X-ray interaction with matter Flashcards

1
Q

When interacting with matter, what is the X-rays 4 possibilities

A
  • Pass through unaltered
  • Scatter
  • Scatter and absorption
  • Absorption
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2
Q

What is attenuation

A

• Attenuation is a reduction in the number of photons (X-rays) within the beam reaching the image receptor

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3
Q

What is the effect of photon absorption on image

A
  • All photons reach the film results in a black shade - this may be in front of the patient or soft tissues
  • Partial attenuation will result in grey shades - these give us detail and allow us to see anatomical features and pick up pathology
  • Complete attenuation results in white - this is seen in metal restorations that completely absorb photon energy
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4
Q

What is the structure of the atom

A

• Central nucleus
○ Protons (positive)
○ Neutrons (no charge)
• Orbiting electrons (negative charge)

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5
Q

How do electrons orbit

A
  • Electrons orbit nucleus in ‘shells’ K, L, M
  • The maximum number of electrons in the orbit is greater than the outer orbits (2 x n2)
  • The K shell electrons have the highest binding energy (it requires more energy to eject the electron from the shell)
  • Outer shells have lower binding energies
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6
Q

What is the principle interactions of diagnostic x-rays in tissue

A
  • Photoelectric effect (absorption)
  • Compton effect (scatter and absorption)
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7
Q

Describe the photoelectric effect

A
  • X-ray photon interacts with inner shell electron and it deposits all its energy and disappears (process of pure absorption)
  • The inner shell electron is ejected with energy into the tissues and will undergo further interactions - it is called a photo electron
  • The atom now has a hole in its electron shell giving it a positive charge and it is unstable
  • The vacancy is filled by an outer shell electron
  • The outer voids are filled by ‘free’ electrons and this results in complete absorption of photon energy: the photon does not reach the film and so there will be no image
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8
Q

What is the effect of the photoelectric absorption

A
  • Results in complete absorption of photon, preventing any interaction with active components of the image receptor
  • The image appears white if all photons are involved
  • The image appears grey if some photons are not involved

It provides good contrast but results in a higher absorption dose

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9
Q

What is the compton effect

A
  • X-ray photon interacts with loosely bound outer shell electron
  • Photon energy is considerably greater than electron binding energy as outer shell electron has a low binding energy
  • Electron is ejected taking some of photon energy as kinetic energy: recoil electron
  • Remainder of incoming photon energy is deflected or scattered from its original path as a scattered photon
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10
Q

What happens to the excess energy in the original photon in the Compton effect

A

○ Following collision, the photon has a lower energy (longer wavelength)
○ It is called a scatter photon
○ It undergoes a change of direction and the change in direction is proportional to how much energy is lost

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11
Q

What happens following the scatter events

A
  • The atomic stability is regained by capture of free electron as described before
  • The recoil electron can interact with other atoms in tissue
  • The scatter photon, dependent on energy and position of bound electron involved, can be involved in more compton or photoelectric interactions
  • We are interested in what happens following scatter events as it has implications for radiation dose not just for the patient but other people too
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12
Q

What happens to scattered photons

A
  • The scattered photons can travel in any direction
  • The direction of scatter is affected by the energy of scatter photons
  • If they have high energy they will go in a forward direction (but not the same as the continuing path of the original photon) and if they have lower energy then they will go relatively backwards
  • We can get a whole range of directions between the 2 extremes dependent on energy
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13
Q

What is the probability of the compton effect occurring

A
  • It is proportional to the density of material (electron density)
  • It is independent of atomic number
  • It is not related to photon energy, although forward scatter is more likely with high energy photons
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14
Q

What is the effect of compton scattered photons

A

• Scattered photons produced before the image receptor is reached and scattered backwards, do not reach image the image receptor and do not contribute to the image so the image is not degraded
• Scattered photons produced beyond image receptor and scattered back towards it, may reach image receptor producing darkening
○ As their path is randomly altered, they do not contribute useful information to the image
○ Results in fogging of image, reducing contrast and image quality

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15
Q

What is the method of reduction of scatter

A

• Reduction of area irradiated (collimation) and therefore volume irradiated will reduce the number of scattered photons produced as well as reducing patient dose
○ Less volume of tissue to interact with reduces the amount of scatter radiation

• Lead foil within film packets prevents back scattered photons from oral tissues reaching the film (in addition to absorbing some of the energy in the primary beam)

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16
Q

Why is lead foil within film packets not used for digital

A

○ This is not used with digital receptors because they are more sensitive to xrays so we use lower radiation dose anyway and reduced exposure time so a lot is already done to reduce scatter

17
Q

Describe the absorption of photons

A
  • Absorption of photons is more likely if the object traversed has a high atomic number
  • Object traversed is thicker
  • Photon energy is lower
18
Q

Describe radiation contrast

A

• Radiographic contrast is a difference in density of light and dark areas of radiograph
• The image shows both light and dark areas with clear borders has high contrast
Contrast is greatest when difference in absorption by adjacent tissues is greates

19
Q

What is the effect of the interaction on dose

A

• Photoelectric absorption results in deposition of all photon energy within tissue
○ Increased patient dose but necessary for image quality
• Compton scatter results in deposition of some photon energy within tissue
○ This adds to patient dose but does not give useful information
○ It may increase dose to those around us including operator - need to stand far away

20
Q

What is the effect of low kVp on image quality and patient dose

A
  • Low tube potential difference (kVp) produces lower energy photons
  • Photoelectric interactions are increased
  • Contrast between different tissues increases BUT dose that is absorbed by patient is increased
21
Q

What is the effect o high kVp on image quality and px dose

A
  • High tube kVp produces higher energy photons
  • Photoelectric interactions are reduced
  • Contrast is reduced
  • Dose absorbed by patient is reduced
  • No point reducing dose so much that image is of no diagnostic use
22
Q

What is attenuation a result of

A

scatter and absorption

23
Q

What is scatter

A

Change direction with no energy loss

24
Q

What is scatter and absorption

A

Change direction losing energy

25
Q

What is absorption

A

Photons are stopped, depositing all energy within tissue

26
Q

What is atomic number Z

A

• Atomic number Z = number of protons (equal to number of electrons in a neutral atom)

27
Q

What is atomic mass A

A

• Atomic mass A = number of protons + number of neutrons

28
Q

What is the occurrence of the photoelectric effect proportional to

A

• The occurrence is proportional to
○ Atomic number3 (Z3)
○ 1/photon energy3 (1/kV3)
○ Density of material

29
Q

What is required for the photoelectric effect to occur

A

Energy of the incoming photon must be equal to or just greater than the binding energy of the electron