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WorksheetsHESI Review: Image Production
Total questions: 100
Worksheet time: 2hrs 40mins
Compared to film-screen imaging, digital systems are (select the two that apply)
Less sensitive to low-energy radiation
More sensitive to low-energy radiation
Less sensitive to scatter radiation
More sensitive to scatter radiation
When x-ray exposure to the digital image receptor is too low (select the two that apply)
Brightness is acceptable
Quantum noise is increased
Quantum noise is decreased
Brightness is unacceptable
If 400 mA, 10 ms, and 90 kV were used for a particular exposure using three-phase, 12-pulse equipment, which of the following exposure changes would be most appropriate for use on single-phase equipment to produce a similar image?
Use 200 mA
Use 20 mAs
Use 70 kV
Use 0.02 second
When changing from half-wave to full-wave rectification,
X-ray quantity remains unchanged; quality doubles.
Both X-ray quantity and quality remain unchanged.
X-ray quantity doubles; quality remains unchanged.
Both X-ray quantity and quality double.
Within the x-ray circuit, the electrical device that operates on the principle of mutual induction and serves to increase voltage and decrease current is known as the
rectifier
step-up transformer
rheostat
autotransformer
An increase in mA is associated with
decreased SNR
increased SNR
decreased photon intensity
decreased photon wavelength
Which generator is associated with an approximate 13% voltage ripple (87% actual voltage)?
Three-phase 6 pulse
High-frequency
Three-phase 12 pulse
Autotransformer
What is the name of the exposure system that uses an established, optimum kV for each anatomical part?
Variable kilovoltage system
Fixed kilovoltage system
Online kilovoltage system
Fixed milliamperage system
Which of the following groups of exposure factors will produce the shortest scale of contrast?
200 mA, 0.08 second, 95 kV, 12:1 grid
500 mA, 0.03 second, 70 kV, 8:1 grid
300 mA, 0.05 second, 95 kV, 8:1 grid
600 mA, 1/40 seconds, 70 kV, 6:1 grid
All the following are related to spatial resolution except
motion
focal-spot size
OID
scattered radiation
For the same FOV, arrange the following radiography matrix sizes would result in the highest spatial resolution?
1500 x 1500
2500 x 2500
750 x 750
224 x 224
In digital imaging, a 2D array of numbers comprised of columns and rows is known as
a field of view (FOV)
a matrix
pixel density
an exposure indicator
Which aspect of image quality does a grid influence?
Contrast
Size distortion
Shape distortion
Spatial resolution
Which of the following post-processing terms serve to suppress image noise? (select the two that apply)
High-pass filtering
Low-pass filtering
Smoothing
Sharpening
The photoconductor generally used with a TFT array in direct capture digital imaging is
aluminum oxide.
amorphous selenium.
zinc cadmium sulfide.
amorphous silicon.
With AEC, the area of interest must be placed directly over the selected detectors in order to avoid which two of the following? (select the two that apply)
Overexposure
Decrease in contrast
Underexposure
Increase in contrast
_______ charged electron passes close to the nucleus and ______ charged nucleus slows the electron and changes its course leaving electron with reduced kinetic energy.
Positively; Negatively
Negatively; Positively
Negatively; Negatively
Positively; Positively
Projectile Electron ionizes an atom and removes a K-Shell electron AND an outer shell electron fills that vacancy and emits energy in the form of X-Ray Photon describes what?
Bremsstralung Radiation
Characteristic Radiation
Compton Scatter
Anode Heel Effect
X-ray tubes produce __% heat.
98%
99%
100%
85%
Bremsstrahlung radiation is radiation producing interaction between ______ _______ and the ______ of an atom.
Q-Shell Electrons; L-Shell Electrons
Projectile Electrons; nucleus
Projectile Electrons; atom
L-Shell Electrons; Q-Shell Electrons
High Frequency Generators are more _________ and both intensity and the effective energy will ______.
Stronger; Increase
Powerful; Decrease
Efficient; Increase
Dangerous; increase
Added filtration shifts Spectrum Curve to the right and results in an ___________ in the effective energy of the beam
Decrease
Increase
Radiation
Kinetic Energy
These will interact with target atoms and transfer their kinetic energy to the target atoms.
Target Electrons
Projectile Electrons
Photon Electrons
Beam Hardening
At 100 kVp, the beam consists of approximately __% Characteristic & __% Bremsstralung
15; 85
85; 15
50; 50
45; 45
What describes x-rays as being considered a radiation formed from the braking of Projectile electrons by the nucleus?
Ionizations
Bremsstralung Radiation
Attenuation
Voltage Ripple
What does this graph depict?
