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orbit the nucleus in a variety of planes and specific energy states
electrons
ionization
addition or removal of electron from atom
when photon interacts with atom what is ejected
electron
higher Z# yields
higher binding energy
the further the electron is from the nucleus
the less energy binding the electron has
electrons in outer shell possess
higher kinetic energy
electrons in inner shell have lower KE but
higher binding energy
as xray beam passes through matter it undergoes
attenuation
the farther from the nucleus an electron is
the higher the total energy of the electron will be
attenuation
reduction in the number of photons in the beam as well as loss of energy (scatter and absorption)
xrays can undergo what processes
transmission through matter, total absorption by matter, interaction with matter and change direction
interactions can occur within
entire atom, orbital electrons, atomic nucleus
most common interaction in diagnostic xray range is with the
orbital electron
low energy photons interact with
whole atom
moderate energy photons interact with
orbital electrons
high energy photons interact with
nucleus
5 basic interactions: low to high photon energy
coherent scattering, photoelectric absorption, compton scatter, pair production, photodisintegration
therapeutic/meV range interaction
pair production and photodisintegration
diagnostic/keV interactions
coherent scatter, PE, compton scatter
coherent scatter
least likely, photon initially absorbed by whole atom, photon energy is ejected as photon in different direction, no ionization
coherent scatter is also known as
classical, thompson, rayleigh, and unmodified
coherent scatter occurs between
very low energy xray range and has little significance in diagnostic imaging
during coherent scattering, when a very low energy photon interact with an electron, the electrons
vibrate at the same frequency, and the photon is scattered in different direction
photoelectric absorption
main interaction at low kVp levels, photon completely absorbed by inner shell electron, ionization occurs by removing electron (photoelectron)
since photoelectric absorption makes atom unstable the
cascade effect occurs
the cascade effect creates
characteristic photons
this is the primary source of patient radiation dose
photoelectric absorption
patient dose comes from
original absorbed photon and more from characteristic photons
characteristic photons
secondary radiation, NOT scatter
characteristic xrays differ because they
have lower energies
the cascade effect lasts until
the atom is stabilized again
photoelectric absorption is more possible when
the xray photon’s energy and inner shell binding energy are close to the same
photoelectric absorption also increases when the atomic number is
higher, i.e. barium, bone, iodine, metallic artifact (joint replacement)
in diagnostic image contrast is mostly because of the
predominance of this interaction
since PE absorption is more likely to occur with higher atomic number then it will occur more in
bone than soft tissue
rules of PE: incident photon must be
greater than the binding energy of the inner shell electron
rules of PE: photoelectric interaction is more likely to occur when
the xray photon energy and electron binding energy are close to one another
rules of PE: PE interaction is more likely to occur with an electron that is
more tightly bound in its orbit (higher atomic numbers and inner shell electrons)
ionization in PE Absorption
ionization occurs, increases PT dose, no effect on bystander, positive effect on image quality
compton scattering
most common interaction, main IX at high energy, photon partially absorbed by outer shell electron, ionization occurs
when ionization occurs during compton scattering it is called
compton (recoil) electron
during compton, the energy of the incident photon is
divided between the scatter photon and ejected electron
during compton, the ejected electron will
lose its KE by excitation and ionization of atoms in the surrounding tissues
forward scatter results in
degradation of image contrast
side scatter results in
occupational exposure
backscatter results in
patient exposure
the higher energy incident photons will travel relatively in the
same direction when scattered
scatter that moves back toward incident photon is called
backscatter
compton scatter has high energy and is a
radiation hazard
ways to decrease scatter production
increased collimation, optimal kVp, compression
ways to decrease scatter reaching the IR
use a grid, higher grid ratio, increase OID
ways to decrease scatter reaching the technologist
increase distance from source and shielding
ionization with compton scattering
ionization occurs, bad for pt dose, bad for bystander dose, bad for image quality
pair production requires a minimum of
1.02 MeV of photon energy (not diagnostic)
pair production
xray photon interacts with the nucleus of a target atom and is converted into 2 electrons (positron and negatron)
both particles in pair production share the
original xray photon’s energy equally
in pair production the negatron is
absorbed
annihilation radiation
positron combined with electron and converted into 2 xrays each containing 0.51 MeV
photodisentegration requires a minimum of
10 MeV of photon energy (not diagnostic)
during photodisintegration the xray hits and is absorbed by the
nucleus
during photodisintegration the target nucleus is raised to an excited state and
emits a nucleon or other nuclear fragments
of the 5 interactions, which 2 have a significant impact on an xray image
photoelectric absorption and compton scatter
within the diagnostic range most of the xrays are
attenuated and a small percentage will exit the patient to create the image
as kVp increases the number of photons reaching the IR will
increase
as kVp increases the number of photoelectric interactions
decreases
as kVp increases the number of compton scatter interactions
increases
as kVp increases, scatter
increases and absorption decreases
in the human body, _______ is the predominant interaction through most of the diagnostic xray range
compton scattering
photoelectric interaction predominate in two circumstances
lower energy ranges (25-45 keV/40-70 kVp) and when high atomic number elements are introduced (iodine and barium)
when compton interactions predominate resulting image will have
lower contrast
when compton interactions predominate high kVp and low mAs produced more compton interaction but less
patient exposure
when PE absorption predominates resulting image will have
higher contrast
when PE absorption predominates low kVp and high mAs results in
increased PT exposure
Which energy level electrons possess the
highest total energy?
a) K
b) L
c) M
d) All atomic shells have the same total energy
M
During photoelectric absorption, a/an ____ shell electron is ejected.
a) inner-
b) middle-
c) outer-
d) all of the above
inner
An interaction that occurs between very low energy x-ray photons and matter is called ____ scatter.
a) coherent
b) classical
c) unmodified
d) all of the above
all of the above
Which of the following best describes the energy distribution during Compton scattering?
a) The incident photon energy is absorbed entirely by the
recoil electron.
b) The incident photon energy is absorbed entirely by the
scattered photon.
c) The incident photon energy is divided between the
recoil electron and the scattered photon.
d) The incident photon energy is transferred completely to
the recoil electron, with no energy remaining in the
scattered photon.
The incident photon energy is divided between the
recoil electron and the scattered photon
Which of the tissue interactions does NOT result in ionization?
a) photoelectric interaction
b) pair production interaction
c) compton interaction
d) coherent interaction
coherent interaction
Which interaction is responsible for the contrast in UGI studies?
a) Compton
b) Coherent
c) Photoelectric
d) Photodisintegration
Photoelectric
Which of the following interactions with matter will impact image contrast if excessive?
a) Compton
b) Coherent
c) Photoelectric
d) Photodisintegration
Compton