anatomical direction > Diagnostic imaging > Flashcards

Diagnostic imaging Flashcards

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1
Q

four properties of x-rays which make the dangers
easily underestimated?

A
  • They are invisible
  • They are painless
  • The effects can take years
  • Effects are cumulative
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2
Q

most susceptible cells to ionising radiation?

A

gonads and young animals

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3
Q

Effects of Radiation?

A
  • Generalised inflammation
  • Blood disorders
  • necrosis
  • Death/mutation of foetus
  • Damage to gonads
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4
Q

Somatic Effects of radiation

A

Reddening of skin
Cracking of skin
Blood disorders
Cataracts
Digestive issues

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5
Q

Carcinogenic Effects

A

Tumours

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6
Q

Genetic Effects of radiation?

A

mutated chromosomes

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7
Q

Ionising Radiation Regulations (IRR) 2017

A

Principles of radiation protection work

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8
Q

Radiography should only be
performed when…?

A
  • Justifiable clinical reason
  • Exposure is kept to a minimum
  • Dose limits are not exceeded
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9
Q

What does the ‘Guidance Notes for the Safe
Use of Ionising Radiations in
Veterinary Practice’ cover?

A

Legislation specific to veterinary
premises,
equipment,
personnel
procedures

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10
Q

3 main sources of radiation

A
  • Leakage from tube head – faulty
    equipment
  • Exposure to the primary beam
  • Exposure to scattered radiation
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11
Q

How to check for Leakage From The Tube Head?

A

Tape a non screen film to the tube head, leave for a few
exposures and then process it; any cracks in the tube
head will cause black lines to appear on the film

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12
Q

How Can We Reduce Scattered Radiation? (6)

A
  • Collimate
  • Reduce KV
  • Use lead backed cassettes
  • Use lead topped tables
  • Compress large areas of soft tissue
  • Use grids.
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13
Q

Responsibility of Suppliers of X-ray machines safety?

A
  • Legal: To ensure safe and correct functioning.
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14
Q

Responsibility of Veterinary practice of X-ray safety?

A

Legal responsibility: Annual service
* Individual staff

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15
Q

RADIATION PROTECTION SUPERVISOR Role?

A

appointed within the practice
* Responsible for radiography is carried out safely (local rules are obeyed)
* RPS does not need to be present
for every examination

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16
Q

RADIATION PROTECTION ADVISOR role

A

RPA is appointed outside of practice
* VS with Dip in Vet Radiography
and knowledge of radiation physics
* Medical physicist
* RPA gives advice on radiation protection, controlled areas and Local Rules.

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17
Q

what are local rules?

A

Set of instructions written by
Radiation Protection Advisor
(RPA)

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18
Q

The Controlled Area must have

A
  • Warning sign
  • Visible lights
  • Warning buzzer
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19
Q

ALARP?

A

As Low As Reasonably Practicable
(The principle of keeping each individual’s dose)

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20
Q

Dose meter testing

A

Every 4 – 12 weeks
(Reports kept for at least 2 years)

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21
Q

Dosimeter Film Badge

A

Blue: contains small
pieces of x-ray film

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22
Q

Thermo-Luminescent Dosimeter Badge (TLDB)

A

Orange/Purple: contain
Lithium Fluoride crystals that
are radiation sensitive

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23
Q

Records of x-ray doses

A
  1. Date
  2. Patient details
  3. Region radiographed
  4. Exposure factors
  5. Staff
  6. Owner/case number
  7. Animals breed and weight
  8. Projection/view
  9. Image quality
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24
Q

