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Flashcards

Nucs, MQSA, & Misc Trivia

the saggiest English 117 cards

Nucs, MQSA, & Misc Trivia

Cards in this deck (117)

  1. 1Tc 99Synthesis: Generator
    Decay: Internal conversion
    Emit: Gamma photon
    Half life: 6 hr
    Energy: 140
  2. 2I 123Synthesis: Cyclotron
    Decay: Electron capture
    Emit: Photon
    Half life: 13 hr
    Energy: 159
  3. 3I 131Synthesis: Fission
    Decay: Beta minus
    Emit: Beta (some gamma)
    Half life: 8 days
    Energy: 364
  4. 4Ga 67Synthesis: Cyclotron
    Decay: Electron capture
    Emit: Photon
    Half life: 78 hr
    Energy: 90, 190, 290, 390
  5. 5In 111Synthesis: Cyclotron
    Decay: Electron capture
    Emit: Photon
    Half life: 67 hr
    Energy: 173, 247
  6. 6Tl 201Synthesis: Cyclotron
    Decay: Electron capture
    Emit: Photon
    Half life: 73 hr
    Energy: 69, 81
    Critical organ: kidneys
  7. 7Xe 133Synthesis: Fission
    Decay: Beta minus
    Emit: Gamma (some beta)
    Half life: 5.3 d
    Energy: 81
    Critical organ: trachea
  8. 8C 11Synthesis: Cyclotron
    Decay: Annihilation
    Emit: Positron
    Half life: 20 min
    Energy: 512
  9. 9N 13Synthesis: Cyclotron
    Decay: Annihilation
    Emit: Positron
    Half life: 10 min
    Energy: 512
  10. 10O 15Synthesis: Cyclotron
    Decay: Annihilation
    Emit: Positron
    Half life: 2 min
    Energy: 512
  11. 11F 18Synthesis: Cyclotron
    Decay: Annihilation. Election capture.
    Emit: Positron
    Half life: 110 min
    Energy: 512
  12. 12Ru 82Synthesis: Generator
    Decay: Annihilation
    Emit: Positron
    Half life: 1 min
    Energy: 512
  13. 13Radionuclide Purity0.15 uCi Mo per 1 mCi Tc
    Dose calibrator
  14. 14Radiochemical Purity< 5% free Tc (some say < 10%)
    Thin layer chromatography
  15. 15Chemical Purity< 10 ug Al per 1 mL Tc
    Paper colorimetry (pH paper)
  16. 16Nuclear Spills Major if > x1 mCi - I 131
    10 mCi - Ga 67, In 111, I 123
    100 mCi Tc 99, Tl 201
  17. 17MEN 1Pituitary adenoma
    Pancreatic islet cell
    Parathyroid adenoma/carcinoma
  18. 18Men IIaPheochromocytoma
    Medullary thyroid cancer
    Parathyroid hyperplasia
  19. 19Men IIbPheochromocytoma
    Medullary thyroid cancer
    Marfanoid habitus
    Ganglioneuromas (mucosal)
  20. 20VHLRenal cell carcinoma
    Angiomyolipoma
    Pheochromocytoma
    Pancreatic cysts and cystic tumors
    Liver cysts
    Hemangioblastoma
  21. 21Tuberous SclerosisCortical tubers
    Subependymal nodules
    Subependymal giant cell astrocytomas
    Angiomyolipoma
    Renal cell carcinoma
    Lymphangioleiomyomatosis
    Cardiac rhabdomyomas
  22. 22NF 1Plexiform neurofibroma
    Optic nerve glioma
    Sphenoid wing dysplasia
  23. 23—NaF 18
    Sharp bones    NaF 18 Sharp bones
  24. 24—FDGFDG
  25. 25—Ga 67
    Lacrimal glands
    Fuzzy PET    Ga 67 Lacrimal glands Fuzzy PET
  26. 26—Tc HDP/MDP
    Fuzzy bones    Tc HDP/MDP Fuzzy bones
  27. 27—I 123
    Sharp thyroid
    Glands, GI, GU, nasopharynx    I 123 Sharp thyroid Glands, GI, GU, nasopharynx
  28. 28—I 131
    Fuzzy thyroid
    Glands, oral cavity, liver, bowel, bladder    I 131 Fuzzy thyroid Glands, oral cavity, liver, bowel, bladder
  29. 29—MIBG
    Myocardium, liver, salivary gland, thyroid
    Bone = abnormal    MIBG Myocardium, liver, salivary gland, thyroid Bone = abnormal
  30. 30—Tc Sestamibi
    Glands, thyroid, heart, liver
    Critical organ: gallbladder    Tc Sestamibi Glands, thyroid, heart, liver Critical organ: gallbladder
  31. 31—Octreoscan In 111
    Liver, spleen, kidneys    Octreoscan In 111 Liver, spleen, kidneys
  32. 32—Tc sulfur colloid
    Liver > spleen
    Critical organ: liver
