Medical Physics at A Level

X-Rays
 Contents
• Uses
• Production of X-Rays
• Brehmsstrahlung radiation
• Characteristic radiation
• The X-ray tube
• Rotating anode
• Intensifying screen
• Barium Meal
• Barium Enema
 X-Rays are:-
• high frequency, high energy
electromagnetic rays.
• undetectable by the human senses
• very penetrating
• low localised ionization.
• generated when high energy electrons
struck a metal target
 Uses:
• Imaging for detection of broken bones or tumors:
– simple X-ray,
– CT scanning,
– barium meal scanning.
• High energy rays for treatment of cancer
(destroying cells) - radiotherapy
• As incident beams in 'material characterization
technologies' (ways of finding out the properties
of materials), such as X-ray Diffraction, X-ray
Photoelectron Spectroscopy and Auger Electron
Spectroscopy.
 From the syllabus:-
• Physical principles of the production
of X-rays:
– rotating-anode X-ray tube;
– methods of controlling the beam
intensity,
– the photon energy,
– the image sharpness and contrast and
– the patient dose
 Production of X-rays
• X-rays are generated when high energy electrons
struck a metal target .
• The kinetic energy of the electron is transformed
into electromagnetic energy.
• Two kinds of x-rays are generated during this
process.
– Brehmsstrahlung radiation, also called "braking
radiation" or white x-rays is produced due to
electron deceleration.
– Characteristic x-rays are also produced when
electrons in target metal make transitions
between atomic energy levels.
 Brehmsstrahlung radiation
• Bremsstrahlung is the
German word for
'slowing down' or
'braking', and here it is
used to describe the
radiation which is
emitted when electrons
are decelerated or
"braked" when they are
fired at a metal target.
 Brehmsstrahlung radiation
• Accelerated charges
give off
electromagnetic
radiation, and when the
energy of the
bombarding electrons
is high enough, that
radiation is in the x-
ray region of the
electromagnetic
spectrum.
 Brehmsstrahlung radiation
• It is characterized by a
continuous distribution
of radiation called
continuous x-ray
spectrum which
becomes more intense
and shifts toward
higher frequencies
when the energy of the
bombarding electrons is
increased.
Brehmsstrahlung radiation
• A projectile electron can lose any amount
of its kinetic energy in an interaction
with the nucleus of a target atom.
• So the bremsstrahlung radiation
associated with the loss can take on a
corresponding range of values.
• For example, an electron with kinetic
energy of 70 keV can lose all, none, or
any intermediate level of that kinetic
energy in a bremsstrahlung interaction.
Brehmsstrahlung radiation
• The Bremsstrahlung X-ray produced can
have an energy in the range of 0 to 70
keV.
• Here, 70 keV is the energy that
corresponds to the cut off wavelength
(smallest wavelength - highest frequency
therefore the highest possible energy -
use E=hf=hc/ to calculate it). This is
different from the production of
characteristic x-rays that have specific
energies.
 Characteristic X-rays
• Characteristic X-rays are produced by
transitions of orbital electrons from
outer to inner shells.
• Bombarding electrons can release
electrons from inner energy level orbits.
• Higher electrons can then fall into the
vacancy and if the energy gap between
the levels is great enough X-rays will be
produced.
 Characteristic X-rays
• Since the electron binding energy for every
element is different, the characteristic X-rays
produced in the various elements are also
different.
• This type of X-radiation is called
characteristic radiation because it has
precisely fixed, or discrete, energies and that
these energies are characteristic of the
differences between electron binding energies
of a particular element.
• The effective energy characteristic X-rays
increases with increasing atomic number of the
target element.
 Characteristic X-rays
• The two sharp peaks
in the graph are
characteristic X-rays
which occur when
vacancies are
produced in K-shell of
the atom and
electrons drop down
from above to fill the
gap.
 Characteristic X-rays
• The X-rays produced by
transitions from L to K levels
are called K-alpha x-rays,
and those from M to K
transition are called K-beta
x-rays.
• Transitions to the L-shell
are designated as L x-rays.
The graph also shows the
"brehmsstrahlung" radiation
which forms the base for
the two sharp peaks.
 Example to calculate the
emitted x-ray energy:
For tungsten, K electrons have binding energies of
69.5 keV, and L electrons are bound by 12.1 keV.
A K-shell electron is removed from a tungsten
atom and is replaced by an L shell electron.

What is the energy of the characteristic X-ray

that is emitted (in keV)?

