2. How are x-rays produced? Flashcards

1
Q

LOs

A
  • Explain how x-rays are produced including the atomic interaction
  • Describe the basic features of dental x-ray generating equipment
  • Give details of current recommendations and regulations concerning x-ray equipment
  • Explain the exposure variables kV and mA and time
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2
Q

x-ray machine structure?

A

Tubehead = main body of machine , hold to move the x-ray to different positions

Glass x-ray tube = where x-rays are produced
- cathode = filament (coil of wire) on one end
- anode = tungsten target set into copper block, on other end
- entire glass tube surrounded by oil , facilitates heat removal

Step up transformer = increases mains voltage of 240 volts to high voltage across glass tube , 60-70 kv

Spacer cone = indicates direction of beam + sets ideal distance to target

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3
Q

Where are X-rays produced ?

A

Occurs inside glass X-ray tube at atomic level

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4
Q

What are the two ends of a X-ray ?

A

Cathode end
- negatively charged
- filament made of tungsten wire

Anode end
- positively charged
-Tungsten target, set into large block of copper

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5
Q

function of tube head components

  1. glass x-ray tube
  2. step up transformer
  3. surrounding oil
  4. Cu block
  5. spacer cone
A
  1. where x-ray produced
  2. required to step up mains voltage of 240 volts to 60-70000
  3. facilitates removal of heat created during the production of x-rays
  4. conduct heat away from target quickly

5.
- device for indicating direction of beam
- setting ideal distance of x-ray tube’s target to skin of patients face

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6
Q

How do X-rays work ?

A
  1. Electric current flows through filament at cathode end + heats it up
  2. Electrons from tungsten wire are boiled + released from filament , cloud around end of filament
  3. Electrons need to travel from filament to target block
  4. Voltage applied , 60-70kV from step up transformer
  5. Electrons provided with energy allowing them to accelerate across gap to target
  6. Electron collision with target , produces heat which is conducted by copper block
  7. X-rays produced
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7
Q

What are the electron interactions at tungsten target ?

A

Heat production , conducted away by copper block

Produce X-rays
- most produced in one direction and pass down spacer cone

Some X-rays leave in other directions
- leakage of tube head
- emission during exposure
- hence must never directly hold tube head

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8
Q

Efficiency of X-ray process

A

Very inefficient

1% of e- energy used for X-ray
99% of e- energy lost as heat

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9
Q

Heat loss management of X-ray

A

Copper block
- good conductor of heat

Oil surrounding X-ray glass tube
-dissipates heat

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10
Q

1.
Importance of electron collision with tungsten nucleus

/

how are x-ray photons in dent produced?

  1. lower energy or higher energy photons more dangerous?
A

1.
Electron from filament is negatively charged

Accelerates towards positive tungsten nucleus

Causes deflection of electron + slows it down

Causes loss of energy + converted into X-ray photon

How close electron is travelling to the nucleus determines the degree of deflection and speed reduction

More the electron slowed down = bigger the deflection = more powerful X-ray photon lost

X-ray photons are all different + form a continuous spectrum

2.
lower energy photons = more dangerous = will stop in patients soft tissues + be absorbed

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11
Q

Features of photon energy from nucleus interaction

/

what does photon energy depend on?

A

Low energy photon have low penetrating power
- stop in patients soft tissues + absorbed
- more dangerous

High energy photons pass through patient and hit film
- more diagnostically useful

Photon energy depends on the energy/acceleration of incoming electron
Incoming electron energy depends on size of voltage applied

Lots of low energy photons
Very few high energy photons
Creates continuous spectrum

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12
Q

E. Max

60kv machine, e.max?

