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[转帖]X射线相关背景知识--英文

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郑振寰 发表于 2010-3-4 14:11 | 显示全部楼层 |阅读模式
X-ray Hand mit Ringen (Hand with Rings): print of Wilhelm Röntgen's first "medical" X-ray, of his wife's hand, taken on 22 December 1895 and presented to Professor Ludwig Zehnder of the Physik Institut, University of Freiburg, on 1 January 1896.[1][2] X-radiation (composed of X-rays) is a form of electromagnetic radiation. X-rays have a wavelength in the range of 10 to 0.01 nanometers, corresponding to frequencies in the range 30 petahertz to 30 exahertz (3 × 1016 Hz to 3 × 1019 Hz) and energies in the range 120 eV to 120 keV. They are shorter in wavelength than UV rays. In many languages, X-radiation is called Röntgen radiation after Wilhelm Conrad Röntgen, who is generally credited as their discoverer, and who had called them X-rays to signify an unknown type of radiation.[3]:1-2
X-rays are primarily used for diagnostic radiography and crystallography. As a result, the term X-ray is metonymically used to refer to a radiographic image produced using this method, in addition to the method itself. X-rays are a form of ionizing radiation and as such can be dangerous.
X-rays from about 0.12 to 12 keV are classified as soft X-rays, and from about 12 to 120 keV as hard X-rays, due to their penetrating abilities.
The distinction between X-rays and gamma rays has changed in recent decades. Originally, the electromagnetic radiation emitted by X-ray tubes had a longer wavelength than the radiation emitted by radioactive nuclei (gamma rays).[4] So older literature distinguished between X- and gamma radiation on the basis of wavelength, with radiation shorter than some arbitrary wavelength, such as 10−11 m, defined as gamma rays.[5] However, as shorter wavelength continuous spectrum "X-ray" sources such as linear accelerators and longer wavelength "gamma ray" emitters were discovered, the wavelength bands largely overlapped. The two types of radiation are now usually defined by their origin: X-rays are emitted by electrons outside the nucleus, while gamma rays are emitted by the nucleus.[4][6][7][8]
Contents  1 Units of measure and exposure 2 Medical physics 3 Detectors 3.1 Photographic plate 3.2 Photostimulable phosphors (PSPs) 3.3 Geiger counter 3.4 Scintillators 3.5 Image intensification 3.6 Direct semiconductor detectors 3.7 Scintillator plus semiconductor detectors (indirect detection) 3.8 Visibility to the human eye 4 Medical uses 5 Shielding against X-Rays 6 Other uses 7 History 7.1 Wilhelm Röntgen 7.2 Johann Hittorf 7.3 Ivan Pulyui 7.4 Nikola Tesla 7.5 Fernando Sanford 7.6 Philipp Lenard 7.7 Thomas Edison 7.8 The 20th century and beyond 8 See also 9 Notes 10 References 11 External links //
 Units of measure and exposure The measure of X-rays ionizing ability is called the exposure:
The coulomb per kilogram (C/kg) is the SI unit of ionizing radiation exposure, and measures the amount of radiation required to create 1 coulomb of charge of each polarity in 1 kilogram of matter. The röntgen (R) is an obsolete older traditional unit of exposure, which represented the amount of radiation required to create 1 esu of charge of each polarity in 1 cubic centimeter of dry air. 1 röntgen = 2.58×10−4 C/kg However, the effect of ionizing radiation on matter (especially living tissue) is more closely related to the amount of energy deposited rather than the charge. This is called the absorbed dose:
The gray (Gy) which has units of (J/kg), is the SI unit of absorbed dose which is the amount of radiation required to deposit 1 joule of energy in 1 kilogram of any kind of matter. The rad is the (obsolete) corresponding traditional unit, equal to 0.01 J deposited per kg. 100 rad = 1 Gy. The equivalent dose is the measure of the biological effect of radiation on human tissue. For X-rays it is equal to the absorbed dose.
The sievert (Sv) is the SI unit of equivalent dose, which for X-rays is equal to the gray (Gy). The rem is the traditional unit of equivalent dose. For X-rays it is equal to the rad or 0.01 J of energy deposited per kg. 1 sievert = 100 rem. Medical X-rays are a major source of manmade radiation exposure, accounting for 58% in the USA in 1987, but since most radiation exposure is natural (82%) it only accounts for 10% of total USA radiation exposure.[9]
Reported dosage due to dental X-rays seems to vary significantly. Depending on the source, a typical dental X-ray of a human results in an exposure of perhaps, 3,[10] 40,[11] 300,[12] or as many as 900[13] mrems (30 to 9,000 μSv).

 Medical physics X-ray K-series spectral line wavelengths (nm) for some common target materials.[14] Target Kβ₁ Kβ₂ Kα₁ Kα₂ Fe 0.17566 0.17442 0.193604 0.193998 Co 0.162079 0.160891 0.178897 0.179285 Ni 0.15001 0.14886 0.165791 0.166175 Cu 0.139222 0.138109 0.154056 0.154439 Zr 0.070173 0.068993 0.078593 0.079015 Mo 0.063229 0.062099 0.070930 0.071359 X-rays are generated by an X-ray tube, a vacuum tube that uses a high voltage to accelerate electrons released by a hot cathode to a high velocity. The high velocity electrons collide with a metal target, the anode, creating the X-rays.[15] In medical X-ray tubes the target is usually tungsten or a more crack-resistant alloy of rhenium (5%) and tungsten (95%), but sometimes molybdenum for more specialized applications, such as when soft X-rays are needed as in mammography. In crystallography, a copper target is most common, with cobalt often being used when fluorescence from iron content in the sample might otherwise present a problem.
The maximum energy of the produced X-ray photon in keV is limited by the energy of the incident electron, which is equal to the voltage on the tube, so an 80 kV tube can't create higher than 80 keV X-rays. When the electrons hit the target, X-rays are created by two different atomic processes:
X-ray fluorescence: If the electron has enough energy it can knock an orbital electron out of the inner shell of a metal atom, and as a result electrons from higher energy levels then fill up the vacancy and X-ray photons are emitted. This process produces a discrete spectrum of X-ray frequencies, called spectral lines. The spectral lines generated depends on the target (anode) element used and thus are called characteristic lines. Usually these are transitions from upper shells into K shell (called K lines), into L shell (called L lines) and so on. Bremsstrahlung: This is radiation given off by the electrons as they are scattered by the strong electric field near the high-Z (proton number) nuclei. These X-rays have a continuous spectrum. The intensity of the X-rays increases linearly with decreasing frequency, from zero at the energy of the incident electrons, the voltage on the X-ray tube. So the resulting output of a tube consists of a continuous bremsstrahlung spectrum falling off to zero at the tube voltage, plus several spikes at the characteristic lines. The voltages used in diagnostic X-ray tubes, and thus the highest energies of the X-rays, range from roughly 20 to 150 kV.[16]
In medical diagnostic applications, the low energy (soft) X-rays are unwanted, since they are totally absorbed by the body, increasing the dose. So a thin metal (often aluminum, but can be one of many X-Ray filters) sheet is placed over the window of the X-ray tube, filtering out the low energy end of the spectrum. This is called hardening the beam.
Both X-ray production processes are extremely inefficient (~1%) and thus to produce a usable flux of X-rays plenty of energy has to be wasted into heat, which has to be removed from the X-ray tube.
Radiographs obtained using X-rays can be used to identify a wide spectrum of pathologies. Due to their short wavelength, in medical applications, X-rays act more like a particle than a wave. This is in contrast to their application in crystallography, where their wave-like nature is most important.
To take an X-ray of the bones, short X-ray pulses are shot through a body with radiographic film behind. The bones absorb the most photons by the photoelectric process, because they are more electron-dense. The X-rays that do not get absorbed turn the photographic film from white to black, leaving a white shadow of bones on the film.
To generate an image of the cardiovascular system, including the arteries and veins (angiography) an initial image is taken of the anatomical region of interest. A second image is then taken of the same region after iodinated contrast material has been injected into the blood vessels within this area. These two images are then digitally subtracted, leaving an image of only the iodinated contrast outlining the blood vessels. The radiologist or surgeon then compares the image obtained to normal anatomical images to determine if there is any damage or blockage of the vessel.
A specialized source of X-rays which is becoming widely used in research is synchrotron radiation, which is generated by particle accelerators. Its unique features are brightness many orders of magnitude greater than X-ray tubes, wide spectrum, high collimation, and linear polarization.[17]

 Detectors
 Photographic plate The detection of X-rays is based on various methods. The most commonly known methods are a photographic plate, X-ray film in a cassette, and rare earth screens. Regardless of what is "catching" the image, they are all categorized as "Image Receptors" (IR).
Before computers and before digital imaging, a photographic plate was used to produce radiographic images. The images were produced right on the glass plates. Film replaced these plates and was used in hospitals to produce images. Now computed & digital radiography has started to replace film in medicine, though film technology remains in use in industrial radiography processes (e.g. to inspect welded seams). Photographic plates are a thing of history, and their replacement (intensifying screens) is now becoming part of that same history. Silver (necessary to the radiographic & photographic industry) is a non-renewable resource, that has now been replaced by digital (DR) and computed (CR) technology. Where film required wet processing facilities, these new technologies do not. Archiving of these new technologies also saves space.
Since photographic plates are sensitive to X-rays, they provide a means of recording the image, but require a lot of exposure (to the patient), so intensifying screens were devised. They allow a lower dose to the patient, because the screens take the X-ray information and intensify it so that it can be recorded on film positioned next to the intensifying screen.
The part of the patient to be x-rayed is placed between the X-ray source and the image receptor to produce a shadow of the internal structure of that particular part of the body. X-rays are partially blocked ("attenuated") by dense tissues such as bone, and pass more easily through soft tissues. Areas where the X-rays strike darken when developed, causing bones to appear lighter than the surrounding soft tissue.
Contrast compounds containing barium or iodine, which are radiopaque, can be ingested in the gastrointestinal tract (barium) or injected in the artery or veins to highlight these vessels. The contrast compounds have high atomic numbered elements in them that (like bone) essentially block the X-rays and hence the once hollow organ or vessel can be more readily seen. In the pursuit of a non-toxic contrast material, many types of high atomic number elements were evaluated. For example, the first time the forefathers used contrast it was chalk, and was used on a cadaver's vessels. Unfortunately, some elements chosen proved to be harmful – for example, thorium was once used as a contrast medium (Thorotrast) – which turned out to be toxic in some cases (causing injury and occasionally death from the effects of thorium poisoning). Modern contrast material has improved, and while there is no way to determine who may have a sensitivity to the contrast, the incidence of "allergic-type reactions" are low. (The risk is comparable to that associated with penicillin.[citation needed])

 Photostimulable phosphors (PSPs) An increasingly common method of is the use of photostimulated luminescence (PSL), pioneered by Fuji in the 1980s. In modern hospitals a photostimulable phosphor plate (PSP plate) is used in place of the photographic plate. After the plate is x-rayed, excited electrons in the phosphor material remain "trapped" in "colour centres" in the crystal lattice until stimulated by a laser beam passed over the plate surface. The light given off during laser stimulation is collected by a photomultiplier tube and the resulting signal is converted into a digital image by computer technology, which gives this process its common name, computed radiography (also referred to as digital radiography). The PSP plate can be reused, and existing X-ray equipment requires no modification to use them.

