Figure 1: Three possible fates which can occur to x-ray photons when they enter human body. Source: (Sprawls, 1995) Applications of X-ray Absorption in Medicine The application of x-ray absorption in the field of medicine has developed extensively since the discovery of x-rays. In the United States alone, over 300 million x-ray medical examinations are done every year (Hendee, 1995). X-rays have been used in medical diagnosis and treatment therapy. In the past, diagnosis and therapy were perceived to be different.
However, the boundary between the two seems to have disappeared and currently, the two have been integrated together (Hendee, 1995). There are numerous applications of x-rays in medicine today. Diagnostic Radiography Radiography is defined as that process of production of images of the body structures by use of X-rays (O’Sullivan, 2009). Radiography is normally used in the diagnosis of problems in chest, broken bones and dental structure. This imaging technique was initiated by Roentgen who experimented with his wife’s hand (Hendee, 1995).
In his experiment, Roentgen was able to note that x-ray beam projected on his wife’s hand produced the skeleton image of the hand with a ring on. This experiment yielded what is today referred to as radiology and it is an important component of modern day medicine. In x-ray imaging or radiology, the patient is placed between an x-ray detector (film) and x-ray tube. The images produced in the films are as a result of x-ray photons which penetrate the body structure. X-ray photon interaction with the body and its penetration is dependent on the density of the tissues in the body.
Soft tissues are easily penetrated by x-ray photons when compared to high density tissues such as the skeleton. X-ray radiography is a common phenomenon currently and it is estimated that 70% of U.S residents get at least one x-ray radiology in a year (Kane, 2009). X-ray radiography provides a cost effective glimpse of the inner body of human beings and has provided a solution to one major disadvantage of ultrasound of failing to penetrate other regions of the body. Radiograph images are simply the shadows of body parts which absorb x-ray photons (Kane, 2009).
In fact, the image formed is basically a shadowgraph. Those x-ray photons which do not interact with electrons of the atoms of the body penetrate the body and are detected on the opposite side by the film. Films produce static images. However, fluoroscopy is an alternative to x-ray image films and they produce moving images (Hendee, 1995). As earlier mentioned, x-ray photons interact with electrons of atoms making up a body while those photons having sufficient energy penetrate the body. The x-ray photons which penetrate the body are detected by the x-ray detector film forming images.
However, some photons are absorbed while others are scattered. Scattered x-ray photons may penetrate the body. For instance, in a dental x-ray imaging, 30% of those x-ray photons scattered in that process penetrate the patient’s body (Goaz & Pharaoh, No date). These photons which penetrate after being scattered have both advantages and disadvantages. It allows for the escape of energy from the tissues (Goaz & Pharaoh, No date). However, the disadvantage is that they are detected by the film and causes film fogging.
They therefore interfere with the information conveyed by the film (Hendee, 1995). In the case of fracture detection, x-rays are projected on the affected region of the bone. The x-ray photons are attenuated depending on the nature of tissues making up that region. High density tissues attenuates more x-ray photons compared to softer tissues. The density of calcium in the bones attenuates all the x-ray photons thus blocking all the x-rays from reaching the film and darkening it (Linton,1995).
Those regions of the film which are not elucidated by the x-ray beam retain their grayish colour. Bones have a fluid inside which causes lesser attenuation to x-ray photons (Fessler, 2009).
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