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Office: 3001L
Radiology Clinic: 1117
E-mail: jaynes.1@osu.edu
Phone: 688-3374 (Office)
292-0874 (Clinic)
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Page 3 of syllabus
Exams
Midterm (Room 1183) Mon., July 27
8:00 AM 1 hour
Final (Room 1183) Mon., August 31
1:30 PM; 1 hour
40 questions: MC/ T-F (each
question worth 1.25 points)
Technique lectures (3 and 4) on
both midterm and final
Grading
0
A = 90-100
B = 80-89
C = 70 -79
D = 60 – 69
E = 59 or below
Early Clinic Radiography
Wednesday mornings, 7:30-9:15
Radiology
The study and application of the
imaging technology used to
diagnose and treat disease.
0
Diagnosis
Treatment
*Dentistry: X-rays
Panoramic Radiograph
0
Cephalometric Radiograph
0
TMJ Radiograph
Cone Beam CT
First Radiograph
Dec. 22,1895
Taken by Wilhelm Conrad Roentgen, who
discovered X-rays on Nov. 8, 1895.
0
X-ray
A form of electromagnetic radiation with a
short wavelength that can cause ionization
and can penetrate through solids.
Electromagnetic Radiation
• X-ray • Microwaves
• Gamma ray • Radio waves
• Visible light
0
A W B
F
Wavelength x Frequency = Speed of light
Electromagnetic Spectrum 0
ENERGY
Ability to penetrate
X-ray Characteristics
High energy waves
No mass
No charge (neutral)
Travel at speed of light
Invisible
0
X-ray Characteristics
Travel in straight line
Cannot be focused to a point
Differentially absorbed
Cause fluorescence
Harmful to living tissue
Dr. C. Edmund Kells took the first intraoral
radiograph in early 1896; had numerous
cancerous growths due to x-ray effects.
0
X-ray Production
0
X-ray Tube
3 4
1 6
5
2 7
8 9
Anode
side view front view
Tungsten Target
Copper stem Tungsten Target
K-shell
protons
L-shell
neutrons
M-shell
electrons
Electrostatic Force
Centrifugal Force
EF CF
Binding Energy
X-ray Production
Bremmstrahlung
Characteristic
0
Bremsstrahlung Radiation
(Braking radiation, general radiation)
Electron slowed
down by positive
charge of
nucelus; energy
released in form
High-speed
electron from + of x-ray
filament enters
tungsten atom
Electron continues on to
other atoms until all of its
energy is lost
Bremsstrahlung X-ray Production 0
Maximum energy
+
High-speed electron
from filament enters
tungsten atom and
strikes nucleus,
losing all its energy
The x-ray produced has energy
and disappearing
equal to the energy of the
high-speed electron; this is the
maximum energy possible
0
Characteristic Radiation
X-rays have energies characteristic of the
target material (energy = difference
between binding energies of target
electrons involved, e.g., K & L, K & M, etc.)
Ejected electron
leaves atom
vacancy
M
High-speed electron
L
with at least 70 keV K
of energy (must be
more than the
binding energy of k-
shell Tungsten atom)
Recoil electron
strikes electron in
(with very little
the K shell
energy) exits
atom
0
X-ray Spectrum
(variable x-ray energies)
average energy of
x-ray beam
# of characteristic
x-rays x-rays
(59 & 67 keV)
Bremsstrahlung
x-rays
Varying electron/nucleus
distances
Multiple electron
interactions
X-ray Machine
support arms
tubehead
electricity
control panel
Electrical Connection – 110/220 volts 0
+ 110 or 220
positive
- 110 or 220
negative
Constant Potential (Direct Current) 0
60-cycle AC converted to DC
+ 110 or 220
positive
- 110 or 220
negative Less patient exposure!
0
X-ray Tubehead
degrees
PID, BID
(cone)
PID
barrier
oil
X-ray Tube
Electrical connections
Step-up transformer
Step-down transformer
Oil
PID
0
Control Panel
Exposure Time
adjustment
0
Control Panel
kVp readout
mA control (50-100) kVp control
(10-15)
Timer
Impulses or seconds
1/60 0
Number of Impulses
= Seconds
60
60 impulses/60 = 1.0 second
30 impulses/60 = 0.5 second
15 impulses/60 = 0.25 second
Normal exposure time: 10-30 impulses.
(Varies with kVp, mA, and film type)
Dr. Otto Walkhoff took first dental
radiograph; 25-minute exposure
0
mA setting
Cathode
Side, crosscut view Front view
Filament
(tungsten)
Focusing
cup
Thermionic Emission 0
x-section
hot
of
filament
filament electrons
mA control
resistor
0
Step-Down Transformer
Primary
current flow
80-100
volts
current flow
8-10 volts
Secondary
0
kVp control
kVp readout
AC Constant Potential
0
Autotransformer
Determines voltage across x-
ray tube.
110 V
current flow
65 V
80
0
Step-Up (High-voltage) Transformer
Primary
current flow
65-90 volts
current flow
Secondary
65,000 to 90,000 volts
(65 kVp to 90 kVp)
0
Exposure Switch
timer
filter PID
110 barrier
220
filament
collimator
exposure
button
Timer
Exp.
Switch
mA Step-down
8-10 volts
65-90 volts
filament
<110 volts
110 volts
65,000 to
90,000 volts
Tungsten
0
Target
Anode
(+)
Cathode
(-)
Apparent (effective)
focal spot size
Actual focal
spot size
PID
Line Focus Principle
0
PID
0
Oil in the X-ray Tubehead:
Insulates the electrical components
Cools the anode
Filters the x-ray beam
Step-up
Trans
oil
Step-down
Trans
Medical Radiography 0
Anode (blue
edge is
tungsten)
Filament/
Electron beam strikes Focusing Cup
target in this area only
0
Exposure Factors
kVp
mA
Exposure time
0
Incorrect exposure factors
(too many x-rays or too
much energy; film too dark)
85 kVp
70 kVp
maximum energy
70 85
average energy
X-ray Energy (keV)
0
• More x-rays
0
mA (milliamperes)
Number of X-rays
10 mA
5 mA
maximum energy
(no change)
70
average energy X-ray Energy (keV)
(no change)
0
Exposure time
Number of X-rays
10 impulses
5 impulses
maximum energy
(no change)
70
average energy X-ray Energy (keV)
(no change)
0
Increasing mA or Exposure
Time results in:
x-rays produced
mAs or mAi
milliamperes (mA) x seconds (s)
milliamperes (mA) x impulses (i)
60 impulses = 1 second
10 mA x .5 seconds = 5 mAs
20 mA x .25 seconds = 5 mAs
mAi = 60 x mAs
Constant patient size 0
A B C
0
Filtration
PID
filter PID
Collimator
Collimation 0
target collimated
(x-ray source) beam
Purpose of Collimation
Scatter Radiation
primary x-ray
scattered x-ray
0
7 cm
6 cm If you switch from 7
7 cm cm diameter round
6 cm round collimation to 6 cm
diameter round
collimation, the
patient receives 25%
film less radiation.
(4.5 cm long)
Quality
average energy
Quantity
number of x-rays
0
mA No change
Time No change
Filtration
Collimation No change
0
D1
D2
D4