 Geiger counter Initially, most common detection methods were based on the ionization of gases, as in the Geiger-Müller counter: a sealed volume, usually a cylinder, with a mica, polymer or thin metal window contains a gas, and a wire, and a high voltage is applied between the cylinder (cathode) and the wire (anode). When an X-ray photon enters the cylinder, it ionizes the gas and forms ions and electrons. Electrons accelerate toward the anode, in the process causing further ionization along their trajectory. This process, known as a Townsend avalanche, is detected as a sudden current, called a "count" or "event".
Ultimately, the electrons form a virtual cathode around the anode wire, drastically reducing the electric field in the outer portions of the tube. This halts the collisional ionizations and limits further growth of avalanches. As a result, all "counts" on a Geiger counter are the same size and it can give no indication as to the particle energy of the radiation, unlike the proportional counter. The intensity of the radiation is measurable by the Geiger counter as the counting-rate of the system.
In order to gain energy spectrum information, a diffracting crystal may be used to first separate the different photons. The method is called wavelength dispersive X-ray spectroscopy (WDX or WDS). Position-sensitive detectors are often used in conjunction with dispersive elements. Other detection equipment that is inherently energy-resolving may be used, such as the aforementioned proportional counters. In either case, use of suitable pulse-processing (MCA) equipment allows digital spectra to be created for later analysis.
For many applications, counters are not sealed but are constantly fed with purified gas, thus reducing problems of contamination or gas aging. These are called "flow counters".

 Scintillators Some materials such as sodium iodide (NaI) can "convert" an X-ray photon to a visible photon; an electronic detector can be built by adding a photomultiplier. These detectors are called "scintillators", filmscreens or "scintillation counters". The main advantage of using these is that an adequate image can be obtained while subjecting the patient to a much lower dose of X-rays.

 Image intensification X-ray during Cholecystectomy X-rays are also used in "real-time" procedures such as angiography or contrast studies of the hollow organs (e.g. barium enema of the small or large intestine) using fluoroscopy acquired using an X-ray image intensifier. Angioplasty, medical interventions of the arterial system, rely heavily on X-ray-sensitive contrast to identify potentially treatable lesions.

 Direct semiconductor detectors Since the 1970s, new semiconductor detectors have been developed (silicon or germanium doped with lithium, Si(Li) or Ge(Li)). X-ray photons are converted to electron-hole pairs in the semiconductor and are collected to detect the X-rays. When the temperature is low enough (the detector is cooled by Peltier effect or even cooler liquid nitrogen), it is possible to directly determine the X-ray energy spectrum; this method is called energy dispersive X-ray spectroscopy (EDX or EDS); it is often used in small X-ray fluorescence spectrometers. These detectors are sometimes called "solid state detectors". Cadmium telluride (CdTe) and its alloy with zinc, cadmium zinc telluride detectors have an increased sensitivity, which allows lower doses of X-rays to be used.
Practical application in medical imaging didn't start taking place until the 1990s. Currently amorphous selenium is used in commercial large area flat panel X-ray detectors for mammography and chest radiography. Current research and development is focused around pixel detectors, such as CERN's energy resolving Medipix detector.
Note: A standard semiconductor diode, such as a 1N4007, will produce a small amount of current when placed in an X-ray beam. A test device once used by Medical Imaging Service personnel was a small project box that contained several diodes of this type in series, which could be connected to an oscilloscope as a quick diagnostic.
Silicon drift detectors (SDDs), produced by conventional semiconductor fabrication, now provide a cost-effective and high resolving power radiation measurement. Unlike conventional X-ray detectors, such as Si(Li)s, they do not need to be cooled with liquid nitrogen.

 Scintillator plus semiconductor detectors (indirect detection) With the advent of large semiconductor array detectors it has become possible to design detector systems using a scintillator screen to convert from X-rays to visible light which is then converted to electrical signals in an array detector. Indirect Flat Panel Detectors (FPDs) are in widespread use today in medical, dental, veterinary and industrial applications.
The array technology is a variant on the amorphous silicon TFT arrays used in many flat panel displays, like the ones in computer laptops. The array consists of a sheet of glass covered with a thin layer of silicon that is in an amorphous or disordered state. At a microscopic scale, the silicon has been imprinted with millions of transistors arranged in a highly ordered array, like the grid on a sheet of graph paper. Each of these thin film transistors (TFTs) are attached to a light-absorbing photodiode making up an individual pixel (picture element). Photons striking the photodiode are converted into two carriers of electrical charge, called electron-hole pairs. Since the number of charge carriers produced will vary with the intensity of incoming light photons, an electrical pattern is created that can be swiftly converted to a voltage and then a digital signal, which is interpreted by a computer to produce a digital image. Although silicon has outstanding electronic properties, it is not a particularly good absorber of X-ray photons. For this reason, X-rays first impinge upon scintillators made from e.g. gadolinium oxysulfide or caesium iodide. The scintillator absorbs the X-rays and converts them into visible light photons that then pass onto the photodiode array.

 Visibility to the human eye While generally considered invisible to the human eye, in special circumstances X-rays can be visible.[18] Brandes, in an experiment a short time after Röntgen's landmark 1895 paper, reported after dark adaptation and placing his eye close to an X-ray tube, seeing a faint "blue-gray" glow which seemed to originate within the eye itself.[19] Upon hearing this, Röntgen reviewed his record books and found he too had seen the effect. When placing an X-ray tube on the opposite side of a wooden door Röntgen had noted the same blue glow, seeming to emanate from the eye itself, but thought his observations to be spurious because he only saw the effect when he used one type of tube. Later he realized that the tube which had created the effect was the only one powerful enough to make the glow plainly visible and the experiment was thereafter readily repeatable. The knowledge that X-rays are actually faintly visible to the dark-adapted naked eye has largely been forgotten today; this is probably due to the desire not to repeat what would now be seen as a recklessly dangerous and potentially harmful experiment with ionizing radiation. It is not known what exact mechanism in the eye produces the visibility: it could be due to conventional detection (excitation of rhodopsin molecules in the retina), direct excitation of retinal nerve cells, or secondary detection via, for instance, X-ray induction of phosphorescence in the eyeball with conventional retinal detection of the secondarily produced visible light.
Though X-rays are otherwise invisible it is possible to see the ionization of the air molecules if the intensity of the X-ray beam is high enough. The beamline from the wiggler at the ID11 at ESRF is one example of such high intensity.[20]

 Medical uses X-Ray Image of the Paranasal Sinuses, Lateral Projection Head CT scan slice - a modern application of X-rays Since Röntgen's discovery that X-rays can identify bony structures, X-rays have been developed for their use in medical imaging. Radiology is a specialized field of medicine. Radiologists employ radiography and other techniques for diagnostic imaging. This is probably the most common use of X-ray technology.
X-rays are especially useful in the detection of pathology of the skeletal system, but are also useful for detecting some disease processes in soft tissue. Some notable examples are the very common chest X-ray, which can be used to identify lung diseases such as pneumonia, lung cancer or pulmonary edema, and the abdominal X-ray, which can detect intestinal obstruction, free air (from visceral perforations) and free fluid (in ascites). X-rays may also be used to detect pathology such as gallstones (which are rarely radiopaque) or kidney stones (which are often visible, but not always). Traditional plain X-rays are less useful in the imaging of soft tissues such as the brain or muscle. Imaging alternatives for soft tissues are computed axial tomography (CAT or CT scanning), magnetic resonance imaging (MRI) or ultrasound. Since 2005, X-rays are listed as a carcinogen by the U.S. government.[21]. The use of X-rays as a treatment is known as radiotherapy and is largely used for the management (including palliation) of cancer; it requires higher radiation energies than for imaging alone.
X-rays are relatively safe investigation and the radiation exposure is low. But in pregnant patients, the benefits of the investigation (x-ray) should be balanced with the potential hazards to the unborn fetus.[22][23]

 Shielding against X-Rays Lead is the most common shield against X-Rays because of its high density (11340 kg/m3), ease of installation and low cost. The maximum range of a high-energy photon such as an X-ray in matter is infinite - at every point in the matter traversed by the photon, there is a probability of interaction. Thus there is a very small probability of no interaction over very large distances. The shielding of photons is therefore exponential - doubling the thickness of shielding will square the shielding effect.
The following table shows the recommended thickness of lead shielding in function of X-Ray energy, from the Recommendations by the Second International Congress of Radiology.[24]
X-Rays generated by peak voltages
not exceeding Minimum thickness
of Lead 75 kV 1.0 mm 100 kV 1.5 mm 125 kV 2.0 mm 150 kV 2.5 mm 175 kV 3.0 mm 200 kV 4.0 mm 225 kV 5.0 mm 300 kV 9.0 mm 400 kV 15.0 mm 500 kV 22.0 mm 600 kV 34.0 mm 900 kV 51.0 mm
 Other uses Each dot, called a reflection, in this diffraction pattern forms from the constructive interference of scattered X-rays passing through a crystal. The data can be used to determine the crystalline structure. Other notable uses of X-rays include
X-ray crystallography in which the pattern produced by the diffraction of X-rays through the closely spaced lattice of atoms in a crystal is recorded and then analyzed to reveal the nature of that lattice. A related technique, fiber diffraction, was used by Rosalind Franklin to discover the double helical structure of DNA.[25] X-ray astronomy, which is an observational branch of astronomy, which deals with the study of X-ray emission from celestial objects. X-ray microscopic analysis, which uses electromagnetic radiation in the soft X-ray band to produce images of very small objects. X-ray fluorescence, a technique in which X-rays are generated within a specimen and detected. The outgoing energy of the X-ray can be used to identify the composition of the sample. Industrial radiography uses X-rays for inspection of industrial parts, particularly welds. Paintings are often x-rayed to reveal the underdrawing and pentimenti or alterations in the course of painting, or by later restorers. Many pigments such as lead white show well in X-ray photographs. Airport security luggage scanners use X-rays for inspecting the interior of luggage for security threats before loading on aircraft. X-ray fine art photography Roentgen Stereophotogrammetry is used to track movement of bones based on the implantation of markers X-ray photoelectron spectroscopy is a chemical analysis technique relying on the photoelectric effect, usually employed in surface science. X-ray fine art photography of needlefish by Peter Dazeley
 History X-rays were discovered emanating from Crookes tubes, experimental discharge tubes invented around 1875, by scientists investigating the cathode rays, that is energetic electron beams, that were first created in the tubes. Crookes tubes created electrons by ionization of the residual air in the tube by a high DC voltage of anywhere between a few kilovolts and 100 kV. This voltage accelerated the electrons coming from the cathode to a high enough velocity that they created X-rays when they struck the anode or the glass wall of the tube. Many of the early Crookes tubes undoubtedly radiated X-rays, because early researchers noticed effects that were attributable to them, as detailed below, before Wilhelm Röntgen first systematically studied them in 1895.[26] Among the important early researchers in X-rays were Ivan Pulyui, William Crookes, Johann Wilhelm Hittorf, Eugen Goldstein, Heinrich Hertz, Philipp Lenard, Hermann von Helmholtz, Nikola Tesla, Thomas Edison, Charles Glover Barkla, Max von Laue, and Wilhelm Conrad Röntgen.

 Wilhelm Röntgen On November 8, 1895, German physics professor Wilhelm Conrad Röntgen, stumbled on X-rays while experimenting with Lenard and Crookes tubes and began studying them. He wrote an initial report "On a new kind of ray: A preliminary communication" and on December 28, 1895 submitted it to the Würzburg's Physical-Medical Society journal.[27] This was the first paper written on X-rays. Röntgen referred to the radiation as "X", to indicate that it was an unknown type of radiation. The name stuck, although (over Röntgen's great objections), many of his colleagues suggested calling them Röntgen rays. They are still referred to as such in many languages, including German. Röntgen received the first Nobel Prize in Physics for his discovery.
There are conflicting accounts of his discovery because Röntgen had his lab notes burned after his death, but this is a likely reconstruction by his biographers:[28] Röntgen was investigating cathode rays with a fluorescent screen painted with barium platinocyanide and a Crookes tube which he had wrapped in black cardboard so the visible light from the tube wouldn't interfere. He noticed a faint green glow from the screen, about 1 meter away. He realized some invisible rays coming from the tube were passing through the cardboard to make the screen glow. He found they could also pass through books and papers on his desk. Röntgen threw himself into investigating these unknown rays systematically. Two months after his initial discovery, he published his paper.
Röntgen discovered its medical use when he saw a picture of his wife's hand on a photographic plate formed due to X-rays. His wife's hand's photograph was the first ever photograph of a human body part using X-rays.

