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quality assurance
on-going performance improvement activities that provide confidence that high quality images and services are provided
quality control
monitors technical equipment to ensure it is operating within established tolerances
linearity
(aka reciprocity) changes in mA should produce proportional changes in exposure with all other factors being equal
(ex: if mAs is doubled, exposure should double within 10%)
___ measures the rate of electrical flow across the x-ray tube
mA
factors that can influence flow include:
variations in generator, electrical demands within the building causing electrical fluctuations, aging of x-ray equipment
low of reciprocity
any combination of mA and time that equals the same mAs should produce the same exposure
exposure reproducability
the same set of exposure factors should always produce the same exposure intensity without varying more than 5% (same exposure multiple times)
half value layer (HVL)
a direct indication of the penetration power of the x-ray beam (the higher the HVL, the more penetrating the beam)
when the measured HVL falls below minimum requirements, either ___ or ___
either the kVp calibration is off or there is insufficient filtration
back up timer
should terminate exposure within 6 seconds or 600 mAs (whichever occurs first)
acceptance testing
done at the time of equipment installation to confirm it is operating within set parameters and to establish baseline for follow-up QA testing
luminance
emission of light; ability to display different shades of brightness; measured in lumens (Lm)
lumen
power of light flow through space
illuminance
rate of light striking the surface
ambient light
light already present in an area before additional lighting added (natural light from windows or artificial room lighting)
primary monitor
high resolution monitor used by the radiologist for diagnostic purposes
must be a minimum of 2048 Ă— 2560 to be used for interpretation
secondary monitor
is used by technologists and does not offer the same high resolution as the radiologist’s reading station
must be at least 1024 Ă— 1280 and is not to be used for interpretation purposes
dark noise
term used to describe the noise seen on a digital image receptor that is processed without first making an exposure (dark noise degrades images)
ghost images (DR)
residual image occurs when the DEL value does not return to 0 after an exposure (can occur after an excessively high exposure has been made)
can also be caused by off-focus/STEM radiation
veiling glare
caused by light that scatters within monitor
brightness uniformity
should not vary more than 10% between monitors in the same reading area (brightness between center and 4 corners of monitor should not vary more than 20-30% of their average)
blooming
occurs when there is an unwanted change in the actual focal spot size during a change in exposure (low tube current - less expansion) (high tube current - more expansion)