    FNH +; adenoma -; hemangioma -    Tc sulfur colloid Liver &gt; spleen Critical organ: liver FNH +; adenoma -; hemangioma -
  33. 33—Tc pertechnetate
    Glands, thyroid, stomach, breast
    Critical organ: colon    Tc pertechnetate Glands, thyroid, stomach, breast Critical organ: colon
  34. 34—In 111 WBC
    Spleen > liver
    Critical organ: spleen    In 111 WBC Spleen &gt; liver Critical organ: spleen
  35. 35—PSMA F 18
    Lacrimal glands, salivary, liver, spleen, kidneys, bowel    PSMA F 18 Lacrimal glands, salivary, liver, spleen, kidneys, bowel
  36. 36—DOTA Ga 68
    Pituitary, uncinate, liver, spleen, GU    DOTA Ga 68 Pituitary, uncinate, liver, spleen, GU
  37. 37—DTPA In 111
    Normal    DTPA In 111 Normal
  38. 38—HMPAO Tc 99HMPAO Tc 99
  39. 39—FDGFDG
  40. 40—DTPA In 111
    Brain death    DTPA In 111 Brain death
  41. 41—HMPAO Tc 99
    Interictal    HMPAO Tc 99 Interictal
  42. 42—DTPA In 111
    Cisternogram
    Normal    DTPA In 111 Cisternogram Normal
  43. 43—DTPA In 111
    Cisternogram
    NPH (in vents)    DTPA In 111 Cisternogram NPH (in vents)
  44. 44—FDG
    Normal    FDG Normal
  45. 45—Florbetapir F 18
    Normal white matter uptake
    No gray matter uptake to suggest plaque    Florbetapir F 18 Normal white matter uptake No gray matter uptake to suggest plaque
  46. 46—DAT scan - Ioflupane I 123
    Normal comma shaped caudate
    Absence = Parkinson    DAT scan - Ioflupane I 123 Normal comma shaped caudate Absence = Parkinson
  47. 47—Florbetapir F 18
    Alzheimer
    Loss of gray white
    Abnormal uptake in gray matter    Florbetapir F 18 Alzheimer Loss of gray white Abnormal uptake in gray matter
  48. 48—FDG F 18
    Alzheimer
    Posterior cingulate
    Temporo-parietal
    Spares motor strip
    Spares visual cortex    FDG F 18 Alzheimer Posterior cingulate Temporo-parietal Spares motor strip Spares visual cortex
  49. 49—FDG F 18
    Pick's
    Frontotemporal    FDG F 18 Pick's Frontotemporal
  50. 50—FDG F 18
    Lewy Body
    Does not spare occipital    FDG F 18 Lewy Body Does not spare occipital
  51. 51—Uniformity
    Intrinsic (collimator off)
    Extrinsic (collimator on)
    Co 57
    Daily    Uniformity Intrinsic (collimator off) Extrinsic (collimator on) Co 57 Daily
  52. 52—Spatial resolution & Linearity
    Weekly    Spatial resolution &amp; Linearity Weekly
  53. 53—Energy spectrum
    Daily or automatic with each use    Energy spectrum Daily or automatic with each use
  54. 54—Jaszczak phantom
    Spatial resolution & Linearity
    Weekly    Jaszczak phantom Spatial resolution &amp; Linearity Weekly
  55. 55—Energy resolution & linearity
    Annually    Energy resolution &amp; linearity Annually
  56. 56—Center of rotation test
    Monthly    Center of rotation test Monthly
  57. 57MQSA: - Education hours - CME - CME for new modality - Case volume as trainee - Case volume in practiceEducation - 60 hours
    CME - 15 credits in 3 years
    New modality - 8 credits
    Cases - 240 w/in 6 months, 2 yr prior to graduating
    Continue in practice - 960 in 2 yrs
  58. 58MQSA Audit Frequency12 month
  59. 59MQSA QC: ProcessorDaily
  60. 60MQSA: Darkroom cleanlinessDaily
  61. 61MQSA QC: Phantom evaluationWeekly
  62. 62MQSA QC: Viewbox conditionsWeekly
  63. 63MQSA QC: Repeat analysisQuarterly
  64. 64MQSA QC: Screen film contactSemi-annually
  65. 65MQSA QC: Darkroom fogSemi-annually
  66. 66MQSA QC: Compression testSemi-annually
  67. 67—Breast QC
    Density difference & background density
    Background must be < 0.2 OD of baseline
    Density diff must be < 0.05 OD of baseline    Breast QC Density difference &amp; background density Background must be &lt; 0.2 OD of baseline Density diff must be &lt; 0.05 OD of bas...