 Johann Hittorf German physicist Johann Hittorf (1824 – 1914), a coinventor and early researcher of the Crookes tube, found when he placed unexposed photographic plates near the tube, that some of them were flawed by shadows, though he did not investigate this effect.
 
 Ivan Pulyui In 1877 Ukranian-born Pulyui, a lecturer in experimental physics at the University of Vienna, constructed various designs of vacuum discharge tube to investigate their properties.[29] He continued his investigations when appointed professor at the Prague Polytechnic and in 1886 he found that that sealed photographic plates became dark when exposed to the emanations from the tubes. Early in 1896, just a few weeks after Röntgen published his first X-ray photograph, Pulyui published high-quality x-ray images in journals in Paris and London.[29] Although Pulyui had studied with Röntgen at the University of Strasbourg in the years 1873-75, his biographer Gaida (1997) asserts that his subsequent research was conducted independently.[29]
The first medical X-ray made in the United States was obtained using a discharge tube of Pulyui's design. In January 1896, on reading of Röntgen's discovery, Frank Austin of Dartmouth College tested all of the discharge tubes in the physics laboratory and found that only the Pulyui tube produced X-rays. This was a result of Pulyui's inclusion of an oblique "target" of mica, used for holding samples of fluorescent material, within the tube. On 3 February 1896 Gilman Frost, professor of medicine at the college, and his brother Edwin Frost, professor of physics, exposed the wrist of Eddie McCarthy, whom Edwin had treated some weeks earlier for a fracture, to the X-rays and collected the resulting image of the broken bone on gelatin photographic plates obtained from Howard Langill, a local photographer also interested in Röntgen's work.[30]

 Nikola Tesla In April 1887, Nikola Tesla began to investigate X-rays using high voltages and tubes of his own design, as well as Crookes tubes. From his technical publications, it is indicated that he invented and developed a special single-electrode X-ray tube,[31][32] which differed from other X-ray tubes in having no target electrode. The principle behind Tesla's device is called the Bremsstrahlung process, in which a high-energy secondary X-ray emission is produced when charged particles (such as electrons) pass through matter. By 1892, Tesla performed several such experiments, but he did not categorize the emissions as what were later called X-rays. Tesla generalized the phenomenon as radiant energy of "invisible" kinds.[33][34] Tesla stated the facts of his methods concerning various experiments in his 1897 X-ray lecture before the New York Academy of Sciences.[35] Also in this lecture, Tesla stated the method of construction and safe operation of X-ray equipment. His X-ray experimentation by vacuum high field emissions also led him to alert the scientific community to the biological hazards associated with X-ray exposure.[36]

 Fernando Sanford X-rays were generated and detected by Fernando Sanford (1854-1948), the foundation Professor of Physics at Stanford University, in 1891. From 1886 to 1888 he had studied in the Hermann Helmholtz laboratory in Berlin, where he became familiar with the cathode rays generated in vacuum tubes when a voltage was applied across separate electrodes, as previously studied by Heinrich Hertz and Philipp Lenard. His letter of January 6, 1893 (describing his discovery as "electric photography") to The Physical Review was duly published and an article entitled Without Lens or Light, Photographs Taken With Plate and Object in Darkness appeared in the San Francisco Examiner.[37]

 Philipp Lenard Philipp Lenard, a student of Heinrich Hertz, wanted to see whether cathode rays could pass out of the Crookes tube into the air. He built a Crookes tube (later called a "Lenard tube") with a "window" in the end made of thin aluminum, facing the cathode so the cathode rays would strike it.[38] He found that something came through, that would expose photographic plates and cause fluorescence. He measured the penetrating power of these rays through various materials. It has been suggested that at least some of these "Lenard rays" were actually X-rays.[39] Hermann von Helmholtz formulated mathematical equations for X-rays. He postulated a dispersion theory before Röntgen made his discovery and announcement. It was formed on the basis of the electromagnetic theory of light.[40] However, he did not work with actual X-rays.

 Thomas Edison Diagram of a water cooled X-ray tube. (simplified/outdated) In 1895, Thomas Edison investigated materials' ability to fluoresce when exposed to X-rays, and found that calcium tungstate was the most effective substance. Around March 1896, the fluoroscope he developed became the standard for medical X-ray examinations. Nevertheless, Edison dropped X-ray research around 1903 after the death of Clarence Madison Dally, one of his glassblowers. Dally had a habit of testing X-ray tubes on his hands, and acquired a cancer in them so tenacious that both arms were amputated in a futile attempt to save his life. "At the 1901 Pan-American Exposition in Buffalo, New York, an assassin shot President William McKinley twice at close range with a .32 caliber revolver." The first bullet was removed but the second remained lodged somewhere in his stomach. McKinley survived for some time and requested that Thomas Edison "rush an X-ray machine to Buffalo to find the stray bullet. It arrived but wasn't used . . . McKinley died of septic shock due to bacterial infection."[41]
 The 20th century and beyond A male technician taking an x-ray of a female patient in 1940. This image was used to argue that exposure to radiation during the x-ray procedure would be a myth. The many applications of X-rays immediately generated enormous interest. Workshops began making specialized versions of Crookes tubes for generating X-rays, and these first generation cold cathode or Crookes X-ray tubes were used until about 1920.
Crookes tubes were unreliable. They had to contain a small quantity of gas (invariably air) as a current will not flow in such a tube if they are fully evacuated. However as time passed the X-rays caused the glass to absorb the gas, causing the tube to generate "harder" X-rays until it soon stopped operating. Larger and more frequently used tubes were provided with devices for restoring the air, known as "softeners". This often took the form of a small side tube which contained a small piece of mica – a substance that traps comparatively large quantities of air within its structure. A small electrical heater heated the mica and caused it to release a small amount of air restoring the tube's efficiency. However the mica itself had a limited life and the restore process was consequently difficult to control.
In 1904, John Ambrose Fleming invented the thermionic diode valve (vacuum tube). This used a hot cathode which permitted current to flow in a vacuum. This idea was quickly applied X-ray tubes, and heated cathode X-ray tubes, called Coolidge tubes, replaced the troublesome cold cathode tubes by about 1920.
Two years later, physicist Charles Barkla discovered that X-rays could be scattered by gases, and that each element had a characteristic X-ray. He won the 1917 Nobel Prize in Physics for this discovery. Max von Laue, Paul Knipping and Walter Friedrich observed for the first time the diffraction of X-rays by crystals in 1912. This discovery, along with the early works of Paul Peter Ewald, William Henry Bragg and William Lawrence Bragg gave birth to the field of X-ray crystallography. The Coolidge tube was invented the following year by William D. Coolidge which permitted continuous production of X-rays; this type of tube is still in use today.
ROSAT image of X-ray fluorescence of, and occultation of the X-ray background by, the Moon. The use of X-rays for medical purposes (to develop into the field of radiation therapy) was pioneered by Major John Hall-Edwards in Birmingham, England. In 1908, he had to have his left arm amputated owing to the spread of X-ray dermatitis[1].
The X-ray microscope was invented in the 1950s.
The Chandra X-ray Observatory, launched on July 23, 1999, has been allowing the exploration of the very violent processes in the universe which produce X-rays. Unlike visible light, which is a relatively stable view of the universe, the X-ray universe is unstable, it features stars being torn apart by black holes, galactic collisions, and novas, neutron stars that build up layers of plasma that then explode into space.
An X-ray laser device was proposed as part of the Reagan Administration's Strategic Defense Initiative in the 1980s, but the first and only test of the device (a sort of laser "blaster", or death ray, powered by a thermonuclear explosion) gave inconclusive results. For technical and political reasons, the overall project (including the X-ray laser) was de-funded (though was later revived by the second Bush Administration as National Missile Defense using different technologies).

