Professional Documents
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Principles of
Radiographic
Imaging An Art and
a Science
Contributors
Randy Griswold, Lisa King, Sharon Barrows Lakia, Matthew Marquess,
Kori Stewart, Christina Truluck
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Contributors
Randy Griswold, MPA, RT(R)
Consultant and Lecturer, Former Program Director
School of Radiologic Sciences
Bellin College
Green Bay, Wisconsin
Lisa J. King, R.T.(R)(M)(BD), CBDT
Bone and Mineral Lab/JSC NASA
Wyle, Integrated Science and Engineering Group
Houston, Texas
Sharon Barrows Lakia, M.S., R.T.(R), RDMS, RVT
Former Director, Diagnostic Medical Sonography
Indiana University Northwest
Gary, Indiana
iv
List of Tables
Foreword
xii
xv C H A P T E R 3
Preface xvi
Electricity 35
About the Authors xviii
Acknowledgments xix Understanding Electricity / 36
Electrostatics / 36
Electrodynamics / 40
Unit I Series and Parallel Circuits / 47
Creating the Beam
C H A P T E R 1 C H A P T E R 4
Basic Mathematics 2 Electromagnetism 52
The Language of Science / 3 Magnetism / 53
Arithmetic / 3 Electromagnetism / 57
Algebra / 7 Solenoids and Electromagnets / 59
Units of Measurement / 14 Controlling Electrical Current / 67
Rectification / 71
C H A P T E R 2
Radiation Concepts 18
C H A P T E R 5
Matter And Energy / 19 The X-Ray Tube 78
Atomic Theory / 20
Types of Energy / 28 The X-Ray Tube / 79
Electromagnetic Spectrum / 30 The Cathode Assembly / 79
The Discovery of X-Rays / 32 The Anode Assembly / 82
X-Ray Properties / 33 The Envelope / 89
C H A P T E R 6 C H A P T E R 10
Radiation Protection Procedures
X-Ray Equipment 96
for Patients and Personnel 139
Types of X-Ray Equipment / 97
Advisory Groups and Regulatory
Power for X-Ray Generation / 99 Agencies / 140
A Basic X-Ray Circuit / 101 Limiting Exposure to Ionizing
Generators / 103 Radiation / 140
Automatic Exposure Controls / 106 Protection of Personnel / 142
Protection of the Patient / 145
C H A P T E R 7 Radiation Exposure and Pregnancy / 147
8
Measurement / 152
C H A P T E R Types of Filtration / 152
Effect on Output / 155
X-Ray Production 117
Conditions / 118
Target Interactions / 118 C H A P T E R 12
Emission Spectrum / 121 The Prime Factors 158
The Prime Factors / 159
Unit II
Protecting Patients Milliamperage-Second / 159
and Personnel Kilovoltage / 162
Distance / 164
Image Quality Factors / 167
C H A P T E R 9
Radiation Protection Concepts
and Equipment 126
C H A P T E R 13
X-Ray Interactions 169
The Basics of Radiation Protection Principles
and Practice / 127 X-Ray Interaction with Matter / 170
Quantities and Units Relevant to Photoelectric Absorption / 171
Radiation Protection / 129 Coherent Scattering / 173
Unit III
Creating the Image
C H A P T E R 19
Film and Screens Imaging
and Processing 242
C H A P T E R 16 adiographic Film / 243
R
Vision and Perception 202 Construction of Radiographic Film / 243
Latent Image Formation / 246
Image Perception / 203 Types of Film / 247
Controlling the Image in Space / 207 Film Storage and Handling / 247
Radiography as an Art Form / 208 Film Identification / 247
22
Silver Recovery Systems / 250
Sensitometry / 250 C h apter
Sensitometric Equipment / 250
The D Log E Curve / 253 Digital Radiography/Flat-Panel
Film Characteristics / 254 Detector Systems 305
Intensifying Screens / 259
Flat-Panel Detector Types / 306
Construction of Intensifying Screens / 260
Image Acquisition, Processing, and
Phosphors / 261
Display / 308
Characteristics of Intensifying Screens / 261
Flat-Panel Technology Features / 309
Cassettes and Holders / 264
DR Panel Precautions / 310
Care / 265
Emission Spectra / 265
Chracteristics of Film-Screen
Combinations / 266
C h apter 23
Unit IV Technical Considerations
Digital Radiography in Digital Imaging 314
Introduction
Effective use of Digital Imaging / 315
Digital Exposure Considerations / 315
Unit V
Analyzing the Image C h apter 29
Distortion 400
Unit VI
Special Imaging Systems
C h apter 28 and Modalities
C H A P T E R 36
C H A P T E R 33 Bone Densitometry 496
Fluoroscopy 448 Bone Densitometry / 497
History and Overview / 497
Historical Development / 449
Bone Science / 497
Fluoroscopy Uses / 449
Osteoporosis / 498
Types of Equipment / 449
WHO Diagnostic Criteria / 501
Fluoroscopic X-Ray Tubes / 449
DXA Principles and Instrumentation / 502
Image Intensification Tubes / 450
Scan Acquisition and Analysis / 502
Image Quality / 454
Femur / 503
Video Viewing Systems / 455
Spine / 504
Digital Fluoroscopy / 455
Forearm / 505
Flat-Panel Fluoroscopy Designs / 456
Quality Control / 506
Recording the Fluoroscopic Image / 457
Radiation Safety and Protection / 507
Mobile Fluoroscopic Equipment / 457
37
Radiation Protection During
Fluoroscopy / 458 C H A P T E R
Vascular Imaging Equipment 510
C H A P T E R 34 Vascular Imaging History / 511
Tomography and Digital Digital Image Acquisition / 511
Tomosynthesis 462 Modes of Digital Image Acquisition / 512
Image Post-Processing / 513
The Tomographic Principle / 463 C-Arm Assembly / 514
Tomographic Quality / 464 Vascular Imaging Tables / 515
Types of Motion / 467 Contrast Medium Injection Devices / 516
Digital Tomosynthesis / 468 Quality Control / 517
Tomographic Procedures / 469
C H A P T E R 38
C H A P T E R 35 Computed Tomography 519
C H A P T E R 39 Field / 622
Doppler / 622
Magnetic Resonance Imaging 543 Harmonics / 622
Contrast Agents / 623
History / 544 Transducer and Components / 624
Instrumentation / 544 Instrumentation / 626
Mri Physics / 548
A
Mri / 550
Mr Safety / 559 A P P E ND I X
C H A P T E R 41 A P P E ND I X D
Radiation Therapy 593
Epigraph Sources and Credits 640
Historical Overview / 594
Consultation / 594 Glossary 642
Treatment Planning / 596
Treatment / 600
Index 659
Specialized Treatments and Units / 608
xii
14-2.
