B - Interaction, Attenuation, Scatter and Filtration Flashcards

1
Q

What happens to X-rays we have produced?

A

Leakage
Spills out of the tube housing, not part of the primary beam
Primary radiation
Exits through a port in the housing
Secondary radiation
Originates within the patient, travels in all directions
Remnant radiation
Emerges from patient towards film cassette and produces the image. Is a mixture of scattered radiation and un-scattered radiation (carrying the image)

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2
Q

What is attenuation?

A

Attenuation is the loss of energy of a beam of radiant energy due to absorption, scattering, beam divergence, and other causes as the beam propagates through a medium

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3
Q

What are the processes of attenuation?

A

Coherent Scattering
Pair Production
Photo-disintegration
Photoelectric Effect/Absorption
Compton Scattering

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4
Q

What is coherent scatter?

A

If the energy of a photon is considerably less than binding energies of orbiting electrons of an atom, the photon may be deflected from its path with no loss in energy
No absorption, no energy has been permanently transferred to material
<5% of interactions in diagnostic energy range

Only interaction that does not cause ionisation

Not useful for diagnostic imaging as energy range of these photons is TOO LOW

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5
Q

What are other names for coherent scatter?

A

Classical
Rayleigh
Thompson
Unmodified

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6
Q

What is pair production?

A

Energy range of these photons is TOO HIGH for diagnostic radiography

Photon completely attenuated
Incident photon energy must be at least 1.022MeV (this is required to make matter from energy)
Photon interacts with strong electric field around nucleus
Two particles created from photon:
One electron
One positron

The electron and positron then interact with patient
Electron is quickly absorbed
Positron comes to rest and combines with a neighboring electron and the two particles neutralize each other, this is ANNHILATION RADIATION
During AR the two particles form two photons of electromagnetic radiation, travelling at 180 degrees to each other (this is a concept used in PET)

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7
Q

What is Photodisintegration?

A

X-ray photons possessing a minimum of 10 MeV of energy can interact directly with the nucleus of the atom

This causes a state of excitement within the nucleus, followed by the emission of a nuclear fragment

This process is referred to as photodisintegration

It does not occur in diagnostic radiography as photon energy TOO HIGH, but does occur in the nuclear industry

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8
Q

What is Photoelectric Effect?

A

X-ray photon involved in collision with orbiting electron

Photon gives up all its energy therefore disappears (absorbed)

Electron is ejected from atom

Absorption only if photon energy equal to or greater than electron binding energy

Photon is absorbed by an e- in an atom in the matter (patient) and, in effect, combines with it

This “photoelectron” from atom is displaced (ion pair created)

Other e- fall toward nucleus to fill the shell

Characteristic radiation is emitted, but does not often reach the image receptor

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9
Q

What is Compton Effect (Scatter)?

A

Compton Effect (modified/compton scattering) occurs when an incident x-ray photon strikes a target atom and uses a portion of its energy to eject an outer shell electron

The remainder of the photon’s energy proceeds in a direction different from that of the incoming photon

This process results in a recoil electron ejected from the outer shell, which travels until it combines with matter

Compton effect is extremely important because it is responsible for a majority of occupational worker exposure to radiation.

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10
Q

What is secondary radiation?

A

Occurs when x-rays interact with matter
Is emitted in all directions
Increases with higher tube voltage (kVp) and atomic number of material /tissue irradiated
Travels at speed of light
ends as soon as x-rays stop being emitted from tube
(x-rays do not make a room (or person!) radioactive)
Causes fog (scatter fog) if it hits the image receptor

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11
Q

What are the characteristics of radiation?

A

Quantity = number of photons in the beam (mAs)

Quality = energies of the photons (harder beam = higher quality) (kVp)

Intensity = (no. of photons) x (energy of the photons)

Attenuation = ↓ in intensity of beam as it travels through matter
Mostly from PE or Compton interactions

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12
Q

What 4 factors does Attenuation depend on?

A
  1. Thickness of tissue
  2. Energy (E) of the beam
    ↑ E → ↓ attenuation

3.Density
↑ density → ↑ attenuation

4.Atomic number (Z) of matter (tissue)
↑ Z → ↑ attenuation

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13
Q

What are the 5 radiographic densities?

A

Air, fat, water, bone, metal

Each has a different combination of interactions, so each attenuates x-rays to a different degree

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14
Q

What is the energy of the beam, kVp?

A

50 kV 79% is photoelectric, 21% Compton, < 1% no interaction

80 kVp 46% is photoelectric, 52% Compton 2% no interaction

110 kVp 23% photoelectric, 70% Compton, 7% no interaction

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15
Q

What is the effective atomic number of Fat?

A

6.3

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16
Q

What is the effective atomic number of muscle?

A

7.4

17
Q

What is the effective atomic number of lung?

A

7.4

18
Q

What is the effective atomic number of bone?

A

13.8

19
Q

What happens as x-ray energy increases?

A

Proportionally fewer compton interactions
Proportionally much fewer PE interactions
More transmission thro’ tissue

20
Q

What happens as tissue’s atomic number increases?

A

No change compton interactions
Many more PE interactions
Less transmission thro’ tissue

21
Q

What happens as tissue mass density increases?

A

Proportional increase in Compton interactions
Proportional increase PE interactions
Proportional decrease transmission

22
Q

What is filtration?

A

Low energy x-rays are absorbed by skin and subcutaneous tissues
Add nothing to film
Add plenty to patient dose

Filtering removes low energy x-rays and “hardens” the beam
Attenuation of the low energy photons through filtration is a legal requirement when manufacturing x-ray tubes.

23
Q

What are the classifications of filtration?

A

Inherent
Exists within tube design (e.g. glass surrounding cathode/anode assemblies, mirror reflecting collimator light)

Added
Legally required thickness of aluminium

Total NOT OPERATOR DEPENDANT
Inherent plus added filtration (2.5mm Al equivalent)

Compensatory Filtration - OPERATOR DEPENDANT
Used at discretion of operator in order to optimise film quality and minimise dose to patient