 See also Neutron radiation High energy X-rays X-ray crystallography X-ray astronomy X-ray machine X-ray microscope X-ray optics Backscatter X-ray Small angle X-ray scattering (SAXS) Geiger counter N-ray Radiography Radiology Radiologic technologist X-ray vision X-ray absorption spectroscopy X-Ray filters X-ray marker X-ray nanoprobe X-ray welding
 Notes ^ Kevles, Bettyann Holtzmann (1996). Naked to the Bone Medical Imaging in the Twentieth Century. Camden, NJ: Rutgers University Press. pp. pp19–22. ISBN 0813523583.  ^ Sample, Sharron (2007-03-27). "X-Rays". The Electromagnetic Spectrum. NASA. https://science.hq.nasa.gov/kids/imagers/ems/xrays.html. Retrieved on 2007-12-03.  ^ Novelline, Robert. Squire's Fundamentals of Radiology. Harvard University Press. 5th edition. 1997. ISBN 0674833392. ^ a b Dendy, P. P.; B. Heaton (1999). Physics for Diagnostic Radiology. USA: CRC Press. pp. p.12. ISBN 0750305916. https://books.google.com/books?id=1BTQvsQIs4wC&pg=PA12.  ^ Charles Hodgman, Ed. (1961). CRC Handbook of Chemistry and Physics, 44th Ed.. USA: Chemical Rubber Co.. pp. p.2850.  ^ Feynman, Richard; Robert Leighton, Matthew Sands (1963). The Feynman Lectures on Physics, Vol.1. USA: Addison-Wesley. pp. p.2–5. ISBN 0201021161.  ^ L'Annunziata, Michael; Mohammad Baradei (2003). Handbook of Radioactivity Analysis. Academic Press. pp. p.58. ISBN 0124366031. https://books.google.com/books?id=b519e10OPT0C&pg=PA58&dq=gamma+x-ray&lr=&as_brr=3&client=opera.  ^ Grupen, Claus; G. Cowan, S. D. Eidelman, T. Stroh (2005). Astroparticle Physics. Springer. pp. p.109. ISBN 3540253122.  ^ US National Research Council (2006). Health Risks from Low Levels of Ionizing Radiation, BEIR 7 phase 2. National Academies Press. pp. p.5, fig.PS–2. ISBN 030909156X. https://books.google.com/books?id=Uqj4OzBKlHwC&pg=PA5. , data credited to NCRP (US National Committee on Radiation Protection) 1987 ^ https://www.doctorspiller.com/Dental _X-Rays.htm and https://www.dentalgentlecare.com/x-ray_safety.htm ^ https://hss.energy.gov/NuclearSafety/NSEA/fire/trainingdocs/radem3.pdf ^ https://www.hawkhill.com/114s.html ^ https://www.solarstorms.org/SWChapter8.html and https://www.powerattunements.com/x-ray.html ^ David R. Lide, ed (1994). CRC Handbook of Chemistry and Physics 75th edition. CRC Press. pp. 10–227. ISBN 0-8493-0475-X.  ^ Whaites, Eric; Roderick Cawson (2002). Essentials of Dental Radiography and Radiology. Elsevier Health Sciences. pp. p.15–20. ISBN 044307027X. https://books.google.com/books?id=x6ThiifBPcsC&dq=radiography+kilovolt+x-ray+machine&lr=&as_brr=3&client=opera&source=gbs_summary_s&cad=0.  ^ Bushburg, Jerrold; Anthony Seibert, Edwin Leidholdt, John Boone (2002). The Essential Physics of Medical Imaging. USA: Lippincott Williams & Wilkins. pp. p.116. ISBN 0683301187. https://books.google.com/books?id=VZvqqaQ5DvoC&pg=PT33&dq=radiography+kerma+rem+Sievert&lr=&as_brr=3&client=opera.  ^ Emilio, Burattini; Antonella Ballerna (1994). "Preface". Biomedical Applications of Synchrotron Radiation: Proceedings of the 128th Course at the International School of Physics -Enrico Fermi- 12-22 July 1994, Varenna, Italy. IOS Press. pp. p.xv. ISBN 9051992483.  ^ Martin, Dylan (2005). "X-Ray Detection". University of Arizona Optical Sciences Center. https://www.u.arizona.edu/~dwmartin/. Retrieved on 2008-05-19.  ^ Frame, Paul. "Wilhelm Röntgen and the Invisible Light". Tales from the Atomic Age. Oak Ridge Associated Universities. https://www.orau.org/ptp/articlesstories/invisiblelight.htm. Retrieved on 2008-05-19.  ^ Eæements of Modern X-Ray Physics. John Wiley & Sons Ltd,. 2001. pp. 40–41. ISBN 0-471-49858-0.  ^ 11th Report on Carcinogens ^ Stewart, Alice M; J.W. Webb; B.D. Giles; D. Hewitt, 1956. "Preliminary Communication: Malignant Disease in Childhood and Diagnostic Irradiation In-Utero," Lancet, 1956, 2: 447. ^ "Pregnant Women and Radiation Exposure". eMedicine Live online medical consultation. Medscape. 28 December 2008. https://emedicinelive.com/index.php/Women-s-Health/pregnant-women-and-radiation-exposure.html. Retrieved on 2009-01-16.  ^ Alchemy Art Lead Products - Lead Shielding Sheet Lead For Shielding Applications, retrieved 2008-12-07 ^ Kasai, Nobutami; Masao Kakudo (2005). X-ray diffraction by macromolecules. Tokyo: Kodansha. pp. pp291–2. ISBN 3540253173.  ^ Filler, AG: The history, development, and impact of computed imaging in neurological diagnosis and neurosurgery: CT, MRI, DTI: Nature Precedings DOI: 10.1038/npre.2009.3267.5. ^ Stanton, Arthur (1896-01-23), "Wilhelm Conrad Röntgen On a New Kind of Rays: translation of a paper read before the Würzburg Physical and Medical Society, 1895" (Subscription-only access – Scholar search), Nature 53 (1369): 274–6, doi:10.1038/053274b0, https://www.nature.com/nature/journal/v53/n1369/pdf/053274b0.pdf  see also pp. 268 and 276 of the same issue. ^ Peters, Peter (1995). "W. C. Roentgen and the discovery of x-rays". Ch.1 Textbook of Radiology. Medcyclopedia.com, GE Healthcare. https://www.medcyclopaedia.com/library/radiology/chapter01.aspx. Retrieved on 2008-05-05.  ^ a b c Gaida, Roman; et al. (1997). "Ukrainian Physicist Contributes to the Discovery of X-Rays". Mayo Foundation for Medical Education and Research. https://www.meduniv.lviv.ua/oldsite/puluj.html. Retrieved on 2008-04-06.  ^ Spiegel, Peter K (1995). "The first clinical X-ray made in America—100 years". American Journal of Roentgenology (Leesburg, VA: American Roentgen Ray Society) 164 (1): pp241–243. ISSN: 1546-3141. https://www.ajronline.org/cgi/reprint/164/1/241.pdf.  ^ Morton, William James, and Edwin W. Hammer, American Technical Book Co., 1896. Page 68. ^ U.S. Patent 514,170, Incandescent Electric Light, and U.S. Patent 454,622, System of Electric Lighting. ^ Cheney, Margaret, "Tesla: Man Out of Time ". Simon and Schuster, 2001. Page 77. ^ Thomas Commerford Martin (ed.), "The Inventions, Researches and Writings of Nikola Tesla". Page 252 "When it forms a drop, it will emit visible and invisible waves. [...]". (ed., this material originally appeared in an article by Nikola Tesla in The Electrical Engineer of 1894.) ^ Nikola Tesla, "The stream of Lenard and Roentgen and novel apparatus for their production", Apr. 6, 1897. ^ Cheney, Margaret, Robert Uth, and Jim Glenn, "Tesla, master of lightning". Barnes & Noble Publishing, 1999. Page 76. ISBN 0760710058 ^ Wyman, Thomas (Spring 2005). "Fernando Sanford and the Discovery of X-rays". "Imprint", from the Associates of the Stanford University Libraries: 5–15.  ^ Thomson, Joseph J. (1903). The Discharge of Electricity through Gasses. USA: Charles Scribner's Sons. pp. p.182–186. https://books.google.com/books?id=Ryw4AAAAMAAJ&pg=PA138.  ^ Thomson, 1903, p.185 ^ Wiedmann's Annalen, Vol. XLVIII ^ National Library of Medicine. "Could X-rays Have Saved President William McKinley?" Visible Proofs: Forensic Views of the Body. https://www.nlm.nih.gov/visibleproofs/galleries/cases/mckinley.html
 References NASA Goddard Space Flight centre introduction to X-rays.
 External links X-Ray Discussion Group An Example of a Radiograph A Photograph of an X-ray Machine An X-ray tube demonstration (Animation) 1896 Article: "On a New Kind of Rays" Cathode Ray Tube Collection

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 楼主| 郑振寰 发表于 2010-3-4 14:12 | 显示全部楼层

Radiography

A plain radiograph of the elbow.
An X-ray from the Vietnam war shows an unexploded grenade embedded in a patient's skull. (As demonstrated by the intubation, the patient is lying down, not standing up. The circumstances behind the image are otherwise unknown.)

Radiography is the use of the property of X-rays to cross materials to view inside objects. The impact on society of this technique has also been immense : application fields are medical, non-destructive testing, food inspection, security, archeology, ...

An homogeneous beam of X-rays is produced by an X-ray generator and is sent to an object. According to the density and composition of the different areas of the objects, X-rays are more or less absorbed. They are then captured behind the object by a detector (film sensitive to X-ray, digital detector) which give a 2D image of this as if it was transparent. In tomography, images are captured under different angles to get a 3D picture of the object analysed.

Contents

 
  • 1 Medical and industrial radiography
  • 2 History of radiography
  • 3 Equipment
    • 3.1 Sources
    • 3.2 Detectors
  • 4 Theory of X-ray attenuation
  • 5 Obsolete terminology
  • 6 See also
  • 7 References
  • 8 External links

 Medical and industrial radiography

Radiography is used for both medical and industrial applications (see medical radiography and industrial radiography). If the object being examined is living, whether human or animal, it is regarded as medical; all other radiography is regarded as industrial radiographic work.

 History of radiography

Taking an X-ray image with early Crookes tube apparatus, late 1800s.

Radiography started in 1895 with the discovery of X-rays, also referred to as Röntgen rays after Wilhelm Conrad Röntgen who first described their properties in rigorous detail. These previously unknown rays (hence the X) were found to be a type of electromagnetic radiation. It wasn't long before X-rays were used in various applications, from helping to fit shoes, to the medical uses that have persisted. X-rays were put to diagnostic use very early, before the dangers of ionizing radiation were discovered. Indeed, Marie Curie pushed for radiography to be used to treat wounded soldiers in World War I. Initially, many kinds of staff conducted radiography in hospitals, including physicists, photographers, doctors, nurses, and engineers. The medical specialty of radiology grew up over many years around the new technology. When new diagnostic tests were developed, it was natural for the radiographers to be trained in and to adopt this new technology. Radiographers now often do fluoroscopy, computed tomography, mammography, ultrasound, nuclear medicine and magnetic resonance imaging as well. Although a nonspecialist dictionary might define radiography quite narrowly as "taking X-ray images", this has long been only part of the work of "X-ray departments", radiographers, and radiologists.

 Equipment

 Sources

A number of sources of X-ray photons have been used; these include X-ray generators, betatrons, and linear accelerators (linacs). For gamma rays, radioactive sources such as 192Ir are used.

 Detectors

A range of detectors including photographic film, scintillator and semiconductor diode arrays have been used to collect images.

 Theory of X-ray attenuation

Radiographs of the Darwinius fossil Ida.

X-ray photons used for medical purposes are formed by an event involving an electron, while gamma ray photons are formed from an interaction with the nucleus of an atom.[1]. In general, medical radiography is done using X-rays formed in an X-ray tube. Nuclear medicine typically involves gamma rays.

The types of electromagnetic radiation of most interest to radiography are X-ray and gamma radiation. This radiation is much more energetic than the more familiar types such as radio waves and visible light. It is this relatively high energy which makes gamma rays useful in radiography but potentially hazardous to living organisms.

The radiation is produced by X-ray tubes, high energy X-ray equipment or natural radioactive elements, such as radium and radon, and artificially produced radioactive isotopes of elements, such as cobalt-60 and iridium-192. Electromagnetic radiation consists of oscillating electric and magnetic fields, but is generally depicted as a single sinusoidal wave. While in the past radium and radon have both been used for radiography, they have fallen out of use as they are radiotoxic alpha radiation emitters which are expensive; iridium-192 and cobalt-60 are far better photon sources. For further details see commonly used gamma emitting isotopes.

Such a wave is characterised by its wavelength (the distance from a point on one cycle to the corresponding point on the next cycle) or its frequency (the number of oscillations per second). In a vacuum, all electromagnetic waves travel at the same speed, the speed of light (c). The wavelength (λ, lambda) and the frequency (f) are all related by the equation:

This is true for all electromagnetic radiation.

Electromagnetic radiation is known by various names, depending on its energy. The energy of these waves is related to the frequency and the wavelength by the relationship:

where h is a constant known as the Planck constant.

Gamma rays are indirectly ionizing radiation. A gamma ray passes through matter until it undergoes an interaction with an atomic particle, usually an electron. During this interaction, energy is transferred from the gamma ray to the electron, which is a directly ionizing particle. As a result of this energy transfer, the electron is liberated from the atom and proceeds to ionize matter by colliding with other electrons along its path. Other times, the passing gamma ray interferes with the orbit of the electron, and slows it, releasing energy but not becoming dislodged. The atom is not ionised, and the gamma ray continues on, although at a lower energy. This energy released is usually heat or another, weaker photon, and causes biological harm as a radiation burn. The chain reaction caused by the initial dose of radiation can continue after exposure, much like a sunburn continues to damage skin even after one is out of direct sunlight.

For the range of energies commonly used in radiography, the interaction between gamma rays and electrons occurs in two ways. One effect takes place where all the gamma ray's energy is transmitted to an entire atom. The gamma ray no longer exists and an electron emerges from the atom with kinetic (motion in relation to force) energy almost equal to the gamma energy. This effect is predominant at low gamma energies and is known as the photoelectric effect. The other major effect occurs when a gamma ray interacts with an atomic electron, freeing it from the atom and imparting to it only a fraction of the gamma ray's kinetic energy. A secondary gamma ray with less energy (hence lower frequency) also emerges from the interaction. This effect predominates at higher gamma energies and is known as the Compton effect.

In both of these effects the emergent electrons lose their kinetic energy by ionizing surrounding atoms. The density of ions so generated is a measure of the energy delivered to the material by the gamma rays.

The most common means of measuring the variations in a beam of radiation is by observing its effect on a photographic film. This effect is the same as that of light, and the more intense the radiation is, the more it darkens, or exposes, the film. Other methods are in use, such as the ionizing effect measured electronically, its ability to discharge an electrostatically charged plate or to cause certain chemicals to fluoresce as in fluoroscopy.

 Obsolete terminology

The term skiagrapher was used until about 1918 to mean radiographer. It was derived from Ancient Greek words for 'shadow' and 'writer'.

