Professional Documents
Culture Documents
Dr Slavik Tabakov
- Production of X-rays and Patient Dose - X-ray tube construction - Anode - types, efficiency - Classical X-ray generator (block diagram)
OBJECTIVES
- Medium frequency X-ray generator (block diagram) - Principle of radiographic contrast formation - X-ray film and film/screen combination -Various radiographic contrasts (definitions) - Image Intensifier construction - Fluoroscopic image and dose
Estimated annual collective dose to UK population from Diagnostic Radiology for 1990 is approx. 20,000 manSv. On the basis of risk estimate this could be responsible for up to 700 cancer deaths/year ! Safety in Diagnostic
Radiology, IPEM, 1995
Approximately 90% of the total collective dose to UK population from man-made radiation sources arises from Diagnostic Radiology Safety in
Diagnostic Radiology, IPEM, 1995
In most industrialised countries there are between 300 and 900 X-ray examinations for every 1000 inhabitants every year. Over half of these are chest examinations (these figures does not include dental X-ray examinations or mass screening programs). Doses varies widely from hospital to hospital, even in the same country, sometimes by a factor of 100.
Radiation and You, EU, Luxembourg 1990
Distribution of X-ray dose from the Tube through the Patient to the X-ray film Exposure ~ 80 kV, 30 mAs @ 1m 100%
2%
1%
0.25%
~100 kV
vacuum
Production of X-rays and Bremsstrahlung (stopping radiation) thermal electron emission in vacuum (10-6 mbar) and target bombardment White X-ray spectrum (gamma quanta with all energies) and its final view (after tube filtration)
Imaginary model
Electron radius Nucleus radius Atom radius
Real (approximate)
10-15 m 10-14 m
Volume ratio:
vs A
~ 1015
PRE-Heating of Cathode
Cathode W wire filament (~10x0.2 mm) Anode W plate (melting at 3370oC) Construction: stationary and rotation
Effective focus ; Thermal (Actual) focus Rotational increased thermal focus more power
The maximal power of the rotating anode(Pmax) depends from the effective focal spot size (f); the diameter of the target track (D); the angle of the anode (); and the speed of rotation (n - r.p.m.):
X-ray Intensity distribution: -In all directions inside the Tube housing (only a fraction of X-rays used output dose) -The overall output intensity decreases with ageing of Tube
Intensity of X-ray radiation : W ~ I.U2.Z Anode efficiency ~ k.U.Z
(Z-anode atom. No.)
- Decreased intensity at Anode site (Heel effect) it is more obvious with old Tubes
X-ray Tube Housing Insulating Oil; Output window; Pb lining; Leakage radiation Tube and Housing cooling and To protection
X-ray image resolution depends on the size of the X-ray tube focal spot (effective focus) Fine (~ 0.5mm) or Broad (~1mm)
The BF smears the contours of the imaged objects (this increases with the increase of object-to-film distance) Focus
Object
Film
X-ray Generator
Filament circuit Basic diagram of Classical X-ray Generator with the Tube
Contemporary medium-frequency X-ray Generator (smaller HV transformer; frequency varies the kV)
U/f ~A.n
voltage U with frequency f
A - cross section of the transform core; n - number of transformer windings (transformer ratio);
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SUMMARY X-ray tube: - Focal spot (spatial resolution; power) - Total filtration at tube output (pat. dose) - Tube housing (leakage radiation) X-ray Generator: - kV control (image contrast, pat. dose2) - mA control (image brightness, pat.dose) -Time (msec) control (image brightness and patient dose)
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The X-ray source radiation Io passes through the object (the body) and is modulated by the body tissues (.d) on its way. This modulated radiation beam Ix interacts with the detector, where the modulated radiation is transformed into modulated light the X-ray image. The contrast of the image depends on the energy of the X-ray beam.
Ix = Io . e-(.d)
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D1
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X-ray film with 1 or 2 sensitive layers (AgBr emulsions) over transparent base
The film is exposed to both X-rays and light inside the cassette
Light (X-ray) photon excites a Bromine atom (and it looses an e-). These free e- are trapped into crystal defects. The (+) Silver ions are attracted into these () defects, where they are neutralised and become Ag atoms (sensitised grains). The combination of areas in the film with different number of sensitised grains forms a LATENT IMAGE. During the process of film development the sensitised grains are stabilised (the exposed AgBr crystals reduced to stable Ag atoms). During the next process of film fixing the remaining un-sensitised grains (which had not been exposed to light photons) are removed and washed out. The final visible image contains areas with various darkness (depending on the concentration of Ag atoms).
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X ~ Z . kV2 . mAs
The X-ray anode efficiency
~ Z. Ua
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X ~ Z . kV2 . mAs
Photographic analogue: -speed
mAs influence
70 kVp, 25 mAs
70 kVp, 50 mAs
70 kVp, 80 mAs
kVp influence
* Loss of Contrast
60 kVp, 50 mAs
70 kVp, 50 mAs
81 kVp, 50 mAs
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Fluoroscopy delivers very high patient dose. This can be illustrated with an example: The electrical energy imparted to the anode during an exposure is A = C 1 . U a . Ia . T The X-ray tube anode efficiency is E = C2 . Z. Ua From the two equations follows that the energy produced in a single exposure will be X = C . A . E = C . Z . (Ua)2 . Ia . T = (C. Z) . kV2 . mAs Radiography of the lumbar spine (with parameters 80 kV, 30 mAs):
X = k. 80.80.30 = k. 192,000
Fluoroscopy - 3 minutes Barium meal (with parameters 80 kV, 1mA)
X = k. 80.80.1.3.60 = k. 1,152,000
In this example fluoroscopy delivers approx. 6 times more X-ray energy (dose)
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Luminescence:
Fluorescence - emitting narrow light spectrum (very short afterglow ~nsec) PM detectors; II input screens (CsI:Tl) Phosphorescence - emitting broad light spectrum (light continues after radiation) monitor screens, II output screens (ZnCdS:Ag) The old fluoroscopic screens are no longer used due to high dose and low resolution
- Input window (Ti or Al) 95% transmission - Input screen: CsI (new) or ZnS (old) phosphor - Photocathode (a layer of CsSb3 ) - Accelerating electrodes zoom (e.g. 30/23/15 cm) - Output screen (2.5 cm) - II housing (mu-metal) - Output coupling to the TV camera
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II Input screen: Columnar crystals of CsI which reduces dispertion (collimation); absorbs approx. 60% of X-rays Photocathode applied directly to CsI both light spectrum match very well
II Accelerating electrodes
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II Output screen: Phosphor (ZnCdS:Ag) on glass base The accelerated e- produce multiple light photons; thin Al foil prevent return of light (veiling glare) Coupling: fibre optic or tandem optic Conversion factor ~100-1000 (cd.m-2/Gy.s-1) = (output phosphor light / input screen dose rate) Total gain (inp. X photons / out. light photons)
Total gain (inp. X photons / out. light photons) 1 X-ray photon >> 1000 light photons (input screen) >> >>50 photo e- >> 3000 light photons (output screen) in this case the total gain is 3000
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TV camera types: Vidicon - gamma 0.7; slow response, some contrast loss (light integration), high dark current, but low noise - suitable for organs Plumbicon - gamma 1; quick response, small dark current, but high noise suitable for cardiac examinations
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Dynamic range of II -much larger than this of radiographic film (output luminance per dose unit) Resolution and Magnification of II - electronic zoom up to 4 times (lp/mm)
Summary
60 kV
70 kV 100 kV
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