Medical ESE Values for Selected Radiographic Exams 185
14-3. Effects of Radiographic Exposure Variables on Patient Dose 186
14-4.
Comparison of Approximate Entrance Skin Exposures with Fixed and Variable kVp Technique Systems 187
14-5.
Gross Comparison of Relative Radiation Levels 190
14-6.
Estimated Loss of Life Expectancy due to Various Causes 190
17-1.
Basic Substances Comprising the Human Body 214
17-2. Summary of Pathology Problems 219
18-1. Grids for Use in Digital Imaging 228
18-2. Grid Conversion Factors 232
19-1. Standard Radiographic Film Sizes 245
19-2. Example Opacities, Optical Density Numbers, and Light Transmission Percentages 253
19-3. Relationship between Contrast, Latitude, and Patient Dose 259
19-4. Relationship between Speed and Patient Dose 259
19-5. Relationship Between Relative Speed Number and Exposure Sensitivity 266
20-1. Binary Code Numbers 276
20-2.
Typical Memory Requirements for Various Imaging Modalities Typical Image Grayscale
Bit Images per Approximate Storage Imaging 283
20-3.
Exposure Indicator Numbers Relative to Imaging Plate Exposure 284
23-1. Suggested Optimal kVp Ranges for DR Systems 316
23-2. A Step-by-Step Approach to Establishing an Exposure Technique Chart 316
24-1 DICOM Information Classes 331
26-1. Conversion Factors Effect of Generator ϕ on IR Exposure 359
26-2. Projections That May Use the Anode Heel Effect to Advantage 360
26-3. mAs Change Factors for Approximate Exposure Maintenance When Distance Changes 362
26-4. Effect on IR Exposure When Factors Are Changed 365
27-1. Relationship between Terms Used to Describe Contrast 369
27-2. Changes Necessary to Produce Visible Contrast Differences on a Film-Screen Image 376
27-3.
Effects of Changing Factors on Film Contrast 381
28-1 Spatial Resolution Quality Measures 387
28-2. Grayscale Bit Depth 388
28-3. Effects of Intensifying-Screen Factors on Resolution 396
28-4. Effects of Various Methods for Reducing Exposure Time to Avoid Motion 397
28-5.
Effect of Changing Factors on Spatial Resolution 397
29-1. SID Compensations for Common Tube Angulations 409
29-2. Effect of Changing Factors on Distortion 409
31-1. FOCUS-PDCA Method 422
31-2. Reject Percentage by Room 430
31-3. Reject Percentage by Technologist 430
xv
xvi
parameters but each is also enhanced by the addition of ◾◾ Radiation protection concepts and procedures are
digital factors that now impact on all imaging decisions. emphasized for both patients and radiographic
Most importantly, this entire edition has been revised personnel.
with current clinical practices in mind, with many changes ◾◾ Chapter-end summaries provide a quick reference to
that now reflect our digital radiography world, from end critical concepts and developments in the science of
to end. radiography.
◾◾ Numerous troubleshooting tips are included to
ensure quality radiographs.
ORGANIZATION
◾◾ Extensive references and recommended readings
provide a historical perspective and provide
The overall design of the book separates the 42 chapters learners a means to expand their understanding of
into six units: Creating the Beam, Protecting Patients concepts and systems.
and Personnel, Creating the Image, Digital Radiogra-
phy, Analyzing the Image, and Special Imaging Systems ◾◾ Video clips are now available for the chapters on
and Modalities. Unit IV, Digital Radiography, has been digital image production.
completely rewritten into 5 redesigned chapters; Digital ◾◾ Epigraphs and historical photos help trace the
Image Processing, Computed Radiography, Digital Radi- evolution of radiography to the present.
ography/Flat-Panel Detector Systems, Technical Consid- ◾◾ Unique emphasis on the art versus the science of
erations in Digital Imaging, and Informatics in Medical radiography illustrates the broad applications of the
Imaging. In addition, Unit V Analyzing The Image now technology.
reflects the new paradigm for technical exposure fac-
tors; Image Receptor Exposure, Contrast, Spatial Reso-
lution, and Distortion. We continue to offer framework STATEMENT OF CONTENT
information on all radiologic and imaging sciences ACCURACY
modalities and treatments. This design helps organize
the content for students by following a logical progres- Although we assume full responsibility for any errors,
sion from introductory physics through the production including those that may be construed as arising from quot-
and control of the beam to advanced modality systems. ing other works out of context, we have made every effort to
We remain extremely pleased that our book remains ensure the accuracy of the information. However, appropri-
one of the resources listed in the Radiography Curriculum ate information sources should be consulted, especially for
of the American Society of Radiologic Technologists, and new or unfamiliar procedures. It is the responsibility of every
we have long been pleased that this book continues to be practitioner to evaluate the appropriateness of a particular
recommended by the Canadian Association of Medical procedure in the context of actual clinical situations. There-
Radiation Technologists for preparation for its certifica- fore, neither the authors nor the publisher take responsibil-
tion in Radiological Technology. ity or accept any liability for the actions of persons applying
the information contained herein in an unprofessional
manner. This information is designed to supplement and
Features enhance the instructional methodologies of educators in
JRCERT (Joint Review Committee on Education in Radio-
In addition to the updated and new content, this new edi- logic Technologies [USA]) and CAMRT (Canada) approved
tion continues to feature the following learning aids and radiography programs and should not be applied, especially
critical content, with the addition of supporting video to human subjects, without this background. In committing
clips for the new digital radiography chapters: this book to print, we fully realize that it is never finished,
◾◾ Physical concepts are clearly explained and merely suspended for the time being.
illustrated with many high-quality full color figures. Finally, as a reader your perceptions are important
to us. We encourage you to communicate with us regard-
◾◾ Effects of changing parameters on image quality are
ing facets of the book you appreciate or would like to
carefully described and illustrated with numerous
see changed. We especially appreciate constructive com-
images.
ments and notice of errors. Our intention is to present the
◾◾ Criteria for image analysis are presented to help principles of radiography in an interesting format that pro-
learners develop analytical skills. vides a base from which true professionalism can develop.
