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Barium
Meal and Enema
Brehmsstralung
radiation
Characteristic
X-rays
Production
of X-rays
The
X-Ray Tube
Potential
Dangers of X-Rays
X-Ray
Film
Intensifying
Screens
Images
(and some of the text) on this page are reproduced with kind permission
from the author of (http://www.aml.arizona.edu/~mse480/grouppages/group3/source%20x%20ray.html)
- Linked also via the images themselves
They
are:
- high frequency,
high energy electromagnetic rays.
- undetectable
by the human senses
- very penetrating
- low localized
ionization.
- generated when
high energy electrons struck a metal target (see production
of X-rays)
Uses:
- Imaging for
detection of broken bones or tumors: simple X-ray, CT scanning,
barium meal scanning.
- High energy
ones for treatment of cancer (destroying cells)
- As incident
beams in 'material characterization technologies' (ways of finding
out the properties of materials), such as X-ray Diffraction, X-ray
Photoelectron Spectroscopy and Auger Electron Spectroscopy.
Production
of X-rays
X-rays are generated
when high energy electrons struck a metal target .
The kinetic
energy of the electron is transformed into electromagnetic energy.
Two kinds of
x-rays are generated during this process.
Brehmsstrahlung
radiation, also called "braking radiation" or white x-rays
is produced due to electron deceleration.
Characteristic
x-rays are also produced when electrons in target metal
make transitions between atomic energy levels.
Brehmsstrahlung
radiation
Bremsstrahlung is
the German word for 'slowing down' or 'braking', and here it is used
to describe the radiation which is emitted when electrons are decelerated
or "braked" when they are fired at a metal target. Accelerated charges
give off electromagnetic radiation, and when the energy of the bombarding
electrons is high enough, that radiation is in the x-ray region of the
electromagnetic spectrum. It is characterized by a continuous distribution
of radiation called continuous x-ray spectrum which becomes more intense
and shifts toward higher frequencies when the energy of the bombarding
electrons is increased.
A projectile electron
can lose any amount of its kinetic energy in an interaction with the
nucleus of a target atom, and the bremsstrahlung radiation associated
with the loss can take on a corresponding range of values. For example,
an electron with kinetic energy of 70 keV can lose all, none, or any
intermediate level of that kinetic energy in a bremsstrahlung interaction;
the Bremsstrahlung X-ray produced can have an energy in the range of
0 to 70 keV. Here, 70 keV is the energy that corresponds to the cut
off wavelength (smallest wavelength - highest frequency therefore the
highest possible energy - use E=hf=hc/l to
calculate it). This is different from the production of characteristic x-rays that have specific energies.
Characteristic
X-rays
Characteristic X-rays
are produced by transitions of orbital electrons from outer to inner
shells. Bombarding electrons can release electrons from inner energy
level orbits. Higher electrons can then fall into the vacancy and if
the energy gap between the levels is great enough X-rays will be produced.
Since the electron binding energy for every element is different, the
characteristic X-rays produced in the various elements are also different.
This type of X-radiation is called characteristic radiation because
it has precisely fixed,or discrete, energies and that these energies
are characteristic of the differences between electron binding energies
of a particular element. The effective energy characteristic X-rays
increases with increasing atomic number of the target element.
The two sharp peaks
in the graph are characteristic X-rays which occur when vacancies are
produced in K-shell of the atom and electrons drop down from above to
fill the gap. The X-rays produced by transitions from L to K levels
are called K-alpha x-rays, and those from M to K transition are called
K-beta x-rays. Transitions to the L-shell are designated as L x-rays.
The graph also shows the "brehmsstrahlung" radiation which forms the
base for the two sharp peaks.
Example to calculate
the emitted x-ray energy:
For tungsten, K
electrons have binding energies of 69.5 keV, and L electrons are bound
by 12.1 keV. A K-shell electron is removed from a tungsten atom and
is replaced by an L shell electron. What is the energy of the characteristic
X-ray that is emitted (in keV)?
Answer:
57.4 keV (the difference
in the energies of the shells).
X-ray
tube
Electrons are produced
by thermionic emission in the cathode. This is heated by a relatively
low voltage supply. At a cathode current of 100 mA, for example, 6 x
1017 electrons travel from the cathode to the anode of the
X-ray tube every second.
