Nucs, MQSA, & Misc Trivia

Tc 99

I 123

I 131

Ga 67

In 111

Tl 201

Xe 133

C 11

N 13

O 15

F 18

Ru 82

Radionuclide Purity

Radiochemical Purity

Chemical Purity

Nuclear Spills
Major if > x

MEN 1

Men IIa

Men IIb

VHL

Tuberous Sclerosis

NF 1

MQSA:
- Education hours
- CME
- CME for new modality
- Case volume as trainee
- Case volume in practice

MQSA Audit Frequency

MQSA QC:
Processor

MQSA:
Darkroom cleanliness

MQSA QC:
Phantom evaluation

MQSA QC:
Viewbox conditions

MQSA QC:
Repeat analysis

MQSA QC:
Screen film contact

MQSA QC:
Darkroom fog

MQSA QC:
Compression test

MQSA phantom, how many:
- Fibers
- Speck groups
- Masses

MQSA Audit:
Cancers detected (per 1,000)

MQSA Audit:
Recall rate

MQSA Audit. Define:
- PPV1
- PPV2
- PPV3

MQSA Audit:
PPV1

MQSA Audit:
PPV2

MQSA Audit:
PPV3

MQSA: Notify pts of results in ___ days. If suspicious, then ___ days.

MQSA:
Mammograms must be retained for how long?

Occupational Max Radiation Dose:
Whole body

Occupational Max Radiation Dose:
Eye lens

Occupational Max Radiation Dose:
Extremity

Occupational Max Radiation Dose:
Pregnant

Max Radiation Dose:
Member of public

Radiation Deterministic Effect:
Transient erythema

Radiation Deterministic Effect:
Epilation (hair loss)

Radiation Deterministic Effect:
Cataract

Radiation Deterministic Effect:
Sterility

Radiation Deterministic Effect:
Bone marrow suppression

Radiation Deterministic Effect:
Cognitive effects

Radiation Deterministic Effect:
Lethal dose

Radiation Stochastic Effect:
Excess relative risk of cancer
(% per Sv)

Radiation Stochastic Effect:
1) Fetus threshold
2) Effect by weeks

I 123 Thyroid 24 hr Uptake:
- Normal range
- Graves range

I 131 Dose:
Graves
Multinodular goiter
Post-surgical thyroid remnant
Metastasis

After I 131, send patient home when:

VQ perfusion scan
- Number beads
- Size beads
- Decrease dose for these populations

HIDA (DISIDA) CCK (sincalide) dose

HIDA (DISIDA) morphine dose

HIDA (DISIDA) phenobarbital dose

Gallbladder EF < ___ = chronic cholecystitis / biliary dyskinesia

Gastric emptying:
Delayed if ___ residual at 1 hr or ____ at 4 hr

Diuretic renography. Lasix dose?

Renograph for obstruction. Normal half time? Abnormal half time?

Radiation dose limit for unrestricted area

Fission produced radioisotopes

Cyclotron produced radioisotopes

Nuclear gastroesophageal reflux study threshold

Mammogram anode/target k-edge:
- Molybdenum
- Rhodium
- Tungsten
(Iodine, silver, and barium for fun)

Fluoro: leakage from x-ray tube housing must be less than...

Sentinel event = _____ unintended cumulative dose (according to Joint Commission)

Fluoro: max entrance air kerma
(according to FDA)

Gamma camera QC tests and timing

Dose calibrator tests and timing

K space (contrast vs sharpness):
- Central =
- Peripheral =

Radiation deterministic effects:
- Erythema
- Epilation
- Desquamation
- Atrophy/necrosis