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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 289RADIATION CONTROL
SUBCHAPTER EREGISTRATION REGULATIONS
RULE §289.227Use of Radiation Machines in the Healing Arts

  (82) Scan time--The period of time between the beginning and end of x-ray transmission data accumulation for a single scan.

  (83) Scattered radiation--Radiation that has been deviated in direction during passage through matter.

  (84) Secondary protective barrier (See definition for protective barrier).

  (85) Shutter--A device attached to the tube housing assembly that can totally intercept the useful beam and that has a lead equivalency not less than that of the tube housing assembly.

  (86) Single tomogram system--CT system that obtains x-ray transmission data during a scan to produce a single tomogram.

  (87) Source--The focal spot of the x-ray tube.

  (88) Source-to-image receptor distance--The distance from the source to the center of the input surface of the image receptor.

  (89) Source-to-skin distance (SSD)--The distance from the source to the skin of the patient.

  (90) Special purpose x-ray system--Any x-ray system that is limited by design to radiographic examinations of specific anatomical regions. Special purpose x-ray systems include, but are not limited to, dedicated chest units, cystography units, and head and skull units.

  (91) Special procedures--The application of special x-ray systems and specialized techniques to obtain required diagnostic information. Special procedures include, but are not limited to, angiography, cardiac catheterization, myelography, and surgery.

  (92) Spot film--A radiograph that is made during a fluoroscopic examination to permanently record conditions that exist during that fluoroscopic procedure.

  (93) Spot film device--A device intended to transport and/or position a radiographic image receptor between the x-ray source and fluoroscopic image receptor. It includes a device intended to hold a cassette over the input end of an image intensifier for the purpose of making a radiograph.

  (94) Stationary x-ray system--A stationary x-ray system that is installed in a fixed location.

  (95) Stray radiation--The sum of leakage and scattered radiation.

  (96) Supervision--The delegating, by the practitioner, of the task of applying radiation to persons who perform tasks under the practitioner's control and who are certified under the Medical Radiologic Technologist Act, Texas Occupations Code, Chapter 601. The practitioner assumes full responsibility for these tasks and shall assure that the tasks will be administered correctly.

  (97) Target--The part of a radiation machine head that by design intercepts a beam of accelerated particles with subsequent emission of other radiation.

  (98) Technique chart--A chart that provides technical factors, anatomical examination, patient thickness for examination being performed, and source-to-image distance needed to make clinical radiographs when the radiographic system is in manual mode.

  (99) Technique factors--The conditions of operation that are specified as follows:

    (A) for capacitor energy storage equipment, peak tube potential in kV and quantity of charge in mAs.

    (B) for field emission equipment rated for pulsed operation, peak tube potential in kV and number of x-ray pulses;

    (C) for CT systems designed for pulsed operations, peak tube potential in kV, scan time in seconds, and either tube current in mA, x-ray pulse width in seconds, and the number of x-ray pulses per scan or the product of tube current, x-ray pulse width, and the number of x-ray pulses in mAs;

    (D) for CT systems not designed for pulsed operation, peak tube potential in kV, and either tube current in mA and scan time in seconds or the product of tube current and exposure time in mAs when the scan time and exposure time are equivalent; and

    (E) for all other x-ray systems, peak tube potential in kV and either tube current in mA and exposure time in seconds or the product of tube current and exposure time in mAs.

  (100) Tomogram--The depiction of the x-ray attenuation properties of a section through the body.

  (101) Tomographic plane--The geometric plane that is identified as corresponding to the output.

  (102) Tomographic section--The volume of an object whose x-ray attenuation properties are imaged in a tomogram.

  (103) Traceable to a national standard--This indicates that a quantity or a measurement has been compared to a national standard, for example, the National Institute of Standards and Technology, directly or indirectly through one or more intermediate steps and that all comparisons have been documented.

  (104) Tube--An x-ray tube, unless otherwise specified.

  (105) Tube housing assembly--The tube housing with tube installed. It includes high-voltage and/or filament transformers and other appropriate elements when such are contained within the tube housing.

  (106) Useful beam--Radiation that passes through the window, aperture, cone, or other collimating device of the source housing. Also referred to as the primary beam.

  (107) X-ray control panel--A device that controls input power to the x-ray high-voltage generator and/or the x-ray tube. It includes equipment such as timers, phototimers, automatic brightness stabilizers, and similar devices that control the technique factors of an x-ray exposure.

  (108) X-ray field--That area of the intersection of the useful beam and any one of the set of planes parallel to and including the plane of the image receptor, whose perimeter is the locus of points at which the exposure rate (air kerma rate) is 1/4th of the maximum in the intersection.

  (109) X-ray high-voltage generator--A device that transforms electrical energy from the potential supplied by the x-ray control to the tube operating potential. The device may also include means for transforming alternating current to direct current, filament transformers for the x-ray tubes, high-voltage switches, electrical protective devices, and other appropriate elements.

  (110) X-ray system--An assemblage of components for the controlled production of x-rays and include a radiation machine. It includes minimally an x-ray high-voltage generator, an x-ray control, a tube housing assembly, a beam-limiting device, and the necessary supporting structures. Additional components that function with the system are considered integral parts of the system.

  (111) X-ray tube--Any electron tube that is designed to be used primarily for the production of x rays.

(f) Morgues, forensic medicine, and educational facilities.

  (1) Morgues shall comply with the following requirements:

    (A) subsection (b)(1) and (2) of this section concerning scope;

    (B) subsection (c) of this section concerning prohibitions;

    (C) subsection (e) of this section concerning definitions, as applicable;

    (D) subsection (i)(2) of this section concerning operating and safety procedures;

    (E) subsection (i)(4) of this section concerning protective devices;

    (F) subsection (i)(11) of this section concerning holding of tube;

    (G) subsection (k)(1) of this section concerning warning labels;

    (H) subsection (m)(1)(A) of this section concerning fluoroscopy; and

    (I) subsection (s)(1)(A) - (I), and (R) of this section concerning records.

  (2) Facilities conducting training using non-humans shall comply with all the requirements of this section except for the following:

    (A) subsection (i)(5) of this section concerning operator credentialing;

    (B) subsection (j) of this section concerning radiographic entrance exposure (air kerma) limits;

    (C) subsections (p), (q) and (r) of this section concerning film processing; and

    (D) subsection (o) of this section concerning equipment performance evaluation.

(g) Requirements for bone densitometers. Bone densitometers shall be exempt from this chapter except for the following:

  (1) §289.203 of this title, §289.204 of this title, §289.205 of this title, §289.226 of this title, and §289.231 of this title;

  (2) healing arts screening and medical research in accordance with §289.226(h) and (t) of this title;

  (3) purpose and scope in accordance with subsections (a) and (b) of this section;

  (4) prohibitions in accordance with subsection (c)(1) and (2) of this section;

  (5) definitions in accordance with subsection (e) of this section, as applicable;

  (6) operating and safety procedures in accordance with subsection (i)(2) of this section;

Cont'd...

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