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61 Cards in this Set

  • Front
  • Back
What are 3 types of radiation dose descriptors used with CT
Multiple scan average dose
Computer tomography dose index (CDTI)
dose lenght product (DLP)
What are the variations of CDTI
CTDI 199
CTDI w
CTDI vol
What factors affect radiation dose in CT
6
beam energy
tube current time product
pitch
collimation
patient size
dose reduction options
What are ways to decrease the radiation dose
reducing the milliampere-second value
increasing the pitch
reducing the beam energy
What is a low pitch
small increments of couch movement
What type of resolution is improved when the pitch is low
spatial resolution
What is the long axis of the patient
z-axis
What are the units of exposure
roentgens
How is exposure measured
with an ionizing chamber and an electrometer
What does the term exposure refer to
the ability of an X-ray to ionize air
Does the exposure tell you how much ionization is present in a unit of volume
yes
Does the exposure tell you how much energy is absorbed by tissue
no
What is another name for absorbed radiation dose
radiation dose
What does absorbed radiation dose describe
describes the amount of energy absorbed per unit mass at a specific point
What are the units of absorbed radiation dose
gray or rads
What is the conversion of rads to grey
100 rad = 1 grey
What does absorbed dose not describe
it does not describe where
that radiation dose is absorbed or reflect the rela-
tive radiosensitivity or risk of detriment to those
tissues being irradiated
What is the effective dose
The effective dose is the sum of weighted equivalent doses in all the organs and tissues of the body.

Effective dose = sum of [organ doses x tissue weighting factor]

Tissue weighting factors represent relative sensitivity of organs for developing cancer.
What is the effective dose
The effective dose is the sum of weighted equivalent doses in all the organs and tissues of the body.

Effective dose = sum of [organ doses x tissue weighting factor]

Tissue weighting factors represent relative sensitivity of organs for developing cancer.
What is ionizing radiation
onizing radiation is radiation that has enough energy to remove electrons from atoms or molecules (groups of atoms) when it passes through or collides with some material. The loss of an electron with its negative charge causes the atom (or molecule) to become positively charged. The loss (or gain) of an electron is called ionization and a charged atom (or molecule) is called an ion.
What is ionizing radiation
onizing radiation is radiation that has enough energy to remove electrons from atoms or molecules (groups of atoms) when it passes through or collides with some material. The loss of an electron with its negative charge causes the atom (or molecule) to become positively charged. The loss (or gain) of an electron is called ionization and a charged atom (or molecule) is called an ion.
What causes ionizing radiation
Forms of ionizing radiation include:

Gamma rays
X rays
Alpha particles
Beta particles
Neutrons.
What causes ionizing radiation
Forms of ionizing radiation include:

Gamma rays
X rays
Alpha particles
Beta particles
Neutrons.
What are x-rays
rays refer to a kind of electromagnetic radiation generated when a strong electron beam bombards metal inside a glass tube. The frequency of this radiation is very high - 0.3 to 30 Ehz (exahertz or million gigahertz). By comparison FM radio stations transmit at frequencies around 100 MHz (megahertz) or 0.1 Ghz (gigahertz).
What are x-rays
rays refer to a kind of electromagnetic radiation generated when a strong electron beam bombards metal inside a glass tube. The frequency of this radiation is very high - 0.3 to 30 Ehz (exahertz or million gigahertz). By comparison FM radio stations transmit at frequencies around 100 MHz (megahertz) or 0.1 Ghz (gigahertz).
What is the currently used unit of radioactivity
Radioactivity or the strength of radioactive source is measured in units of becquerel (Bq).

1 Bq = 1 event of radiation emission per second.
What are the commonly used units of radioactivity
One becquerel is an extremely small amount of radioactivity. Commonly used multiples of the Bq unit are kBq (kilobecquerel), MBq (megabecquerel), and GBq (gigabecquerel).

1 kBq = 1000 Bq, 1 MBq = 1000 kBq, 1 GBq = 1000 MBq.
What the conventional and still popular unit of measuring radioactivity is the curie
an old and still popular unit of measuring radioactivity is the curie (Ci).

1 Ci = 37 GBq = 37000 MBq.
What are the units of Curie that are commonly used
One curie is a large amount of radioactivity. Commonly used subunits are mCi (millicurie), µCi (microcurie), nCi (nanocurie), and pCi (picocurie).

1 Ci = 1000 mCi; 1 mCi = 1000 µCi; 1 µCi = 1000 nCi; 1 nCi = 1000 pCi.
What is the conversion of becquerel to curie
1 Bq = 27 pCi.

Becquerel (Bq) or Curie (Ci) is a measure of the rate (not energy) of radiation emission from a source.
What are the units of radiation exposure
X-ray and gamma-ray exposure is often expressed in units of roentgen (R). The roentgen (R) unit refers to the amount of ionization present in the air. One roentgen of gamma- or x-ray exposure produces approximately 1 rad (0.01 gray) tissue dose
What is 1 roentgen of Xray exposure equal to in rads and grays
One roentgen of gamma- or x-ray exposure produces approximately 1 rad (0.01 gray)

