X-ray Physics Introduction | X-ray Physics |2

Siddharth Verma
MD-Radiology-Physics
4 min readJul 30, 2023

Section 1: Importance of X-ray Physics in Radiology Exams

In this introductory transcript, we start by highlighting the significance of X-ray physics in radiology exams. The speaker emphasizes that X-ray physics constitutes a major portion of the exam, often accounting for over 40% of the marks on average. This is applicable not only to radiographs but also to various other imaging modalities like CT, fluoroscopy, mammography, digital subtraction, and angiography, as the underlying physics principles are shared across these techniques. Therefore, understanding X-ray physics thoroughly is crucial for exam success.

Section 2: Overview of X-ray Physics Module

The speaker introduces a diagram summarizing the entire X-ray physics module. The module involves several steps to create X-rays and obtain useful medical images. The following steps are explained in detail:

Step 1: X-ray Circuit

The X-ray circuit serves a twofold purpose. Firstly, it converts the low voltage alternating current from the wall into a high voltage direct current. This conversion is achieved through the primary and secondary X-ray circuits. Secondly, the X-ray circuit allows manipulation of X-ray production through control settings. These controls enable adjustments to the average energy of X-rays, the amount of X-rays produced, and the exposure time for the patient.

Step 2: X-ray Tube

The X-ray tube is a crucial component responsible for generating X-rays. It consists of several parts:

a. Cathode: The cathode is a negatively charged electrode within the X-ray tube. It produces electrons through thermionic emission.

b. Anode: The anode is a relatively positive electrode that accelerates the produced electrons toward it due to the tube potential.

c. Electron Acceleration: The accelerated electrons strike the anode, and their energy is converted into heat or electromagnetic radiation, which includes X-rays.

Step 3: X-ray Beam Control

The X-ray beam that exits the X-ray tube can be controlled in two ways:

a. Filtration: Metal sheets can be placed in the X-ray beam to filter out lower energy X-rays, which contribute to patient dose but not the image. This process is called filtration, and it can be inherent (existing in the X-ray machine) or added (intentionally placed).

b. Collimation: Collimation narrows down the X-ray beam to a specific area on the patient that requires imaging. This helps avoid unnecessary exposure of other areas to X-ray radiation.

Step 4: X-ray Interaction with Patient

Once the X-ray beam interacts with the patient, several outcomes are possible:

a. Penetration or Transmission: X-rays may penetrate the patient’s body or transmit through it, reaching the X-ray detector.

b. Attenuation: Some X-ray energy may be absorbed by the patient’s tissues.

c. Scattering: Incident X-rays may scatter and deflect at different angles within the patient.

Step 5: X-ray Detector

The X-ray detector receives the transmitted X-rays and helps create the medical image. Different types of X-ray detectors include screen-film radiography, computed X-ray detectors, and indirect and direct digital X-ray detector systems.

Step 6: Reducing Scatter for Crisper Images

Scattered X-rays can reduce spatial resolution, increase noise, and decrease contrast in the final image. The transcript mentions that there are various mechanisms to reduce scatter in the image, and these will be discussed further.

Section 3: Importance of Understanding X-ray Physics for Exams

The transcript emphasizes that each step within the X-ray physics module is crucial for radiology exams, and understanding these concepts thoroughly is essential for success. The speaker further encourages viewers to access a question bank that covers past paper questions related to X-ray physics. This resource provides insight into how to approach and answer exam questions, including explanations for both correct and incorrect answers.

Conclusion:

In conclusion, this introductory transcript highlights the significance of X-ray physics in radiology exams, where it often constitutes a major portion of the marks. The process of creating X-rays involves several crucial steps, including the X-ray circuit, X-ray tube, X-ray beam control, X-ray interaction with the patient, and the X-ray detector. Understanding these concepts thoroughly is vital for achieving success in radiology exams. In the subsequent talks, the focus will be on specific components, starting with the cathode, thermionic emission, and focusing of the electron beam onto the anode. Mastering these fundamental concepts will provide a solid foundation for tackling more complex topics in X-ray physics. So, let’s dive in and explore the fascinating world of X-ray physics!

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