◾◾ High-quality radiographs are included throughout Any commentary readers care to make toward this end
the text. will be valued and welcomed.
Richard R. Carlton is a Former Chair and Associate Radiologic Sciences from the University of Health Sci-
Professor of Radiologic and Imaging Sciences at Grand ences/Chicago Medical School and a Master’s Degree
Valley State University in Grand Rapids, Michigan. He is in Education from the University of Illinois at Urbana–
a past President and Chairman of the Board of the Asso- Champaign. Arlene has been an active member of the
ciation of Educators in Imaging and Radiologic Sciences. American Society of Radiologic Technologist and the
Rick co-founded the Michigan Radiologic and Imaging Association of Educators in Radiologic Sciences (AEIRS).
Sciences Consortium (a consortium of community col- For her service to AEIRS, she was awarded Fellow status.
leges and a university that offers advanced clinical edu- She has lectured across the country on numerous top-
cation), and established the Center for Medical Imaging ics in radiologic sciences and, in particular, was a past
in Bioanthropology (for field work x-raying mummies Honors Lecturer for an AEIRS Annual Meeting and a past
in Peru), Lambda Nu (the national honor society for the Keynote Speaker for the Associated S cience Program at
radiologic and imaging sciences), and The Sectional Anat- the Radiologic Society of North A merica (RSNA) annual
omy Consortium. He has published more than 20 books, meeting. For her service on the Indiana Radiation Con-
was the founding editor of two journals, and is a charter trol Advisory Commission, she received the Governor’s
Fellow of the Association of Educators in Radiologic Sci- Award, Sagamore of the Wabash.
ences (AEIRS). Rick has been a JRCERT accreditation In addition to her professional service, Arlene has
site visitor for more than 30 years, and was a Fulbright authored numerous articles and, along with Rick Carlton,
Scholarship alternate, as well as author of numerous is coauthor of the text Principles of Radiographic Imag-
journal articles. He has given more than 250 lectures in ing: An Art and a Science and coeditor of the text Intro-
36 states and 9 countries. duction to Radiography and Patient Care.
He holds an M.S. from National Louis University, B.S. Vesna Balac is a Clinical Assistant Professor and
in Radiologic Sciences from The Chicago Medical School, Director of the Radiologic Sciences Programs at Indiana
and an A.A.S. from Illinois Central College. He is ARRT University Northwest in Gary, Indiana. She received
certified in radiography and cardiovascular-interventional her radiography education as well as her B.S. degree in
technology and has taught radiologic sciences for over Radiologic Sciences at Indiana University Northwest.
30 years in Chicago, Ohio, San Francisco, Arkansas, She has a Master’s Degree in Adult Education from
and M ichigan. With Arlene Adler, he is the author of the Indiana University in Bloomington and is currently a
best-selling radiographic physics textbook Principles of doctoral candidate in Instructional Systems Technology
Radiographic Imaging as well as Introduction to Radio at the School of Education at Indiana University Bloom-
graphy and Patient Care, both now in fifth editions. ington. She is ARRT certified in radiography and mag-
Rick has also been the radiology section consultant to netic resonance imaging and an active member of the
Taber’s Cyclopedia Medical Dictionary for the past three American Society of Radiologic Technologist (ARRT),
editions. the Association of Educators in Radiologic Sciences
Arlene Adler is Professor Emerita, Radiologic Sci- (AEIRS), and the Indiana Society of Radiologic Tech-
ences Programs at Indiana University Northwest in Gary. nologists (ISRT). In addition to her professional service,
She received her radiography education at Michael Reese Vesna is a contributing author to the text Introduction to
Medical Center in Chicago. She has a B.S. degree in Radiography and Patient Care.
xviii
We wish to acknowledge the support provided by Dean his persistent and knowledgeable critique of our efforts.
Patrick Bankston, Associate Dean Linda DeLunas, and We are grateful for Gene’s unique contributions, espe-
the wonderful radiologic sciences faculty at Indiana cially his ability to never let nearly two decades of friend-
University Northwest, including Melynie Durham, Robin ship come between us and a more accurate reworking of
Jones, Tamekia Smith, Amanda Sorg, Sue Woods, Shannon verbiage or the details of an illustration.
Baimakovich, Angela Brite, Heather Govert, Heather We acknowledge detailed contributions from John
Hardesty, Susan Janosky, Samantha LoBue, Giovanna Skinner at Mid Michigan Community College; Jeff Lloyd
Lucido, Deborah Moss, Zack Pajkos, Camilla Pulliam, Lisa at Spectrum Butterworth in Grand Rapids, Michigan;
Shepley, Sheri VonderWoude, and Becky Wantland. John Godisak at Grand Rapids Community College,
The sixth edition has been produced by our most Michigan; and Jennifer Lockhart from Saint Anthony
dedicated team at Cengage Learning. Medical Center in Crown Point, Indiana.
We are especially grateful to Joe Chovan, the most The students, faculty, and staff at Arkansas State
spectacular artist we have ever worked with. Joe’s artistic University played a major role in the third edition. Special
skills are on exhibit throughout the many editions of this thanks were due Dean Susan Hanrahan for unremitting
book, as he allows us to bring new insight into complex support and constant enthusiasm for what we are trying
content through his sparkling and insightful illustrations. to accomplish in the radiologic sciences.
