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Knowledge of X-ray interactions with matter must exist on what two levels?
Large scale and atomic scale
What two main processes occur in the large scale?
Transmission and attenuation
Define transmission:
Photons pass through atoms with no interaction at all
Why do photons pass through atoms with no interaction?
Atoms are mostly empty space
The majority of diagnostic energy X-rays are ________
Transmitted
Define attenuation:
A loss of X-ray photons upon interaction with matter per unit area
What are 3 processes that are responsible for attenuation?
Absorption, scattering, and divergence
Define absorption:
Photons are absorbed by orbital electrons of the nucleus itself
Define scattering:
Change in direction of a photon with or without a loss of energy
Define divergence:
X-rays are continually diverging from their source so as distance through matter increases, the quantity of photons per unit area will decrease
What 5 main processes occur in the atomic scale?
1. Coherent or unmodified scatter
2. Photoelectric effect
3. Compton effect
4. Pair production
5. Photodisintegration
What is coherent or unmodified scatter also known as?
Classical scatter, Rayleigh scatter, or Thomson scatter
When does coherent or unmodified scatter occur?
When a low energy X-ray photon (usually under 30 keV) strikes an orbital electron and is momentarily absorbed
What happens with the absorbed energy in coherent or unmodified scatter?
It is then re-radiated in the form of another photon with no change in its energy, but usually in a different direction from the original incident photon.
True or false
Coherent or unmodified scatter results in no useful information in diagnostic radiology
True
What is photoelectric effect also known as?
True absorption
What is the most dominant interaction and why?
Photoelectric effect because it will occur more often than any other interaction
What happens during the photoelectric effect?
The incident X-ray strikes an inner shell electron and is completely absorbed

The incident X-ray in the photoelectric effect must possess energy of how much?
At least equal to or greater than the binding energy of the inner shell electron
When is the photoelectric effect most likely to occur?
When the photon energy and the electron binding energy are nearer to each another
What 3 probability factors of a photoelectric interaction depend on?
1. Energy of the incident X-ray
2. Atomic number or target atom
3. Mass density of subject
As the energy of the incident X-ray (kVp) increases, the probability of photoelectric interaction _______
Decreases
When is the photon most likely to undergo photoelectric interaction?
When the energy of the photon is equal to or slightly greater then the binding energy of the electron (K-edge effect)
As the atomic number of the absorber material increase, the probability of the photoelectric interaction will ______
Increase
What is differential absorption?
The difference in x-ray interactions with matter (what is absorbed and what is transmitted)
As the mass density of the object being struck by X-rays increases, the amount of photoelectric interaction will ______
Increase
Ec =
Ek - Eb
Ephotoelectron =
Ei - Eb
Ei=
Incident photon energy
Eb=
Electron binding energy
What is the Compton effect also known as?
Compton modified scatter or incoherent scatter

When does the compton effect occur?
Within the diagnostic energy range and will begin to dominate with energy's above 180 keV
When does the compton effect take place?
When the incident X-ray interacts with an outer shell electron that is more loosely bound that a K-shell electron
When can the compton effect occur in an inner shell electron?
If they have a low binding energy
What happens with the energy in the compton effect with the incident X-ray?
Some of the energy of the incident X-ray is absorbed (partial absorption) while the rest of it will continue in a different direction
The photon after is it partially absorbed in the compton effect is now known as ______ radiation
Scatter radiation
For the compton effect , what is the free electron called?
Recoil electron
Equation of the energy transfer in the compton effect:
Ei = Es + Eb + Eke
Es =
Energy of Compton scattered photon
Eke =
Kinetic energy of the recoil electron
In the diagnostic range, the greatest percentage of Compton scatter photons tend to scatter in the ______ direction
Forward direction
The greater the scattering angle, the ____ the energy of scattered radiation
Lower
As the energy of the incident photon is increased, the _____ the energy of the scattered radiation
Greater
What 2 probability factors are Compton interaction dependent on?
Photon energy and mass density

As the photon energy increase, the total amount of Compton interaction occurring will ______, but the percentage of Compton vs photoelectric interaction will ______
Decrease , increase
As the mass density of the subject material increases, the amount of Compton interaction will _______
Increase
The degree of Compton scattering is independent of the _______
Atomic number
When does pair production occur?
Only with very high energy incident x-rays and gamma rays (above 1.02 MeV)

When does pair production begin to predominate?
Above 24 MeV
In pair production, what do incident x-rays interact with?
Nuclear force field and is completely absorbed
In pair production, what does the energy transform into?
Two particles of matter; an electron and a positron
What is annihilation reaction?
When a negatron and positron combine, they will mutually destroy each other
When does photodisintegration occur?
Only with high energy X-ray and gamma ray photon with an energy above 10 MeV
In photodisintegration, what happens with the high energy photons?
Can penetrate the nuclear force field and enter the nucleus itself
In photodisintegration, what happens with the incident X-rays?
They are completely absorbed and transferred into the nucleus
In photodisintegration, what does the energy result in?
A nuclear fragment being ejected from the nucleus
What is secondary radiation?
Radiation existing after the interaction of the primary beam with matter. This can contribute to the overall total dosage
What secondary radiation occurs during the photoelectric effect?
Photoelectrons and characteristic radiation
What secondary radiation occurs during the Compton effect?
Recoil electrons and scattered photons
What secondary radiation occurs during pair production?
Positron, negatron, and annihilation reaction photons
What secondary radiation occurs during photodisintegration?
Nuclear fragment
Positive contrast agents:
Barium and iodine
Structures containing positive contrast agents would be more visible because of an _______ in photoelectric effect
Increase
Negative contrast agents:
Air and various gases
Structures containing negative contrast agents would be more visible because of a _______ in photoelectric effect
Decrease