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Radiation
______ involves the transmission of energy from one point to another, and the use of it within the healing arts did not occur until after its discovery in the form of x-rays in 1895
Ionizing Radiation
Type of radiation that has enough energy to remove tightly bound e- from atoms, resulting in the formation of charged particles, aka ions.
penetrating matter and causing changes in the structure of atoms and molecules.
What is ionizing radiation capable of doing?
Team Approach
There has been an increase in awareness of the value of what to patient care?
The American Registry of Radiologic Technologists (ARRT)
The American Society of Radiologic Technologists (ASRT)
The Joint Commission
Which organizations encourage healthcare providers to function as effective team members while establishing a culture of quality and patient safety
Radiant Energy
__________ ________ refers to the energy carried by electromagnetic waves. This form of energy can travel through a vacuum w/o a medium. It also plays a fundamental role in various natural processes.
______________ is defined as effective measures employed by radiation workers to safeguard patients, personnel, and the general public from unnecessary exposure to ionizing radiation.
Radiation Protection
________________ is defined as any radiation exposure that does not benefit a person in terms of diagnostic information obtained for the clinical management of medical needs, and does not enhance the quality of the study.
unnecessary radiation
ensuring the highest quality of care
using appropriate and effective communication
answering questions about the potential risk of radiation exposure
inform patients of what needs to be done as a follow-up to their exam
What is important when educating patients.
Exposure
refers to the production of ions in the air resulting from the passage of energetic radiation through the air
measured in Coulomb per kilogram (C/Kg) or in milliroentgens (mR).
Absorbed Dose
refers to the amount of energy from radiation exposure deposited per unit mass of material
measured in milligray (mGy)
Effective Dose
designed to provide a quantity that seeks to gauge the overall harm caused by radiation exposure to humans
accounts for the differing effects on tissues of ionizing sources
best overall measure of the biological effects of ionizing radiation
measured in millisieverts (mSv)
Diagnostic efficacy
the accuracy of revealing the presence or absence of disease while adhering to radiation safety guidelines
producing essential images w/ minimal exposure
what does ORP stand for?
Optimization for Radiation Protection
Regulatory Agencies
______ _______ often use the ALARA principle to compare radiation usage among healthcare facilities in particular specific regions.
what are the cardinal rules for radiation protection?
time, distance, shielding
The patient and the radiographer
Who are cardinal rule principles supposed to be applied to?
Reduce the amount of the x-ray beam-on time
Use as much distance as warranted
Specific area shielding devices may be required
How do you reduce the exposure to the patient
what does RSO stand for?
Radiation Safety Officer
what does BERT stand for?
Background Equivalent Radiation Time
BERT is a method that can be used to...
improve understanding and reduce fear and anxiety for the patient
BERT is based on an annual U.S. population exposure of approximately _____mSV per year.
3
BERT emphasizes that radiation is an ______ part of our environment.
innate
BERT does not imply radiation risk, it is simply a means for ________
comparison
Children are __________ sensitive to radiation than are adults.
more
Studies show that the more radiation exposure a child receives, the more likely for them to develop ________ later in life.
cancer
what does the Image Gently Campaign fight for?
reducing radiation doses for pediatrics, specifically in CT
what does the Image Wisely Campaign fight for?
reducing the publics exposure to ionizing radiation from medical imaging
CT and interventional procedures are more cognizant of _________________.
patient dose recording
All EMR travels at...
3.0 x 10^8 m/s (the speed of light)
what is the wave equation?
c = λf (wavelength related to frequency)
what is Plancks quantum equation?
E= hf (frequency related to energy)
shorter wavelength = higher frequency = ?
higher energy
longer wavelength = lower frequency = ?
lower energy
wavelength and frequency are ________ proportional.
inversely
frequency and energy are __________ proportional
directly
EMR travels as a wave but can have enough energy to interact with matter as a __________.
particle (wave-particle duality)
___________ is the removal of an orbital electron
ionization
do photons have mass?
no, just energy
list non-ionizing EMR.
radio, micro, infrared, visible light, low UV
list ionizing EMR.
high UV, x-rays, gamma
__________ is subatomic particles ejected from nuclei at very high speeds
particulate radiation
__________ comes from the nuclei of heavy elements (uranium and plutonium)
alpha
alpha particles have ________ ionization and ______ penetration
high, low
_______ comes from high speed electrons
beta
beta particles are _______ ionizing and ________ penetrating
less, more
what does EqD stand for?
equivalent dose
EqD can lead to potential _________ harm produced by different radiation types.
biologic
what does EfD stand for?
Effective dose
EfD is a chance or risk of any body part developing ________________ from any radiation
radiation induced cancer
what are some biological conditions that excessive radiation dose can lead to?
cataracts, mutations, leukemia
_______ Sv is measurable in hematologic depression
0.25
______ Sv can lead to nausea and diarrhea
1.5
______ Sv can lead to erythema (skin redness)
2.0
______ Sv can lead to death
6
______________ is ionizing radiation from the environment
natural background radiation
what are 3 types of natural background radiation?
terrestrial- radioactive earth crust
cosmic- solar and galactic
internal radionuclides- food, bananas
___________________ is a natural radiation source that grows larger due to an accidental/ deliberate human actions. (mining)
enhanced natural radiation
______% of background radiation is from radon.
37
______% of background radiation is from CT.
24
what is the 2nd leading cause of lung cancer?
radon
what can lead to a higher exposure to cosmic radiation?
higher altitude
why are bananas radioactive?
they contain potassium-40
what are some things that use artificial radiation?
early TVs, luminous watches, medical imaging, airport surveillance, pedoscopes
The radiation received from a 10 hour plane ride is equivalent to what?
1 chest x-ray
Most radiation induced cancers have a ______ year or more latent period
15
what type of cancer did Chernobyl lead to in children? adults?
thyroid cancer in children, leukemia and breast cancer in adults
what is ESE?
Entrance Skin Exposure
how can ESE be reduced when positioning?
shielding and collimation