  68. 68MQSA phantom, how many: - Fibers - Speck groups - Masses2018 MQSA says:
    >= 2 fibers
    >= 3 speck groups
    >= 2 masses    MQSA phantom, how many: - Fibers - Speck groups - Masses
  69. 69—Spatial resolution test
    (breast)
    > 11 or 13 line pairs per mm    Spatial resolution test (breast) &gt; 11 or 13 line pairs per mm
  70. 70MQSA Audit: Cancers detected (per 1,000)> 2.5
  71. 71MQSA Audit: Recall rate5-12%
  72. 72MQSA Audit. Define: - PPV1 - PPV2 - PPV3- PPV1: #cancer/#recall
    - PPV2: #cancer/#biopsies recommended
    - PPV3: #cancer/#biopsies performed
  73. 73MQSA Audit: PPV13-8%
    PPV1 = # cancer / # recalls
  74. 74MQSA Audit: PPV2Screening: 15-40%
    Palpable lump: 25-50%
    PPV2 = #cancer / #biopsies recommended
  75. 75MQSA Audit: PPV3Screening: 20-45%
    Palpable lump: 30-55%
    PPV3 = #cancer / #biopsies performed
  76. 76MQSA: Notify pts of results in ___ days. If suspicious, then ___ days.30 days. 5 days.
  77. 77MQSA: Mammograms must be retained for how long?5 years (default)
    OR
    10 years if no priors
  78. 78Occupational Max Radiation Dose: Whole body50 mSv = 5,000 mrem
  79. 79Occupational Max Radiation Dose: Eye lens150 mSv = 15,000 mrem
  80. 80Occupational Max Radiation Dose: Extremity500 mSv = 50,000 mrem
  81. 81Occupational Max Radiation Dose: Pregnant5 mSv from declaration date
  82. 82Max Radiation Dose: Member of public1 mSv = 100 mrem per year
  83. 83Radiation Deterministic Effect: Transient erythema3-6 Gy
  84. 84Radiation Deterministic Effect: Epilation (hair loss)4 Gy
  85. 85Radiation Deterministic Effect: Cataract0.5 Gy (new number)
    5 Gy (old literature)
  86. 86Radiation Deterministic Effect: Sterility3.5 Gy (male), 2.5 Gy (female)
  87. 87Radiation Deterministic Effect: Bone marrow suppression0.5 Gy
  88. 88Radiation Deterministic Effect: Cognitive effects1-2 Gy (adult), 0.1-0.2 Gy (infant)
  89. 89Radiation Deterministic Effect: Lethal dose5 Gy
  90. 90Radiation Stochastic Effect: Excess relative risk of cancer (% per Sv)4-5% per Sv in adults
    5.5-6.0% per Sv all comers
  91. 91Radiation Stochastic Effect: 1) Fetus threshold 2) Effect by weeks1) > 100 m Gy
    2) - weeks 0-2 = death
    - weeks 3-8 = organogenesis problems
    - weeks 8 - 15= cognitive problems
  92. 92I 123 Thyroid 24 hr Uptake: - Normal range - Graves rangeNormal 10-30%
    Graves 40-70%
  93. 93I 131 Dose: Graves Multinodular goiter Post-surgical thyroid remnant MetastasisGraves 10 - 15 mCi
    Goiter 20 - 30 mCi
    Thyroid remnant 75 - 150 mCi
    Metastasis 200 mCi
  94. 94After I 131, send patient home when:- If dose < 33 mCi
    - Pt < 7 mrem/hr at 1 meter
    - Dose to family < 500 mrem
  95. 95VQ perfusion scan - Number beads - Size beads - Decrease dose for these populationsNormal: 200,000-600,000 beads
    100,000-200,000 if infant, R->L shunt, pregnant, or pulm HTN
    Size 30 - 50 um
  96. 96—Tc 99 RBC scan