We are indebted to the unstinting contributions We thank the faculty and students who have found
from Randy Griswold from Bellin College in Green our work valuable in the process of radiography educa-
Bay, Wisconsin. A significant portion of the accuracy tion and practice since the first edition was published.
of the book derives from the constant inspection and The success of this book and the invitation to produce a
contributions he has made. Randy Griswold has been an new edition are a direct result of the acceptance of our
enthusiastic and regular contributor to this text for many work by the radiography profession, which we gratefully
years and his additions and updates have been greatly acknowledge.
appreciated. Dennis Bowman from the Community Hos- Our families once again deserve our thanks for their
pital of the Monterey Peninsula in Monterey, California understanding. Don Adler, Lynn Carlton, Louis Stevovich,
worked with us in his facility to refine digital techniques and Mirko, Zorka, and Milorad Balac have given countless
as well as prepare our video clips and illustrations. hours that were rightfully theirs, for which we extend a
We have also been very appreciative of the constant peace offering of love. Much appreciation is also extended
input of Denise Moore, Professor Emeritus at Sinclair to Arlene’s daughters Meri and Katie, and Vesna’s daughter
Community College in Dayton, Ohio, who has been our Emili for their love and support. Rick’s family now
constant conscience from the first edition. We also can- includes not only his children but his growing group of
not forget the contributions made to the first through grandchildren: Nate, Michael, Zach, Mercie-Marie, Max,
fourth editions by Barry Burns of the University of North the twins Paige and Addison, Silas, Henry, and Penelope,
Carolina, who routinely went far beyond our wildest all of whom get their time, book or not.
hopes in critiquing our text, producing films to illustrate Once again, we have been assisted in our work by a
his points, disproving old wives tales in his laboratory, wide spectrum of colleagues in the radiologic sciences and
and generously sharing his results (and venison) with us. related fields. In addition to those who assisted us during
Barry became a backbone of the technical aspects of this the earlier edition, we wish to add our colleague Dennis
book. Eugene Frank, formerly of the Mayo Clinic and Bowman from the Community Hospital of the Monterey
Riverland Community College in Minnesota, continued Penisula; Euclid Seeram of British Columbia Institute
xix
information and illustrations was made by the consistent for their commentary and technical assistance above
presence of Eugene Frank, formerly of the Mayo Clinic and beyond the normal bonds of friendship; Philip W.
Foundation, throughout. Ballinger of the Ohio State University; Terry West of
We are in the professional debt of many who inspired Toronto, Secretary-General of the International Society
us, taught us, and collaborated with us throughout the of Radiographers and Radiological Technicians; Stewart
years. Much of what is contained in this work is a direct Bushong of Baylor College of Medicine; Terry Eastman
result of these efforts. Those to whom we are especially of Dallas; Joe Fodor of the University of Cincinnati
indebted are Tracy Ahdel, Janice Akin, Judy Baron, Karen Medical Center; Nina Kowalczyk of Riverside Methodist
Brinkman, John Cortez, Marion Frank, Mick Jagger, Karen Hospital, Columbus, Ohio; Denise Moore of Sinclair
Jefferies, Robin Jones, Dr. George Koptik, Judy Koptik, Community College, Dayton, Ohio; Bruce Long of
Jon Lilly, Dr. Marzuto, Kathy Miller, Joe Mosqueda, Indiana University Medical Center; Marilyn Holland of
Traci O’Donnell, LaVerne Ramaeker, Karen Schmidl, the University of Iowa Hospitals and Clinics; Charles R.
Kay Shriver, Tracy Thegze, Jean Widger, Rob Wilcoxen, Griffith of FGHB Certified Radiation Physicists; Loren
and Sue Wilson. And of course our students at Indiana Garlets of Hays State University, Kansas; Pat Sharp of
University Northwest, Lima Technical College, Wilbur Gannon University, Erie, Pennsylvania; Tim Penning
Wright College, Malcolm X College, and Michael Reese of Athens Regional Medical Center, Georgia; Seymour
Hospital and Medical Center. Sterling, FASRT, of Yardley, Pennsylvania; Jerome
Like our colleagues and students, we owe much to the Taubel of the Mayo Clinic Foundation, Rochester,
institutions that contributed to our professional expertise. Minnesota; Bob Kobistek in Cleveland and Martin
We wish to thank Indiana University Northwest, Lima Ratner and Steve Szeglin in Carle Place, New York, both
Technical College, Michael Reese Hospital and Medical of Victoreen, Inc./Nuclear Associates; Terry Hanby of
Center, Lutheran General Hospital, Mercy Hospital and DuPont; Robert Trinkle, formerly of DuPont; Mike Wilsey
Medical Center (Chicago), Northwestern Memorial Hospital of Agfa Matrix; Robert Lockery and Walter Weigl of
(Chicago), Wilbur Wright College, Illinois Central College, Siemens Corporation; Robert Busic of General Electric
Carl Sandburg College, Evanston Hospital, Methodist Medical Systems; William Conklin of Orangeburg, SC;
Medical Center (Peoria), and Community Memorial Hospital Rene Abgrall of Thoard, France; Toshinori Komba of
(Monmouth). Komazawa University, Tokyo, Japan; Angela Pickwick
We owe special thanks to many people for sharing of Montgomery County Community College, Maryland;
their personal expertise and material collections. One Jerry Conlogue of Gulf Coast Community College,
of the highest forms of professionalism, the willingness Florida; Barb Imber of St. Rita’s Medical Center, Lima,
of radiologic technologists to freely give of their time Ohio; Rick Halker of Lima Memorial Hospital, Ohio; The
and knowledge, was demonstrated again and again by Radiology Department of Van Wert County Hospital,
everyone from whom we requested assistance in our Van Wert, Ohio, John Stone of Emory University
compilation of the multitude of photographs, drawings, Medical School, Atlanta; Tom Beery and Will Wells of
radiographs, and other illustrative materials in the Lima Technical College; Judy Shaw of Lima Technical
text and those who assisted in the numerous reviews College; Doug Raver and Chris Innskeep of Lima
of our writing. Among these deserving special thanks Technical College for video and software graphics;
are Gene Frank and Norlin Winkler of the Mayo Clinic and Jan Krietemeyer of Lima, Ohio, for bibliographic
Foundation and Ray Rossi of the University of Colorado research.