ANSWER: 57.4 keV (the difference in the

energies of the shells).
The X-Ray Tube
The X-Ray Tube: Thermionic
Emission
• Electrons are produced by thermionic
emission in the cathode. This is
heated by a relatively low voltage
supply. At a cathode current of 100
mA, for example, 6 x 1017 electrons
travel from the cathode to the anode
of the X-ray tube every second.
 The X-Ray Tube: electron
missiles!
• They are accelerated from the
cathode to anode across a high
voltage. As the kinetic energy of the
electrons increases, both the
intensity (number of x-rays) and the
energy (their ability to penetrate) of
the X-rays produced are increased.
 Rotating anode
• To increase the output, tubes with a
rotating anode of a diameter up to
200 mm for a better dissipation of
heat are used.
• The anode is accelerated up to 9000
rpm within less than 1 second.
• Heat buildup will rapidly damage the
target unless some provision is made
for its dissipation.
 Rotating anode
• The most common solution to the problem
in medical x-ray tubes is to mount the
anode target on the armature of an
electric motor so that the target becomes
a spinning disc which has the capacity to
absorb the heat over a large area even
though the actual focal spot is quite small.
• The size of the focal spot affects the
sharpness of the radiograph. As the focal
spot is enlarged, the radiograph becomes
less sharp… therefore a spinning anode is
better than having a bigger focal spot
 The X-Ray Tube: X-Ray
Production
• When these electrons bombard on the
heavy metal atoms of the target, they
interact with these atoms and transfer
their kinetic energy to the target.
• These interactions occur within a very
small depth of penetration into the target.
• As they occur, the electrons slow down
(brake!) and finally come nearly to rest, at
which time they can be conducted through
the x-ray anode assembly and out into the
associated electronic circuitry
 The X-Ray Tube: Energy
Changes
• The interactions result in the conversion
of kinetic energy into thermal energy and
electromagnetic energy in the form of X-
rays.
• By far, most of the kinetic energy is
converted into heat.
• The electrons interact with the outer-
shell electrons of the target atoms but
do not transfer sufficient energy to
these outer-shell electrons to ionize
them.
 The X-Ray Tube: Energy
Changes
• Rather, the outer-shell electrons are
simply raised to an excited, or higher,
energy level. The outer-shell electrons
immediately drop back to their normal
energy state with the emission of
infrared radiation.
• The constant excitation and
restabilization of outer-shell electrons
is responsible for the heat generated
in the anodes of X-ray tubes.
 The X-Ray Tube: Heat
Production
• Generally, more than 99% of the
kinetic energy of projectile electrons
is converted to thermal energy,
leaving less than 1% available for the
production of X-radiation.
• In this sense, the X-ray machine is a
very inefficient apparatus.
 The X-Ray Tube: Heat
Production
• The production of heat in the anode
increases directly with increasing
tube current. Doubling the tube
current doubles the quantity of heat
produced.
• Heat production also varies almost
directly with varying the high tension
voltage too.
 The X-Ray Tube:
efficiency
• The efficiency of X-ray production is
independent of the tube current.
• Regardless of what mA is selected, the
efficiency of X-ray production remains
constant.
• The efficiency of X-ray production
increases with increasing projectile-
electron energy.
• At 60 kVp, only 0.5% of the electron
kinetic energy is converted to X-rays; at
120 MeV, it is 70%.
 The X-Ray Tube: Target
Material
• needs to have a high Z (proton number) so
that transitions of high enough energy to
emit X-ray radiation are possible
• needs to have a high melting point because
so much heat energy is produced.
• tungsten is ideal (Molybdenum for softer
X-rays needed for breast X-rays)
 Graph of Intensity against
Action Effect X-Ray photon energy Clarity of image
• Increasing • Increasing • Shape of spectrum • Too high an
the tube the high p.d. spreads out to encompass energy of X-ray
voltage that is used higher energies will penetrate
to too well to give
accelerate good definition -
the if they all get
electrons through - no
will give the shadow - picture!
average
electron • range is increased • 60-125 KV is
more energy usually employed
when it hits - giving energy
the target of about 30 keV

• Characteristics in the
same place (natch!!)
• area under the curve
increases
 Graph of Intensity
against X-Ray photon
Action Effect energy
AC/DC voltage Electrons produced by graphs for both are the
thermionic emission only same except the DC one
accelerated across half is double the intensity
(AC necessary to get of the time! throughout (only
higher voltages - can use accelerated across to
transformers! DC target on half of the
acquired by electronic wave).
rectiication and
'smoothing' circuitry)
 Action Effect Graph of Clarity of image
Intensity against
X-Ray photon
energy

Increasing the Increases the Shape of Overall increase

tube current (low rate of thermionic spectrum remains of exposure of
voltage one!) emission - more the same film
electrons hit the
target - more X- range is the same but bigger dose to
rays produced. patient!