They are accelerated
from the cathode to anode across a high voltage. As the kinetic energy
of the electrons increases, both the intensity (number of x-rays) and
the energy (their ability to penetrate) of the X-rays produced are increased.
When these electrons
bombard on the heavy metal atoms of the target, they interact with these
atoms and transfer their kinetic energy to the target. These interactions
occur within a very small depth of penetration into the target. As they
occur, the electrons slow down (brake!) and finally come nearly to rest,
at which time they can be conducted through the x-ray anode assembly
and out into the associated electronic circuitry.
The interactions
result in the conversion of kinetic energy into thermal energy and electromagnetic
energy in the form of X-rays.
By far, most of
the the kinetic energy is converted into heat. The electrons interact
with the outer-shell electrons of the target atoms but do not transfer
sufficient energy to these outer-shell electrons to ionize them. Rather,
the outer-shell electrons are simply raised to an excited, or higher,
energy level. The outer-shell electrons immediately drop back to their
normal energy state with the emission of infrared radiation. The constant
excitation and restabilization of outer-shell electrons is responsible
for the heat generated in the anodes of X-ray tubes.
Generally, more than
99% of the kinetic energy of projectile electrons is converted to thermal
energy, leaving less than 1% available for the production of X-radiation.
In this sense,the X-ray machine is a very inefficient apparatus.
The production of
heat in the anode increases directly with increasing tube current. Doubling
the tube current doubles the quantity of heat produced.
Heat production
also varies almost directly with varying the high tension voltage too.
The efficiency of
X-ray production is independent of the tube current. Regardless of what
mA is selected, the efficiency of X-ray production remains constant.
The efficiency of X-ray production increases with increasing projectile-electron
energy. At 60 kVp, only 0.5% of the electron kinetic energy is converted
to X-rays; at 120 MeV, it is 70%.
Target
material
- needs
to have a high Z (proton number) so that transitions of high
enough energy to emit X-ray radiation are possible
- needs
to have a high melting point because so much heat energy is
produced.
- tungsten
is ideal (Molybdenum for softer X-rays needed for breast X-rays)
The Options....
|
Action
|
Effect
|
Graph
of Intensity against X-Ray photon energy
|
Clarity
of image
|
| Increasing
the tube voltage |
Increasing
the high p.d. that is used to accelerate the electrons will give
the average electron more energy when it hits the target |
- Shape of
spectrum spreads out to encompass higher energies
- range is
increased
- Characteristics
in the same place (natch!!)
- area under
the curve increases
|
- Too high
an energy of X-ray will penetrate too well to give good definition
- if they all get through - no shadow - picture!
- 60-125
KV is usually employed - giving energy of about 30 keV
|
|
AC/DC voltage
(AC necessary
to get higher voltages - can use transformers! DC acquired by electronic
rectification and 'smoothing' circuitry)
|
Electrons
produced by thermionic emission only accelerated across half of
the time! |
- graphs
for both are the same except the DC one is double the intensity
throughout (only accelerated across to target on half of the
wave).
|
|
| Increasing
the tube current (low voltage one!) |
Increases
the rate of thermionic emission - more electrons hit the target -
more X-rays produced. |
- Shape of
spectrum remains the same
- range is
the same
- Characteristics
in the same place (natch!!)
- area under
the curve increases
|
- Overall
increase of exposure of film
- but bigger
dose to patient!
- more heating
of the target
|
| Increasing
exposure time |
|
|
- Overall
increase of exposure of film
- but bigger
dose to patient!
- more heating
of the target
- risk of
blur due to movement of patient - big problem with organs that
cannot be constrained.
|
| Changing
Target Material |
An increase
in Z (proton number) will increase the probability of electron interactions
of enough energy to produce X-rays - so more X-rays will be produced.
|
- The Characteristic
peak positions will change - Ks will shift towards higher energies
(these depend on the target material!).
