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Energy is transit from one location to another:
Radiation
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Radiation that produces negatively and positive charged particles when passing though matter:
Ionizing Radiation
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Any process that decreases the intensity of the primary photon beam directed toward some destination:
Attenuation
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Transfer of energy from the x-ray beam to atoms or molecules from which it passes:
absorption
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annual natural exposure:
295mrem/yr or 2.95msv
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man made annual exposure:
65 mrem/yr or .65 msv
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medical/dental annual exposure:
- 40 mrem/yr or .4 msv
- -largest account for man made exposures.
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Total annual radiation exposure:
360 mrem/yr or 3.6 msv
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non fluoro exam with greatest gonad dose:
L-spine
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How to calculate cumulative dose equivalent:
age in years X rem (10 msv)
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Going from mrem to msv:
Going from rem to msv:
divide by 100
multiply by 10
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Occupational annual dose:
5 rem or 50 msv
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Occupational annual eye dose:
15 rem or 150 msv
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Occupational annual dose for skin, eyes, feet:
50 rem or 500 msv
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public annual dose for frequent exposure:
.1 rem or 1msv
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Public annual dose for infrequent exposure:
.5 rem or 5msv
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Total dose for fetal annually:
.5 rem or 5 msv
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monthly annual dose for fetal:
.05 rem or .5 msv
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5 types of interaction in matter:
- coherent
- photoelectric
- compton
- pair production
- photodisintegration
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Coherent:
- -when x-rays interact with target atom
- -change in direction, but no change in energy
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Photoelectric:
- -When x-ray interact with inner K shell
- -absorption of energy and increase in patient dose and biological damage.
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Compton:
-responsible for most scatter in radiology procedures.
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To measure exposure use:
roentgen, or colomb per kg
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To measure absorbed dose use:
RAD or Gray
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To measure absorbed dose equivalent use:
REM or sievert
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Dose Equivalent:
Provides a way to calculate the absorbed dose for all types of radiation.
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Quality Factor:
Used in the dose equivalent to determine ability of ionizing radiation to cause biological damage.
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The formula for dose equivalent is:
DE=AD x Qf (absorbed dose times quality factor)
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To determine quality factor:
QF divided by radiation
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x-ray photons, beta particles and gamma photons have a quality factor of:
1
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neutrons and alpha particles have a quality factor of:
20
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Formula for effective dose:
EFD=Dose x Wr x Wt
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Difference between equivalent dose and effective dose:
- equivalent dose pertains to biologic harm of different types of radiation.
- Effective dose pertains to harm of a person with tissues, and organs.
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Reduces exposure to patients skin and superficial tissue by absorbing most of the lower energy photons:
filtration
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aluminum has a z number of:
13
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The most common material used for absorption is:
aluminum
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inherent filtration should be:
.5 mm al eq
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added filtration is located:
outside the glass window and above the collimator shutters.
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total filtration above 70 kvp:
2.5 mm al eq
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total filtration b/w 50-70 kvp:
1.5 mm al eq
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total filtration for fluoro and mobile equitment:
2.5 mm al eq
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mammo filtration usually uses:
molybdeium or rhodium
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Gonadal shielding should be used when:
reproductive organs are w/n 5 cm of the beam
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High speed film combination results in:
less patient dose, but loss in detail
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Grids and patient dose:
increase
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Fluoro unit SID (fixed unit):
no less than 15 inches
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Fluoro unit SID (mobile unit):
no less than 12 inches
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cumulative timing device:
times fluoro unit to shut off after 5 min.
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exposure rate maximum for image intensified units in fluoro:
10 R/min
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exposure rate maximum for conventional non intensified units:
5 R/min
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cinefluorography:
highest patient dose of all radiographic procedures.
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primary barriers are located:
perpendicular to the line of travel from the primary beam
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@ 130 kVp protective barrier should be:
1/16th inch lead and 7 feet upward from floor to x-ray wall
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Secondary protective barrier should be:
1/32nd inch lead
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exposure rate in a controlled area should not exceed:
100 mr/week
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exposure rate in an uncontrolled area should not exceed:
10 mr/ week
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Percentage of time the useful beam is directed towards a particular wall:
use factor
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ESE of chest w/ grid:
20 mrad
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ESE of AP lumbar spine:
350 mrad
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ESE of AP C spine:
80 mrad
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barrier thickness of lead glass window:
1.5 mm al eq
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barrier thickness of protective drape or curtain:
.25 mm al eq
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barrier thickness of gloves:
.25 mm al eq
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thyroid shield barrier thickness:
.5 mm al eq
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protective glasses barrier thickness:
.35 mm al eq
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4 types of personel monitoring devices:
- film badge
- TLD
- OSL
- Pocket dosimeter
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TLD:
- -measures radiation from low as 5 mR
- -uses lithium flouride
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Film badge:
-measures radiation from 10 mR
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OSL:
- measures radiation as low as 1 mR
- -uses aluminum oxide
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pocket dosimeter:
measures radiation as low as 1 mR
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Stochastic effects of radiation:
- -AKA late effects, or random effects
- -are nonthreshold
- -examples is cancer and genetic alterations
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nonstochastic effects of radiation:
- -AKA deterministic effects
- -they are directly related to the dose recieved
- -they can be an early or late effect
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The amount at which ionizing radiation is transferred to soft tissue:
LET
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High LET:
- -example is alpha particles
- -loses energy faster than low LET
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Low LET:
- -examples is x-rays and gamma rays
- -cause damage primarily through indirect interaction
- -and keep energy longer
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Provides a comparison of the biologic effects from equal doses of different types of radiation.
RBE
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Tissue is more sensitive when irradiated in the oxygenated state than when irradiated under anoxic or hypoxic conditions.
OER
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RBE and LET have a _______ relationship:
direct
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OER formula:
OER=OER w/o formula divided by OER w/ formula
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DNA serves as the master molecule of the cell. If the master molecule is inactivated by exposure to radiation then the cell will die.
Target theory
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Radiosensitivity is directly proportional to their reproductivity and inversly proportional to their differentation.
Law of bergonie and tribidoneu
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Most sensitive to least sensitive cells:
- lymphocytes
- spermatogonia
- platelts
- epithelial cells
- muscle
- nerve cells
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In the radiation dose response relationship the horizontal axsis is/ vertical axsis:
dose recieved
effects observed
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Proportional response to the dose and response and the curve forms a straight line when graphed.
linear
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Response where there is no fixed proportional response b/w dose and response and forms a curved line.
nonlinear
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Dose response curve exhibits some effect no matter how small the dose:
linear nonthreshold
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Dose response cure that is linear or proportional at low dose levels and becomes curvlinear at high dose levels.
linear-quadratic threshold
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radiation threshold is a what response:
sigmoid threshold
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Stages of acute radiation syndrome:
prodromal, latent, manifest illness
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Syndromes of acute radiation syndrome:
- hematopoietic
- gastrointestinal
- CNS
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hematologic syndrome occurs w/ doses of:
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GI syndrome occurs w/ doses of:
500-1000 rad
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CNS syndrome occurs w/ doses of:
5,000 rad or more
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Dose of radiation required per generation to double the spontanious rate:
doubling dose
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annual GSD of all radiation sources is:
130 mrem or 1.3 msv
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Largest account for GSD is:
background radiation; 78%
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Occurs when a total radiation dose is delivered in smaller amounts and spread over a period of time
dose fractionation
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Occurs when the dose is delivered continously but at a slow rate
dose protraction
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