Characteristics in more heating of

the same place the target
(natch!!)

area under the

curve increases
 Action Effect Graph of Clarity of image
Intensity against
X-Ray photon
energy
Increasing Overall increase
exposure time of exposure of
film
but bigger dose to
patient!
more heating of
the target
risk of blur due to
movement of
patient - big
problem with
organs that
cannot be
constrained.
 Action Effect Graph of Clarity of image
Intensity against
X-Ray photon
energy
Changing Target An increase in Z The allows choice of
Material (proton number) Characteristic X-ray energies
will increase the peak positions will that give best
probablity of change - Ks will difference in
electron shift towards attenuation for
interactions of higher energies the part to
enough energy to (these depend on viewed.
produce X-rays - the target
so more X-rays material!).
will be produced. range is the same
area under the soft X-rays are
curve increases needed for soft
tissue - harder
ones for bone.
 Action Effect Graph of Intensity Clarity of image
against X-Ray photon
energy
Using a Absorbs mainly area under the curve is reduces unwanted
filter lower energy smaller (as some of the X- X-rays and
(material X-rays - and rays have been absorbed). therefore the
placed in produces a scatter due to
the X-ray 'harder' more Shape changes as mainly X- them - better
beam path) penetrating rays are reduced from the contrast
beam) lower energy values.

range is smaller - but high

energy the same.
Characteristics in the same
place (natch!!)
 Action Effect Graph of Clarity of image
Intensity
against X-Ray
photon energy
Reducing beam less scatter -
size better contrast -
especially if a
collimator is used
(lead grid that
only allows X-
rays in a
particular
direction to get
through.
 Action Effect Graph of Clarity of image
Intensity against
X-Ray photon
energy
Artificial Contrast See barium Clearly outlines the
Media meal/enema inner surface of
internal bodily
organs by coating
them in a radio-
opaque material -
barium sulphate.
 Action Effect Graph of Clarity of image
Intensity against
X-Ray photon
energy
Intensifying Decreases the Make image
Screens required exposure clearer with a
time. lower X-ray dose
 Action Effect Graph of Clarity of image
Intensity
against X-Ray
photon energy

Focal spot size Small focal spot

produces
sharp images

BUT also intense

heating of
target
 Intensifying Screens
• X-ray and other photographic films are sensitive
to the direct action of the x-rays, but the
photographic effect can be increased very
appreciably, and exposure time can be decreased
by the use of an intensifying screen in contact
with each side of the film.
• One form of intensifying screen consists of lead
foil, or a thin layer of a lead compound evenly
coated on a paper backing. Under the excitation of
x-rays of short wavelength and gamma rays, lead is
a good emitter of electrons, which expose the
sensitive film, thus increasing the total
photographic effect.
 Intensifying Screens
• Another form of intensifying screen consists
of a powdered fluorescent chemical--for
example, calcium tungstate, mixed with a
suitable binder and coated on cardboard or
plastic. Its action depends on the fact that it
converts some of the x-ray energy into light,
to which the film is very sensitive.
• The decision as to the type of screen to be
used-or whether a screen is to be used at all-
depends on a variety of circumstances, and is
made by the radiographer.
 Types of film
• Several special types of x-ray film have
been designed for the radiography of
materials. Some types work best with lead
screens, or without screens. Other types
are intended primarily for use with
fluorescent intensifying screens.
 Types of film
• X-ray films are commonly coated with
emulsion on both sides of the support (to
double the chance of exposure and
therefore decrease the dose) --the
superposition of the radiographic images
of the two emulsion layers doubles the
density and hence greatly increases the
speed at which the X-Ray image is formed
(halving the dose to the patient).
 Types of film
• X-ray films coated on one side only
(single-coated films) are available for use
when the superposed images in two
emulsions might cause confusion - when a
very detailed image of an area is required.
 Barium meal
• A barium meal is an x-ray examination
of the stomach and your oesophagus
(gullet). Often pictures of the first
part of the small intestine (the
duodenum) are also taken.
• For the test to be successful the
stomach should be as empty as
possible and so the patient will
probably be asked not to eat or drink
anything for six hours before the
examination.
 Barium meal
• The patient will be asked to swallow some
fizzy tablets or granules, with a little
water. These will expand the stomach
with gas which makes it easier to get a
clear view of things. It is very important
that the patient does not belch once s/he
has taken these. Sometimes s/he if also
given an injection of a drug to relax the
stomach and stop it moving while the x-
rays are taken (this can cause some
blurring of vision for an hour or so and if
this happens it is best not to drive).
 Barium meal
• The patient is then given a cup of
'barium' to drink. It is actually barium
sulphate (a radiopaque - contrast
medium) and the mixture used normally
contains defoaming agents and a
mixture of constituents that make it
have excellent coating characteristics.
It is often fruit flavoured and is not at
all unpleasant.
 Barium meal
• The barium shows up on the X-rays as
it strongly absorbs X-rays and
therefore outlines the gullet and
stomach in the X-ray picture.
• A number of X-ray pictures will then
be taken. This is completely painless.
• The examination is usually completed
within 30 minutes.
 Barium Enema
• A barium enema is an x-ray
examination which involves filling the
large intestine with barium through a
tube inserted into the rectum. It is
similar to the meal - just inserted
into the body the other way round!
 Barium Enema
• The patient can eat and drink quite
normally once the test is completed.
The barium will be passed out with
your bowel motions during the next
few days, it may make motions paler
in colour than normal.
• The results of the examination will
usually be available a few days later.