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LD 50/30
refers to the radiation dose expected to cause death in 50% of an exposed population within 30 days; it is used to estimate radiation lethality
High kVp techniques
produce more scatter radiation, which results in lower radiographic contrast and more shades of gray on the image
The prodromal stage
is the first phase of acute radiation syndrome and includes symptoms like nausea and vomiting shortly after exposure
Collimation
is the most effective and commonly used method of beam restriction and significantly reduces patient dose and scatter radiation
Increasing SID
decreases beam intensity at the image receptor, so mAs must be increased to maintain proper exposure
Atrophy
is the shrinkage or reduction in size of tissues or organs following high radiation doses due to cell loss
Scatter radiation
degrades image quality by reducing contrast, so minimizing scatter improves diagnostic visibility
The hematopoietic syndrome
affects bone marrow and blood cell production and occurs at lower doses than gastrointestinal or cerebrovascular syndromes
A compensating filter
evens out exposure across structures of different thicknesses and requires an increase in technique to maintain receptor exposure
Radium behaves like calcium
in the body, which is why it accumulates in bone tissue and can cause long-term damage
Inverse square law
states that radiation intensity decreases with the square of the distance, meaning small distance changes greatly impact exposure
Low kVp techniques
produce higher contrast images with more black-and-white differences, often used for extremities
Genetic radiation effects
occur when DNA in reproductive cells (sperm or ova) is damaged and passed to future generations
The latent period
is a temporary phase where no symptoms are present, even though cellular damage has already occurred
Opening collimation (larger field size)
increases scatter production and reduces image contrast
Digital radiography (DR)
provides immediate image acquisition and allows for post-processing adjustments like brightness and contrast
Threshold dose
is the minimum radiation dose required before a deterministic effect (like skin erythema) will occur.
Early radiation effects
(deterministic) increase in severity with dose and include symptoms like epilation and skin erythema
The cerebrovascular syndrome
occurs at extremely high doses and leads to rapid neurological failure and death within hours to days
SID (source-to-image distance)
is the distance from the x-ray tube to the image receptor and directly affects beam intensity
Grid interspace material
must be radiolucent so that primary radiation can pass through while scatter is absorbed by lead strips
Radiation protection principles
assume that all tissues and organs are potentially sensitive to radiation damage
Doubling dose (~1.0 Sv)
is the amount of radiation required to double the natural mutation rate in humans
Chest radiography uses 72-inch SID
to reduce heart magnification and improve image accuracy
Reducing scatter radiation
(via grids or collimation) increases radiographic contrast and improves image quality
Automatic collimators
adjust the field size to match the image receptor size, not the anatomy being imaged
Erythema (skin reddening)
typically appears 24–48 hours after receiving a high radiation dose (~2 Gy)
Natural background radiation
is a constant low-level exposure source and contributes significantly to overall lifetime dose
FDA radiation initiatives
focus on safe imaging practices, informed decision-making, and increasing patient awareness
If SID decreases
beam intensity increases at the receptor, so mAs must be decreased to avoid overexposure
Gastrointestinal syndrome
damages the intestinal lining, leading to severe fluid loss, infection, and high mortality rates
Below the threshold dose
deterministic effects will not occur regardless of how many times exposure happens
Digital imaging systems
have wide exposure latitude, meaning acceptable images can be produced over a range of exposures
mAs controls quantity of radiation
while kVp controls both beam quality (energy) and contrast