1 roentgen = 1 rad = 0.01 gray
What is another unit of measuring gamma ray intensity in the air
Another unit of measuring gamma ray intensity in the air is "air dose or absorbed dose rate in the air" in grays per hour (Gy/h) units. This unit is used to express gamma ray intensity in the air from radioactive materials in the earth and in the atmosphere
What units are used for measuring radiation dose
When ionizing radiation interacts with the human body, it gives its energy to the body tissues. The amount of energy absorbed per unit weight of the organ or tissue is called absorbed dose and is expressed in units of gray (Gy)
In terms of energy what does a gray mean
One gray dose is equivalent to one joule radiation energy absorbed per kilogram of organ or tissue weig
What is bigger a Rad or Gray
The gray is bigger. One gray is equivalent to 100 rads.
What produces more damage per given absorbed dose; alpha, beta or gamma rays
Alpha particles produce greater harm than do beta particles, gamma rays and x rays for a given absorbed dose.
Are equal doses of all types of ionizing radiationt equally harmful.
no
What is done to account for different types of radiation being more harmful then others
To account for this difference, radiation dose is expressed in a different quantity called equivalent dose (NOT effective dose which is also Sv) in units of sievert (Sv). Dose equivalent is proportional to the absorbed dose (D), the quality factor (Q...the type of radiation), and other modifying factors (N) of the specific type of radiation. Most radiations encountered in diagnostic procedures (x-ray, gamma, and beta) have quality and modifying factor values of 1. Therefore, the dose equivalent is numerically equal to the absorbed dose. Some radiation types consisting of large (relative to electrons) particles have quality factor values greater than 1. For example, alpha particles have a quality factor value of approximately 20.
How is a equivalent dose determined
To account for this difference, radiation dose is expressed in a different quantity called equivalent dose (NOT effective dose which is also Sv) in units of sievert (Sv). Dose equivalent is proportional to the absorbed dose (D), the quality factor (Q...the type of radiation), and other modifying factors (N) of the specific type of radiation. Most radiations encountered in diagnostic procedures (x-ray, gamma, and beta) have quality and modifying factor values of 1. Therefore, the dose equivalent is numerically equal to the absorbed dose. Some radiation types consisting of large (relative to electrons) particles have quality factor values greater than 1. For example, alpha particles have a quality factor value of approximately 20.
What is meant when someone ask what the 'dose' of radiation is
Dose equivalent is often referred to simply as "dose" in every day use of radiation terminology. The conventional unit of "dose equivalent" or "dose" was rem.
What is the conversion of SV to rem
1 Sv = 100 rem

Dose in rem = Dose in rad x Quality factor of radiation and modifying factor
What is Sv used for
Dose equivalent (H) is the quantity commonly used to express the biological impact of radiation on persons receiving occupational or environmental exposures. Personnel exposure in a clinical facility is often determined and recorded as a dose equivalent.



Dose equivalent is proportional to the absorbed dose (D), the quality factor (Q), and other modifying factors (N) of the specific type of radiation. Most radiations encountered in diagnostic procedures (x-ray, gamma, and beta) have quality and modifying factor values of 1. Therefore, the dose equivalent is numerically equal to the absorbed dose. Some radiation types consisting of large (relative to electrons) particles have quality factor values greater than 1. For example, alpha particles have a quality factor value of approximately 20.



The conventional unit for dose equivalent is the rem, and the Sl unit is the sievert (Sv). When the quality factor is 1, the different relationships between dose equivalent (H) and absorbed dose (D) are

H(rem) = D(rad)

H(Sv) = D(Gy).
What is the most common thing that is different between absorbed dose and dose equivalent
the quality factor (Q), and other modifying factors (N) of the specific type of radiation. Most radiations encountered in diagnostic procedures (x-ray, gamma, and beta) have quality and modifying factor values of 1. Therefore, the dose equivalent is numerically equal to the absorbed dose. Some radiation types consisting of large (relative to electrons) particles have quality factor values greater than 1
What is the conversion of rem to mSv

What is the conversion of roentgen to mSv
1rem = 10mSv (remember 1 Sv = 100 rem)

1 R (roentgen) exposure is approximately equivalent to 1 rad and 1 rad is equal to 1 rem and this is equal to 10 mSv tissue dose (assuming the quality factor and modifying factors are 1)
Is a 1 SV a large dose
yes...The recommended TLV is average annual dose of 0.05 Sv (50 mSv).
What is the outcome of being exposed to 10 Sv
10 Sv - Risk of death within days or weeks
What is the outcome of being exposed to 1 Sv
Risk of cancer later in life (5 in 100)
What is the risk of cancer later in live if you are exposed to 100 mSv
Risk of cancer later in life (5 in 1000)
What does TLV stand for
The Threshold Limit Values (TLVs)
What is the annual dose for radiation for workers in any one year
50 mSv - TLV for annual dose for radiation workers in any one year
What is the annual dose for radiation for workers
20 mSv - TLV for annual average dose, averaged over five year
What is the annual dose limit for the general public
1 mSv - Recommended annual dose limit for general public
What is the relationship of SI unit and non-SI units
What are the non-SI units
Ci, roentgen, rad and rem
What is being measured with 'committed dose
When a radioactive material is gets in the body by inhalation or ingestion, the radiation dose constantly accumulates in an organ or a tissue
What is the committed dose
The total dose accumulated during the 50 years following the intake is called the committed dose
What is the effective dose
The effective dose is the sum of weighted equivalent doses in all the organs and tissues of the body.
What is the formula of effective dose
Effective dose = sum of [organ doses x tissue weighting factor]
What are the units of effective dose
Sv
What is used to calculate CDTI (per cedars physist
the parameters set and the attenuation by the scout film. Although the CDTI (and DLP) reading is in mGy it is not actually mGy it is just an estimate of mGy using a programmed best guess) in other words the CT does not fator things like percent body fat and bone density (with different conversion factors) it is simply an average that the company made up. The only parameter that is specific to a patient is the attenuation that is created by the scout film.