Physics · MU Sofia

40. X-ray diagnostics

Covers the principle of X-ray diagnostics, explaining how differential absorption in tissues produces images and how X-rays arise in a tube through bremsstrahlung and characteristic radiation, with lead shielding. It then describes radiography, fluoroscopy and computed tomography with their typical uses, followed by external beam therapy and brachytherapy, and closes with justification, ALARA, protection of pregnant women, children and workers, and the risks of overexposure.

Inside: 5 sections · 4 labelled pictures · 8 flashcards · 2 min

Topic 41 of 42 in the MU Sofia syllabus for Physics (Medicine, Year 1). The free AceMed note covers it in 5 sections, about 345 words (2 min of reading), with 8 flashcards.

In this note

  1. X-ray Diagnostics
  2. Principle of X-ray Diagnostics
  3. X-ray Diagnostic Methods
  4. Therapeutic Applications of X-rays
  5. Considerations and Safety

Principle of X-ray Diagnostics

  • Fundamental Principle:
  • X-rays are a form of electromagnetic radiation with high energy and short wavelength.
  • They penetrate tissues with varying absorption depending on density, atomic number, and thickness.
  • Dense tissues (e.g., bone) absorb more X-rays → appear white on film.
  • Soft tissues absorb less → appear darker.
  • X-ray Production:
  • Produced in an X-ray tube by accelerating electrons toward a metal target (e.g., tungsten).
  • X-rays arise via:
  • Bremsstrahlung radiation (braking radiation).
  • Characteristic radiation (electron transitions in the target atom).
  • Lead Shielding:
  • Used to protect patients and healthcare workers from unnecessary exposure.
  • Lead is effective due to its high density and high atomic number.

X-ray Diagnostic Methods

1. Radiography

  • Produces static 2D images.
  • X-rays pass through the body → differential absorption captured on film or digital detector.
  • Useful for: fractures, chest imaging, dental exams.

2. Fluoroscopy

  • Provides real-time dynamic imaging.
  • Continuous X-ray beam and fluorescent screen/detector allow visualization of moving structures.
  • Applications: GI tract studies, catheter placement, angiography.

3. Computed Tomography (CT)

  • Combines X-rays with computer processing for cross-sectional images.
  • Steps:
  1. 1. Scanning phase: Multiple X-ray beams rotate around the body, acquiring images at different angles.
  2. 2. Reconstruction phase: Computer reconstructs the data into cross-sectional (tomographic) images.
  3. 3. Post-processing: Images can be displayed in digital or analog form.
  • Advantages: detailed 3D visualization, high contrast resolution.

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