 See also

  • CAD Systems (Computer Aided Diagnosis)
  • Radiation
  • Radiation contamination
  • List of civilian radiation accidents
  • Radiographer
  • Projectional radiography

 References

  • Carestream. (https://www.kodak.com/global/en/health/productsByType/index.jhtml?pq-path=2/521/2970)
  • Agfa. (https://www.piribo.com/publications/medical_devices/companies_medical/agfa_medical_device_company_intelligence_report.html)
  • A review on the subject of medical X-ray examinations and metal based contrast agents, by Shi-Bao Yu and Alan D. Watson, Chemical Reviews, 1999, volume 99, pages 2353–2378
  • Composite Materials for Aircraft Structures by Alan Baker, Stuart Dutton (Ed.), AIAA (American Institute of Aeronautics & Ast) ISBN 1-56347-540-5
  1. ^ Radiation Detection and Measurement 3rd Edition, Glenn F. Knoll : Chapter 1, Page 1: John Wiley & Sons; 3rd Edition edition (26 Jan 2000): ISBN 0471073385

 External links

  • Online Radiologic Website Free For Radiographers and Radiologists: Free Online Text Books, more than 5000 cases online with CT and MRI correlation. Its Free to become a member.
  • Online Radiographic Positions and Procedures Guide: Have access to positioning information anywhere with this quick and easy procedure manual.
  • MedPixMedical Image Database
  • NIST's XAAMDI: X-Ray Attenuation and Absorption for Materials of Dosimetric Interest Database
  • NIST's XCOM: Photon Cross Sections Database
  • NIST's FAST: Attenuation and Scattering Tables
  • American College of Radiology
  • Australian Institute of Radiography
  • UN information on the security of industrial sources
  • RadiologyInfo - The radiology information resource for patients: Radiography (X-rays)
  • The Society of Radiographers Definitive information on the practice of Radiography Professionals
  • Sumer's Radiology Site Radiology Blog working as an Online Radiology Magazine
  • Nick Oldnall's radiography site
  • EUROPEAN SOCIETY OF RADIOLOGY
  • What is Radiology?
  • New York State Society of Radiologic Technologists web site

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 楼主| 郑振寰 发表于 2010-3-4 14:15 | 显示全部楼层
Radiology Examination of an X-ray exposure, 2007 Radiology is the branch or speciality of medicine that deals with the study and application of imaging technology like x-ray and radiation to diagnosing and treating disease.
Radiologists direct an array of imaging technologies (such as ultrasound, computed tomography (CT) Computed Axial Tomography, nuclear medicine, Positron Emission Tomography (PET) and magnetic resonance imaging (MRI)) to diagnose or treat disease. Interventional radiology is the performance of (usually minimally invasive) medical procedures with the guidance of imaging technologies. The acquisition of medical imaging is usually carried out by the radiographer or radiologic technologist.
Outside of the medical field, radiology also encompasses the examination of the inner structure of objects using X-rays or other penetrating radiation.
Contents  1 History 2 Acquisition of radiological images 2.1 Projection (plain) radiography 2.2 Fluoroscopy 2.3 CT scanning 2.4 Ultrasound 2.5 MRI (Magnetic Resonance Imaging) 2.6 Nuclear Medicine 3 Teleradiology 4 Radiologist training 4.1 United States 4.2 Germany 5 Italy 6 References 7 See also 8 External links //
 History Meeting protocol of the Würzburg Physical-Medical Society in the 1895 volume. Originally radiology was the aspect of medical science dealing with the use of electromagnetic energy emitted by X-ray generators or other such radiation devices for the purpose of obtaining visual information as part of medical imaging. Radiology that involves use of x-ray is called roentgenology. The modern day radiological imaging is no longer limited to the use of x-rays, and now includes technology-intensive imaging with high frequency sound waves, magnetic fields, and radioactivity.[1]
Wilhelm Conrad Röntgen (English spelling Roentgen) discovered x-radiation on 8 November 1895 at the Physical Institute of Würzburg University.[2] He named the radiation he had discovered "X-radiation". This term is still in use today in the Anglo-American region. His work was first published in a meeting protocol of the Würzburg Physical-Medical Society in the 1895 volume; the article was submitted by W.C. Röntgen on 28 December 1895. Roentgen received the first Nobel Prize for Physics for the discovery of X-rays in 1901.

 Acquisition of radiological images The following imaging modalities are used in the field of diagnostic radiology:

 Projection (plain) radiography Madura Foot X-Ray Main article: Projectional radiography Radiographs (or Roentgenographs, named after the discoverer of X-rays, Wilhelm Conrad Röntgen) Plain radiography was the only imaging modality available during the first 50 years of radiology. It is still the first study ordered in evaluation of the lungs, heart and skeleton because of its wide availability, speed and relative low cost.

 Fluoroscopy Main article: Fluoroscopy Fluoroscopy and angiography are special applications of X-ray imaging, in which a fluorescent screen or image intensifier tube is connected to a closed-circuit television system.[3]:26 This allows real-time imaging of structures in motion or augmented with a radiocontrast agent. Radiocontrast agents are administered, often swallowed or injected into the body of the patient, to delineate anatomy and functioning of the blood vessels, the genitourinary system or the gastrointestinal tract. Two radiocontrasts are presently in use. Barium (as BaSO4) may be given orally or rectally for evaluation of the GI tract. Iodine, in multiple proprietary forms, may be given by oral, rectal, intraarterial or intravenous routes. These radiocontrast agents strongly absorb or scatter X-ray radiation, and in conjunction with the real-time imaging allows demonstration of dynamic processes, such as peristalsis in the digestive tract or blood flow in arteries and veins. Iodine contrast may also be concentrated in abnormal areas more or less than in normal tissues and make abnormalities (tumors, cysts, inflammation) more conspicuous. Additionally, in specific circumstances air can be used as a contrast agent for the gastrointestinal system and carbon dioxide can be used as a contrast agent in the venous system; in these cases, the contrast agent attenuates the X-ray radiation less than the surrounding tissues.

 CT scanning Main article: Computed tomography Brain CT Scan image slice  
CT imaging uses X-rays in conjunction with computing algorithms to image the body. In CT, an X-ray generating tube opposite an X-ray detector (or detectors) in a ring shaped apparatus rotate around a patient producing a computer generated cross-sectional image (tomogram). CT is acquired in the axial plane, while coronal and sagittal images can be rendered by computer reconstruction. Radiocontrast agents are often used with CT for enhanced delineation of anatomy. Intravenous contrast can allow 3D reconstructions of arteries and veins. Although radiographs provide higher spatial resolution, CT can detect more subtle variations in attenuation of X-rays. CT exposes the patient to more ionizing radiation than a radiograph. Spiral Multi-detector CT utilizes 8,16 or 64 detectors during continuous motion of the patient through the radiation beam to obtain much finer detail images in a shorter exam time. With computer manipulation these images can be reconstructed into 3D images of carotid, cerebral and coronary arteries. CT scanning has become the test of choice in diagnosing some urgent and emergent conditions such as cerebral hemorrhage, pulmonary embolism (clots in the arteries of the lungs), aortic dissection (tearing of the aortic wall), appendicitis, diverticulitis, and obstructing kidney stones. Continuing improvements in CT technology including faster scanning times and improved resolution have dramatically increased the accuracy and usefulness of CT scanning and consequently increased utilization in medical diagnosis.
The first commercially viable CT scanner was invented by Sir Godfrey Hounsfield at EMI Central Research Labs, Great Britain in 1972. EMI owned the distribution rights to The Beatles music and it was their profits which funded the research.[1] Sir Hounsfield and Alan McLeod McCormick shared the Nobel Prize for Medicine in 1979 for the invention of CT scanning. The first CT scanner in North America was installed at the Mayo Clinic in Rochester, MN in 1972.

 Ultrasound Main article: Ultrasound Medical ultrasonography uses ultrasound (high-frequency sound waves) to visualize soft tissue structures in the body in real time. No ionizing radiation is involved, but the quality of the images obtained using ultrasound is highly dependent on the skill of the person (ultrasonographer) performing the exam. Ultrasound is also limited by its inability to image through air (lungs, bowel loops) or bone. The use of ultrasound in medical imaging has developed mostly within the last 30 years. The first ultrasound images were static and two dimensional (2D), but with modern-day ultrasonography 3D reconstructions can be observed in real-time; effectively becoming 4D.
Because ultrasound does not utilize ionizing radiation, unlike radiography, CT scans, and nuclear medicine imaging techniques, it is generally considered safer. For this reason, this modality plays a vital role in obstetrical imaging. Fetal anatomic development can be thoroughly evaluated allowing early diagnosis of many fetal anomalies. Growth can be assessed over time, important in patients with chronic disease or gestation-induced disease, and in multiple gestations (twins, triplets etc.). Color-Flow Doppler Ultrasound measures the severity of peripheral vascular disease and is used by Cardiology for dynamic evaluation of the heart, heart valves and major vessels. Stenosis of the carotid arteries can presage cerebral infarcts (strokes). DVT in the legs can be found via ultrasound before it dislodges and travels to the lungs (pulmonary embolism), which can be fatal if left untreated. Ultrasound is useful for image-guided interventions like biopsies and drainages such as thoracentesis). It is also used in the treatment of kidney stones (renal lithiasis) via lithotripsy. Small portable ultrasound devices now replace peritoneal lavage in the triage of trauma victims by directly assessing for the presence of hemorrhage in the peritoneum and the integrity of the major viscera including the liver, spleen and kidneys. Extensive hemoperitoneum (bleeding inside the body cavity) or injury to the major organs may require emergent surgical exploration and repair.

 MRI (Magnetic Resonance Imaging) Main article: Magnetic resonance imaging  
MR image of human knee MRI uses strong magnetic fields to align atomic nuclei (usually hydrogen protons) within body tissues, then uses a radio signal to disturb the axis of rotation of these nuclei and observes the radio frequency signal generated as the nuclei return to their baseline states plus all surrounding areas. The radio signals are collected by small antennae, called coils, placed near the area of interest. An advantage of MRI is its ability to produce images in axial, coronal, sagittal and multiple oblique planes with equal ease. MRI scans give the best soft tissue contrast of all the imaging modalities. With advances in scanning speed and spatial resolution, and improvements in computer 3D algorithms and hardware, MRI has become a tool in musculoskeletal radiology and neuroradiology.
One disadvantage is that the patient has to hold still for long periods of time in a noisy, cramped space while the imaging is performed. Claustrophobia severe enough to terminate the MRI exam is reported in up to 5% of patients. Recent improvements in magnet design including stronger magnetic fields (3 teslas), shortening exam times, wider, shorter magnet bores and more open magnet designs, have brought some relief for claustrophobic patients. However, in magnets of equal field strength there is often a trade-off between image quality and open design. MRI has great benefit in imaging the brain, spine, and musculoskeletal system. The modality is currently contraindicated for patients with pacemakers, cochlear implants, some indwelling medication pumps, certain types of cerebral aneurysm clips, metal fragments in the eyes and some metallic hardware due to the powerful magnetic fields and strong fluctuating radio signals the body is exposed to. Areas of potential advancement include functional imaging, cardiovascular MRI, as well as MR image guided therapy.

 Nuclear Medicine Main article: Nuclear medicine  
Nuclear medicine imaging involves the administration into the patient of radiopharmaceuticals consisting of substances with affinity for certain body tissues labeled with radioactive tracer. The most commonly used tracers are Technetium-99m, Iodine-123, Iodine-131, Gallium-67 and Thallium-201. The heart, lungs, thyroid, liver, gallbladder, and bones are commonly evaluated for particular conditions using these techniques. While anatomical detail is limited in these studies, nuclear medicine is useful in displaying physiological function. The excretory function of the kidneys, iodine concentrating ability of the thyroid, blood flow to heart muscle, etc. can be measured. The principal imaging device is the gamma camera which detects the radiation emitted by the tracer in the body and displays it as an image. With computer processing, the information can be displayed as axial, coronal and sagittal images (SPECT images). In the most modern devices Nuclear Medicine images can be fused with a CT scan taken quasi-simultaneously so that the physiological information can be overlaid or co-registered with the anatomical structures to improve diagnostic accuracy.
PET scanning also falls under "nuclear medicine." In PET scanning, a radioactive biologically-active substance, most often Fluorine-18 Fluorodeoxyglucose, is injected into a patient and the radiation emitted by the patient is detected to produce multi-planar images of the body. Metabolically more active tissues, such as cancer, concentrate the active substance more than normal tissues. PET images can be combined with CT images to improve diagnostic accuracy.
The applications of nuclear medicine can include bone scanning which traditionally has had a strong role in the work-up/staging of cancers. Myocardial perfusion imaging is a sensitive and specific screening exam for reversible myocardial ischemia. Molecular Imaging is the new and exciting frontier in this field.