EXAMPLE:
ARITHMETIC 2 3 2 3 6
5 7 5 7 35
The radiologic technologist must have a basic under-
standing of computations such as addition, subtraction, a c ac
multiplication, and division of whole numbers, fractions, b d bd
and decimals.
Decimals Move the decimal point in the dividend the same number
of places to the right (as was done for the divisor). Add
Decimal number place value (columns) is determined as zeros if necessary to maintain the position of the decimal.
shown in Figure 1-1. Divide the numbers as if they were whole numbers. Place
Addition and Subtraction. To add or subtract two the decimal point in the quotient directly above the deci-
decimal numbers, line up the decimal points in each mal point in the dividend. Add zeros if necessary to main-
number, adding or subtracting as with whole numbers. tain the position of the decimal.
Remember to add in zeros to fill out the decimal posi-
tions, if necessary. The decimal point must remain in the
EXAMPLES:
same position.
)
0.25 1250
5000.
EXAMPLES:
Add: Subtract: Rewrite as:
)
25. 125000.
1.3) 733.2
76.81 76.1 76.10
384.1 2.96 2.96 564.
460.91 73.14 )
13. 7332.
65
83
78
Multiplication. To multiply two decimal numbers, mul- 52
tiply the numbers as if they were whole numbers. Place 52
the decimal point in the product so the number of places 0
in the product equals the sum of the number of decimal
places in each number.
Convert a Fraction into a Decimal Number. To convert
a fraction into a decimal, divide the d
enominator into the
EXAMPLE:
numerator.
Multiply:
2.31 2 decimal positions
EXAMPLE: Convert 7/8 into a decimal:
6.8 1 decimal position
1848 0.875
1386 )
8 7.000
15.708 3 decimal positions 64
60
56
Division. To divide two decimal numbers, set up as if 40
doing whole number division. Move the decimal point in 40
the divisor to the right to make the divisor a whole number.
Ten-thousandths
Ten thousands
Decimal point
Thousandths
Hundredths
Thousands
Hundreds
Millions
Tenths
Units
Tens
1 1 1 1
1,000,000 100,000 10,000 1,000 100 10 1 • 10 100 1,000 10,000
Convert a Percent to a Decimal. To convert a percent to Rounding Off. To round a number, the last digit to be
a decimal, move the decimal point two places to the left. retained is:
1. Left unchanged if the digit to the right of the last digit
EXAMPLE: Convert 78.5% to a decimal: to be retained is less than 5.
78.5% 5 0.785 2. Increased by one if the digit to the right of the last
digit to be retained is 5 or greater.
EXAMPLE:
Converting Numbers from Ordinary to Scientific Nota-
tion. To write a number in scientific notation, the decimal 12 in 1 ft
1 or 1
point must be moved to the position following the first 1 ft 12 in
nonzero digit.
EXAMPLES:
Recall that 1 km 5 1,000 m, 1 hr 5 60 min, and
|22| 5 2 |4| 5 4 |0| 5 0
1 min 5 60 s. Note that it is possible to “cancel” the km
unit, the hr unit, and the min unit.
When converting cubic units or square units, extra
Because 22 is two units from zero on the number
attention needs to be given to the conversion factors.
line, the absolute value is 2. Because 4 is four units
Study the following example carefully.
from zero on the number line, the absolute value
is 4. Because 0 is zero units from zero on the number line,
EXAMPLE: Convert 3.8000 ft3 (cubic feet) to cubic the absolute value is 0.
inches (in3). Addition. To add two positive numbers, add their absolute
12 in 12 in 12 in values and attach a positive sign to the result. The positive
3.8000 ft 3 3.8000 ft 3 sign is usually omitted.
1 ft 1 ft 1 ft
5 6566.4 in3
or
12 in3 EXAMPLE:
3.8000 ft 3 3.8000 ft 3 ⋅ 6566.4 in
3
ALGEBRA −4 −3 −2 −1 0 1 2 3 4
Algebra uses symbols and specific rules of number manip- FIGURE 1-2. Number line.
ulation to solve equations.
Order of Operation
Negative of a Number. The negative of a number is the
opposite of the number in sign. Order-of-operation problems may occur when parenthe-
ses are not indicated. For example, evaluate 2 1 3 ? 4.
Depending on whether addition or multiplication is per-
EXAMPLE: formed first, the answer might be 20 or 14. The answer
The negative of 7 is 27; the negative of 27 is 7. actually depends on the order of operation. Rules have
been established that make the correct result 14.
If b 5 7, then 2b 5 27.
The difference between the unary minus sign (2)
If b 5 27, then 2b 5 2(27) 5 7.
and the subtraction sign (2) and the difference between
the unary plus sign (1) and the addition sign (1) must be
understood before order-of-operation rules can be learned.
Subtraction. Subtraction is rewritten as addition, as in A subtraction sign (2) is used between two numbers.
a 2 b 5 a 1 (2b).
EXAMPLES: EXAMPLE:
8 2 10 5 8 1 (210) 5 22 7 2 8 (subtraction sign)
8 2 (210) 5 8 1 10 5 18
28 210 5 28 1 (210) 5 218
28 2(210) 5 28 1 10 5 2 A unary minus sign (2) is used before one number.
EXAMPLE:
EXAMPLES:
27 2 8 (The first is a unary minus, the second is a
(2)(3) 5 6
subtraction sign.)
(22)(23) 5 6
(2)(23) 5 26
(22)(3) 5 26 An addition sign (1) is used between two numbers.
