Summary
TMS-thk basis samenvatting
- Course
- Institution
Samenvatting van de lesstof en de bijhorende artikelen
[Show more]
Seller
Follow
StudentMondzorgkunde23
Reviews received
Content preview
TMS-THK BASISTENTAMEN 2022 samenvatting van de lesstof en de bijhorende artikelen.
,Inhoudsopgave
College 1 - Röntgentoestel en straling ............................................................................................................... 4
Wet Besluit Basisveiligheidsnormen Stralingsbescherming (BBS)................................................................. 4
Stralingsopleiding ACTA curriculum tandheelkunde erkend ........................................................................ 4
Röntgenbuis................................................................................................................................................... 4
Verschil lek- en röntgenstraling..................................................................................................................... 4
Anode ............................................................................................................................................................ 5
Karakteristieke straling .................................................................................................................................. 5
Remstraling ................................................................................................................................................... 5
Remstralingsspectrum (volledig spectrum) ................................................................................................... 6
Effect van buisspanning (kV) ......................................................................................................................... 6
Wisselspanning .............................................................................................................................................. 6
Effect van de buisstroom (mA) ...................................................................................................................... 7
kV en mA ....................................................................................................................................................... 7
Betekenis mAs ............................................................................................................................................... 7
Filter .............................................................................................................................................................. 8
Effect filter op het remstralingsspectrum ..................................................................................................... 8
Besluit stralingsbescherming filtering ........................................................................................................... 8
Stralingstypen ................................................................................................................................................ 8
Strooistraling ................................................................................................................................................. 9
Indeling dosimetrische grootheden .............................................................................................................. 9
Stralingsproductie in het röntgentoestel ...................................................................................................... 9
Grote object-film afstand .............................................................................................................................. 9
College 2A – Radiologische grootheden ........................................................................................................... 10
ICRP = International Comission Radiologica Protaction .............................................................................. 10
Geabsorbeerde dosis (D) ............................................................................................................................. 10
Equivalente Dosis (H)................................................................................................................................... 10
Stralingsweegfactor (WR)............................................................................................................................. 10
Weefselweegfactor (WT) ............................................................................................................................. 11
Effectieve dosis (ED) .................................................................................................................................... 11
Deel van het weefsel/orgaan dat wordt bestraald...................................................................................... 11
ED vaststellen .............................................................................................................................................. 12
Entrée Dosis................................................................................................................................................. 12
Dosis Oppervlakte Product (DOP) ............................................................................................................... 12
Straling......................................................................................................................................................... 13
College 2B – Stralingsdetectie/Dosimetrie ....................................................................................................... 13
Gas gevulde Dosismeters ............................................................................................................................ 13
Vaste stof detectoren .................................................................................................................................. 14
Beelddetectie .............................................................................................................................................. 14
Vloeistof detectie ........................................................................................................................................ 14
Persoonsdosismetrie ................................................................................................................................... 14
College 3 – Radiobiologie ................................................................................................................................. 14
Ioniserend vermogen .................................................................................................................................. 15
Wisselwerking van straling en materie........................................................................................................ 15
Elektromagnetische straling ........................................................................................................................ 15
Waarom zoveel dosismaten ........................................................................................................................ 15
Radiobiologie ............................................................................................................................................... 16
Weefsel reacties/deterministische effecten ............................................................................................... 16
Stochastische effecten ................................................................................................................................ 17
Lineair No Threshold Theorie ...................................................................................................................... 17
Verschil in risico ........................................................................................................................................... 17
Mogelijke alternatieven voor LNT ............................................................................................................... 18
Zwangerschap.............................................................................................................................................. 18
Risico medische toepassingen in relatie tot andere risico’s ........................................................................ 18
1
, Risico medische toepassingen in relatie tot andere risico’s ........................................................................ 18
Artikel NTvT Radiobiologische aspecten van röntgendiagnostiek .................................................................... 19
Leerdoelen................................................................................................................................................... 19
Effecten van röntgenstraling ....................................................................................................................... 19
Relatie tussen dosis en risico ....................................................................................................................... 20
Risico’s van tandheelkundige röntgendiagnostiek ...................................................................................... 21
Conclusie ..................................................................................................................................................... 21
College 4 – Deel 1 Principes van en procedures voor rechtvaardiging ............................................................. 21
Basisprincipes .............................................................................................................................................. 21
Rechtvaardiging ........................................................................................................................................... 22
Schade ......................................................................................................................................................... 22
Artikel NTvT Indicatie voor en frequentie van intraorale röntgenopnamen .................................................... 22
Leerdoelen................................................................................................................................................... 22
Rechtvaardiging en ALARA .......................................................................................................................... 22
Kwaliteitsbewaking van het proces ............................................................................................................. 23
Kwaliteit van de diagnostiek: sensitiviteit en specificiteit ........................................................................... 23
Frequentie van bitewing-opnamen bij kinderen ......................................................................................... 24