 Teleradiology Teleradiology is the transmission of radiographic images from one location to another for interpretation by a radiologist. It is most often used to allow rapid interpretation of emergency room, ICU and other emergent examinations after hours of usual operation, at night and on weekends. In these cases the images are often sent across time zones,(Spain, Australia,India) with the receiving radiologist working his normal daylight hours. Teleradiology can also be utilized to obtain consultation with an expert or sub-specialist about a complicated or puzzling case.
Teleradiology requires a sending station, high speed Internet connection and high quality receiving station. At the sending station, plain radiographs are passed through a digitizing machine before transmission, while CT scans, MRIs, Ultrasounds and Nuclear Medicine scans can be sent directly as they are already a stream of digital data. The computer at the receiving end will need to have a high-quality display screen that has been tested and cleared for clinical purposes. The interpreting radiologist will then fax or e-mail the radiology report to the requesting physician.
The major advantage of teleradiology is the ability to utilize different time zones to provide real-time emergency radiology services around-the-clock. The disadvantages include higher costs , limited contact between the ordering physician and the radiologist, and the inability to cover for procedures requiring an onsite radiologist. Laws and regulations concerning the use of teleradiology vary among the states, with some states requiring a license to practice medicine in the state sending the radiologic exam. Some states require the teleradiology report to be preliminary with the official report issued by a hospital staff radiologist.

 Radiologist training This section does not cite any references or sources. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (April 2009)
 United States Diagnostic radiologists must complete prerequisite undergraduate training, four years of medical school, and five years of post-graduate training. The first postgraduate year is usually a transitional year of various rotations, but is sometimes a preliminary internship in medicine or surgery. A four-year diagnostic radiology residency follows. During this residency, the radiology resident must pass a medical physics board exam covering the science and technology of ultrasounds, CTs, x-rays, nuclear medicine, and MRI. Core knowledge of the radiologist includes radiobiology which is the study of the effects of ionizing radiation on living tissue. Near the completion of their residency, the radiologist in training is eligible to take board examinations (written and oral) given by the American Board of Radiology (ABR). Starting in 2010 though, the ABR will be changing the board examination structure to two computer-based exams, one given after the third year of residency training, and the second given 18 months after the first. [4]
Following completion of residency training, radiologists either begin their practice or enter into sub-speciality training programs known as fellowships. Examples of sub-speciality training in radiology include abdominal imaging, thoracic imaging, CT/Ultrasound, MRI, musculoskeletal imaging, interventional radiology, neuroradiology, interventional neuroradiology, pediatric radiology, mammography and women's imaging. Fellowship training programs in radiology are usually 1 or 2 years in length.
The field is rapidly expanding due to advances in computer technology which is closely linked to modern imaging. The exams (radiography) are usually performed by radiologic technologists, (also known as diagnostic radiographers) who in the United States have a 2-year Associates Degree and the UK a 3 year Honours Degree.
Veterinary radiologists are veterinarians that specialize in the use of X-rays, ultrasound, MRI and nuclear medicine for diagnostic imaging or treatment of disease in animals. Veterinary radiologists are certified in either diagnostic radiology or radiation oncology by the American College of Veterinary Radiology.

 Germany After earning the right to practice medicine, German physicians who want to be a radiologist have to go through a 5-year residency, ending with a board examination(Facharztausbildung). During this time, physicians are educated in all aspects of their chosen field of medicine. Usually this includes rotations serving.

 Italy In Italy, the resident is named "specializzando", specializing. Until 2008, the School of Radiology had duration of 4 years. At present, after 5 years, residents become specialists in radiology, but not radiotherapy or nuclear medicine. In fact, before 1979, the three schools were combined (during 5 years). Before 1960 the school produced clinicians specialized also in physiotherapy.

 References ^ a b Filler, AG: The history, development, and impact of computed imaging in neurological diagnosis and neurosurgery: CT, MRI, DTI: Nature Precedings DOI: 10.1038/npre.2009.3267.5 Neurosurgical Focus (in press). ^ P. Thurn, E. Bücheler: Einführung in die radiologische Diagnostik, Stuttgart: Thieme, 8. Aufl. 1986 ^ Novelline, Robert. Squire's Fundamentals of Radiology. Harvard University Press. 5th edition. 1997. ISBN 0674833392. ^ How To Become A Radiologist
 See also Antoine Béclère, virologist and immunologist, a pioneer in radiology C-Arm, equipment that uses x-rays to produce an image feed displayed on a TV screen Filmless image technology Interventional radiology, in which minimally invasive procedures are performed using image guidance Medical radiography, the use of ionizing electromagnetic radiation, such as X-rays, in medicine Mumoli's sign, a rabbit-shaped image seen on ultrasound of the liver Positron emission tomography, which produces a three-dimensional image Radiobiology, the interdisciplinary science that studies the biological effects of ionizing and non-ionizing radiation of the whole electromagnetic spectrum Radiation protection, the science of protecting people and the environment from the harmful effects of ionizing radiation Radiography, the use of X-rays to view unseen or hard-to-image objects Radiosensitivity, the susceptibility of organic tissues to the harmful effect of ionizing radiation Teleradiology, the transmission by electronic means of radiological patient images from one location to another for interpretation or consultation
 External links Education
Curriculum In Radiology Reporting, University of Florida Organizations
American Board of Radiology, responsible for certification American College of Radiology American Registry of Radiologic Technologists American Roentgen Ray Society American Society of Radiologic Technologists Cardiovascular and Interventional Radiological Society of Europe European Congress of Radiology International Radiology Exchange European Society of Radiology New York State Society of Radiologic Sciences Ontario Association of Radiologists, Canada Radiological Society of North America Royal College of Radiologists, United Kingdom Publications and information
American Journal of Roentgenology Journal of Radiology Case Reports Medicexchange medical imaging portal MedPix medical imaging database MyPACS.net, National Institutes of Health Cases MDCT, Multidetector computed tomography physics and anatomy with MRI correlation PedRad Info, pediatric radiology publication PediatricRadiology.com. Pediatric radiology digital library Radiographics journal Radiology journal Imaging Science Today Online community for practicing radiologists, researchers and students of medical imaging Radiology information for patients Radiopaedia, Wiki-based radiology education resource with reference articles and cases Radiolopolis, radiology community for education, research and practice radRounds Radiology Network, professional social network for medical imaging professionals The Radiology Blog, News and information Radswiki Wiki-based radiology education site

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 楼主| 郑振寰 发表于 2010-3-4 14:16 | 显示全部楼层

X-ray image intensifier

An X-ray image intensifier (XRII), sometimes referred to as a C-Arm or Fluoroscope in medical settings, is a highly complex piece of equipment which uses x-rays and produces a 'live' image feed which is displayed on a TV screen.

The term image intensifier refers to a special component of the machine, which allows low intensity x-rays to be amplified, resulting in a smaller dose to the patient. The overall system consists of an x-ray source, input window, input phosphor, photocathode, vacuum and electron optics, output phosphor and output window. It allows for lower x-ray doses to be used on patients by magnifying the intensity produced in the output image, enabling the viewer to easily see the structure of the object being imaged. They were introduced by Philips in 1955.

Contents

 
  • 1 Clinical Applications of An Image Intensifier
  • 2 Components of an Image Intensifier System
    • 2.1 Fixed Image Intensifiers
  • 3 Clinical Applications of An Image Intensifier
  • 4 Components of an Image Intensifier System
    • 4.1 Fixed Image Intensifiers
  • 5 Mobile Image Intensifiers
  • 6 Technical Capabilities
  • 7 Future Developments
  • 8 External links
  • 9 References

 Clinical Applications of An Image Intensifier

An image intensifier or II is used in two ways:

  • As a fixed piece of equipment in a dedicated screening room
  • Mobile Equipment for use in theatre
A Fixed Screening Room: Philips MultiDiagnost Eleva

 Components of an Image Intensifier System

  • C-Arm (encompasses the actual X-ray source and Image intensifier)
  • Table
  • Radiographic exposure and program controls
  • Post processing software
  • Viewing monitors

 Fixed Image Intensifiers

These are used in most x-ray departments as 'screening rooms'. The types of investigations for which this machine can be used for is vast. Examples include:

  • Barium Studies (Swallows, Meals, Enemas)
  • Endoscopy Studies (ERCP)
  • Fertility Studies (HSG)
  • Angiography Studies (Peripheral, Central and Cerebral)

An X-ray image intensifier (XRII), sometimes referred to as a C-Arm or Fluoroscope in medical settings, is a highly complex piece of equipment which uses x-rays and produces a 'live' image feed which is displayed on a TV screen.

The term image intensifier refers to a special component of the machine, which allows low intensity x-rays to be amplified, resulting in a smaller dose to the patient. The overall system consists of an x-ray source, input window, input phosphor, photocathode, vacuum and electron optics, output phosphor and output window. It allows for lower x-ray doses to be used on patients by magnifying the intensity produced in the output image, enabling the viewer to easily see the structure of the object being imaged. They were introduced by Philips in 1955.

 Clinical Applications of An Image Intensifier

An image intensifier or II is used in two ways:

  • As a fixed piece of equipment in a dedicated screening room
  • Mobile Equipment for use in theatre
A Fixed Screening Room: Philips MultiDiagnost Eleva

 Components of an Image Intensifier System

  • C-Arm (encompasses the actual X-ray source and Image intensifier)
  • Table
  • Radiographic exposure and program controls
  • Post processing software
  • Viewing monitors

 Fixed Image Intensifiers

These are used in most x-ray departments as 'screening rooms'. The types of investigations for which this machine can be used for is vast. Examples include:

  • Barium Studies (Swallows, Meals, Enemas)
  • Endoscopy Studies (ERCP)
  • Fertility Studies (HSG)
  • Angiography Studies (Peripheral, Central and Cerebral)
  • Therapeutic Studies (Line placements i.e. Permacath / Hickman, Transjugular Biopsies, TIPS Stent, Embolisations)
  • Cardiac Studies (PTCA)
  • Orthopedic procedures (ORIF, DHS, MUA, Spinal work)

 Mobile Image Intensifiers

General Configuration and range of movements:
A mobile image intensifier generally consists of two units, the intensifier unit and the television or workstation unit. The intensifier unit consists of a C-arm with a variety of movements that allows for use in a variety of surgical procedures such as cardiology, orthopedics and urology. The C-arm has an image intensifier and an x-ray tube positioned directly opposite from each other. The c-arm is capable of many movements:

  • Horizontal travel: about 200 mm
  • Orbital travel: about 115 degrees
  • Motorized vertical travel: 460 mm
  • Wig-wag about +/-12 cm (entire C-Arm and Image Intensifier)
  • C-arm rotation about the horizontal axis +/- 210 degrees

The c-arm must be compact and lightweight to allow easy positioning with adequate space to work around and a wide range of motion.
 

Workstation unit:
Much of the operation of the machine is from the workstation unit. This has the following features:

  • Various handles for movement and positioning
  • Power switch and exposure switch
  • Cable hanger
  • Brake Pedal
  • Controls for radiographic and fluoroscopic settings
  • Various interconnect cables
  • Hard disk and optical disk writer/rewriter
  • DVD R/RW
  • PACS system connection allowing access to patient information, annotation,
  • Advanced image quality enhancement software such as noise reduction, zoom control
  • Ability to save and swap images between monitors
  • Contrast and brightness controls
  • May have one or dual 17 inch or larger monitors
  • Advanced image processing such as noise reduction

Types of x-ray Tube
Two types of x-ray tube may be fitted, fixed anode or rotating anode.
Typical features of fixed anode tubes include:

  • Typical anode heat capacity load 30,000 - 50,000 heat units
  • Single or dual focused anode, with 0.5 by 0.5 mm focal spot for fluroscopic applications and

1.8 by 1.8 mm focal spot size for radiographic applications.

  • The angle on the anode target of about 12 degrees.