EXAMPLE: EXAMPLE:
7x 1 3x 5 10x (like terms) 7(x 2 y) 2 4(x 2 y)
5 7(x 2 y) 1 (24)(x 2 y) (definition of
subtraction)
5 7x 2 7y 1 (24x) 2 (24y) (distributive
EXAMPLE: law)
EXAMPLE:
EXAMPLE:
27x 2 (23x) 5 27x 1 3x (definition of
7 2 [6x 2 (x 2 4)]
subtraction)
5 24x (combine like terms) 5 7 2 [6x 2 x 1 4] (remove innermost
parentheses)
5 7 2 [5x 1 4] (simplify within parentheses)
Parentheses. When an algebraic expression involves pa- 5 7 2 5x 2 4 (remove parentheses
rentheses, the parentheses need to be removed in order [square bracket])
to simplify the expression. 5 3 2 5x (combine like terms)
EXAMPLE:
EXAMPLE:
34 5 3 3 3 3 5 81
7(x 1 y) 2 4(x 1 y)
5 7(x 1 y) 1 (24)(x 1 y) (definition of subtraction)
5 7x 1 7y 1 (24x) 1 (24y) (distributive law)
5 3x 1 3y (combine like terms)
Laws of Exponents
Law 1: am an 5 am 1 n
EXAMPLES: EXAMPLES:
a a 5a
4 3 413
5a 7
1
x7
a a5 5 a1 1 5 5 a6 x7
1 1
23
23 8
a mn if m n
am It can also be shown that:
Law 2: n 1 a ≠ 0 1
a nm if n m foraa≠0.0.
an for
a an
EXAMPLES:
x5 EXAMPLES:
x5 2 x 3
x2
1
x7 1 1 2
52 25
10 7 3 5
x10 x x
1
x5
x5
Law 3: (ab)m 5 ambm
50 5 1
x0 5 1
(5x)0 5 1 Evaluating Algebraic Expressions
5x0 5 5 1 5 5
1 To evaluate an algebraic expression, replace each unknown
Definition: an foraa≠00
for with the given value and then perform the indicated
an
operations.
EXAMPLES:
Convert 60.0°F to C. The solution of an equation is that numeric value
The formula involved is C 5 5/9(F 2 32°). which, when substituted in the equation, gives a
Determine C when F 5 60.0°. true statement. In the earlier example, 2 is the solution
to the equation.
C 5 5/9(F 2 32°) There may be many solutions to an equation. For
C 5 5/9(60.0° 2 32°) (substitute 60.0° for F) example, in the equation x 1 5 5 x 1 5, all numeric values
C 5 5/9(28°) for x will give a true statement. This type of equation is
C 5 15.6° called an identity.
There may be no solutions to an equation. For exam-
Convert 20.0°C to F. ple, in the equation x 1 5 5 x 1 6, there are no numbers
The formula to use is F 5 9/5C 1 32°. that, when substituted in the equation, give a true state-
Determine F when C 5 20.0°. ment. Therefore, there are no solutions to the equation.
EXAMPLES:
x1557 Multiplication and Division Principle. If the same non-
3x 1 5 5 7 2 2x zero number is multiplied or divided by each side of the
equation, the equation remains equivalent.
EXAMPLE: EXAMPLE:
x Solve: 5a 5 30 for a
6
5 5a 5 30
x 5a 30
5 56 (multiply each side by 5)
5 5 5 (divide both sides by 5)
a56
x 5 30 (equivalent equation)
Check:
5a 5 30
5(6) 5 30 (substitute 6 for a)
EXAMPLE:
30 5 30 (Statement is true.)
3x 5 12
3x 12 (divide each side by 3)
3 3 EXAMPLE:
x54 (equivalent equation) Solve: 7x 2 5 5 3x 1 7 for x
7x 2 5 5 3x 1 7
To find a solution to an equation, the unknown (variable) 7x 2 5 1 5 5 3x 1 7 1 5 (add 5 to
must be isolated on one side of the equation. both sides)
7x 5 3x 1 12
7x 2 3x 5 3x 1 12 2 3x (subtract 3x from both
EXAMPLE: sides)
Solve: x 1 7 5 12 for x 4x 5 12
x 1 7 5 12 4 x 12
x 1 7 2 7 5 12 2 7 (subtract 7 from 4 4 (divide both sides by 4)
each side) x53
x55 Check:
Check: 7x 2 5 5 3x 1 7
x 1 7 5 12 7(3) 2 5 5 3(3) 1 7 (substitute 3 for x)
5 1 7 5 12 (substitute value for x) 21 2 5 5 9 1 7
12 5 12 (Statement is true; therefore, 16 5 16 (Statement is true.)
5 is solution to equation.)
To solve an equation with parentheses, the parentheses
need to be eliminated using some correct procedure, usu-
ally the distributive law.
EXAMPLE:
x EXAMPLE:
Solve: 18 for x
6
x Solve: 7(x 1 6) 5 21 for x
18
6 7(x 1 6) 5 21 (distributive law)
x
6 6 18 (multiply both sides by 6) 7x 1 42 5 21 (subtract 42 from each side)
6
x 5 108 7x 5 221 (divide each side by 7)
Check: x 5 23
x Check:
18
6 7(x 1 6) 5 21 (substitute 23 for x)
108 7(23 1 6) 5 21
18 (substitute 108 for x)
6 7(3) 5 21
18 5 18 (Statement is true.)
21 5 21 (Statement is true.)
Time. The unit of time is the second (s). The second was
originally defined in terms of the rotation of the earth Some commonly used prefixes are shown in Table 1-4.
on its axis (the mean solar day) but, like the meter, Conversion from one system to another is needed
the need for greater accuracy resulted in redefining from time to time. For example, 1 in. 5 2.54 cm is the
the unit. Time is now measured by the vibrations of conversion fact for changing inches to centimeters. See
cesium-133 atoms. This method is sometimes called the the section on Dimensional Analysis under the math
atomic clock. review for the procedure to convert from one set of units
to another.
Prefixes
The metric system uses prefixes to units to denote different TABLE 1-4. Commonly Used SI Prefixes
orders of magnitude, as shown in Table 1-3.
