Author: wvaio
SubjectStep two
Posted: Wed Oct 07, 2009 8:19 pm (GMT -4)
Topic Replies: 6

Now that you get the general idea, I will up the ante a bit. I had the same questions when I started clinicals. It took me a while to figure out exactly what was happening. Its good that you are asking these questions. Understanding the AEC system is important to performing well in this field.

Here it is:

When you set a manual technique,as in 55kVp at 3.2 mas, the xray machine will shoot 3.2 mAs at 55kilovolts PEAK. That is calculated by the mA x the time.
The ionization chambers come into play when you use AEC(Automatic Exposure Control). The AEC system is ran by the computer system of the unit. Its function is to create a predetermined density on the cassette placed into the Bucky tray. The AEC uses the ionization chambers to calculate that exposure. When more than one chamber is used, the results of all chambers are averaged.
Lets say you are shooting a KUB. The patient is supine on the table. At a lot of places the computer would do the following steps for you just by pressing Abdomen table bucky, but for the sake of this example you are setting the factors by hand. First, you would choose a kVp. Lets say 80 kVp. Then you would select the number of chambers and their position. You would want to use all three chambers because the area of interest will completely cover all of the chambers. Next you would pick the mA that you want to use. We'll choose 240mA. When you press the exposure button, the tube will start to produce X-rays at 80kVp at 240 mA. The ionization chambers will start counting the number of photons that pass through the patient and the ones scattered by the patient. When the computer thinks the cassette has had enough exposure, it will terminate the exposure. The computer has a back-up timer that will terminate the exposure if it takes too long for the chambers to read their required number of photons. This protects the patient from being over-exposed due to a system failure( or operator error). If the machine produced x-rays at 80 kVp at 240 mA, and the ionization chambers calculate that they have the necessary exposure after .167 seconds, the machine will have produced 40 mAs. You could then turn off the AEC and set a manual technique of 40 mAs at 80 kVp, and achieve the same image as you did with the AEC on that same patient.

Hope that helps,

Wvaio
_________________
“Whether you think that you can, or that you can't, you are usually right.” --- Henry Ford

Author: traineetech
Posted: Wed Oct 07, 2009 5:39 am (GMT -4)
Topic Replies: 6


P.P.S another thing which has been bugging me...

When referring to a bucky, I thought that a bucky was the same thing as a grid as in Potter Bucky Grid? or am I getting this wrong?

Just got confused when you said "Directly behind the grid on the wall bucky there are three chambers"

Author: traineetech

Posted: Wed Oct 07, 2009 5:34 am (GMT -4)
Topic Replies: 6

P.S So there'd also be 3 chambers on the bucky table when carrying out an X-ray of say, an abdomen when the patient is lying down?

So, just to clarify, an ionization chamber is bascially there to makre sure that no more mAs/photons reach the image receptor than originally set by the technician?

IE, if you set an mAs of 15, once the ion chambers detects 15mAs, the exposure is stopped?

Author: traineetech
Posted: Wed Oct 07, 2009 5:25 am (GMT -4)
Topic Replies: 6

thank you! that's a great help!
Author: wvaio
SubjectSurgery- Cross Table Lateral Lumbar
Posted: Tue Oct 06, 2009 8:20 pm (GMT -4)
Topic Replies: 0

Could one of the surgery tech's out there help me out?
I could use some tips for obtaining a better image contrast on the cross table lateral L-spine in surgery? We use an antique AMX portable machine that has a mass limit of 320, and many times have to shoot twice. Most of the patients we do are, of course, bariatric patients.
Today, I used about a 5" air-gap for the first time and obtained a very good image, but the patient was only 230 pounds. I think there is more I can do on the 340 pounders. I am curious to see if anyone can give me a suggestion on distance for the air gap, also. The Log numbers are sufficient on the digital image, but the contrast is extremely low.

Here is the current settings:

Approx. 50 inches with about 5" inches air gap
Portable grid holder on rolling stand
grid 8:1 (the only one we have)
90 kVp
Body weight + a step or so in mas
1-2 exposures
Antique AMX
_________________
“Whether you think that you can, or that you can't, you are usually right.” --- Henry Ford

Next Page »