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Quality Assurance

Total questions: 35

Worksheet time: 18mins

Name
Class
Date
1.

Click on the image that displays the following artifact: Tube arching. Select the tile position from the 3×3 grid of CT images (top-left to bottom-right).

a)

Top-left

b)

Top-middle

c)

Middle-middle

d)

Bottom-right

2.

Click on the image that displays the following artifact: Out of Field Artifact. Select the tile position from the 3×3 grid of CT images (top-left to bottom-right).

a)

Top-left

b)

Top-middle

c)

Top-right

d)

Middle-right

3.

Click on the image that displays the following artifact: Aliasing Effect. Select the tile position from the 3×3 grid of CT images (top-left to bottom-right).

a)

Bottom-left

b)

Bottom-middle

c)

Middle-right

d)

Top-right

4.

Click on the image that displays the following artifact: Partial Volume Artifact. Select the tile position from the 3×3 grid of CT images (top-left to bottom-right).

a)

Middle-left

b)

Top-left

c)

Bottom-right

d)

Top-middle

5.

Click on the image that displays the following artifact: Beam Hardening. Select the tile position from the 3×3 grid of CT images (top-left to bottom-right).

a)

Bottom-right

b)

Top-right

c)

Middle-middle

d)

Bottom-middle

6.

What type of artifacts are shown in the diagram?

a)

Ring artifacts

b)

Streak artifacts

c)

Windmill artifacts

7.

________ refers to the relationship between CT numbers and the linear attenuation values of the scanned object at a designated kVp value.

a)

Linearity

b)

Uniformity

c)

Accuracy

d)

Spatial resolution

8.

________ refers to the ability of the scanner to yield the same CT number regardless of the location of an ROI within a homogeneous object.

a)

Uniformity

b)

Linearity

c)

Spatial resolution

d)

Contrast resolution

9.

Who often share the responsibility for performing and documenting quality control tests?

a)

CT technologists and physicians

b)

CT technologists and medical physicists

c)

Physicians and medical physicists

d)

Medical physicists and scanner manufacturers

10.

The range of x-ray intensity values to which the scanner can accurately respond is called the ________.

a)

Dynamic range

b)

Window Width

c)

Index range

d)

Window Level

11.

Insufficient projection data are called ________.

a)

Undersampling

b)

Cupping

c)

Beam-Harding

d)

Ring

12.

Which is not a typical classification for the causes of artifacts?

a)

Physics based

b)

Equipment induced

c)

Patient based

d)

Technologist based

13.

Which is not a manifestation of patient motion?

a)

Streaking

b)

Blurring

c)

Ghosting

d)

Concentric rings

14.

Which is not a feature CT systems use to minimize beam hardening?

a)

Filtration

b)

Calibration correction

c)

Slowing gantry rotation speed

d)

Beam-hardening correction software

15.

Which describes a cupping artifact?

a)

When the object appears in only a small number of views collected from the tube's 360° path

b)

When there is an appearance of dark bands or streaks between dense objects in the image

c)

When the periphery of the image is lighter

d)

When fine stripes appear to be radiating from a dense structure

16.

Which classification of image artifacts causes ring artifacts?

a)

Physics based

b)

Patient based

c)

Equipment based

17.

Where are laser lights located?

a)

Inside the gantry

b)

Outside the gantry

c)

Both inside and outside the gantry

18.

What is the maximum variation from the intended slice thickness for a slice thickness of 5 mm or less?

a)

±0.5 mm

b)

±1 mm

c)

±0.5 cm

d)

±1 cm

19.

What is the maximum variation from the intended slice thickness for a slice thickness of 5 mm or greater?

a)

±0.5 mm

b)

±1 mm

c)

±0.5 cm

d)

±1 cm

20.

What is the best way to reduce metallic artifact?

a)

Select an SFOV that is larger than the patient.

b)

Recalibrate the scanner.

c)

Give the patient clear breathing instructions.

d)

Minimize the metal present in the SFOV.

21.

What is ghosting?

a)

A type of image artifact where objects appear to have a shadow

b)

A type of filter used to eliminate beam hardening

c)

Another name for the edge gradient effect

d)

Another name for tube arcing

22.

What causes the edge gradient effect?

a)

Irregularly shaped objects that have a pronounced difference in density from surrounding structures

b)

More than one type of tissue is contained within a voxel

c)

Patient motion

d)

Anatomy that extends outside of the selected SFOV

23.

What causes spiral interpolation artifacts?

a)

Too few samples.

b)

Images are created from views not in the same plane.

c)

Patient motion.

d)

The x-ray beams are composed of different energies.

24.

True or False? Tube arcing is patient-induced artifact.

a)

True

b)

False

25.

True or False? There is always the same specific pattern in the appearance of tube arc artifacts.

a)

True

b)

False

26.

True or False? The American College of Radiology CT accreditation phantom is a solid phantom that contains four modules and is constructed primarily from a water-equivalent material.

a)

True

b)

False

27.

True or False? Ring artifacts appear only on MDCT helical systems.

a)

True

b)

False

28.

True or False? An undesired surge of electrical current within the x-ray tube causes tube arcing.

a)

True

b)

False

29.

How often should noise and uniformity testing be done?

a)

Weekly

b)

Monthly

c)

Semiannually

d)

Annually

30.

How often is slice thickness accuracy testing performed in most quality assurance programs?

a)

Weekly

b)

Monthly

c)

Semiannually

d)

Annually

31.

How often is direct spatial resolution testing using a line pairs phantom performed in most quality assurance programs?

a)

Daily

b)

Weekly

c)

Monthly

d)

Annually

32.

How is noise is measured?

a)

By finding the standard deviation of the CT numbers within the region of interest of an object known to have a uniform density

b)

By finding the mean of the CT numbers within any region of interest

c)

By finding the standard deviation of the CT numbers within the region of interest of a phantom that contains multiple densities

d)

By counting the line pairs visible in a scan of a water phantom

33.

Concentric rings appear on a CT slice. Which is a likely cause?

a)

One or more detectors are miscalibrated

b)

Electrical surge within the x-ray tube

c)

A partial scan was used resulting in too few samples

d)

Patient motion

34.

Any object seen on the image that is not present in the object scanned is considered an (a)   .

35.

According to the ACR reference CTDI, what is the recommended radiation dose for an adult head?

a)

20 mGy

b)

25 mGy

c)

50 mGy

d)

75 mGy