To convert from grams to kilograms or micrograms, or Unit Symbol Meaning
to grams with any other prefix, the decimal point is moved. kilovolt kV 103 volts
If the prefix moves up the table, the decimal point is moved centimeter cm 1022 meter
to the left the number of exponent positions moved. If the milliampere mA 1023 amp
prefix moves down the table, the decimal point is moved
milligray mGy 1023 Gy
to the right the number of exponent positions moved.
Dimensional analysis can also be used. nanosecond ns 1029 second
SUMMARY
7. Add the following numbers, leaving the results with 15. Evaluate the expression for a 5 2, b 5 24, and c 5 6.
the correct number of significant digits if each num- 3(a 1 b) 2 c
ber is assumed to be approximate. 16. Solve for x: 2x 2 8 5 4
a. 2.1 1 2.824 17. Solve for x: 2(3x 2 8) 5 3(4 2 x) 1 6x
b. 3.2 1 4.19 2 a
18. Solve for a:
8. Change the following numbers to scientific notation: 3 15
a. 0.0081
b. 7,811.2 R
EFERENCES
c. 0.00024 AND RECOMMENDED
d. 78,432 READING
9. Change the following numbers to ordinary notation:
Aufmann, R. N. (2017). Basic college mathematics: An applied
a. 3.614 × 102 approach (9th ed.). Boston: Brooks Cole.
b. 1.876 × 1024 Burns, J. E. (1979). The new SI units: Problems with conversion.
c. 1.823 × 103 The Canadian Journal of Radiography, Radiotherapy, and
Nuclear Medicine, 10(2), 60–70.
d. 5.67 × 106
Dunworth, J. V. (1976). SI units for ionizing radiations. The use
10. Convert 1,500 seconds to hours. of the “gray.” Radiography, 42(496), 84.
11. Convert 10 meters2 to centimeters2. Martin-Gay, K. E. (2014). Prealgebra (7th ed.). London, United
12. Simplify the following algebraic expressions: Kingdom: Pearson.
The SI for the health profession. (1979). The Canadian Journal
a. 23(x 1 y) 1 7(2x 1 1)
of Medical Radiation Technology, 10(4), 138.
b. 24(x 1 2y) 2 8(2x 2 y) Washington, A. J. (2013). Basic technical mathematics
13. Simplify the following expressions, leaving the with calculus (10th ed.). Upper Saddle River, NJ:
answer with only positive exponents: Pearson Addison Wesley.
a. a2 ? b3 ? a4 ? b2 Wyckoff, H. O. (1978). The international system of units (SI).
Radiology, 128, 833–835.
b. (a4)3 ? (a2)23
14. Evaluate the expression for a 5 5 and b 5 3.
3 2
( a b2 )
8
18
Substances may be either simple or complex. A simple There is a unique relationship between matter and
substance is known as an element and a complex substance energy. They are interchangeable. This relationship was
is known as a compound. An element is a substance that can- described in 1905 by the German-American physicist
not be broken down into any simpler substances by ordinary Albert Einstein (1879–1955) in his well-known theory of
means. There are 92 naturally occurring elements identified relativity. Einstein mathematically described the relation-
on the periodic table of elements (Figure 2-2). Elements ship between matter and energy in the equation:
include such substances as hydrogen, oxygen, carbon, cal- E 5 mc2
cium, copper, silver, gold, lead, and barium. When two or
more elements are chemically united in definite proportion, where: E 5 energy
compounds are formed. Water and salt are both examples m 5 mass
of compounds. Water is formed by the chemical union of c 5 constant (the speed of light in a
two hydrogen atoms and one oxygen atom and is referred vacuum)
to as H2O (Figure 2-3). Each element has an abbreviated At the basis of Einstein’s work is the Law of Con-
letter or letters to identify it. These abbreviations for the servation. This law states that the sum total of all mat-
elements are outlined on the periodic table. For example, in ter and energy in the universe is a constant: matter and
the compound salt, the element sodium (Na) is chemically energy cannot be created or destroyed but they can be
combined with the element chlorine (Cl), in equal propor- converted from one form to another. Although recent
tions, to form sodium chloride (NaCl). research has demonstrated certain circumstances when
When broken down and examined in its purest form, Einstein’s theory has been disproved, for practical pur-
matter actually comprises very small invisible particles poses it is essentially true.
known as atoms. An atom is the smallest particle of an
element that still possesses the chemical properties of
that element. When two or more atoms are chemically
united, they form a molecule, which is the smallest parti- ATOMIC THEORY
cle of a compound that still possesses the characteristics
of the compound. For example, in the compound water, Matter comprises very small particles known as atoms. To
two hydrogen (H) atoms combine with one oxygen (O) understand how small atoms really are, it has been esti-
atom to form one water (H2O) molecule. With salt, one mated that one teaspoon of water (about 1 cm3) contains
sodium (Na) atom combines with one chlorine (Cl) atom about three times as many atoms as the Atlantic Ocean
to form one sodium chloride (NaCl) molecule. contains teaspoons of water.
Atoms are tightly bonded to one another when a mol- Atoms can be subdivided into three basic subatomic
ecule is formed. These bonds cannot be broken by ordinary particles: protons (p1), neutrons (n0), and electrons (e2).
physical means, such as crushing. Atoms and molecules are,
however, bound to one another by varying degrees of attrac- Historical Overview
tion. The degree of attraction between atoms or molecules
The composition of the atom has been a topic of scientific
will determine if the substance is a solid, a liquid, or a gas. The
investigation for thousands of years. The Greeks theorized
attraction is weakest with a gas and strongest with a solid. For
that matter has four basic components: air, water, earth,
example, depending on the degree of molecular attraction,
and fire. They named the smallest division of these com-
water can exist in its usual state as a liquid, or it can exist as
ponents the atom. This theory was accepted until the early
a gas (steam) or a solid (ice). The state is determined by the
1800s when an English schoolteacher named John Dalton
heat or thermal energy that the substance possesses.