Affects of using different filtration
Anode Heel Effect
Varying energy with increasing voltage
Varying energy with increasing amperage
If the target material has a higher Atomic Number, the X-ray Emission Spectrum would show a shift in what direction?
Right
Left
Up
Down
The larger the area under the curve, in the emission spectrum, then the higher the x-ray ____ or _______.
intensity; quantity
penetrability; quality
energy; kVp
mAs; kVp
When the distance from the source is increased:
x-ray quantity decrease
x-ray quality increase
x-ray quantity increase
no effect in x-ray quality
The protective housing is made of _______.
aluminium
lead
concrete
tungsten
The site for the production of electrons is
anode
cathode
focusing cup
glass envelope
Mobile x-ray unit operates on rechargeable batteries or capacitor discharge unit.
True
False
Occurs when Tungsten vaporizes and builds up in a glass tube.
Anode Heel Effect
Arcing
Line Focus Principle
Tube Window
This side of the x-ray tube is driven by an Electromagnetic Induction Motor
Anode
Cathode
Filament
Glass Housing
___________ is when radiation intensity is greater at the cathode side of an x-ray beam and is a byproduct of the Line Focus Principle.
Anode Heel Effect
Anode Cooling Chart
Dual Focus Tube
Extrafocal X-Rays
X-rays that are produced outside the target/focal spot and reduces image contrast.
Arcing
Extrafocal X-ray
Saturation Current
Space Charge Effect
The angling of the target on the Anode which makes an effective focal spot that can be created smaller than the actual focal spot describes:
Isotropically
Arcing
Anode Heel Effect
Line Focus Principle
What part of an x-ray circuit is used to heat up the filament?
Filament circuit
High voltage transformer
Primary circuit
Volts
Filament circuit is what kind of transformer?
Step Up Transformer
Step Down Transformer
Closed Core
Open Core
When the target angle is made smaller, the effective focal spot will become _________.
Larger
Smaller
Angled
Scattered
This component in an x-ray tube is typically made of Tungsten/Rhenium alloy.
Anode
Cathode
Focusing Cup
Protective Housing
What is the minimum amount a tube is allowed to leak?
1.5 mGya/hour at 2 meters
1 mGya/hour at 2 meters
1mGya/hour at 1 meter
1.5 mGya/hour at 1 meter
Inside the tube housing, what is the x-ray tube immersed in to assist with cooling and additional electrical insulation?
oil
plastic
water
coolant
Rotation of the target allows for:
greater heat dissipation
greater x-ray production
longer exposure times
lower radiation dose
The device that concentrates electrons boiling off the filaments into a narrow stream for travel toward the anode is the:
cathode
anode
focusing cup
rectifier
A capacitor:
converts x-ray photons to light
converts light to an electrical charge
converts electrons to light
stores light and converts it from an analog to a digital signal
Which of the following will result in increased spatial resolution (assuming the FOV remain the same)?
a greater number of pixels
a smaller number of pixels
increased bit depth
a smaller matrix size
The PSP:
should be erased periodically due to the sensitivity to scatter radiation
should not be erased unless an exposure has been made
must be replaced after 100 exposures and erasures
is erased by flooding the plate with ultraviolet light
__________ is primarily responsible for the dose to the radiographer, while ______________ contributes to the patient dose.
Compton scatter, photoelectric effect
photoelectric effect, Compton scatter
coherent scatter, Compton scatter
Compton scatter, coherent scatter
Radiation that has the ability to interact with the atoms in a object and remove orbital electron is:
ionizing radiation
electromagnetic radiation
photon radiation
isotope radiation
AMA stands for:
Active matrix array
American medical administration
Attenuation matter acceleration
Available matrix aperture
The by-products of the photoelectric interaction are:
photoelectron, characteristic radiation
Compton electron, photoelectron
recoil electron, scatter radiation
positron, characteristic radiation
In order to remove a k-shell electron from an atom, producing characteristic radiation, the incident photon must possess an energy of
69.5 kVp or higher
30 kVp or higher
Less than 69.5 kVp
50 mAs or greater
Which matter interaction is occurring?
Compton
Photelectric
Bremsstrahlung
Coherent
Photons with higher ______ have a higher energy level.
frequency
charge
mass
wavelength
What percentage of the beam is attenuated by the tissue?
50% for every 4-5 cm
75% for every 10 cm
25% for every 5-6 cm
99% for every 1 cm
Higher kVp techniques result in:
lower contrast
higher penetrability
less receptor exposure
more absorption
Bit depth is determined by the formula
2n
n2
22n
n2
Which of the following determine the visibility of detail?
contrast
distortion
brightness
spatial resolution
Which of the following refers to the absorption characteristics of the anatomic tissues radiographed and the quality of the x-ray beam?
subject contrast
brightness
density
contrast resolution
The midpoint of the range of brightness levels visible on the digital image is determined by
window level.
window width.
window pane.
window depth.
