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