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37 Cards in this Set

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What is the advantage of fleuroscopy?

  • images internal organs in real time
  • dynamic, taken over time
  • shows movement
  • can use contrast (drink or injection)

When do the colors switch in a fluoroscopy?

When recording

How do the colors appear in a fleuroscopy?

  • Image appears positive--parts are dark
  • bones (absorb most radiation) appear black
  • parts that absorb less radiation (lungs, tissue) appear white
  • recording it flips the colors to make it negative

What are the eye sensors?

  • cones for seeing light
  • rods for seeing dark

How do the cones work?

In daylight we can react to a wide range of light (strong light doesn't bother us)

How do the rods work?

Start to work in dark, pupil widens, we become sensitive to low levels of light

What are the two main jobs of fluoroscopy?


  • show dynamic movement (heart beating...)
  • navigate organs (change positions during imaging to see a specific organ)

What type of radiation is used in fluoroscopes?

xrays

How do fluoroscope images appear?

displayed on tv screen that shows several pictures/second (video), image as positive opposite of reality (bones show dark, lungs white)

Because radiation is given over time, fluoroscopes must use ___ MA and ___ ___ ____.

low, KV as needed

Quality of fluoroscope images are ____ than xrays.

worse (bc MA is low)

What unit measures the light given off in fluoroscopes?

lumens (.02 lumens we use rods, take a while to see)

What type of screens are used in fluoroscopes?

zinc cadium sulfide

What is the mean source of exposure to staff in a fluoroscope?

direct beam, NOT patient

What is used to improve the light in fluoroscopes?

image intensifiers

What parts make up a fluoroscope?

(from bottom up)



  • tube
  • collimator
  • (patient)
  • image intensifier
  • Cine camera (for recording)
  • TV camera (for displaying)
  • Video output

How does the image intensifier work in a fluoroscope?

Made from glass vacuum tube, one part wider, has four parts:



  1. input window: a) phosphor screen from CSI (x>light) b) photocathode (light>e-)
  2. Electron lenses: direct e- toward output
  3. output anode
  4. output phosphor screen (e->light>ADC)

In a fluoroscope, the photocathode produces e- based on the ___ of the ___ and not the ___ of the ___.

power of the light, not the amount of photos (since MA is low)

In fluoroscope, one xray may may ___ photo-electrons.

50

In a fluoroscope, the ___ must be close to the ___.

image intensifier, patient

Adding light to a fluoroscope image is known as the _____ _______.

brightness gain

The brightness gain can be achieved in what two ways?


  • flux gain (more electrons, 1 xray>50 e-)
  • minificaiton gain (reducing the size of the output screen compared to the input screen)

What is the calculation for the flux gain?

# photoelectrons/#xrays


(=x50)





What is the calculation for the minification (optic) gain?

[diameter of input screen/diameter of output screen]squared


(can be =x144, for ex.)

How does magnification work in fluoroscopes?

small FOV>magnified image


large FOV>less magnified image


(xrays come through pt first before hitting image intensifier)


more magnification=more radiation to pt+darker image





collimation -


magnification ?

collimation -


magnification+

If the FOV is too big in relation to the output screen, only the e- in the center are read, and ____ occurs.

distortion and darkness around edges

What is 6" mode?

magnification

If not enough e- come to the image intensifier, the ___ kicks in.

ABC automatic brightness control

What happens when the ABC kicks in?

When less radiation is received, ABC compensates by generating more x-rays (more more exposure) and making them more penetrating (reduces contrast)

What is SNR?

signal to noise ratio (measures noise. we want this to be high)

If collimation is good:


? quality


? SNR


? radiation


? scatter

If collimation is good:


+ quality


+ SNR


- radiation


- scatter

What helps improve resolution in fluoroscopes?

collimation, centering, image intensifier close to body

What types of distortion occur in fluoroscopes


  • pin cushion
  • vignetting (darker on edges)

(can reduce both by moving ii close to body)

How can we improve the noise in a fluoroscope image?

raise MA

What is continuous fluoroscopy?

giving radiation for a long time, uses MA .5-5 depending on size of organ and ability of system, will beep after 5 min

What is pulsed fluoroscopy?

Used to reduce radiation and improve resolution, can set how many pulses per second