A

Max energy any one bullet can have

E.g for a 60 Kv machine , E.max is 60’000 electron volts

Higher the kV machine , the greater the energy the X-ray photons that are produced

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13
Q

Importance of electron collision with orbiting electron of tungsten

/

other ways x-rays can be produced if voltage applied is 70kv or more

A

Incoming e- from filament passes into tungsten atom

Interacts with orbiting e- causing it to be knocked out

Incoming e- is deflected

Displacement of e- from shell causes atom to be unstable

Electron from outer adjacent shell drops in to fill space

Moving between shells = dropping in energy levels
- causes energy to be emitted in form of X-ray photon

Creates cascade

Free e- will be captured to allow atom to become stable

These emitted X-rays form a characteristic spectrum
- only at certain specific energy levels

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14
Q

Features of photon energy from electron interaction

(70kv or more voltage)

A

Only X-ray photons of a specific size or energy produced
- not full range

Photon energies are characteristic of tungsten
- material of origin

Only produced at voltage of 70 kV or more

Lower kV doesn’t have enough energy to knock out inner e- from tungsten

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15
Q

Characteristic spectrum

(70kv or more voltage)

A

X-ray photons of specific energies are emitted following repositioning / re-arrangement of orbiting electrons within specific shells

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16
Q

How are low energy photons removed from beam before hitting patient ?

why is this useful?

A

Beam passed through aluminium sheet

Absorbs + filters out lowest energy photon

Low penetrating power so cannot pass through aluminium sheet

Allows less low energy photons to be absorbed by patients

Important radiation safety feature to reduced radiation dosage

17
Q

Recommendation for thickness if aluminium filter

A

1.5 mm for X-rays operating at 70kV or less

2.5 mm for X-rays operating at 70 kV or more

18
Q

Main controls of X-ray production via control panel/timer

A

Kv = kilo voltage
- usually at fixed level

MA = milli amperage
- usually fixed

Time
- can change time of exposure
- anatomical timer , chose time depending on tooth

19
Q

What is the kV ?

A

Determines energy of the photons

Determines quality of X-ray beam

Higher the kV = greater energy given to e- = greater the energy of photons

Determines penetrating power

Affects film contrast
- increasing kV , difference between black and white less obvious

Higher kV beneficial to patient , less absorbed

(higher KV + more shades of grey)
(more photons = blacker)

20
Q

What is mA and time ?

A

Together they determine quantity of X-ray photon produced

MA = current flowing through the X-ray tube
- determines number of e- that travels from filament to target

Time = how long exposure lasts
- determines total number of e- that travels along gap between filament and target

  • Greater the number of e- leaving filament = greater no of photons produced at target
  • more photons = more blackening + overexposure
  • No of photons affects degree of blackening of film

Over exposure = dark

Under exposure = light

21
Q

Equipment recommendations

A

Operating range : 60-70 kV

DC or AC potential output

22
Q

Half wave rectification of AC output

A

Negative half of cycle removed

Electron flow becomes pulsatile

Inefficient , exposure times are longer

Each pulse has to start from 0 and reach peak operating conditions each time

Causes more lower energy photons

Cheapest + easiest

23
Q

Single wave rectification of AC

A

Negative half of cycle converted into positive half

Simultaneous pulsatile current

24
Q

1.
Three phase full wave rectification of AC

2.
AC Vs DC

A

1.
Creates ripple effect

2.
DC
= more efficient
= more expensive
= recommended by 2001 guidlines

25
Q

Definition of focus to skin distance

A

Distance from focal spot on target ( point where X-ray produced )

To end of spacer cone that touches patients face

Fsd

Ideally should be long

Position of focal spot is marked on outer plastic covering of tube head

26
Q

Why do we need a long fsd ?

A

Short fsd : beam diverges + a larger area of face is radiated

Long fsd : only central part of bean , smaller area of face radiated

27
Q

Current recommendation for fsd

A

200 mm

Or long cone

28
Q

What is the collimator , beam size and spacer cone?

A

Collimator = device that limits beam size

Spacer cone = determines distance of target to patient and directs beam

Beam diverges slightly when travelling from collimator through spacer cone

29
Q

Recommendations for collimation + beam size

A

Rectangular collimation : 40mm X 50 mm

Maximum diameter of circular collimators = 60 mm

30
Q

summary/ key points to know

A
  • not all x-ray photons (bullets) are the same)
  • lower energy photons = lower penetrating power + stop in patient soft tissues + absorbed
  • high energy will pass through patient + hit film
  • low energy photons = more dangerous
  • high energy photons = more diagnostically useful
  • overall photon energy = determined by energy of incoming e-
  • incoming e- energy = determined by size of voltage applied (KV)