5 & 6 X-Ray Contrast, Radiation Dose, & Image Artifacts

[[Intro[[

• All photons impart energy to the object
  • All photons deliver a dose of energy
• As photons interact with matter, they are absorbed, scattered, or transmitted
• Exposure: The amount if radiation in air measured by radiation monitors
  • Exposure is measured in roentgen (R) and coulomb/kg
• Absorbed dose: The dose of radiation (energy) you are delivering to the tissue, measured by the energy absorbed
• The absorbed dose is measured in units of gray (Gy)
  • 1 Gy = 1 J absorbed by 1kg of tissue
  • Used to be rad (radiation absorbed dose) which is 0.01 Gy
• Math
  • 1 J = 6.2 x 10^15 keV
  • All can be done with just units
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Biological Effect of Dose

• Risk to different tissue is dependant on tissue type and the type of radiation
• Dose equivalent: A measure of the biological damage to living tissue as a result of the absorbed dose; the biological dose that delivers the same degree of risk to a tissue regardless of the radiation type
  • Dose equivalent is measured in Severt (Sv) which is Gy times quality factor (f)
  • Usually in mSV (small numbers)
• Effective dose: An estimate ofo the stochastic effect that a non-uniform radiation dose has on the whole body; weighted sum of dose equivalent by all organs
  • Sum of each organ: weighting factor times (absorbed dose of the organ times f)
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Image Contrast

• Contrast: The difference between foreground and background on an image
• In x-rays, contrast represents the difference in attenuation properties (μ) of materials along a path
• When μ increases, image brightness increases
• When the change in μ increases, image contrast increases
• Generally, μ decreases with energy, but it depends on the material
• Iodine injections have a higher attenuation coefficient and are used to increase contrast in imaging
• Increasing the energy decreases the change in attenuation coefficient, which can also be used to improve contrast (so that more particles hit your receptor)

Beam Intensity

• Beam intensity: The rate of change of the number of photons per unit area, represented by I
• I = (number photons/area)/change in time
• I(x) = I0 * e^-μx
• We will use “I” (intensity) interchangeably with “N” (number of photons), especially as a relative measure, however, keep in mind that they are representing different things
• Beams are polychromatic or polyenergetic (can be used interchangably)

Spectrum Effective Energy

• Effective energy is the weighted average of the spectrum energies (needed because x-rays are polychromatic)
• Because effective energy is different for different materials, we pick the μ that has the biggest difference between materials
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• Filters: Something used to reshape the radiation spectrum to eliminate energies that don’t contribute to the image, but do deliver dose
• Removing photons from the spectrum depends on their energy, the filter material, and the filter’s path length
  • For math, remember you cannot use the same μ for different energies

[[System & Beam Geometry[[

• Source-object distance (SOD): How far is the sample from the source?
• Source-image distance (SID): How far is the source from the detector image?
• Object size (h)
• Image size (l)
• Magnification factor: How much larger is the image from the actual sample?
• Parallel beam geometry is the ideal geometry, stating that all the beams move parallel to one another
  • Parallel beam geometry has some limitations, because the source size must be as large as the largest object imaged, it’s inconsisent with particle physics, and complex
  • Parallel beam geometry suggests simple math and no need to calculate the true size of the object from the image
  • No magnification effect from a parallel beam
• Fan (divergent) beam geometry (non-ideal) suggests that the beams come out from the source in a cone-like shape
  • Fan beam geometry have a more compact, practical design, and is more consistent with physics
  • Fan beam geometry requires magnification factor to be taken into account, as well as depth dependent magnification (objects must be the same distance from tube)
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• To reduce the radiation sent to parts of the body that we don’t want to image, we use a tube-side collimator, which focuses beam on the center of the object, making the beams closer to parallel
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• To reduce non-parallel beams and scattered photons, we use a detector-side collimator, or more commonly a radiographic grid, to absorb any scattered photons that are trying to reach the detector that would otherwise create noise

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