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Physics - Safety & Dosing
Final
22
Medical
Professional
01/22/2014

Additional Medical Flashcards

 


 

Cards

Term
Stochastic
Definition
No dose threshold

Severity of effect not related to dose

Cancer
Term
Deterministic
Definition
Dose threshold

Severity increases with dose

skin, cataracts, infertility, ARS
Term
Cancer Risks
Definition
1 in 1000 at 10 mSv
1 in 100 at 100 mSv

Leukemia 2-12 yrs

Solid tumor 20 yrs

Breast risk doubles incidence with 1 Gy
Term
Skin Injury
Definition
2 Gy - early erythema - w/in few hours
15 Gy - severe desquamation
Term
Cataracts
Definition
0.5 Gy acute and chronic exposure

Typically start in posterior pole of lens while senile cataracts start in anterior pole
Term
Exposure Limits - Fluoro
Definition
Overall 50 mSv/yr

88 mGy/min
176 mGy/min for high level
No limits for cine/fluorography
Term
Exposure Hazards for staff - Fluoro
Definition
Stochastic/cancer
Term
Exposure Limits for Staff - Fluoro
Definition
50 mSv/yr

Typical staff dose in IR = 1/1000 of pt entrance exposure
Term
Digital Subtraction Angiography (DSA)
Definition
Subtraction results in increased noise
Term
How to limit pt exposure
Definition
Reduce exposure time
Reduce area of exposure
Term
Magnification
Definition
Term
Scatter
Definition
Term
Gonads
Definition
Male - 2.5 Gy temp sterility, 5.0 Gy perm sterility
Female – 1.5 and 6
Term
Acute Radiation Sickness
Definition
Hematopoietic >2 Gy
GI >10 Gy
CNS > 20 Gy
Neurovascular > 50 Gy
Term
Fatal whole body dose?
Definition
5 Gy usually fatal – usually within less than 2 weeks
Term
Fetal Risk
Definition
Fetal risk with 0.15 Gy (organogenesis is wk 2-8, malformations most commonly CNS – however most sensitive is b/t 8-15 weeks during fetal growth)

Most likely to be fatal during the pre-implantation phase – only a few cells present so if some are damaged, chance of survival is low

Conception age (DETERMINISTIC EFFECTS)
3rd-4th week - SpAb
3rd-8th week – malformations
9th-15th week – IQ/MRDD
Term
BEIR VII
Definition
radiation risk of medical imaging procedures and other low levels of radiation

Atom bomb survivors
Term
Linear No-Threshold model
Definition
most often used for radiation protection

Straight-line relationship between dose and risk at low levels of radiation

Originated from Muller and x-ray induced mutations in Drosophila
Term
LAR – lifetime attributable risk
Definition
synthesis of risk estimates by ERR and EAR models
Term
Lead Shielding
Definition
0.25 mm protects against scatter
0.50 mm protects against primary beam
Term
Fluoro Dosing
Definition
Beam energy and filter
Collimation
Source to skin distance (inverse square law)
Pt to image intensifier (lower distance = lower dose)
Magnification (increases dose)
Grid
Exposure time
Term
Minimize operator dose by:
Definition
aiming x-ray tube towards ceiling

scatter will be towards the feet
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