- range is
the same
- area under
the curve increases
|
allows choice
of X-ray energies that give best difference in attenuation for
the part to viewed.
soft X-rays
are needed for soft tissue - harder ones for bone.
|
| Using
a filter (material placed in the X-ray beam path) |
Absorbs
mainly lower energy X-rays - and produces a 'harder' more penetrating
beam) |
- area under
the curve is smaller (as some of the X-rays have been absorbed).
- Shape changes
as mainly X-rays are reduced from the lower energy values.
- range is
smaller - but high energy the same.
- Characteristics
in the same place (natch!!)
|
- reduces
unwanted X-rays and therefore the scatter due to them - better
contrast
|
| Reducing
beam size |
|
|
- less scatter
- better contrast - especially if a collimator is used (lead
grid that only allows X-rays in a particular direction to get
through.
|
| Focal
spot size |
|
|
- Small focal
spot produces sharp images
- BUT also
intense heating of target
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| Artificial
Contrast Media |
See
Barium Meal and Enema |
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- Clearly outlines the inner surface of internal bodily organs
by coating them in a radio-opaque material - barium sulphate.
|
| Intensifying
Screens |
Decreases
the required exposure time. |
|
- Make image clearer with a lower X-ray dose (see below)
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| Detectors |
See
Film Types |
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Intensifying
Screens
X-ray and other
photographic films are sensitive to the direct action
of the x-rays, but the photographic effect can be increased very appreciably,
and exposure time can be decreased by the use of an intensifying screen
in contact with each side of the film.
One form of intensifying
screen consists of lead foil, or a thin layer of a lead compound evenly
coated on a paper backing. Under the excitation of x-rays of short wavelength
and gamma rays, lead is a good emitter of electrons, which expose the
sensitive film, thus increasing the total photographic effect.
Another form of intensifying
screen consists of a powdered fluorescent chemical-- for example, calcium
tungstate, mixed with a suitable binder and coated on cardboard or plastic.
Its action depends on the fact that it converts some of the x-ray energy
into light, to which the film is very sensitive.
The decision as
to the type of screen to be used-or whether a screen is to be used at
all-depends on a variety of circumstances, and is made by the radiographer.
Types
of Film
Several special
types of x-ray film have been designed for the radiography of materials.
Some types work best with lead screens, or without screens. Other types
are intended primarily for use with fluorescent intensifying screens.
X-ray films are
commonly coated with emulsion on both sides of the support (to
double the chance of exposure and therefore decrease the dose) --the
superposition of the radiographic images of the two emulsion layers
doubles the density and hence greatly increases the speed at which the
X-Ray image is formed (halving the dose to the patient). X-ray films
coated on one side only (single-coated films) are available for use
when the superposed images in two emulsions might cause confusion -
when a very detailed image of an area is required.
Barium
meal and Barium Enema
A barium meal is an
x-ray examination of the stomach and your oesophagus (gullet). Often pictures
of the first part of the small intestine (the duodenum) are also taken.
For the test to
be successful the stomach should be as empty as possible and so the
patient will probably be asked not to eat or drink anything for six
hours before the examination.
The patient will
be asked to swallow some fizzy tablets or granules, with a little water.
These will expand the stomach with gas which makes it easier to get
a clear view of things. It is very important that the patient does not
belch once s/he has taken these. Sometimes s/he if also given an injection
of a drug to relax the stomach and stop it moving while the x-rays are
taken (this can cause some blurring of vision for an hour or so and
if this happens it is best not to drive).
The patient is then
given a cup of 'barium' to drink. It is actually barium sulphate (a
radiopaque - contrast medium) and the mixture used normally contains
defoaming agents and a mixture of constituents that make it have excellent
coating characteristics. It is often fruit flavoured and is not at all
unpleasant. The barium shows up on the x-rays as it strongly absorbs
X-rays and therefore outlines the gullet and stomach in the X-ray picture.
A number of x-ray
pictures will then be taken. This is completely painless.
The examination
is usually completed within 30 minutes.
A barium enema is
an x-ray examination which involves filling the large intestine with
barium through a tube inserted into the rectum. It is similar to the
meal - just inserted into the body the other way round!
The patient can
eat and drink quite normally once the test is completed. The barium
will be passed out with your bowel motions during the next few days,
it may make motions paler in colour than normal.
The results of the
examination will usually be available a few days later.
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