Exam code: 9702
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Define contrast in X-ray imaging.
Contrast is the difference in the degree of blackening between structures.

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Define sharpness in X-ray imaging.
Sharpness is how well-defined the edges of structures are.
How are X-ray photons produced in an X-ray tube?
Electrons released by thermionic emission at the cathode are accelerated towards the anode; when they bombard the metal target, they rapidly decelerate and transfer their kinetic energy into X-ray photons.
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Define contrast in X-ray imaging.
Contrast is the difference in the degree of blackening between structures.
Define sharpness in X-ray imaging.
Sharpness is how well-defined the edges of structures are.
How are X-ray photons produced in an X-ray tube?
Electrons released by thermionic emission at the cathode are accelerated towards the anode; when they bombard the metal target, they rapidly decelerate and transfer their kinetic energy into X-ray photons.
State the equation for the minimum wavelength of X-rays produced by an accelerating voltage V.
Why does the X-ray spectrum have a sharp cut-off at short wavelengths?
At the cut-off, each electron gives up all its kinetic energy in a single collision to produce one photon, corresponding to the maximum possible photon energy and so the minimum wavelength.
Why are aluminium filters used in medical X-ray imaging?
They absorb long-wavelength (soft) X-rays, which are less penetrating and more likely to be absorbed by the body without contributing to the image, reducing patient radiation dose.
Image sharpness can be improved by using a narrower X-ray beam and reducing scattering with a .......... or lead grid.
Image sharpness can be improved by using a narrower X-ray beam and reducing scattering with a collimator or lead grid.
True or False?
Harder (higher energy) X-rays always give better image contrast, whatever tissue is being imaged.
False.
Hard X-rays are used for imaging bone and soft X-rays for tissue; the correct level of hardness depends on the structure being imaged.
Define attenuation of an X-ray beam.
Attenuation is the reduction in the intensity of an X-ray beam as it passes through matter.
Why do bones appear white on an X-ray photograph?
Bones absorb X-ray radiation strongly, so little radiation passes through to reach the detector or film at that point.
State the equation for the attenuation of X-rays in matter, and give the meaning of each symbol.
I0 = intensity of the incident beam
I = intensity of the emergent beam
μ = linear absorption coefficient
x = distance travelled through the material
Define half thickness.
The half thickness is the thickness of material that reduces the intensity of an X-ray beam of a particular frequency to half its original value.
As an X-ray beam passes through matter, its intensity decreases .......... with distance travelled.
As an X-ray beam passes through matter, its intensity decreases exponentially with distance travelled.
What two processes remove photons from an X-ray beam as it passes through the body?
Absorption
Scattering
What condition on the intensity ratio I/I0 indicates good contrast between two tissues?
There is a large difference between the intensities, so the ratio I/I0 is much less than 1.0.
True or False?
The linear absorption coefficient, μ, is the same for X-ray photons of any energy.
False.
The linear absorption coefficient depends on the energy of the X-ray photons, as well as the material.
Define a computed tomography (CT) scan.
A CT scan is an imaging technique in which an X-ray tube rotates around a stationary patient, taking X-ray images of the same slice at many different angles, which a computer combines to build a 3D image.
How is a 3D image built up during a CT scan?
X-ray images of the same slice are taken at many different angles
This process is repeated for successive slices
A computer combines the slice images together to build a 3D image, which can be rotated and viewed from different angles
State three advantages of a CT scan compared with a single X-ray image.
Produces images of much higher resolution
Can distinguish between tissues with similar attenuation coefficients
Produces a 3D image of the body
State two disadvantages of a CT scan compared with a single X-ray image.
The patient receives a much higher radiation dose
There are possible side effects from the contrast media used
A CT scanner takes X-ray images of the same slice, at many different ...........
A CT scanner takes X-ray images of the same slice, at many different angles.
True or False?
A CT scan produces only a single 2D image of the body.
False.
A CT scan combines many 2D images, taken of successive slices from multiple angles, to build up a single 3D image.
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