Typical features of rotating anode tubes include:

  • 0.3 mm focal spot for better image detail
  • Typical anode heat rating of 300 000 heat units for longer exposure times
  • Allows for a longer tube life

The housing also has a heat storage limitation, typically 1200-1250kHU

[1][2] Electronic Capabilities The images can be manipulated in many ways on the computer screen. Examples of this are:

  • Cine loop replay- Allows review of a dynamic scene without extra dose
  • Cine Loop editing- Shorter loops can be made over review of a dynamic scene
  • 16 Picture overview- For quick overview.
  • Zoom- Fast magnification.
  • Relative stenosis measurement- Can measure the distance of two vessels for vasuclar procedures.
  • Test Annotation- To label all images

Generator and range of exposures
Modern systems use a digital high frequency generator with typically 20,000 cycles per second. The range of kVp settings may be from 40kV to 110kV. The tube current is typically 0.1mA to 6mA for fluoroscopy examinations. For radiographic mode the mA is fixed at about 20mA to 60mA. mAs values vary from 0.16 to 160 for radiographic application. The electronic timer varies from 0.1sec to 4.0sec for radiographic exposures.

Image intensifiers, size and features
They may be fitted with a range of different types of image intensifiers; typically 16 cm or 22 cm. Typical specifications for a 16 cm intensifier are:
 

  • Maximum resolution is 44 lp/cm at the centre of the screen.
  • Anti-scatter grid of 8:1, focused at 90 cm.
  • Removable cassette holder that is mounted on the image intensifier and holds a 24X30 film.
  • Rotation 360 degrees

Typical specifications for a 22 cm intensifier are:
 

  • Resolution is 44 lp/cm at the centre of the screen.
  • Magnification mode - allows a maximum resolution of 51 lp/cm at the centre of the screen
  • Stationary anti-scatter grid 10:1, focused at 90 cm.
  • Removable cassette holder that is mounted on the image intensifier and holds a 24X30 film.
  • Rotation 360 degrees

Flat Detectors - Image Intensifier Replacement
Flat Detectors are currently offered by Philips Healthcare under the Product name Veradius. The Flat Detector (FD) will replace the Image Intensifier. The advantages of this technology include lower patient dose and increased image quality because the x-rays are always pulsed. See the Philips Healthcare web site for more information.

Type of TV camera and coupling to II
Older machines may have a vidicon type pickup tube, with direct fiber-optic coupling to the image intensifier. Modern machines may have a CCD camera.

Radiation safety features

  • Pulsed fluroscopy
  • Single pulse fluroscopy mode
  • Manual mode in order to reduce dose (ALARA)
  • Fluoroscopy timer warning
  • Last image hold
  • Movements of II allow distance between patient and image detector low, so therefore reducing dose to patient.
  • Beam limitation devices to minimize beam area

Special features

  • Real time viewing
  • Remote control keypad
  • Removable cassette holder, for both fluroscopy and plain film images
  • Contrast correction
  • Zoom
  • Edge enhancement
  • Digital subtraction
  • Wheels fitted with cable deflectors

Potential radiation safety issues
Failure of the x-ray beam collimation may lead to primary beam x-ray exposure outside of the image intensifier housing, potentially irradiating personnel. If the c-arm or fittings are damaged, the x-ray tube and intensifier may be come misaligned, also leading to the potential for direct irradiation of personnel.

 Technical Capabilities

Image intensifiers are usually set up for two purposes. For either plain fluoroscopy or digital subtraction angiography (DSA). All image intensifiers are set up with software capable of adjusting settings to suit different user requirements, depending on the procedure and body area being imaged. In simple flouroscopy for example, imaging of the throat would not require the same amount of exposure as that of the abdomen. And on DSA capable models, preset programs are available which enables the user to decide a rate of how many images or frames per second are acquired.

 Future Developments

  • Flat Panel
  • Dual Head
  • Low Dose Imaging
  • Flat Detector currently offered by Philips Healthcare under the Product name Veradius. The Flat Detector (FD) will replace the Image Intensifier. The advantages of this technology include lower patient dose and increased image quality because the x-rays are always pulsed. See the Philips Healthcare web site for more information.

 External links

  • Toshiba Medical Systems Europe
  • Philips Medical
  • Siemens Medical
  • GE Healthcare
  • An interactive experience of Imaging Departments
  • Philips C-Arm 50th Anniversary
  • C-Arms: Strong Arm
  • Pain Management C-Arm information and services Amber Diagnostics
  • [1] NY State Society of Radiologic Sciences
  • C-Arms Manufacturer Ziehm Imaging Ziehm Imaging

 References

  1. ^ OEC-DIASONICS, series 9400, date: 12/1991
  2. ^ Product Brochure, Philips Medical Systems

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 楼主| 郑振寰 发表于 2010-3-4 14:18 | 显示全部楼层

Fluoroscopy

A modern fluoroscope.

Fluoroscopy is an imaging technique commonly used by physicians to obtain real-time moving images of the internal structures of a patient through the use of a fluoroscope. In its simplest form, a fluoroscope consists of an x-ray source and fluorescent screen between which a patient is placed. However, modern fluoroscopes couple the screen to an x-ray image intensifier and CCD video camera allowing the images to be recorded and played on a monitor.

The use of x-rays, a form of ionizing radiation, requires that the potential risks from a procedure be carefully balanced with the benefits of the procedure to the patient. While physicians always try to use low dose rates during fluoroscopic procedures, the length of a typical procedure often results in a relatively high absorbed dose to the patient. Recent advances include the digitization of the images captured and flat-panel detector systems which reduce the radiation dose to the patient still further.

Contents

 
  • 1 History
  • 2 Risks
  • 3 Fluoroscopy Equipment
    • 3.1 X-ray Image Intensifiers
    • 3.2 Flat-panel detectors
  • 4 Imaging concerns
  • 5 Common procedures using fluoroscopy
  • 6 See also
  • 7 External links

 History

The beginning of fluoroscopy can be traced back to 8 November 1895 when Wilhelm Röntgen noticed a barium platinocyanide screen fluorescing as a result of being exposed to what he would later call x-rays. Within months of this discovery, the first fluoroscopes were created. Early fluoroscopes were simply cardboard funnels, open at narrow end for the eyes of the observer, while the wide end was closed with a thin cardboard piece that had been coated on the inside with a layer of fluorescent metal salt. The fluoroscopic image obtained in this way is rather faint. Thomas Edison quickly discovered that calcium tungstate screens produced brighter images and is credited with designing and producing the first commercially available fluoroscope. In its infancy, many incorrectly predicted that the moving images from fluoroscopy would completely replace the still x-ray radiographs, but the superior diagnostic quality of the earlier radiographs prevented this from occurring.

Ignorance of the harmful effects of x-rays resulted in the absence of standard radiation safety procedures which are employed today. Scientists and physicians would often place their hands directly in the x-ray beam resulting in radiation burns. Trivial uses for the technology also resulted, including the shoe-fitting fluoroscope used by shoe stores in the 1930s-1950s.[1]

Due to the limited light produced from the fluorescent screens, early radiologists were required to sit in a darkened room, in which the procedure was to be performed, accustomizing their eyes to the dark and thereby increasing their sensitivity to the light. The placement of the radiologist behind the screen resulted in significant radiation doses to the radiologist. Red adaptation goggles were developed by Wilhelm Trendelenburg in 1916 to address the problem of dark adaptation of the eyes, previously studied by Antoine Beclere. The resulting red light from the goggles' filtration correctly sensitized the physician's eyes prior to the procedure while still allowing him to receive enough light to function normally.

The development of the X-ray image intensifier and the television camera in the 1950s revolutionized fluoroscopy. The red adaptation goggles became obsolete as image intensifiers allowed the light produced by the fluorescent screen to be amplified, allowing it to be seen even in a lighted room. The addition of the camera enabled viewing of the image on a monitor, allowing a radiologist to view the images in a separate room away from the risk of radiation exposure.

More modern improvements in screen phosphors, image intensifiers and even flat panel detectors have allowed for increased image quality while minimizing the radiation dose to the patient. Modern fluoroscopes use CsI screens and produce noise-limited images, ensuring that the minimal radiation dose results while still obtaining images of acceptable quality.

 Risks

Because fluoroscopy involves the use of x-rays, a form of ionizing radiation, all fluoroscopic procedures pose a potential health risk to the patient. Radiation doses to the patient depend greatly on the size of the patient as well as length of the procedure, with typical skin dose rates quoted as 20–50 mGy/min. Exposure times vary depending on the procedure being performed, but procedure times up to 75 minutes have been documented. Because of the long length of some procedures, in addition to standard cancer-inducing stochastic radiation effects, deterministic radiation effects have also been observed ranging from mild erythema, equivalent of a sun burn, to more serious burns.

A study has been performed by the Food and Drug Administration (FDA) entitled Radiation-induced Skin Injuries from Fluoroscopy[2] with an additional publication to minimize further fluoroscopy-induced injuries, Public Health Advisory on Avoidance of Serious X-Ray-Induced skin Injuries to Patients During Fluoroscopically-Guided Procedures[3].

While deterministic radiation effects are a possibility, radiation burns are not typical of standard fluoroscopic procedures. Most procedures sufficiently long in duration to produce radiation burns are part of necessary life-saving operations.

 Fluoroscopy Equipment

The first fluoroscopes consisted of an x-ray source and fluorescent screen between which the patient would be placed. As the x rays pass through the patient, they are attenuated by varying amounts as they interact with the different internal structures of the body, casting a shadow of the structures on the fluorescent screen. Images on the screen are produced as the unattenuated x rays interact with atoms in the screen through the photoelectric effect, giving their energy to the electrons. While much of the energy given to the electrons is dissipated as heat, a fraction of it is given off as visible light, producing the images. Early radiologists would adapt their eyes to view the dim fluoroscopic images by sitting in darkened rooms, or by wearing red adaptation goggles.

 X-ray Image Intensifiers

The invention of X-ray image intensifiers in the 1950s allowed the image on the screen to be visible under normal lighting conditions, as well as providing the option of recording the images with a conventional camera. Subsequent improvements included the coupling of, at first, video cameras and, later, CCD cameras to permit recording of moving images and electronic storage of still images.

Modern image intensifiers no longer use a separate fluorescent screen. Instead, a caesium iodide phosphor is deposited directly on the photocathode of the intensifier tube. On a typical general purpose system, the output image is approximately 105 times brighter than the input image. This brightness gain comprises a flux gain (amplification of photon number) and minification gain (concentration of photons from a large input screen onto a small output screen) each of approximately 100. This level of gain is sufficient that quantum noise, due to the limited number of x-ray photons, is a significant factor limiting image quality.

Image intensifiers are available with input diameters of up to 45 cm, and a resolution of approximately 2-3 line pairs mm-1.

 Flat-panel detectors

The introduction of flat-panel detectors allows for the replacement of the image intensifier in fluoroscope design. Flat panel detectors offer increased sensitivity to X-rays, and therefore have the potential to reduce patient radiation dose. Temporal resolution is also improved over image intensifiers, reducing motion blurring. Contrast ratio is also improved over image intensifiers: flat-panel detectors are linear over a very wide latitude, whereas image intensifiers have a maximum contrast ratio of about 35:1. Spatial resolution is approximately equal, although an image intensifier operating in 'magnification' mode may be slightly better than a flat panel.

Flat panel detectors are considerably more expensive to purchase and repair than image intensifiers, so their uptake is primarily in specialties that require high-speed imaging, e.g., vascular imaging and cardiac catheterization.

 Imaging concerns

In addition to spatial blurring factors that plague all x-ray imaging devices, caused by such things as Lubberts effect, K-fluorescence reabsorption and electron range, fluoroscopic systems also experience temporal blurring due to system lag. This temporal blurring has the effect of averaging frames together. While this helps reduce noise in images with stationary objects, it creates motion blurring for moving objects. Temporal blurring also complicates measurements of system performance for fluoroscopic systems.

