Principles of Radiographic Imaging I (RADR 1313)
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1 Principles of Radiographic Imaging I (RADR 1313) Credit: 3 semester credit hours (3 hours lecture) Prerequisite: RADR 1309 Introduction to Radiography and Patient Care Course Description: Radiographic image quality and the effects of exposure variables. Purpose: This course is designed to acquaint the student technologist with the basic principles of radiographic exposure and image formation. Teaching Methodology: This course will be taught in a multimedia format. Lectures, demonstrations and discussion will be utilized to enhance the cognitive learning process. Students will have outside reading and out of class homework assignments periodically in the semester. The student will be required to utilize both reading and listening skills. Instructor: Brenda A. Barrow, M.Ed., R.T., Office 232 Multipurpose Center, office hours posted outside door, phone , brenda.barrow@lit.edu Textbook: Carlton, Richard. Principles of Radiographic Imaging, An Art and Science, 5 th edition, Delmar Publishing, ISBN# 10: #882 Scan-trons and pencils Basic calculator Reference Material: Use your notes and text book from the previous course RADR 1309 Introduction to Radiology and Patient Care Course Evaluation: There will be four (4) major tests and a comprehensive final exam Quizzes will be utilized in this course. If a student misses a quiz it may not be made up. Quiz grades will be averaged for one (1) test grade. Students will be allowed to drop their lowest quiz grade at the end of the semester. If more than one quiz is missed a zero (0) will be given. Late homework will be accepted but will have a ten (10) point per class deduction. Page 1 of 8
2 Grading Policy: Grades will be determined in the following manner: Major Exams (4) and Quiz average 75% (15% each) Comprehensive Final 25% Grade Scale: A = B = C = D = F = 0-64 * STUDENTS MUST HAVE A 77 OR ABOVE AVERAGE TO PASS THIS COURSE! Course Policies: 1. No food, drinks, or use of tobacco products in class. 2. Phones, headphones, and any other electronic devices must be turned off while in class. 3. Do not bring children to class. 4. Recording devices may be used except during test reviews and when otherwise stated by the instructor. 5. Lap top computers, I-pad may be used to take notes during class but may not be used to surf the internet, look-up answers, nor anything not directly related to note taking. 6. ATTENDANCE POLICY: Each student is responsible for attending every class session. When it becomes necessary to miss a session, it is the responsibility of the STUDENT to contact the instructor and to inquire about assignments. When the student has missed sufficient hours to cause a drop in grade points by missing class discussions, participation, quizzes, major test and or assignments, he/she will be notified in writing by the instructor concerning the possibility of failure in the course. The student should respond and meet the instructor for counseling. If a major test is missed, the student must request a make-up examination from the instructor. This test will be administered at the first day the student returns to class or at a time designated by the instructor. There will be an automatic 10 point reduction on the make-up exam. Page 2 of 8
3 Course Objectives: By the end of the semester of instruction the student will: 1. Apply the basic principles of radiographic image acquisition to image quality. 2. Analyze the effects of exposure variables upon image quality. Demonstrate knowledge of the components necessary to produce an x-ray beam Course Outline: At the completion of each chapter the student should be able to Ch. 1 Basic Math 1. Brief review of basic math a. Fractions b. Decimals c. Rounding 2. Introduction to Radiology math a. ma X sec = mas b. Inverse Square Law c. Square Law d. 15% Rule Ch. 5 X-Ray Equipment 1. list and discuss the different types of x-ray equipment a. diagnostic b. fluoroscopic c. therapeutic d. dedicated units a. chest b. tomography 2. discuss the types of x-ray timers a. synchronous motor driven b. mas c. AEC Ch 6 X-Ray Tube 1. describe the parts and function of the cathode a. filament b. focusing cup 2. describe the parts and function of the anode a. target b. focal spot 3. discuss the function of the glass envelop 4. discuss the function of the tube housing 5. define parts of beam a. primary b. remnant c. off focus d. leakage Page 3 of 8
4 6. list recommendations for extending tube life Ch 7 X-Ray Production 1. explain the process of a Bremsstrahlung interaction 2. explain the process of a Characteristic interaction Ch 10 Filtration 1. list and discuss the types of filtration a. inherent b. added c. total 2. describe how changes in filtration will affect the tube output a. quantity b. quality Ch 11 Prime Factors 1. discuss how each prime factor will affect the radiographic image a. ma b. time c. kvp d. SID Ch 12 X-Ray Interactions 1. explain and diagram a Coherent interaction 2. explain and diagram a Compton interaction 3. explain and diagram a Photoelectric interaction 4. define Pair Production & Photodisintegration 5. discuss how patient interactions with x-ray photons affect image quality and technique selection Ch 15 Beam Restriction 1. describe steps the radiographer can take to reduce the production of scatter a. restrict beam b. reduce kvp 2. describe the various types of beam restrictors a. aperture diaphragm b. cone/cylinder c. collimator 3. discuss the effect beam restriction will have on the radiographic image a. density b. contrast c. visibility Ch 16 Patient as a Beam Emitter 1. define attenuation 2. discuss the basic composition of the human body and how it effects attenuation of the x-ray beam a. air b. fat c. muscle d. bone e. metal Page 4 of 8
