Lecture 2 - X radiation science and technology Flashcards

The discovery of X-ray Principles of radiography Xray equipment Xrays: what they are and how they are produced Xray tube: cathode, filament, focusing cup, anode, target

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1
Q

When was X-ray discovered?

A

In 1895 by Wilhelm Roentgen

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2
Q

Is photon absorption by the patient more likely at high or low energies?

A

Low energies

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3
Q

Why is bone more absorbing of X-rays than soft tissue for example?

A

It has a higher density and atomic number

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4
Q

Does higher absorption appear more black or white on the X-ray film?

A

More white (less photons hitting the image receptor).

Lower absorption therefore appears more black as more photons hit the image receptor.

This allows an image to be produced according to the different absorptions by different anatomy

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5
Q

What are the four types of behaviour X-rays exhibit when they pass through the patient?

A

Pass through the patient reaching the image receptor
Absorbed by the patient
Scattered
Transmitted

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6
Q

How are X-rays produced?

A

Cathode (-ve) produces high speed electrons as a result of heating from a high current generator

These electrons are directed toward the anode (+ve), which spins in order to maintain cooling. Here electrons are converted into X-rays by rapid deceleration and loss of energy which is given off as X-rays.

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7
Q

What key properties of an X-ray tube are important for its functionality in a clinical setting?

A

Mobility - enables X-rays to be taken in various situations, angles and positions

Uniformity - X-rays produced are of uniform energy to provide image contrast

Collimation - the beam can be adjusted in order to change its size/area to enable imaging of different sized body parts

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8
Q

What is collimation and why is it important?

A

Adjusting the size of the X-ray beam for imaging different size body parts.

This must be set for optimal image quality and minimal dose to the patient.

(Larger area image required for abdo vs hand but also means larger radiation dose to patient and more scatter = lower image qual)

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9
Q

What two factors can be adjusted by the radiographer in order to control image appearance?

A

kVp - X-ray energy

mAs - Amount of X-rays

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10
Q

What is kVp?

A

Peak kilo voltage. Amount of energy the X-ray has which is increased by a greater potential difference between the cathode and anode.

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11
Q

What relationship does kVp have to image contrast?

A

Higher kVp = lower contrast of X-ray image

A higher kVp would be required for an area with higher subject contrast such as chest in comparison to abdomen.

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12
Q

What is mAs?

A

milliamps/second. Amount of X-rays produced by X-ray tube per exposure length of time.

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13
Q

With thicker tissue doe you have to increase or decrease mAs?

A

Increase.

More X-rays will be absorbed by the patient if they have thicker tissue e.g. overweight, so in order ti have enough X-rays pass through and impact on the image receptor, mAs must be increased.

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14
Q

What is image centring and why is it important?

A

Where the central photon is.

Across the width of the beam, X-rays diverge and the only one that is directly perpendicular to the exit tube is the central ray.

Alignment of this is important in order to minimise extortion and magnification of the anatomy.

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15
Q

What is the purpose of an anti scatter grid and how does it work?

A

Works like polarising lenses - grid prevents photons that aren’t travelling in the correct direction from passing through, so they don’t hit the image receptor and cause scatter. This improves the quality of the image.

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16
Q

What is wave particle duality?

A

Electromagnetic waves can behave as particles and waves.

This is dependant on their wavelength - the shorter the wavelength, the more like a particle they will behave. Xrays act more like particles, visible light more like waves.

17
Q

What physical characteristics of X-rays are useful in terms of imaging?

A

Able to penetrate matter.
Interact with matter.
Cause certain materials to fluoresce
Cause certain material to produce electric charge

18
Q

What does the term ionising mean?

A

Ionising radiation interacts with atoms in patient tissues and have enough energy to overcome binding energy between atom’s electron and nucleus. This releases the electron forming an ion.

19
Q

What important features are required as part of the X-ray tube housing?

A

Movable
Collimators
Light beam diaphragm (shows where X-rays are)
Filtration - removes softer X-rays
Ionisation chamber - tells how much radiation dose is received by patient

20
Q

What is thermionic emission?

A

Release of electrons at the cathode by heating caused by electric current

21
Q

What is the focusing cup?

A

Caring surrounding the cathode that is more negative than the electrons themselves. It therefore repels the electrodes keeping them in a more focused beam directed toward the anode.

22
Q

What properties are important for an anode to have and why?

A

Good conductor
Good heat dissipator (prevents overheating)
An alloy with high atomic number (high +ve charge to attract and rapidly decelerate electrons)
High melting point
Converts electrons into X-rays