2. Electrons are produced from the tungsten wire
via thermionic emission
3. Electrons form a cloud
4. Negative cathode repels the electron
cloud and further focusses it by a
negative focussing cup
5. The electons are attracted to the
positive anode and so they
accelerate across the tube
6. Electrons strike the target of the anode and
interact with tungsten atoms to produce
x-rays
7. Produced: 97% heat and 3% x-rays
Electrons interact with anode in 2 ways:
Characteristic x-rays: characteristic to tunsten.
The particle interacts with an INNER shell to
produce 70keV or an OUTER shell for 10keV.
Depending on what shell s interacted with will
determine the strength of x-rays produced. Ie:
only energy at certain points ie: 10, 58 and 70keV.
Bremsstrahlung radiation: particle interacts with
the electromagnetic filed of the tungsten nucleus,
slowing down and releasing that energy in the form
of an x-ray. The greatest energy is given off when
the photon is deviated to the maximum around the
nucleus.
If we set 130kVp, our maximum energy will
be 130kVp and many others will be produced
below this - BEAM IS NOT UNIFORM :)
We use filters to manage this beam nonuniformity and
turn the graph into a bell curve but getting rid of lower
energy x-rays which only add to patient dose.
Inherent Filters: built into the tube. Gets better with age as when
you heat the filament and anode, they turn into gaseous states
which can deposit on the vacuum tube, increasing the filtration.
Additional Filters: added to the tube to meet CSP5 recommendations. Installed in the tube.
Compensatory Filters: added by the MRT to further filter the beam
Anode Heel Effect: a varying intensity
across the x-ray field in the anode-cathode
direction caused by attenuation of the
x-rays in the heel of the anode. Intensity of
the beam is stronger at the cathode end of
the tube
A potential difference is applied across the cathode and anode to accelerate
electrons to collide with anode. This is the kVp (kilovoltage peak)
kVp: is a measure of the maximum electrical potential across an x-ray tube
Controls: the quality and wavelength of the x-rays. The penetration power
of the beam and the radiographic contrast (second to the algorithm.)
Affects: the penetration of the body part, scatter production (higher kVp =
more forward scatter), radiographic contrast ( high kVp produces high energy
photons that penetrate through body tissues decreasing the differential
absorption and producing low contrast images.)
Determined by: part thickness, atomic
number, known pathology, desired contrast
effect, radiation protection, IR properties.
Critique: adequate penetration to show the
cortical outlines of the thinnest and thickest
bony structures of interest.
Too much kVp: borderline is too dark, burn out of cortical outline
Insuffient kVp: areas of ROI are underpenetrated and bright white
To increase contrast,
decrease kVp by 15% and
increase mAs by 100% To
decrease contrast, increase
kVp by 15% and decrease
mAs by 50%.
The amount of electrons
produced, is decided by how
hot the filament is heated.
So our mA refers to our current of electrons.
But the time of exposure is also important - from the moment we hit the
button until the exposure stops. This can be caused by a number of things:
AEC: using ionisation chambers, the AEC measures the radiation
reaching the IR and at a preset amount, will terminate the exposure.
Backup Timer:
Dead Man's Switch:
The combination of electrons and time is called mAs
because the cloud of electrons moving creates a current.
mAs: a measurement of the total number of electrons
(quantity) produced via thermionic emission. A
measurement of the total number of x-rays in the beam.
Controls: density (the quantity of
the radiation that reaches the IR)
Affects: patient dose, movement unsharpness,
visibility of detail, quantum mottle
Critique: check for whether the bony and soft tissue
structures of interest are visualised with sufficient
detail and no mottle or movement unsharpness.
Insufficient mAs: density is light so some of the anatomic structures
cannot be evaluated. Quantum mottle becomes more apparant.
Too much mAs: excessive grey scale. Generally do not need repeating for
Doubling mAs
increases EI by 300.
Halving mAs does
the opposite.
The filament is found at the cathode
and is used to produce electrons.
There is a filament for broad focus and one for fine focus.
They can be arranged in different orientations.
On top of one another: anode will be
biangular and filaments will interact with
rotating anode at different points.
If beside one another: the electrons
just hit the same part of the track so
you have a standard rotating anode.