Chest X-rays, along with other types of X-rays, are a fundamental diagnostic tool in medical imaging. They utilize electromagnetic radiation to create images of the internal structures of the body, which can be crucial for diagnosing various conditions. Chest X-rays, in particular, are most commonly...
Chest X-rays, along with other types of X-rays, are a fundamental diagnostic tool in medical imaging. They utilize electromagnetic radiation to create images of the internal structures of the body, which can be crucial for diagnosing various conditions. Chest X-rays, in particular, are most commonly used to evaluate the lungs, heart, airways, and bones of the chest area.
**Chest X-rays** are often the first imaging test performed when a patient presents with symptoms like a persistent cough, chest pain, shortness of breath, or fever. The X-ray can help detect a range of conditions, such as pneumonia, tuberculosis, lung cancer, or heart failure. It can also reveal fluid in or around the lungs (pleural effusion) and provide insights into the size and shape of the heart, which may indicate heart disease or other abnormalities.
The procedure for a chest X-ray is straightforward and non-invasive. The patient is usually asked to stand or sit in front of the X-ray machine, and images are taken from different angles. The X-rays pass through the body and are absorbed in varying amounts by different tissues. Dense tissues like bones absorb more X-rays and appear white on the X-ray film, while softer tissues absorb fewer X-rays and appear in shades of gray.
**Other types of X-rays** include abdominal X-rays, which are used to visualize the organs within the abdomen and detect issues like bowel obstructions, and skeletal X-rays, which are critical for diagnosing fractures, joint dislocations, and bone diseases such as arthritis or osteoporosis. Dental X-rays, another common type, are used to examine teeth and the surrounding bone structure, helping to identify cavities, infections, and other dental problems.
Overall, X-rays are a quick, painless, and essential diagnostic tool in medicine, offering valuable information that aids in the diagnosis and treatment of numerous conditions. However, because X-rays involve exposure to a small amount of radiation, their use is typically limited to situations where the benefits outweigh the risks.
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Slide Content
X-Rays
Medical Applications
X-rays are used in
medicine for
medical analysis.
Dentists use them
to find
complications,
cavities and
impacted teeth.
Soft body tissue
are transparent to
the waves. Bones
and teeth block
the rays and show
up as white on the
black background
Below are some x-rays showing objects which have been
swallowed by people. The examples show an open safety pin and a
child's stomach with all the pieces of a magnetic toy re-aligned
after he's swallowed them…one by one!
X-Rays and Mammograms
A mammogram (also called a
mammography exam) is a
safe, low-dose x-ray of the
breast. A high-quality
mammogram is the most
effective tool for detecting
breast cancer early. Early
detection of breast cancer
may allow more treatment
options. It could even mean
saving a woman’s breast or
her life.
The Physics of X - Rays
First of all, how do x-rays work? Well, they don't, of course, any more
than light 'works'. X-rays describe radiation which is part of the
electromagnetic spectrum (EMS). X – Rays have a very short
wavelength, generally the shorter the wavelength, the more penetrating
the wave.
The point about x-rays is that, unlike visible light, they pass straight
through some materials, including the materials that people are made
of. So, when a person is exposed to an x-ray, and a piece of film is
placed on the other side of them, a shadow of the inside of their body
is produced. This only works at all because the different tissues that
make up our bodies absorb x-rays to different extents.
The problem is, that we consist largely of water, so most of our soft
bits look much the same as far as x-rays are concerned. In fact, there
are really only three tissues that are sufficiently different from each
other in terms of x-ray absorption to show up on an x-ray film: bone,
air and soft tissue. These show up as grey/white areas on an x-ray.
X-Ray Diffraction
X-ray Crystallography
X-ray wavelengths are on the same order of
magnitude as atomic spacings.
Crystals thus make excellent diffraction gratings
Can use the geometry of the x-ray spots to
determine geometry of grating (i.e. the crystal)
nλ = 2d sin θ
Bragg Diffraction
•Diffraction from a three dimensional periodic structure such
as atoms in a crystal is called Bragg Diffraction.
•Similar to diffraction though grating.
• Consequence of interference between waves reflecting
from different crystal planes.
•Constructive interference is given by Bragg's law:
•Where λ is the wavelength, d is the distance between crystal
planes, θ is the angle of the diffracted wave. and n is an
integer known as the order of the diffracted beam.
nλ = 2d sin θ
Following Bragg's law, each dot (or reflection), in this
diffraction pattern forms from the constructive interference of
X-rays passing through a crystal. The data can be used to
determine the crystal's atomic structure.
How are X-Rays Produced?
X-Rays are
produced in
a special
type of tube
called… “An
X ray Tube!!”
Electrons are first emitted from a heated filament, by a process called thermionic emission.
They are then accelerated across the evacuated X-ray tube, under the action of a large voltage
across the tube, the filament forming the negative cathode and the target being positive anode.
On striking the target, the electrons lose most (about 99%) of their energy in low-energy
collisions with target atoms, resulting in a substantial heating of the target.
The rest of the electron energy (usually less than 1%) reappears as X-ray radiation.
Production
Of
X-Rays..
(continued)
•A rapidly-rotating anode is generally used. It forms the (tungsten) target surface on to which
the electron beam is focused. The target area under bombardment is constantly changing, thus
reducing local heat concentration. (You can often hear the whirring of the anode motor during the
taking of an X-ray.
Copper, being an excellent heat conductor, is used to hold the anode in place.
Oil, which circulates in the outer housing,, helps with convective cooling (as well as providing
electrical insulation).
Production
Of
X-Rays..
(continued)
X-Ray Imaging
•Imaging
with
x-rays
involves exposing a part of the body to a
small dose of ionizing radiation to produce pictures of the
inside of the body.
•Making an X-ray image
It is relatively easy to make an X-ray image, or
roentgenogram-all that is needed is an X-ray source and a
film wrapped in black paper on which to record the image.
Unfortunately, X-ray cannot be focused to make
a picture as with a camera. X-ray images are basically
images of the shadows cast on film by the various structures
in the body; they were once called skiagraphs, which is
Greek for shadow graphs.
The production of a radiograph
• The x-ray tube generates the x-rays and the
x-rays are produced and spread out
through space.
• A collimator is placed in the beam’s path
and most x-rays get absorbed in the
collimator.
• A fraction get through and a narrow beam
strikes the patient.
• These x-rays are mostly absorbed by the
body but about 1% make it out and are used
to expose a film or to create electrical signals
in a detector for image formation.
Wolbarst, Physics of Radiology