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51 Cards in this Set

  • Front
  • Back

How much energy do you need for Beta plus decay to occur? What type of reaction occurs?

1.02 Mev


Annihilation reaction (two 511 keV photons are produced)

Radionucleotide therapy utilizes what type of radioactive decay?

Beta minus decay (Y90, I131)

On a graph of Energy vs. Atomic Number, name the types of decay in order.

Isometric Transition

Alpha Decay

Electron Capture

Beta Plus (positron)

Beta Minus (negatron)

With regards to scintillation crystals, whats the difference between thick and thin crystals?

Thick crystals have better sensitivity but worse spatial resolution

Due to Downscatter effects, which type of tracer must be imaged first: ones with lower or higher energy photons?

Lower!



(e.g. V/Q scan: Xe has 81 keV, Tc has 140 keV energy photon peak. Image the Xe first!)

What is the name of the test for Field Uniformity in QC for gamma cameras?

Flood Test

What is the recommended counts for a Flood Test?

5-10 million

What is "dead time" for a Geiger counter and at what dose rate does this usually happen?

When the gas chamber becomes fully ionized.



100 mrem/h

What dose rate range can an ion chamber detect?

0.1 to 100 rem/h

What is a sodium iodine well counter good for?

Blood, urine or wipe test samples

How often are the following performed on a Dose Calibrator?



1. Constancy


2. Linearity


3. Accuracy


4. Geometry

1. Daily (measured with Cs137)


2. Quarterly (Tc decay)


3. Annually


4. Annually or when moved/broken

How much is a major spill of Tc-99m?

100 mCi

How much is a major spill of Tl-201?

100 mCi

How much is a major spill of In-111?

10 mCi

How much is a major spill of Ga-67?

10 mCi

How much is a major spill of I-131?

1 mCi

What dose limits constitute a reportable medical event?

Wrong drug/route/patient/dose with:


>5 rem to whole body (or)


>50 rem to single organ

What would be the surface level and 1 meter radiation of a White I labeled package?

Surface: <0.5 mrem/hr


1 meter: none

What would be the surface level and 1 meter radiation of a Yellow II labeled package?

Surface: <50 mrem/hr


1 meter: <1 mrem/hr

What would be the surface level and 1 meter radiation of a Yellow III labeled package?

Surface: >50 mrem/hr


1 meter: >1 mrem/hr

How much 99-Mo is allowed in a sample of 99m-Tc at the time of administration?

Max 0.15 uCi of Mo per 1 mCi (1,000 uCi) of Tc

What is the limit for Aluminum in 99m-Tc dose?

Less than 10 ug per 1 mL

What would liver activity on a bone scan, or lung activity on a sulfer colloid (liver/spleen) scan mean?

Aluminum contamination

What would gastric, salivary or thyroid uptake mean on a bone scan?

Too much free Tc

How is radionuclide purity tested?

Dose calibrator with shields

How is chemical purity tested in nuclear medicine?

pH paper (colorimetry)

How is radiochemical purity tested?

Thin layer chromatography

The liver/spleen is the Critical Organ for what radiotracers?

Indium


I-131 MIBG


Sulfur colloid (IV)

The gallbladder wall is the Critical Organ for what radiotracer?

HIDA

The spleen is the Critical Organ for what radiotracers?

Octreotide


Damaged (heat treated) RBCs

The renal cortex is the Critical Organ for what radiotracers?

Thallium


DMSA

The proximal colon is the Critical Organ for what radiotracers?

Sulfer colloid (oral)


Sestamibi

The stomach is the Critical Organ for what radiotracer?

Pertechnetate

The distal colon is the Critical Organ for what radiotracer?

Gallium

The bladder is the Critical Organ for what radiotracers?

MAG3


DTPA


I-123 MIBG


MDP


FDG

High glucose levels, dose extravisation, and truncation artifact all cause PET SUV to be artificially low or high?

Low

How often should a Normalization Scan be done for a PET machine?

Monthly

How often should a Blank Scan be done for a PET machine?

Daily (blank slate)

How often to perform controlled area radiation surveys of ambient radiation?

Daily

How often to perform uncontrolled area radiation surveys of ambient radiation?

Weekly

How often to perform controlled area wipe tests?

Weekly

How often to perform uncontrolled area wipe tests?

Monthly

What is negatron emisson?
Conversion of a neutron to a proton
What is positron emisson?
Conversion of a proton to a neutron
How are the half-life and physical decay constant related?
Inversely
How long after a CT w/contrast should you wait to give therapeutic I-131 to a patient?
3-4 weeks (iodine must undergo organification in the thyroid)