__________________ is a term used to evaluate accuracy of the anatomic structural lines recorded.
Contrast resolution
Spatial resolution
Brightness
Detective quantum efficiency
An increase in the image size of an object compared with its true, or actual, size, is called
size distortion.
shape distortion.
sharpness distortion.
magnification.
If the original exposure factors are 20 mAs @ 70 kVp, which of the following factors produce a radiographic image with the same IR exposure but higher contrast?
10 mAs @ 81 kVp.
10 mAs @ 70 kVp.
40 mAs @ 70 kVp.
40 mAs @ 60 kVp.
Imaging a thicker body part will result in
more scatter
fewer tissue interactions
less scatter
higher contrast image
Changes in the SID will affect:
Receptor exposure
Spatial resolution
Magnification
Contrast resolution
Which aspect of image quality does a grid influence?
Contrast
Size distortion
Shape distortion
Spatial resolution
For the same FOV, arrange the following radiography matrix sizes would result in the highest spatial resolution?
1500 x 1500
2500 x 2500
750 x 750
224 x 224
What is the name of the computerized system in which the radiographer has a selection of exams available on the console from which to choose?
Anatomical radiography
Programmed radiography (anatomical)
Anatomically programmed radiography
Automatic Exposure Control
Which of the following are considered “entrance type” AEC devices?
Phototimer
Ionization chamber (ion chamber)
Image receptor (IR)
Anatomically programmed radiography (APR)
From the following list, select the 2 factors having the most impact on receptor exposure:
focal spot size
SID
OID
kVp
What effect does switching to a large focal spot have on the image?
Scale of contrast decreases
Image unsharpness increases
Size distortion increases
Image density decreases
An exposure was made using 70 kVp @ 8 mAs. In order to maintain receptor exposure, what mAs value should be selected if the kVp is increased to 120?
4 mAs
2 mAs
16 mAs
24 mAs
Added filtration has the effect of __________ the beam quality.
decreasing
increasing
does not affect
The purpose of filtration is to:
reduce the radiation dose to the patient
increase receptor exposure
increase image contrast
improve diagnostic quality
The function of input phosphor is converting
X ray to electrons
X ray to light photons
electrons to X rays
light photons to X rays
The function of photocathode is converting
light photons in to electrons
electrons into light photons
X ray to electrons
electrons to x rays
Which of the following is a technical factors might be adjusted by the Automatic Brightness Control (ABC) system?
mA
kVp
time
FSS
If a fluoroscopic unit has bi-focus input phosphor at 30cm/17cm and an exposure is made in 17cm mode, how much is the image magnified?
1.76 times
0.57 times
4.7 times
13 times
What is the flux gain if there are 10 x-ray photons at the input phosphor and 2,000 light photons at the output phosphor?
200
20
0.2
0.02
The point at which photoelectrons converge and cross paths within the image intensifier.
focal point
focal range
focal track
focus degree
Replacing the camera tube with a charge-coupled device (CCD) along with the ADC further improved digital fluoroscopy by
improving DQE
reducing DQE
reducing patient exposure
improving attenuation coefficients
Measurement of exposure that is calculated using the exposure at the skin surface and the area of the body surface that is exposed.
DAP
KERMA
RBE
ESE
When the multifocus image intensifier is operated in the magnification mode
the electron focal point is further from the output phosphor
spatial resolution is reduced
a larger area of input phosphor is used
patient dose is lower
When performing voltage waveform QC testing, deviation from standard waveform can indicate potential problems with the
ADC
battery
generator
transformer
A quality control test is performed by making three subsequent exposures using identical technical factors (100 mA, 80 kVp, and 100 ms). The radiation output during each exposure is measured and compared. What test is being performed?
reproducibility
reciprocity
accuracy
linearity
At any combination of tube potential and current, fluoroscopic equipment with an automatic brightness control should not produce an entrance skin exposure exceeding ____ R/min.
2.5
20
10
15
X-ray tubes capable of producing greater than 70 kVp are required to have ______ of total filtration.
2.5 mm Al/eq
3.5 mm Al/eq
0.5 Al/eq
2.0 Al/eq
Which of the following are true regarding digital imaging?
Increased/Wide dynamic range
Nonlinear exposure response
Linear exposure response
Reduced/Narrow dynamic range
Improper collimation can result in
histogram analysis errors
grid cutoff
ghosting
aliasing
To prevent a moiré pattern in your CR image, it is best to have the grid lines running _______ to the direction of the laser beam.
perpendicular
parallel
diagonal
transverse
