X Ray
X Ray
X Ray
1
Medical imaging techniques utilise radiation that is part of the electromagnetic spectrum. These
include imaging X-rays which are the conventional X-ray, computed tomography (CT) and
mammography. To improve X-ray image quality, a contrast agent can be used, for example, in
angiography examinations.
X rays are electromagnetic radiation that differentially penetrates structures within the body and
creates images of these structures on photographic film or a fluorescent screen. These images are
called diagnostic x rays.
The X-rays used by the X-ray machines are produced by accelerating electrons at a relatively higher
velocity and then directing them towards a target. On hitting the target, the electrons tend to
decelerate and lose energy. During the process, a major portion of the kinetic energy possessed by
them gets converted into heat energy and the rest portion into x-rays.
The working of an X-ray machine can be summarized as a three-step procedure, i.e., exposing the
object to the X-rays, absorption and scattering of the radiations, and formation of the image on the
film. Initially, the object whose internal image is required to be formed is placed in direct exposure to
the x-rays produced by the X-ray tube of the X-ray machine.
The radiations are directed towards the body part that is required to be examined. The basic property
of the X-rays enables the radiations to pass through the soft surfaces of the object and get absorbed by
the rigid and dense portions.
The radiations passing through the soft surfaces tend to get scattered, while the radiations falling on
the dense surfaces get absorbed. The partial and complete passing of radiations through the object
tends to form an impression of the internal structure of the object on the film. For instance, in medical
diagnosis when the X-rays come in contact with the bones and tissues of a human being, a
corresponding black and white image gets reflected on the surface of the metal film.
Finally, the hard copy of the image is developed and processed to enhance the information contained
by it. The image developed by the X-ray machine is generally black and white in nature. The black
area of the film represents the soft portion or the soft tissues of the body, while the white area
corresponds to the dense regions or the bones present in the body.
Applications:
Radiography:
Radiography describes the process of creating two dimensional projection images by exposing an
anatomy of interest to X-rays and measuring the attenuation they undergo when passing through the
object. It is a very common form of X-ray imaging and is used in clinics around the globe.
The main application area is the examination of fractures and changes of the skeletal system. Here,
the high attenuation coefficient of bones compared to the surrounding tissue delivers a good contrast
and allows for distinct detection and classification of fractures. Moreover, radiography can be used to
detect changes of a bone’s consistency or density, e. g., in case of osteoporosis or bone cancer.
Fluoroscopy:
Conventional radiography typically refers to the acquisition of a single or small number of X-ray
projection images for a specified view. In contrast, fluoroscopy describes a sequence of radiographic
images acquired periodically at a certain frame rate. The X-ray source can either be triggered for each
frame or simply provide a constant radiation exposure to the region of interest.
Fluoroscopy is of special importance in minimally invasive interventions, where catheters,
endoscopes, and other tools need to be guided and operated without direct visual contact to the region
where the actual intervention takes place.