While checking generator calibration across several rooms, a CRES reviews typical clinical techniques. Which examination normally uses the lowest tube potential (kVp), and why?
Show answer & explanation
Answer: B
PA chest, because air-filled lungs need little penetration: Incorrect. Chest radiography commonly uses high kVp (about 110–125) to penetrate the mediastinum and reduce rib contrast.
Mammography, because breast soft tissues differ only slightly in density: Correct. Mammography uses about 25–35 kVp so photoelectric absorption differences between glandular, fatty and calcified tissue are maximized.
Lateral lumbar spine, because bone is thin in that projection: Incorrect. The lateral lumbar spine is one of the thickest projections and requires relatively high kVp.
AP abdomen, because bowel gas already adds plenty of natural subject contrast: Incorrect. Abdominal radiography typically uses about 75–85 kVp, well above mammography values.
Thin, low-contrast soft tissue (breast) uses low kVp to exploit photoelectric absorption; thick or high-contrast anatomy (chest, spine) uses higher kVp.