5 Ch 17 The Pathology Problem 1. describe how various pathologies affect the attenuation of the x-ray beam 2. classify pathology as being additive or destructive Ch 18 Grids 1. explain the purpose of a grid 2. describe the construction of grids a. radiopaque lines b. radiolucent interspaces 3. compare and contrast various grid pattern types a. linear i. parallel ii. focused b. crosshatched 4. discuss proper use of grids and errors that may result from incorrect use a. off focus b. off level c. off center d. inverted 5. calculate new technical factors when changes in grid ratios occur 6. discuss air gap technique Ch 19 Radiographic Film 1. describe film construction a. base b. adhesive c. emulsion d. protective coat 2. discuss the process of latent image formation 3. compare and contrast various film types 4. explain the proper storage and handling fundamentals a. temperature b. humidity c. scatter 5. discuss proper radiograph identification Ch 22 Intensifying Screens 1. explain the use of screens 2. describe the construction of screens a. base b. phosphor c. reflective (optional) d. protective 3. discuss phosphor characteristics 4. classify screens according to their speed a. slow/extremity b. medium/par c. high d. rare earth Page 5 of 8
6 5. calculate new technical factors when changes in screen speeds occur 6. describe the construction of an x-ray cassette 7. describe the proper cleaning procedures for screens and cassettes 8. define and discuss spectral matching 9. describe methods of measuring resolution a. line pair phantom 10. discuss how film/screen combinations affect the radiographic image and patient exposure level Ch 25 The Imaging Process Ch 26 Density 1. define density 2. describe the effects of density changes on the radiographic image 3. discuss the controlling factor of density (mas) 4. discuss the factors that influence density a. ma b. time c. kvp d. SID e. screen/film speed f. grid ratio g. beam restrictor 5. assess radiographs for proper levels of density 6. calculate new exposure factors and patient doses using: ma X time = mas Ch 27 Contrast 1. define contrast 2. describe the effects of contrast changes on the radiographic image 3. discuss the controlling factor of contrast (kvp) 4. discuss the factors that influence contrast a. kvp b. grid ratio c. adding/removing screen d. beam restrictor 5. assess radiographs for proper levels of contrast 6. distinguish between image contrast and subject contrast 7. calculate new exposure factors using the 15% rule 8. determine changes in contrast using 15% rule Ch 28 Recorded Detail 1. define recorded detail 2. discuss the factors that affect recorded detail a. SID b. OID c. Screen/film speed d. focal spot size e. anode heel effect 3. describe the appropriate techniques used to reduce patient motion a. voluntary Page 6 of 8
7 b. involuntary Ch 29 Distortion 1. define distortion a. size distortion b. shape distortion i. elongation ii. foreshortening 2. discuss the factors that affect size distortion a. SID b. OID c. angle tube Disabilities Statement: The Americans with Disabilities Act of 1992 and Section 504 of the Rehabilitation Act of 1973 are federal anti-discrimination statutes that provide comprehensive civil rights for persons with disabilities. Among other things, these statutes require that all students with documented disabilities be guaranteed a learning environment that provides for reasonable accommodations for their disabilities. If you believe you have a disability requiring an accommodation, please contact the Special Populations Coordinator at (409) or visit the office in Student Services, Cecil Beeson Building. Page 7 of 8
8 RADR :15 11:30 Tues/Thurs Date AUG 20 AUG 25 AUG 27 SEP 1 SEP 3 SEP 8 SEP 10 SEP 15 SEP 17 SEP 22 SEP 24 SEP 29 OCT 1 OCT 6 OCT 8 OCT 13 OCT 15 OCT 20 OCT 22 OCT 27 OCT 29 NOV 3 NOV 5 NOV 10 NOV 12 NOV 17 NOV 19 NOV 24 NOV 26 DEC 1 DEC 3 DEC 10 10:00 11:30 Course Schedule: all dates are tentative and subject to change Topic Introduction to course & CH 1 Basic Math CH 5 X-Ray Equipment CH 6 X-Ray Tube CH 7 X-Ray Production CH 12 X-Ray Interactions REVIEW TEST I CREATING THE BEAM go over test & CH 25 The Imaging Process CH 34 Exposure Problems & CH 11 Prime Factors CH 26 Density Density cont. CH 27 Contrast Contrast cont. CH 16 The Patient as a Beam Emitter & CH 17 Pathology Problem SLIDES to review REVIEW TEST II PRIME FACTORS go over test & CH 10 Filtration CH 15 Beam Restrictors CH 18 Grids CH 19 Radiographic Film CH 22 Intensifying Screens Film/Screen Combinations TEST III CREATING THE IMAGE go over test & CH 28 Recorded Detail CH 29 Distortion & SID Fuch s handout TEST IV GEOMETRIC FACTORS THANKSGIVING go over test review for final FINAL EXAM Page 8 of 8
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