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Peak kVp (exposure factor)
The highest energy level of photons
in the X-ray beam, equal to the highest voltage
established across the x-ray tube
Controls the quality, penetrating power of the
photons and to some degree the quantity
Milliampere-second (mAs) (Exposure factor)
the product of electron tube current and the amount of time in seconds that the x-ray tube is activated
How much radiation is directed toward a patient
Quantity only
Absorption in biologic tissue
If x-ray enters human tissue, they may do the following :
1. Interact with the atoms of the biologic material in the patient and be absorbed
2. Interact with the atoms of the biologic material and be scattered
3. Pass through without interaction
Absorption
when some or all of the electromagnetic energy is transferred from the x-ray to the atoms in the biologic material
Absorbed dose (D)
The amount of energy absorbed per unit mass
Unit mGyt
X RAY TUBE

Beam Production
X-ray beam is produced when a stream of energetic electrons bombards a positively charged target in a highly evacuated glass tube.
The target is also known as the anode
• When the electrons hit the target, X-ray photons are produced
• X-ray photons exit from the tube through the glass window
BEAM
When the photons are created, they have a broad range of energies, not all of which are useful
• Low energy photons will only cause dose, best if filtered out before striking the patient
Glass Window
acts as a filter by removing very-low energy x-rays
Collimators
Contain aluminum to intercept the emerging rays before they reach the patient
Aluminum “hardens” the beam by removing low-energy components that would only increase the patient dose
Permanent inherent Filtration
x-ray glass wall and added aluminum
Primary Radiation
The filtered X ray Photon Beam
Photon Energy
Photons have a multiple energies, but the most energetic photon can have no more energy that the electrons that bombarded the target
• The energy of the electrons inside the tube is specified in terms of electrical voltage (eV),
in diagnostic radiology it is express in kilovolts (kV)
• The voltage that travels across the tube fluctuates, and is termed kilovoltage peak value (kVp
Energy
• Electron with the potential difference of 1 volt = energy of 1 eV (electron volt)
• Technique of 100 kVp = 100,000 eV, or 100keV
• KvP refer to the voltage on the x-ray tube
• KeV refers to the energy of specific x-rays
Attenuation
Attenuation is the reduction in the number of primary photons in the x-ray beam through absorption and scatter as the beam passes through the patient
• Non-interacting x-ray photons reach the radiographic image receptor- direct transmission
Direct Transmission
when primary x-ray photons traverse the patient without interacting Optimal images come from direct transmission
Indirect Transmisson
When photons are scattered or deflected with potential loss of energy but may still traverse the patient and strike the IR
Compton interaction
Coherent interaction
Primary Photons
the photons “beam” before it strikes the patient
Exit, image-formation, photons
The photons that emerge from the patient and strike the detector below Non-interacting and small-angle photons
Attenuated
any process decreasing the intensity of the primary photon beam directed toward a particular path
If the intended path is the detector and the photon did not strike the predefined location, then it is said to be attenuated
Attenuation = both absorption and scatter processes
Scatter
Small angle and Radiographic fog
Small angle
when the photon bends from original path but not so much that it misses the target Degrades the image by blurring the sharp outlines of dense structures
Radiographic fog
Undesirable additional darkness on a completed radiographic image caused by scatted radiation reaching the IR. It interferes with the radiologist’s ability to accurately read a radiograph
Reduce scatter by reducing the field size “amount of body being radiated”, collimate the beam
Interactions with matter
Coherent scatter
Photoelectric absorption
Compton scatter**
Pair production
Photodisintegration
Coherent Scattering
Also known as:
• Classical scattering
• Elastic scattering
• Unmodified Scattering
• Thompson scattering (Bushong)
• Process that results in no loss of energy as x-rays scatter
• Low energy photon will interact with an atom causing it to vibrate. The vibration causes energy in the form of an electromagnetic wave, which is released as a scattered wave or photon
• NO energy has been absorbed
• Small change in direction of the emitted photon, < 20 degrees
Photoelectric Absorption
Most important interaction between x-ray photon and the patient for producing useful images (provides contrast)
• It is the interaction between an x-ray photon and an inner shell electron (K-shell or L-shell)
• The incoming x-ray photon surrenders all of its energy to the inner shell electron, ejecting it from orbit, and the incoming photon no longer ceases to exist
Photoelectric Absorption
The unbound orbital electron is called a photoelectron and possesses kinetic energy equal to the energy of the incident photon minus the binding energy of the electron shell
The photoelectron can interact with other atoms in the vicinity causing excitation or ionization
• The vacancy causes the atom to become unstable
• The instability is alleviated by filling the vacancy in the inner shell with electrons from the outer shells falling down into the openings
• When the electrons drop down closer to the nucleus, an energy loss occurs
• The energy released is in the form of a photon called a characteristic photon, characteristic x-ray
Photoelectric interaction- Auger effect
Auger “awzhay” effect:
Inner electron is removed from an atom, causing an inner shell vacancy. As the vacancy is filled and energy is released, instead of the energy emerging as a characteristic radiation it transfers its energy to another electron in the atom.
The newly stuck electron is ejected an auger electron
Probability of Photoelectric absorption
Depends on the energy of the incident x-ray photon and the atomic number of the atoms comprising of the irradiated object
• Decrease in energy = increase in probability
• Increase in atomic number = increased probability
Destiny
increases = increased probability
Thickness
is directly related= increased thickness will have increased absorption
Attenuation
Less attenuation = darker image
• More attenuation = lighter image
Compton Scattering
Also known as:
• Incoherent scattering
• Inelastic scattering
• Modified Scattering
• Responsible for most of the scatter radiation produced during radiologic procedures
May be forward small angle scatter
Backscatter
Lateral side scatter •
Scatter is responsible for occupational dose
Compton Scattering (Part two)
Incoming x-ray photon interaction with a loosely bound outer electron of an atom •
The incoming x-ray photon surrenders a portion of its energy when dislodging the electron from orbit
• Disrupting the atom makes it Ionizing
Compton Scattered Electron
The freed electron is called a Compton scattered electron, or secondary, or recoil electron
Possesses excess kinetic energy
which can ionize near by atoms
The incident x-ray photon only surrendered some of its energy. It continues on its way but in a new direction. It is called the Compton scattered photon
Pair Production
Only occurs if the incident x-ray photon is at least 1.022 MeV
- Not in the diagnostic radiology range
• An incoming x-ray photon strongly interacts with the electric field surrounding the nucleus of an atom and disappears
• Photon energy is absorbed and transformed into matter composed of two particles: a negatron and positron
Photodisintegration
Interactions that occur with energies exceeding 10 MeV
-Not in diagnostic range
• The high-energy incident photon collides with the nucleus, which directly absorbs all the photon’s energy
• The excess energy in the nucleus is then released by ejecting a neutron from the nucleus
• Altering the nucleus makes the nucleus radioactive