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46 Cards in this Set

  • Front
  • Back
quality assurance deals with
people
quality control deals with
instrumentation and equipment
image interpretation that involves reconciling the patients ultimate disease condition with the radiologist diagnosis
outcome analysis
QC concludes with a dedicated analysis of each image to identify ____ & _____ along with ______ & to minimize reexamination
deficiencies and artifacts, their cause
acceptance test must be done by
someone other than the manufacturer's representative
an acceptable QC program consists of 3 steps
acceptance testing, routine performance monitoring, and maintenance
it is normally not possible to measure ____ ____, so one resorts to measurement of the ______
filtration directly, half-value layer (HVL)
misalignment must not exceed
2% of the SID
distance and centering indicators must be accurate to within ___ & ___ of the ___
2%, 1%, SID
3 tools are used for measurement of focal-spot size
pinhole camera, the star pattern, and the slit camera
the standard for measurement of effective focal-spot size is the
slit camera
focal spot size should be evaluated _____ or whenever an x ray tube is replaced
annually
an acceptable alternative to focal spot size measurement is use of a ___ ___ test tool to determine ____ ____ _____
line pair test, limiting spatial frequency
exposure timer accuracy should be within ___% of the indicated time for exposure times greater than ___ ms
5, 10 ms
accuracy of ___% is acceptable for exposure times of ___ ms or less
20, 10
when evaluated in this fashion the radiation output for adjacent mA stations should be within ___%
10%
sequential radiation exposure should be reproducible to within ____%
5%
mathematical formulas basically require that output radiation intensity should not vary by more than ___%
+ or - 5%
if a bulb requires replacement
___ bulbs in that illuminator should be replace and matched tto the other bulbs
all
fluro patient entrance skin exposure is 3-5 R/min this can result in a skin dose of ___ rad
10
a 90 second processor that can handle 500 films per hr
double capacity processor
a double capacity processor must have a high development temp of __ deg. & a developer immersion time of ___ sec & the wash water temp of ___ deg
95 degrees F, 22 seconds, 87 degrees F
Quality control for processor cleaning crossover racks should be done how often
daily
is performed on patients with symptoms or elevated risk factors
diagnostic mammography
is performed on asymptomatic women with the use of a two view protocol usually ML or CC to detect cancer
screening mammography
is the first radiographic examination of the breasts and is usually obtained before age 40
baseline mammogram
screening in patients ___ yrs or ___ yrs age group is beneficial in reducing mortality
50, 40-49
approx. 80% of breast cancer is _____ & may have associated deposits of ______
ductal, microcalcifications
in terms of detecting breast cancer, microcalcifications smaller than approx. _____ are of interest
500 pm
mammo is designed for flexibility in patient positioning and have integral compression device _____, _____, & ______
a low grid ratio, AEC, microfocus x ray tube
all mammo imaging systems incorporate
high frequency generators
mammo x ray tube usually have stated focal spot sizes _____ of _____ mm
large/small, 0.3/0.1 mm
effective focal spots 0.3/0.1 mm are obtained with an approx. ___ deg ___ angle & a ___ deg x ray tube ____
23, anode, 6, tilt
most mammo x ray tubes have inherent filtration in the window of approx ___ mm ______
0.1, Al equivalent
a long SID with the cathode to the chest wall and tube tilted is considered the best arrangement b/c
the focal spot is made effectively smaller
a compressed breast is of greater ___ ___, the optical density is more ____, & tissues near chest wall are less likely to be ____, & tissues near nipple are less likely to be ____
uniform thickness, uniform, underexposed, overexposed
compression results in thinner tissue and therefore less
scatter radiation and improved contrast resolution
the result of improved image quality is improved ability to detect small low contrast lesions and high contrast microcalcifications b/c of
improved spatial resolution
vigorous compression results in
lower patient dose
a unique grid that has been developed specifically for mammo is the
high transmission cellular grid
effective focal spot size should not exceed
0.1 mm
mammo films are ___ ___ & are matched with a ____ ____ ____
single emulsion, single back screen
the latching spring mechanism is designed to produce especially good
screen film contact
the emulsion surface of the film must always be _____, & the film must be on the _____ of the intensifying screen
next to the screen, x ray tube side
how many exams for screening
2 per breast
how many exams for diagnostic
2 or more per breast