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43 Cards in this Set

  • Front
  • Back

What two types of reactions happen when x-rays hit tissue?

Photoelectric reaction and Compton reaction

What are the three things that can happen to an electron shot from an xray tube?

  • penetrate (pass through without particles meeting and without losing energy, e.g. lungs)

  • photoelectric effect: completely absorbed (e g. bones)--hits an electron in the inner ring K, ionization--photon with low energy hits electron with high energy, electron absorbs photon's energy and gets knocked out of inner ring, becomes photoelectron. Electron from higher ring fills space.

  • Compton effect: photon with high energy hits electron in outer ring, knocks it out (ionized), gives only part of its energy to the electron and then continues to travel in a new direction in the form of scatter radiation, hitting the film and anything else around it

What happens in a photoelectric reaction in the body?

A photon from the x-ray tube hits an electron in the inner ring of an atom in the body (ionization). The photon needs to have slightly higher energy than the electron. An electron from an outer ring fills the space.

What are the conditions of a photoelectric reaction?

  • photon with low energy (less than 40 KV)
  • energy of photon and binding energy of electron must be similar
  • higher chance of happening on denser tissue (of body)

Energy of photon +


Absorption ?


Penetration ?

Energy of photon +Absorption -Penetration +

Energy of photon -Absorption ?Penetration ?

Energy of photon -Absorption +Penetration - (lungs appear more white...)

Density of tissue +


Chance of photoelectric reaction ?

Density of tissue +Chance of photoelectric reaction +

An organ that can be penetrated does/does not have the photoelectric effect. Why or why not?

An organ that can be penetrated does not have the photoelectric effect.

Bones do/do not have the photoelectric effect.

Bones do have the photoelectric effect. They absorb the radiation, appearing white and providing natural contrast.

What can be used to improve the contrast in tissue that does not have the photoelectric effect? How does it work?

Contrast agent. It has a high atomic number, so it absorbs the rays instead of being penetrated by them.

What are the advantages of the photoelectric effect?

  • contrast + (organs present with natural contrast--white bones appear white)
  • no scatter radiation (all the photons are absorbed)

What are the disadvantages of the photoelectric effect?

  • using high kv (large people or crowded organs) prevent the effect
  • tissue absorbs all the radiation (damage to patient)

What is the Compton effect?

Scatter radiation--photon hits electron in outer ring, knocks it out (ionized), gives only part of its energy to the electron and then continues to travel in a new direction in the form of scatter radiation, hitting the film and anything else around it

What increases the chance of the Compton effect?

High KV (dependent on energy of x-ray: the photon). NOT dependent on the atomic number of the tissue.

True or False: The Compton effect does not depend on the atomic number of the tissue.

True

Higher mass density, higher chance of _____.

An interaction (Compton or photoelectric)--more electrons available to have a reaction

Larger field (bigger organ), higher chance of ______.

Compton effect (more tissue means higher KV, higher KV means more Compton)

Higher KV, higher chance of ___.

Compton effect (photons with more energy)

When mass density is doubled, the chance for an x-ray interaction is _____.

Doubled (twice as many electrons are available)

True or false: Even though it's not dense, air can serve as a contrast material.

True. Appears black instead of white.

Contrast dye raises contrast because it has a high _____.

mass density

What are the disadvantages of the Compton effect?

  • hurts image (graininess, fog, חשחרת הסרט, bad contrast)
  • the high KV damages tissue and has more radiation
  • scatter radiation hurts staff

In the Compton effect, a photon hits an electron in the ____ ring.

outer

In the photoelectric effect, a photon hits an electron in the ____ ring.

inner

The probability of the _____ effect depends on the energy of the incoming x-ray photon and the composition of the anatomic tissue.


The probability of the _____ effect depends on the energy of the incoming x-ray photon but not the composition of the anatomic tissue.

Photoelectric


Compton

The _____ effect is dominant in element with high atomic numbers.

photoelectric

In the ____ effect, the photon must have slightly higher energy than the electron binding energy in the electron of the inner ring.

photoelectric

Given that most of the elements in the human body have a low atomic number and low binding energy, the _____ effect is dominant in imaging that uses lower levels of radiation.

photoelectric (lower levels of radiation, such as in mammograms, mean that the photons have slightly more radiation than the inner ring electrons).

The ____ effect is not dependent on the atomic number.

Compton

The chance of the Compton effect occurring increases with ____ KV.

higher

The ___ effect decreases the image quality.

Compton

Scatter radiation spreads from the ____ to the _____.

body of the patient, surroundings

_____ radiation is secondary radiation.

Scatter

Primary radiation comes from the ___.

x-ray tube

Give an example of an x-ray in which the Compton effect would be expected?

Stomach x-ray (need higher KV to penetrate more typres of tissues, contrast is hurt so we use dye).

What is attenuation?

Reduction of the strength of the primary rays as they pass through tissue (by absorption and scatter)

Photon energy +


Photoelectric effect ?


Compton effect ?

Photon energy +


Photoelectric effect -


Compton effect +

Why is scatter radiation the enemy of imaging?

Fog, bad contrast, radiation with no useful information

What is primary radiation?

The radiation that comes from the tube and is absorbed by tissue or penetrates it and gets to the cassette.

What is secondary radiation?

Scatter radiation that results from a reaction happening in the patient.

What is the מנת המעבר?

Primary radiation + secondary radiation

What is HVL?

Half value layer--the thickness necessary (in any material) to reduce the strength of the rays by half

Absorption +, attenuation ?

+ (photons give up all their energy to the tissue, not much left)