 Common procedures using fluoroscopy

  • Investigations of the gastrointestinal tract, including barium enemas, barium meals and barium swallows, and enteroclysis.
  • Orthopaedic surgery to guide fracture reduction and the placement of metalwork.
  • Angiography of the leg, heart and cerebral vessels.
  • Placement of a PICC (peripherally inserted central catheter)
  • Placement of a weighted feeding tube (e.g. Dobhoff) into the duodenum after previous attempts without fluoroscopy have failed.
  • Urological surgery – particularly in retrograde pyelography.
  • Implantation of cardiac rhythm management devices (pacemakers, implantable cardioverter defibrillators and cardiac resynchronization devices)

Another common procedure is the modified barium swallow study during which barium-impregnated liquids and solids are ingested by the patient. A radiologist records and, with a speech pathologist, interprets the resulting images to diagnose oral and pharyngeal swallowing dysfunction. Modified barium swallow studies are also used in studying normal swallow function.

 See also

  • Absorbed dose
  • Ionizing radiation
  • Medical Imaging
  • X Ray
  • Radiology
  • Radiography

 External links

  • What is fluoroscopy? University of Virginia
  • Fluoroscopy FDA Radiological Health Program
  • "Were those old shoe store fluoroscopes a health hazard?" at Straight Dope, 27 November 1987
  • Fluoroscopy Equipment and Information from Siemens Medical

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 楼主| 郑振寰 发表于 2010-3-4 14:19 | 显示全部楼层

X-ray generator

Rad room table. The X-ray housing is turned by 90° for a chest radiography on the wall bucky.

An X-ray generator is a device used to generate X-rays. These devices are commonly used by radiographers to acquire an x-ray image of the inside of an object (as in medecine or non-destructive testing) but they are also used in sterilization or fluorescence.

Contents

 
  • 1 History
  • 2 Overview
    • 2.1 X-ray sources
    • 2.2 Detection
  • 3 Applications
    • 3.1 Medicine
    • 3.2 Security
      • 3.2.1 Operation
      • 3.2.2 Colour classification
  • 4 See also
  • 5 Notes
  • 6 References
  • 7 External links

 History

Shay M. Anderson and Ryan W. Preuninger formulated mathematical equations for X-rays. Physicist Johann Hittorf observed tubes with energy rays extending from a negative electrode. William Crookes investigated the effects of energy discharges on rare gases. Heinrich Hertz began experimenting and demonstrated that cathode rays could penetrate very thin metal foil (such as aluminium). In 1887, Nikola Tesla began to investigate X-rays and produced the bremsstrahlung process. In 1895, Wilhelm Röntgen began observing and further documenting X-rays while experimenting with vacuum tubes.

One of the first X-ray photographs was made of the hand of Röntgen's wife. The image displayed both her wedding ring and bones. as the new scientific wonder and seized upon by entertainers. Circus patrons viewed their own skeletons and were given pictures of their own bony hands wearing silhouetted jewelry. While many people were fascinated by this discovery, others feared that it would allow strangers to look through doors and invade people's privacy.

In the 1940s and 50s, (real time) X-ray machines were used in stores to help sell footwear. These were known as fluoroscopes. However, as the harmful effects of X-ray radiation were properly considered, they finally fell out of use. Shoe-fitting use of the device was first banned by the state of Pennsylvania in 1957. (They were more a clever marketing tool to attract customers, rather than a fitting aid.)

 Overview

An X-ray imaging system consists of a X-ray source or generator (X-ray tube), and an image detection system which can either be comprised of film (analog technology) or a digital capture system before it is sent to a PACS.

 X-ray sources

GemX-160 - Portable Wireless Controlled Battery Powered X-ray Generator for use in Non Destructive Testing and Security.
XR150 - Portable pulsed X-ray Battery Powered X-ray Generator used in Security.

In the typical X-ray source of less than 450 kV[citation needed], X-ray photons are produced by an electron beam striking a target. The electrons that make up the beam are emitted from a heated cathode filament. The electrons are then focused and accelerated towards an angled anode target. The point where the electron beam strikes the target is called the focal spot. Most of the kinetic energy contained in the electron beam is converted to heat, but around 1% of the energy is converted into X-ray photons, the excess heat is dissipated via a heat sink. [1] At the focal spot, X-ray photons are emitted in all directions from the target surface, the highest intensity being around 60deg to 90deg from the beam due to the angle of the anode target to the approaching X-ray photons. There is a small round window in the X-ray tube directly above the angled target. This window allows the X-ray to exit the tube with little attenuation while maintaining a vacuum seal required for the X-ray tube operation.

X-ray machines work by applying controlled voltage and current to the X-ray tube, which results in a beam of X-rays. The beam is projected on matter. Some of the X-ray beam will pass through the object, while some are absorbed. The resulting pattern of the radiation is then ultimately detected by a detection medium including rare earth screens (which surround photographic film), semiconductor detectors, or X-ray image intensifiers.

 Detection

In healthcare applications in particular, the x-ray detection system rarely consists of the detection medium. For example, a typical stationary radiographic x-ray machine also includes an ion chamber and grid. The ion chamber is basically a hollow plate located between the detection medium and the object being imaged. It determines the level of exposure by measuring the amount of x-rays that have passed through the electrically charged, gas-filled gap inside the plate. This allows for minimization of patient radiation exposure by both ensuring that an image is not underdeveloped to the point the exam needs to be repeated and ensuring that more radiation than needed is not applied. The grid is usually located between the ion chamber and object and consists of many aluminum slats stacked next to each other (resembling a polaroid lens). In this manner, the grid allows straight x-rays to pass through to the detection medium but absorbs reflected x-rays. This improves image quality by preventing scattered (non-diagnostic) x-rays from reaching the detection medium, but using a grid creates higher exam radiation doses overall.

Images taken with such devices are known as X-ray photographs or radiographs.

 Applications

X-ray machines are used in health care for visualising bone structures and other dense tissues such as tumours. Non-medicial applications include security and material analysis.

 Medicine

Surgical mobiles can produce images continuoulsy.

The two main fields in which x-ray machines are used in medicine are radiography and dentistry.

Radiography is used for fast, highly penetrating images, and is usually used in areas with a high bone content. Some forms of radiography include:

  • orthopantomogram — a panoramic x-ray of the jaw showing all the teeth at once
  • mammography — x-rays of breast tissue
  • tomography — x-ray imaging in sections

Radiotherapy — the use of x-ray radiation to treat malignant cancer cells, a non-imaging application

Fluoroscopy is used in cases where real-time visualization is necessary (and is most commonly encountered in everyday life at airport security). Some medical applications of fluorography include:

  • angiography — used to examine blood vessels in real time
  • barium enema — a procedure used to examine problems of the colon and lower gastrointestinal tract
  • barium swallow — similar to a barium enema, but used to examine the upper gastroinstestional tract
  • biopsy — the removal of tissue for examination

X-rays are highly penetrating, ionizing radiation, therefore X-ray machines are used to take pictures of dense tissues such as bones and teeth. This is because bones absorb the radiation more than the less dense soft tissue. X-rays from a source pass through the body and onto a photographic cassette. Areas where radiation is absorbed show up as lighter shades of grey (closer to white). This can be used to diagnose broken or fractured bones. In fluoroscopy, imaging of the digestive tract is done with the help of a radiocontrast agent such as barium sulfate, which is opaque to X-rays.

 Security

Hand-luggage inspection machine at an airport.

X-ray machines are used to screen objects non-invasively. Luggage at airports and student baggage at many schools are examined for possible weapons, including bombs. These machines are very low dose and safe to be around. The main parts of an X-ray Baggage Inspection System are the generator used to generate x-rays, the detector to detect radiation after passing through the baggage, signal processor unit (usually a PC) to process the incoming signal from the detector, and a conveyor system for moving baggage into the system.

 Operation

When baggage is placed on the conveyor, it is moved into the machine by the operator. There is an infrared transmitter and receiver assembly to detect the baggage when it enters the tunnel. This assembly gives the signal to switch on the generator and signal processing system. The signal processing system processes incoming signals from the detector and reproduce an image based upon the type of material and material density inside the baggage. This image is then sent to the display unit.

 Colour classification

X-ray image of a backpack. Organic and inorganic materials are discriminated in using dual energy techniques.

The colour of the image displayed depends upon the material and material density : organic material such as paper, clothes and most explosives are dispayed in al costs.[2]

 See also

  • Fluoroscope
  • Backscatter X-ray e.g., for security scanning passengers (rather than baggage)
  • X-ray crystallography
  • Radiography
  • X-ray fluorescence
  • X-ray astronomy Just detectors.

 Notes

  1. ^ "Physics of X-RAY Production". https://www.fnrf.science.cmu.ac.th/theory/radiation/Physics of X-RAY Production.html. 
  2. ^ Zhang, et al.. "Nanotube x-ray method creates CT images faster than traditonal scanners". https://college.unc.edu/features/september2006/nanotube-x-ray-method-creates-ct-images-faster-than-traditional-scanners. Retrieved on 2008-06-30. 

 References

  1. Zhang, J; Yang, G; Cheng, Y; Gao, B Qiu, Q; Lee , YZ; Lu, JP and Zhou, O (2005). "Stationary scanning X-ray source based on carbon nanotube field emitters". Applied Physics Letters 86 (May 2): 184104. doi:10.1063/1.1923750. https://scitation.aip.org/getabs/servlet/GetabsServlet?prog=normal&id=APPLAB000086000018184104000001&idtype=cvips&gifs=Yes. 

 External links

  • Radiology Links
  • Radiology Job Outlook
  • Radiology Resources for Students and Professionals
  • Patient leaflets regarding X-rays

 

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看贴要回是本分,有问必答是人才,解决问题回贴是公德.
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 楼主| 郑振寰 发表于 2010-3-4 14:20 | 显示全部楼层

X-ray marker

X-ray markers, also known as Pb markers, lead markers, xray lead markers, or radiographic film identification markers which are used to mark xray films, both in hospitals and in industrial workplaces (such as on airplane parts and motors). Most x-ray markers consist of a right and a left letter with the technologist's initials.

 楼主| 郑振寰 发表于 2010-3-4 14:21 | 显示全部楼层

Dosimeter

Fiber dosimeter

A dosimeter is a device used to measure an individual's exposure to a hazardous environment, particularly when the hazard is cumulative over long intervals of time, or one's lifetime. This article is limited to the radiation dosimeter, which measures exposure to ionizing radiation, but other dosimeters also exist, such as sound dosimeters, ultraviolet dosimeters, and electromagnetic field dosimeters.

Ionizing radiation, such as X-rays, alpha rays, beta rays, and gamma rays, is undetectable by the senses, and the damage it causes to the body is cumulative, related to the total dose received. Therefore, workers who are exposed to radiation, such as radiographers, nuclear power plant workers, doctors using radiotherapy, workers in laboratories using radionuclides, and some HAZMAT teams are required to wear dosimeters so their employers can keep a record of their exposure, to verify that it is below legally prescribed limits.

Common types of wearable dosimeters for ionizing radiation include:

  • Quartz fiber dosimeter
  • Film badge dosimeter
  • Thermoluminescent dosimeter
  • Solid state (MOSFET or silicon diode) dosimeter

The quartz fiber dosimeters have to be prepared, usually daily, with a positive charge from either a hand wound or battery powered charging unit. As the dosimeter is affected by nuclear radiation the charge leaks away causing the fiber indicator to rise up the graduated scale.

Film badge dosimeters are factory prepared and used only once. The level of radiation absorption is indicated by a change of color on the film badge's surface, which is compared to an indicator chart.

Dosimeters are also used in manufacturing processes that treat products with ionizing radiation, such as food irradiation, in order to calibrate the dose. These are different from personal dosimeters because they usually must have a greater range. They often consist of small blocks of material such as perspex.

Dosimetry of neutron radiation is also possible with a few specialised devices such as superheated drop detectors.

See also

  • Geiger counter
  • Scintillation counter
  • Richard R. Rosenthal
  • Royal Observer Corps
  • Operational instruments of the Royal Observer Corps

 References

 

External links

  • A photographic list of radiation dosimeters

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看贴要回是本分,有问必答是人才,解决问题回贴是公德.
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太好了,就是一句都看不懂,后面能加上翻译吗?
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就是为了让大伙多阅读英文资料、提高英语水平而发的这个帖子,找本字典,慢慢看吧!
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