    Sensitivity 0.2 mL/min (0.04 in some studies)
    Critical organ: colon & heart    Tc 99 RBC scan Sensitivity 0.2 mL/min (0.04 in some studies) Critical organ: colon &amp; heart
  97. 97—Meckel Scan
    Tc pertechnetate
    Critical organ: thyroid    Meckel Scan Tc pertechnetate Critical organ: thyroid
  98. 98HIDA (DISIDA) CCK (sincalide) dose0.02 mcg/kg over 15 - 60 min
  99. 99HIDA (DISIDA) morphine dose0.04 mg/kg (over 3 min)
  100. 100HIDA (DISIDA) phenobarbital dose5 mg/kg/day for 5 days
  101. 101Gallbladder EF < ___ = chronic cholecystitis / biliary dyskinesia35%
  102. 102Gastric emptying: Delayed if ___ residual at 1 hr or ____ at 4 hr90%, 10%
  103. 103Diuretic renography. Lasix dose?40 mg
  104. 104Renograph for obstruction. Normal half time? Abnormal half time?< 10 min = normal
    10 - 20 min = indeterminate
    > 20 min = obstruction
    (somewhat related, normal time to peak is 3-5 min)
  105. 105Radiation dose limit for unrestricted area2 mrem/hr = 0.02 mSv/hr
  106. 106Surface dose limit? 1 meter?I
    - surface 0.5 mrem/hr (5 uSv)
    II
    - surface 50 mrem/hr (0.5 mSv)
    - 1 meter 10 mrem/hr (0.1 mSv)
    III
    - surface 200 mrem/hr (2 mSv)
    - 1 meter 10 mrem/hr (0.1 mSv)    Surface dose limit? 1 meter?
  107. 107Fission produced radioisotopesI 131, Xe 133, (Mo 99)
  108. 108Cyclotron produced radioisotopesI 123, F 18, Ga 67, In 111, Tl 201, Mo 99
  109. 109Nuclear gastroesophageal reflux study threshold> 4% is abnormal
    Tc sulfur colloid study
  110. 110Mammogram anode/target k-edge: - Molybdenum - Rhodium - Tungsten (Iodine, silver, and barium for fun)Molybdenum 20 keV
    Rhodium 23
    Tungsten 70
    (Iodine 33, Silver 25, Barium 37)
  111. 111Fluoro: leakage from x-ray tube housing must be less than...1 mGy/h at 1 m
  112. 112Sentinel event = _____ unintended cumulative dose (according to Joint Commission)15 Gy
    = root cause analysis
    &
    Joint Commission inspector visit
  113. 113Fluoro: max entrance air kerma (according to FDA)100 mGy/min
  114. 114Gamma camera QC tests and timing- Extrinsic uniformity (daily)
    - Photopeaking (daily)
    - Intrinsic uniformity (weekly)
    - Bar phantom (weekly)
    - Center of rotation (monthly)
    - Jascszak phantom (quarterly)
  115. 115Dose calibrator tests and timingCLAG
    - Constancy (daily)
    - Linearity (quarterly)
    - Accuracy (annually)
    - Geometry (at installation/repair)
  116. 116K space (contrast vs sharpness): - Central = - Peripheral =Central = contrast
    Peripheral = sharpness
  117. 117Radiation deterministic effects: - Erythema - Epilation - Desquamation - Atrophy/necrosis- Erythema 2-5 Gy
    - Epilation 5-10 Gy
    - Desquamation 10-15 Gy
    - Atrophy/necrosis >15 Gy

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Flashcards on Nucs, MQSA, & Misc Trivia, created by the saggiest on 16/01/2021.
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