than Screen Film (requires 20-50 times more exposure)
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