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Introduction to Radiology

DR. ZAINAB VORA


MBBS (AIIMS-GOLD MEDALIST)

MD RADIOLOGY (AIIMS-GOLD MEDALIST)

SENIOR RESIDENT (AIIMS)


Names of Scientists
● W. C. Roentgen
● Godfrey Hounsfield, Alan Cormack
● Peter Mansfield, Paul Lauterbur
● Felix Bloch and Purcell
● Charles Dotter
● Henri Becquerel
● Lars Leksell
● John Wilde
● Ian Donald
Terminologies

Black White

X-ray

CT

MRI

USG
MOA OF IONISING RADIATION

1)Double Standard DNA Breaks

2)Free Radicals
DIAGNOSTIC MODALITIES WITH IONISING RADIATION
NON- IONISING IONISING: X RAYS IONISING: GAMMA
RAYS
ONE-LINERS

Ionisation power= Penetrating power


Linear energy transfer=
Damaging

Maximum

Minimum
Radiation Units
Entity SU Unit Conventional Unit

Radioactivity

Exposure

Absorbed dose
Air Kerma
ABG RAD

Equivalent dose

Effective dose
EXTREMITIES
SKIN, EXTREMITIES
SKIN, EXTREMITIES

Maximum Permissible Dose


Occupational Exposure Public Exposure

Overall ● 20 mSv/ year averaged 1 mSv/y


over 5 consecutive years
● 30 mSv in any single year

Lens 150mSv/y 15mSv/y

Skin
SKIN, EXTREMITIES 500mSv/y 50mSv/y
experiments

Pregnant 2mSv/y 1mSv/y


Female

Fetus 1mSv/y 0.5mSv/y


RADIATION IN DIFFERENT MODALITIES
Modality Dose

CXR 0.02 mSv

Mammography 0.5-0.7 mSv

CT head 2 mSv

CT chest 5 mSv

CT abdomen 10 mSv

PET 10-12mSv

Barium meal follow 7-8 mSv


through /enema
ABBREVIATIONS TO KNOW
● PACS

● DICOM

● ALARA

● RFA
Effects of Radiation
Stochastic Deterministic

No threshold Threshold exists

Delayed Immediate

Probability increases with dose Severity increases with dose

Cancer, Genetic mutations Skin erythema (MC), Cataracts,


“All or none” Epilation
THERMOLUMINESCENT DOSIMETER
LEAD APRON
MCQ 1

Which of the following investigations do not use ionizing radiation?

a) HSG
b) CT
c) Mammography
d) USG Doppler
MCQ 2

Q. Which of the following work on the same principle

a) CT and MRI
b) Xray and CT
c) MRI and USG
d) USG and PET
MCQ 3

Q. Minimum thickness of lead apron according to WHO

A) 0.25mm
B) 0.5mm
C) 0.75mm
D) 1mm
MCQ 4
Q. Radiation dose monitoring in occupational workers is done by:

a) Grid
b) TLD
c) Collimator
d) Linear accelerator
MCQ 5
Identify the incorrect pair of maximum radiation exposure limit according to AERB

a) General public- 1mSv /yr


b) Occupational worker -2 mSv/yr
c) Lens of occupational worker- 150msv/yr
d) Skin of general public-50msv/yr
Thank you

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