(1766–1844) published his work on atomic theory. Dalton
concluded that all elements could be differentiated from
Energy one another based on the characteristic of mass. He further
Energy is defined as the ability to do work. The unit of concluded that each of the elements comprises atoms that
energy is the joule (J), named after the English physicist behaved in an identical fashion during a chemical reaction.
who developed the standard. When energy is emitted and During the mid-1800s, Russian scientist Dmitri Mendeleev
transferred through matter, it is called radiation. Radia- (1834–1907) developed the first periodic table of the ele-
tion is a term applied to many forms of energy, such as ments. This table arranges the elements in order of ascend-
heat and light. When the burner on a stove is lit, it can ing atomic mass and on the basis of the repetition of similar
be described as radiating heat. A light bulb is capable of chemical properties (Figure 2-2). More detailed information
radiating light. When any form of matter is struck by a on a specific element on the periodic table, including specific
form of radiant energy, it is described as being exposed characteristics, electron configurations, and electron binding
or irradiated. energies, can be found at http://www.webelements.com.
K or 1 H He
hydrogen 2 13 14 15 16 17 helium
1.007 94(7) Key: 4.002 602(2)
3 4 atomic number 5 6 7 8 9 10
L or 2 Li Be symbol B C N O F Ne
lithium beryllium name boron carbon nitrogen oxygen fluorine neon
6.941(2) 9.012 182(3) standard atomic weight 10.811(7) 12.0107(8) 14.0067(2) 15.9994(3) 18.998 4032(5) 20.1797(6)
11 12 13 14 15 16 17 18
M or 3 Na Mg Al Si P S Cl Ar
sodium magnesium 3 4 5 6 7 8 9 10 11 12 aluminium silicon phosphorus sulfur chlorine argon
22.989 770(2) 24.3050(6) 26.981 538(2) 28.0855(3) 30.973 761(2) 32.065(5) 35.453(2) 39.948(1)
19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
N or 4
K Ca Sc Ti V Cr Mn Fe Co Ni Cu Zn Ga Ge As Se Br Kr
potassium calcium scandium titanium vanadium chromium manganese iron cobalt nickel copper zinc gallium germanium arsenic selenium bromine krypton
39.0983(1) 40.078(4) 44.955 910(8) 47.867(1) 50.9415(1) 51.9961(6) 54.938 049(9) 55.845(2) 58.933 200(9) 58.6934(2) 63.546(3) 65.409(4) 69.723(1) 72.64(1) 74.921 60(2) 78.96(3) 79.904(1) 83.798(2)
37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54
O or 5 Rb Sr Y Zr Nb Mo Tc Ru Rh Pd Ag Cd In Sn Sb Te I Xe
rubidium strontium yttrium zirconium niobium molybdenum technetium ruthenium rhodium palladium silver cadmium indium tin antimony tellurium iodine xenon
85.4678(3) 87.62(1) 88.905 85(2) 91.224(2) 92.906 38(2) 95.94(2) [97.9072] 101.07(2) 102.905 50(2) 106.42(1) 107.8682(2) 112.411(8) 114.818(3) 118.710(7) 121.760(1) 127.60(3) 126.904 47(3) 131.293(6)
55 56 57-71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86
Cs Ba lanthanoids Hf Ta W Re Os Ir Pt Au Hg Tl Pb Bi Po At Rn
P or 6
caesium barium hafnium tantalum tungsten rhenium osmium iridium platinum gold mercury thallium lead bismuth polonium astatine radon
132.905 45(2) 137.327(7) 178.49(2) 180.9479(1) 183.84(1) 186.207(1) 190.23(3) 192.217(3) 195.078(2) 196.966 55(2) 200.59(2) 204.3833(2) 207.2(1) 208.980 38(2) [208.9824] [209.9871] [222.0176]
87 88 89-103 104 105 106 107 108 109 110 111
Fr Ra actinoids Rf Db Sg Bh Hs Mt Ds Uuu
Q or 7
francium radium rutherfordium dubnium seaborgium bohrium hassium meitnerium darmstadtium unununium
[223.0197] [226.0254] [261.1088] [262.1141] [266.1219] [264.12] [277] [268,1366] [271] [272]
57 58 59 60 61 62 63 64 65 66 67 68 69 70 71
La Ce Pr Nd Pm Sm Eu Gd Tb Dy Ho Er Tm Yb Lu
lanthanum cerium praseodymium neodymium promethium samarium euopium gadolinium terbium dysprosium holmium erbium thulium ytterbium lutetium
138.9055(2) 140.116(1) 140.907 65(2) 144.24(3) (144.9127) 150.36(3) 151.964(1) 157.25(3) 158.925 34(2) 162.500(1) 164.930 32(2) 167.259(3) 168.934 21(2) 173.04(3) 174.967(1)
actinium thorium protactinium uranium neptunium plutonium americium curium berkelium californium einsteinium fermium mendelevium nobelium lawrencium
(227.0277) 232.0381(1) 231.035 88(2) 238.028 91(3) (237.0482) (244.0642) (243.0614) (247.0704) (247.0703) (251.0796) (252.0830) (257.0951) (258.0984) (259.1010) (262.1097)
7/13/18 9:12 PM
22 UNIT I Creating the Beam
_
1 p+ Basic Atomic Particles
e
_ The atom is best described as having a small, dense
e
center known as the nucleus, which is surrounded by
_
e _ electrons that orbit it at various levels (Figure 2-4). The
e
_ nucleus contains two of the three basic particles of the
_ 8 p+ e
atom, protons and neutrons, which are responsible for
e 8 n0
almost all of the mass of an atom. Protons and neutrons
_ _ _ together are referred to as nucleons. The third basic
e e e particle, the electron, is located outside the nucleus
and has a relatively insignificant mass, 1/1,826 that of
_
e a proton.
Electrons cannot be divided into smaller parts, but
1 oxygen atom protons and neutrons both comprise even smaller sub-
nuclear structures called quarks. There are new theories
that may explain them as well as find a way for quantum
Figure 2-3. A water molecule is formed when two atoms of
hydrogen combine with one atom of oxygen. physics and relativity theory to work together. The over-
all concept is being referred to as M theory. It postulates
that electrons and quarks may not be particles, but