Production of X-rays

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Chapter 9 Production of X-rays

KEY POINTS

TARGET INTERACTIONS

When the high-speed projectile electrons collide with the X-ray tube target they interact with the orbital electrons or the nuclear field of the target atoms. Kinetic energy transferred from the projectile electrons to the target atoms converts into heat or X-rays. When projectile electrons strike outer target shell electrons it puts them in an excited state and as a result, infrared (heat) radiation is emitted. Approximately 99% of the energy of projectile electrons converts into heat. Only about 1% of the energy converts into X-ray photons. Two types of interaction produce X-ray photons: bremsstrahlung interactions and characteristic interactions.

CHARACTERISTIC INTERACTIONS

Characteristic target interaction occurs when projectile electrons interact with inner shell electrons of target atoms. Recall that orbital electrons within an atom have a specific binding energy. The binding energy, based on the size of the atom and the shell in which the electron is located, is the energy that would be required to remove the electron from the atom.

Characteristic radiation is produced when projectile electrons with sufficient kinetic energy eject an inner orbital electron (Fig. 9.2). When this happens, the atom becomes unstable and temporarily ionised because of the missing electron. An electron from an outer shell instantly fills the void created by the missing electron and an X-ray photon is emitted. This process continues until the atom is stable. The energy of the emitted X-ray photon is equal to the difference between the binding energy of the two involved orbital electrons. Accordingly, each X-ray photon has a specific energy level. This explains why this type of emission is called characteristic radiation. The energy emitted is characteristic of the target element and the involved shells.

Higher energy X-ray photons result with target materials of a higher proton number and interactions that involve the ejection of inner shell electrons. Each target element emits characteristic radiation of a given energy. For example, the K shell binding energy for tungsten is 69.5 keV. Only projectile electrons with energies greater than the K shell binding energy are able to eject K shell electrons. Accordingly, K shell characteristic X-rays are only produced when the applied voltage exceeds 69.5 kVp. In comparison, the characteristic radiation of a molybdenum target (often used for mammography) is very different. The K shell binding energy for molybdenum is 20 keV,so K shell characteristic X-rays are produced when the applied voltage exceeds 20 kVp.

With a tungsten target, only K shell interactions result in X-rays of sufficient energy to be beneficial in diagnostic radiography. All other characteristic radiation has very low energy and falls outside the useful diagnostic range. Approximately 15% of X-ray emissions are the result of characteristic interactions.

EMISSION SPECTRUM

The emission spectrum is a graphic representation of the number of X-rays plotted against the energy of the radiation, which is measured in kiloelectron volts (keV) (Fig. 9.3). The emission spectrum for bremsstrahlung radiation is continuous because bremsstrahlung X-rays include a range of energies. The emission spectrum for characteristic radiation is discrete because characteristic X-rays consist of predictable energies that are specific to the target element.

CONTINUOUS X-RAY SPECTRUM

Bremsstrahlung radiation is graphically illustrated as a continuous spectrum. The energy of a bremsstrahlung photon is the difference between the entering and exiting kinetic energy of the projectile electron. As a result, there is a continuous range of X-ray energies from zero to the maximum established by the potential difference across the X-ray tube. Maximum energy is realised if all the kinetic energy of an electron is converted into a singleX-ray photon. The maximum photon energy, determined by the maximum voltage, is the kilovolt peak (kVp). For example, if the potential difference across the X-ray tube were 90 kVp, an electron accelerated across the tube would attain a kinetic energy of 90 keV as it interacted with the target. If the electron transferred all of its energy, the energy of the X-ray photon would be 90 keV. The maximum photon energy is dependent on the potential difference across the tube (kVp), regardless of the target material.

The size and shape of the emission spectrum reflects the quality and quantity of the X-ray beam. While the relative shape of the emission spectrum remains the same, its location along the horizontal axis can vary. Ranges located more towards the right represent X-ray beams of higher energy or quality. Graphically, the area under the curve represents the total number of X-rays emitted. A larger area represents X-ray beams with higher intensity or quantity. The greatest number of X-rays have approximately one-third to one-half of the maximum energy.1

X-RAY QUALITY AND QUANTITY

The quality of radiation in an X-ray beam is the penetrating ability of the beam. The quantity of radiation in an X-ray beam is the number of photons in the beam. The terms exposure and intensity may also be used to describe quantity.

While practitioners have little control over the selection of the target material and limited options for the use of added beam filtration, it is valuable to understand how the target material and beam filtration affect the quality and quantity of the X-ray beam. Practitioners are able to control distance and prime exposure factors. Consequently, it is essential to understand how these factors influence the quality and quantity of the X-ray beam (Table 9.1).

Table 9.1 Summary of factors affecting X-ray quality and quantity

Factors affecting X-ray quality Factors affecting X-ray quantity
Target material Target material
Beam filtration Beam filtration
kVp Distance
kVp
mA s

kVp, kilovolt (peak); mA s, milliamp-second

DISTANCE

The distance of the anode from the image receptor (source–image distance, SID) affects the quantity of X-rays photons (see p. 91). The inverse square law governs the relationship between the quantity of X-ray photons and the distance from the target to the image receptor. The quantity of X-ray photons at the image receptor is inversely proportional to the square of the distance from the source (see p. 91). For example, if the SID is reduced by one-half, the number of X-ray photons quadruples.

PRIME EXPOSURE FACTORS

The prime exposure factors include kVp, mA, and exposure time. The kVp affects both the quality and quantity, while mA and exposure time affect the quantity of the X-ray beam.

Kilovoltage (kVp)

The kilovoltage peak (kVp) set by the practitioner determines the voltage or potential difference applied across the cathode and anode during the exposure. This setting affects both the quality and quantity of the X-ray beam. As mentioned earlier, the kVp setting controls the speed of the electrons travelling from the cathode to the anode. An increase in kVp causes greater repulsion of electrons from the cathode and greater attraction of electrons towards the anode. This increased speed means projectile electrons possess greater potential energy.

Changes in kVp affect the production of bremsstrahlung radiation, which influences both the quality and quantity of photons in the X-ray beam. An increase in kVp results in higher quality X-ray photons with a higher average energy and more penetrating ability. Keep in mind that the maximum energy of an X-ray beam remains equal to the kVp setting. With an increase in kVp there is also an increase in the quantity of X-ray photons at all energy levels. However, the increase is relatively greater for high energy X-rays than for low energy X-rays. The emission spectrum in Figure 9.4 illustrates how the area under the curve increases and shifts to the right as kVp is increased.

Changes in kVp also affect the production of characteristic radiation, which influences the quantity but not the quality of photons in the X-ray beam. Recall that no characteristic radiation is produced if the kVp is less than the binding energy of the K shell electrons. For example, no characteristic radiation is produced when the applied voltage is less than 69.5 kVp for a tungsten target because the binding energy of the K shell is 69.5 keV. However, the quantity of characteristic radiation increases when the kVp exceeds the K shell binding energy. The increase is typically proportional to the difference between the kVp and the binding energy.

EXPOSURE MANIPULATION

Exposure manipulation includes those variables that practitioners most often employ to manage the quality and quantity of the X-ray beam. Distance, kVp, and mA s are the primary factors considered here.