Basics of x-rays ,x ray production and uses What are x rays • X-rays are electromagnetic waves, they are more energetic so they can penetrate many materials to varying degrees. • When the X-rays hit the film, they expose it just as light would. Since bone, fat, muscle, tumors and other masses all absorb X-rays at different levels, the image on the film lets you see different (distinct) structures inside the body because of the different levels of exposure on the film • X-rays have a wavelength in the range of 0.01 to 10 nanometers, corresponding to frequencies in the range 30 petahertz to 30 exahertz (3×1016 Hz to 3×1019 Hz) and energies in the range 100 eV to 100 keV. • The wavelengths are shorter than those of UV rays and longer than those of gamma rays Electromagnetic spectrum • X-rays are electromagnetic radiation of exactly the same nature as light but of very much shorter wavelength • Travel at the speed of light Wilhelm Conrad Roentgen (1845-1923) X-rays were first discovered in 1895 by the German physicist William Roentgen, when using a Crookes tube He called them ‘x’ rays, ‘x’ for ‘unknown’. Three things can happen • X-rays can: • Pass all the way through the body • Be deflected or scattered • Be absorbed Where on this image have x-rays passed through the body to the greatest degree? X-rays Passing Through Tissue • Depends on the energy of the x-ray and the atomic number of the tissue • Higher energy x-ray - more likely to pass through • Higher atomic number - more likely to absorb the x-ray Diagnosis? Tissue densities • A radiographic image is composed of a 'map' of X-rays that have either passed freely through the body or have been variably attenuated (absorbed or scattered) by anatomical structures. • The denser the tissue, the more X-rays are attenuated. For example, X-rays are attenuated more by bone than by lung tissue. Describing densities • Contrast within the overall image depends on differences in both the density of structures in the body and the thickness of those structures. • The greater the difference in either density or thickness of two adjacent structures leads to greater contrast between those structures within the image. 5 Basic Radiographic Densities . • Air • Fat • Soft tissue/fluid • Mineral • Metal 3. Name these radiographic densities. How do x-rays passing through the body create an image? • X-rays that pass through the body to the film render the film dark (black) • X-rays that are totally blocked do not reach the film and render the film light (white) • Air = low atomic # = x-rays get through = image is dark • Metal = high atomic # = x-rays blocked = image is light (white) Basics of X-ray Physics X-ray production Key points • X-rays are produced within the X-ray machine, also known as an X-ray tube. No external radioactive material is involved • X-rays are produced by interaction of accelerated electrons with tungsten nuclei within the tube anode • Two types of radiation are generated: characteristic radiation and bremsstrahlung (braking) radiation • Changing the X-ray machine current or voltage settings alters the properties of the X-ray beam X ray tube • A small increase in the filament voltage (1) results in a large increase in tube current (2), which accelerates high speed electrons from the very high temperature filament negative cathode (3) within a vacuum, towards a positive tungsten target anode (4). This anode rotates to dissipate heat generated. X-rays are generated within the tungsten anode and an X-ray beam (5) is directed towards the patient. Characteristic X-ray generation When a high energy electron (1) collides with an inner shell electron (2) both are ejected from the tungsten atom leaving a 'hole' in the inner layer. This is filled by an outer shell electron (3) with a loss of energy emitted as an X-ray photon (4) Bremsstrahlung/Braking X-ray generation • When an electron passes near the nucleus it is slowed and its path is deflected. Energy lost is emitted as a bremsstrahlung X-ray photon. • Bremsstrahlung = Braking radiation • Approximately 80% of the population of X-rays within the X-ray beam consists of X-rays generated in this way. X ray production CATHODE -------- MADE OF TUNGSTEN + 1%-3% THORIUM ( better emission of electrons. ) Tungsten 1. 2. 3. 4. 5. Thin wire Strong High melting point Less tendency to vaporize Long life expectancy Z # 74 MELTING POINT- 3,370 DEG. CELSIUS Thermionic emission Emission of electrons resulting from the absorption of thermal energy – thermionic emission (Tungeston heated >22000C) Electron cloud surrounding the filament produced by thermionic emission is termed “Edison effect” Anode +++ parts 1. Anode disk –tungsten •3600rpm •Beveled edge – line focus •Target area increased but effective focal size remains the same. 2. 3. 4. 5. Stator Rotor Bearings - metallic lubricants (silver ) Stem - molybdenum 90%tungsten W and 10 % rhenium Re- ↑resistance to surface roughening - ↑thermal capacity Key points • X-rays are produced de novo as needed • No radioactive substance is used • X-rays travel in straight lines and are attenuated according to density and thickness of body tissues • X-rays are potentially hazardous • Hospital staff have a duty to use X-rays responsibly Uses • Medicine: X-rays are used in medicine for medical analysis. Dentists use them to find complications, cavities and impacted teeth. Soft body tissue are transparent to the waves. Bones also block the rays. • X rays are useful in the detection of pathology of skeletal system as well as for detecting some disease processes in soft tissue • Xray may also be used to detect pathology such as gall stones or kidney stones • Use of xrays as treatment –radiation therapy for management of cancer Radiation hazards INTRODUCTION • Radiation is a double edged tool-analogous to fire • Benefit and hazards • Hazards were realized in the beginning of 20th century BIOLOGIAL EFFECTS • Radiation deposits energy in tissues randomly and rapidly via excitation, ionization & thermal heating Production of moving electrons • Electrons interaction with atoms & molecules • Chemical & molecular changes BIOLOGIAL EFFECTS Biologic effects: (i).Deterministic effect (ii).Stochastic effects (a).Somatic Effects (b).Genetic effects DETERMINISTIC EFFECTS • A deterministic effect is one “which increases in severity with increasing absorbed dose in affected individuals” • Appear at higher doses (>0.5 Gy) • Soon after the dose is received DETERMINISTIC EFFECTS • Skin erythema, • epillation, • organ atrophy, • fibrosis, • cataract, • blood changes, • reduction in sperm count etc., STOCHASTIC EFFECT • A stochastic effect is one in which “the probability of occurrence increases with increasing absorbed dose rather than its severity” • Important at very low levels:<0.5Gy • Chance of occurrence increases with dose STOCHASTIC EFFECT • Seen only at a later period (10-30 years) • Independent of sex and age • E.g., carcinogenesis and genetic effects SAFETY OBJECTIVE • Prevent the occurrence of deterministic effects • Minimize the occurrence of stochastic effects • Keep exposures as low as reasonably achievable (ALARA) Personnel protection in Diagnostic Radiology LEAD APRON LEAD APRON • Lead equivalent thickness :0.25-0.5 mm • Rubber material /flexibility and handling • Protect the torso of the body • 0.25 mm: >90% scattered radiation is attenuated • 0.5 mm: 95-99% attenuation OTHER SHIELDS • Thyroid shield: wrap around the neck • Protective gloves:0.5 mm thick lead Personnel monitoring INTRODUCTION • Radiation exposure must be monitored for both safety & regulatory purposes • This assessment need to be made over a period of several months (3 months) • Personnel Monitoring • Area monitoring PERSONNEL MONITORING • Three types of radiation recording devices 1. Film badge 2. Thermo luminescent dosimeter (TLD) 3. Pocket dosimeter AIM • Monitor & control individual doses regularly • Report & investigate over exposures • Maintain life time cumulative dose records of the users of the service
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