Are protons positive or negative

A

Positive

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25
electromagnetic spectrum
the shorter the wavelength, the higher the frequency and the greater the energy
26
Are electrons positive or negative
negative
27
Structure of Atom
Nucleus: protons and neutrons Orbiting: electrons
28
What is the atomic number
The number of protons or electrons is unique to the atoms of each element.
29
Elements with a low atomic number are...?
radiolucent
30
Elements with a high atomic number are...?
radiopaque
31
polychromatic?
photons of varying energy
32
Milliamperage
quantity
33
Kilovoltage
quality
34
line focus principle
Anode slanted to: 1. Increase surface area 2. focus the beam for clearer image
35
Benefit of Small focal spot?
fine detail e.g. limbs
36
Benefit of Broad/Course focal spot
Areas that require a higher exposure e.g. abdomen or chest
37
Rotating Anodes
Higher exposures Dispersing heat more effectively The target is always rotating Molybdenum rod
38
Penumbra Effect
Partial shadow’
39
Line Voltage Compensator
Control voltage
40
Exposure Button
2 stage press Half press- heats up filament Full press- Applies kV
41
Light Beam Diaphragm
collimates the beam
42
Effect of kV
Higher the kV, the greater the energy of the x-ray photons produced * Greater their penetrating power
43
Effect of mA and Time
Higher the mA, the more x-ray photons will be produced * Increasing the beams intensity
44
The 10 kv rule
Increase kV by 10 Half the mAs Decrease kV by 10 Doubling the mAs
45
Degree of X-ray absorption depends on
* Tissue thickness * Molecular density (atomic number)
46
Focal–Film Distance (FFD)
Distance between focal point and film (Its intensity (mAs) falls as it moves away from the tube, as it spreads over a larger area. The opposite happens if closer to the tube)
47
Increasing kV increases the penetration and therefore produces
darker film
48
Too low a kV will not penetrate tissues, therefore appearing
white on film with black background (high contrast film)
49
* Increasing the mAs produces more x-rays to blacken the film, but with no more penetrating power
Overall picture will appear darker
50
* Metal * Fat * Soft tissue or fluid * Bone * Gas
-White -nearly white -mid grey -grey -Black
51
X-ray wavelengths are measured in units known as?
ANGSTROM
52
x-ray energy is called?
photons or quanta
53
The anode
Positively charged
54
The catode
Negatively Charged
55
Which electrode produces electrons
The cathode
56
THERMIONIC EMISSION?
A cloud of electrons
57
Filament facts
Is heated by the electric current. made of tungsten Can be coiled
58
Function of STEP-DOWN or filament transformer
Reduces mains current
59
STEP-UP or high tension transformer
creates a HIGH POTENTIAL DIFFERENCE
60
focusing cup is made of?
molybdenum
61
Purpose of glass envelope/vacuum
Stops electrons colliding with are and slowing speed
62
Purpose of aluminium filter?
Removes low energy photons
63
Film Focal Distance (FFD)
Distance between focal spot and X-ray
64
the two types of Digital Radiography
* Computed radiography (CR) (uses imaging plate) * Direct digital radiography (DDR) (goes straight to computer)
65
DICOM
Digital imaging and communications in medicine
66
Benefits of DICOM
* Preventing tampering with original image * Ensures consistency of file type between all radiographic systems
67
When to use a GRID
On the thicker parts of the patient such as CHEST (over 15cm) and ABDOMEN (over 10cm)
68
What influences scatter
* Duration of x-ray production (s) * Thickness of tissue * Focus of the x-ray beam
69
How to reduce scatter
* Reduce the s and increase the mA (if possible) * Accurately select exposure factors * Collimate the primary beam * Use a grid
70
Grid factor
2.5 - 3
71
Types of grids
Stationary Grids * Parallel Grid * Focussed Grid * Pseudo-focussed Grid * Crossed Moving Grid * Potter-Bucky diaphragm
72
features of Parallel grid?
73
features of Focused grid
* Must be central * Can prevent grid cut off * Lead strips angled * Correct FFD must be used * right way up
74
Features of Pseudo-focused grid
* Combination of focused and parallel grid * Parallel strips get shorter towards the periphery * Must be central
75
Crossed grid features
Only allow high energy x-rays through equine
76
Moving Grids
* Built in to table * Moves slightly during exposure * Eliminates grid lines * Grid factor = 4
77
Care Of Grids
* Careful handling * Do not drop * Clean regularly * Correct storage
78
Information Needed On A BVA Hip And Elbow Score Radiograph
* Date * Kennel club number * Left/Right marker * Microchip number
79
Safe Lighting used for manual radiography
Low intensity lights (brown or red filters) * Bulb <15W 1.2/4ft from the workbench?
80
Positive Contrast Media
Contain elements of high atomic number radio-opaque/ Appear white * Provide positive contrast in comparison to soft tissues
81
Negative Contrast Media
Gases (room air, N2O, O2, CO2) * Low density * radiolucent * Appear black * Used in bladder and gut
82
Double-Contrast Studies
positive and negative contrast media in hollow organs to aid mucosal detail Colon, bladder, stomach
83
Types of Positive Contrast Media
* Barium sulphate preparations * Ionic water-soluble iodine preparations * Non-ionic water-soluble iodine preparations
84
Barium Sulphate
White, chalky material Used exclusively in the gut * CONTRAINDICATED IF GUT PERFORATED aspirated may cause pneumonia sequence X-rays every 15-60mins
85
Ionic Water-Soluble Iodine Preparations
injected into bloodstream * Anaphylaxis rare but a possibility * Excreted by kidney * Outline upper urinary tract
86
Ionic water-soluble iodine preparations
* Sodium Diatrizoate * Sodium Iothalmate * Sodium Ioxaglate
87
Non-Ionic Low Osmolar Water-Soluble Iodine Preparations
Myelography IV studies cisternal or lumbar puncture Shows opacification of the CSF demonstrating the spinal cord
88
Barium liquid amount
5-50ml
89
Portal venography
Assess blood flow through liver
90
Dacryocystorhinography
Assess naso-lacrimal duct patency
91
Angiography
Assess size and location of arteries or veins
92
Bronchography
Assess the respiratory tree
93
Computed Tomography (CT Scanning)
detailed cross-sectional radiograph banana shaped detector 1x360° lap =1,000 profiles Measured in Hounsfield units
94
Nuclear Medicine (Scintigraphy)
Administration of a radioactive pharmaceutical = isotopes/ Gamma
95
Two Licenses must be obtained from Environmental Agency for scintigraphy
Registration (Keeping and using isotopes) Authorisation (Governing the accumulation and disposal of radioactive waste)
96
Common sites Scintigraphy is used?
Bone Scintigraphy Renal Scintigraphy Thyroid Scintigraphy Portal Scintigraphy
97
Magnetic Resonance Imaging MRI
MRI create detailed images of the body or brain by applying nuclear magnetic resonance
98
T1-weighted scan
* Fluid is dark
99
T2-weighted scan
Fluid is bright
100
Sound wve frequency of ultrasound
2.5-15 MHz
101
Transducer
Electric current causes crystals to vibrate and change shape
102
* Piezoelectric effect
103
Ultrasound linear array
Piezoelectric crystals in line and image is rectangular
104
sector scanner
Crystals closer together, small patient contact area needed Triangular image showing deeper tissues more effectively
105
Echogenicity
differences in overall brightness of tissue
106
Anechoic
black
107
Hypoechoic
Darker than normal
108
Hyperechoic
Brighter than normal
109
Endoscopy
Optical devices giving visual access to inside the body
110
Rigid Endoscopes - Uses
* Otoscopy * Rhinoscopy * Tracheoscopy * Colonoscopy * Vaginoscopy and urethrocystoscopy * Laparoscopy * Thoracoscopy * Arthroscopy
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