Frequentie van bitewing-opnamen bij volwassenen................................................................................... 25
Frequentie overige intraorale röntgenopnamen ........................................................................................ 25
Veilig gebruiken van röntgenopnamen (door de ICRP): .............................................................................. 26
College 4 – Deel 2 Waarom richtlijnen? ........................................................................................................... 26
Richtlijnen .................................................................................................................................................... 26
Waarom richtlijnen...................................................................................................................................... 27
Basis richtlijnen ........................................................................................................................................... 27
College 4 – Deel 3 Rechtvaardiging volgens de richtlijnen ............................................................................... 27
Rechtvaardiging volgens de richtlijnen........................................................................................................ 27
Keuze opname ............................................................................................................................................. 27
Rechtvaardiging bitewings .......................................................................................................................... 28
Rechtvaardiging bitewings kinderen ........................................................................................................... 28
Rechtvaardiging bitewings volwassenen ..................................................................................................... 29
Indicaties solo opname................................................................................................................................ 30
Rechtvaardiging solo opname ..................................................................................................................... 30
Rechtvaardiging panorama ......................................................................................................................... 30
College 4 – Deel 4 Panorama vs intraoraal ...................................................................................................... 31
College 4 – Deel 6a Rechtvaardiging CBCT voor algemeen practicus .............................................................. 31
Conebeam CT .............................................................................................................................................. 31
Rechtvaardiging ........................................................................................................................................... 32
Verwijzing .................................................................................................................................................... 32
Europese Richtlijn CBCT............................................................................................................................... 32
Indicaties voor CBCT scan ............................................................................................................................ 32
College 4 – Deel 6b Indicaties voor CBCT.......................................................................................................... 32
Indicatiestelling: implantologie ................................................................................................................... 32
Indicatiestelling: Endodontie ....................................................................................................................... 33
Indicatiestelling: orthodontie ...................................................................................................................... 33
Kaakgewricht diagnostiek............................................................................................................................ 33
Indicatiestelling: 3de molaren impactie ........................................................................................................ 33
Algemene pathologie .................................................................................................................................. 33
College 5 – Stralingsbescherming bij patiënten: ALARA ................................................................................... 33
Basisprincipes .............................................................................................................................................. 33
Rechtvaardiging ........................................................................................................................................... 34
Dosislimiet ................................................................................................................................................... 34
ALARA/ALADA ............................................................................................................................................. 34
2
, Eisen apparatuur ......................................................................................................................................... 35
Beeldreceptor .............................................................................................................................................. 35
Veldgrootte (collimator röntgenbundel) ..................................................................................................... 35
Diafragmering .............................................................................................................................................. 35
Kwaliteit van röntgenopnamen ................................................................................................................... 36
Opnametechniek ......................................................................................................................................... 36
Belichtingstijd .............................................................................................................................................. 36
Timer ........................................................................................................................................................... 36
Loodschild/kraag ......................................................................................................................................... 37
Loodschort ................................................................................................................................................... 37
CTP en ACC .................................................................................................................................................. 37
Artikel NTvT Het ALARA-principe. Achtergronden en toepassing in de praktijk ............................................... 37
Historie ........................................................................................................................................................ 37
Het ALARA-principe ..................................................................................................................................... 37
Diagnostisch Referentieniveau (DRN) ......................................................................................................... 38
ALARA in de praktijk .................................................................................................................................... 38
Praktijk, medewerkers en omgeving ........................................................................................................... 40
College 7 – Wet- en regelgeving in de stralingsbescherming - Deel 1 Wettelijke context................................ 40
Implementatie in de Nederlandse wetgeving ............................................................................................. 40
Richtlijnen en regels .................................................................................................................................... 41
Besluit basisveiligheidsnormen stralingsbescherming ................................................................................ 41
Opzet praktijkrichtlijn .................................................................................................................................. 41
College 7 – Wet- en regelgeving in de stralingsbescherming - Deel 2 Organisatorische aspecten .................. 41
Organisatorisch ........................................................................................................................................... 41
Eisen aan apparatuur .................................................................................................................................. 43
Eisen aan apparatuur .................................................................................................................................. 43
College 7 – Wet- en regelgeving in de stralingsbescherming - Deel 3 Basisprincipes stralingsbescherming
rechtvaardiging ................................................................................................................................................ 43
Rechtvaardiging ........................................................................................................................................... 43
Bbs artikel 8.5 Rechtvaardiging bij individuele medische blootstellingen .................................................. 44
Bbs artikel 8.6 Rechtvaardiging medisch-radiologische procedure bij asymptomatische personen .......... 44
Artikel 8.11. Medische blootstelling van vrouwen die zwanger zijn en borstvoeding geven...................... 44
College 7 – Wet- en regelgeving in de stralingsbescherming - Deel 3 Basisprincipes stralingsbescherming
optimalisatie .................................................................................................................................................... 45
Artikel 8.3 Optimalisatie medische blootstelling......................................................................................... 45
ALADA .......................................................................................................................................................... 46
Artikel 8.14 Eisen aan procedures en apparatuur ....................................................................................... 46
Conebeam CT .............................................................................................................................................. 46
3
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller StudentMondzorgkunde23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.07. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now