What is an x-ray? Flashcards

1
Q

What is an x-ray?

A

It’s a wave packet of energy called a photon.

It can penetrate human tissues and create an image

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2
Q

Who discovered x-rays?

A

Wilhelm Roentgen (1895)

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3
Q

Do all x-ray machines produce the same photons?

A

No

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4
Q

Why don’t all photons pass through the patient?

A

Because they have different energy levels: low energy stop inside a patient, high energy can pass right through

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5
Q

Is it just one photon required to take an x-ray?

A

No, it uses millions of photons to constitute an x-ray beam

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6
Q

Are wavelengths of x-rays considered long or short?

A

Short

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7
Q

Do x-rays have high photon energy or low?

A

High - it’s ionising radiation

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8
Q

What is the difference between x-rays and gamma rays?

A

Nothing, they are identical. They are both ionising.

BUT x-rays are man-made, but gamma rays are naturally occurring

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9
Q

What produces gamma radiation?

A

Radioisotopes.

Rocks and soil in earth’s crust, outer space, certain foods

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10
Q

Approx how much background gamma radiation does a person annually receive?

A

~ 2.6 mSv

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11
Q

What 4 things that can happen when an x-ray hits a pt?

A

Transmitted unchanged (high energy).

Absorbed (low energy and disappears)

Scatter + absorption (some loss of energy)

Pure scatter ( no loss of energy)

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12
Q

What is the trajectory of an x-ray?

A

They travel in straight lines

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13
Q

What medium is required for x-rays to work?

A

No medium is required

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14
Q

What level do they interact at in the patient?

A

They interact at an atomic level

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15
Q

How are the damaging effects of x-rays classified?

A
  1. Somatic deterministic effects (certainty effects) - can be acute or chronic
  2. Somatic stochastics effects
  3. Genetic stochastic effects
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16
Q

What are the acute (short-term) somatic deterministic effects of x-rays?

A

radiation sickness

coma

death

17
Q

What are the chronic (long-term) somatic deterministic effects of x-rays?

A

hair loss

obliterative endarteritis (damage to blood vessels)

cataract formation

18
Q

What does stochastic mean?

A

Chance - governed by laws of probability

19
Q

What is the main, important difference between deterministic and stochastic effects?

A

Deterministic effects have a threshold dose, which stochastic effects does not

20
Q

What is an example of a somatic stochastic effect?

A

Cancer induction

21
Q

Why is dosage not important when considering damage severity in somatic stochastic effects?

A

Because the dosage does not affect the severity of the damage.

It only affects the PROBABILITY of that damage occurring

22
Q

Who does the genetic stochastic effects affect?

A

The offspring of the irradiated person

23
Q

Is there a safe dose of radiation in dentistry?

A

No. there is always a risk, so the use of them needs to be justified.

24
Q

How are detrimental deterministic effects prevented when using radiation?

A

Having rules and guidelines based on scientific evidence.

Limit probability of stochastic effects to acceptable levels - reduce risk by reducing dose

25
Q

Do deterministic effects have a high or low threshold dose?

A

High