Radiodensity (or radiopacity) is
opacity to the
radio wave
Radio waves are a type of electromagnetic radiation with the longest wavelengths in the electromagnetic spectrum, typically with frequencies of 300 gigahertz (GHz) and below. At 300 GHz, the corresponding wavelength is 1 mm (short ...
and
X-ray
An X-ray, or, much less commonly, X-radiation, is a penetrating form of high-energy electromagnetic radiation. Most X-rays have a wavelength ranging from 10 picometers to 10 nanometers, corresponding to frequencies in the range 30&nb ...
portion of the
electromagnetic spectrum
The electromagnetic spectrum is the range of frequencies (the spectrum) of electromagnetic radiation and their respective wavelengths and photon energies.
The electromagnetic spectrum covers electromagnetic waves with frequencies ranging from ...
: that is, the relative inability of those kinds of
electromagnetic radiation
In physics, electromagnetic radiation (EMR) consists of waves of the electromagnetic field, electromagnetic (EM) field, which propagate through space and carry momentum and electromagnetic radiant energy. It includes radio waves, microwaves, inf ...
to pass through a particular material. Radiolucency or hypodensity indicates greater passage (greater transradiancy) to X-ray
photon
A photon () is an elementary particle that is a quantum of the electromagnetic field, including electromagnetic radiation such as light and radio waves, and the force carrier for the electromagnetic force. Photons are massless, so they always ...
s
[Novelline, Robert. ''Squire's Fundamentals of Radiology''. Harvard University Press. 5th edition. 1997. .] and is the analogue of
transparency and translucency
In the field of optics, transparency (also called pellucidity or diaphaneity) is the physical property of allowing light to pass through the material without appreciable scattering of light. On a macroscopic scale (one in which the dimensions ...
with
visible light
Light or visible light is electromagnetic radiation that can be perceived by the human eye. Visible light is usually defined as having wavelengths in the range of 400–700 nanometres (nm), corresponding to frequencies of 750–420 te ...
. Materials that inhibit the passage of electromagnetic radiation are called radiodense or radiopaque, while those that allow radiation to pass more freely are referred to as radiolucent. Radiopaque volumes of material have white appearance on
radiographs
Radiography is an imaging technique using X-rays, gamma rays, or similar ionizing radiation and non-ionizing radiation to view the internal form of an object. Applications of radiography include medical radiography ("diagnostic" and "therapeut ...
, compared with the relatively darker appearance of radiolucent volumes. For example, on typical radiographs, bones look white or light gray (radiopaque), whereas muscle and skin look black or dark gray, being mostly invisible (radiolucent).
Though the term radiodensity is more commonly used in the context of
qualitative comparison, radiodensity can also be quantified according to the
Hounsfield scale The Hounsfield scale , named after Sir Godfrey Hounsfield, is a quantitative scale for describing radiodensity. It is frequently used in CT scans, where its value is also termed CT number.
Definition
The Hounsfield unit (HU) scale is a linear tr ...
, a principle which is central to
X-ray computed tomography
An X-ray, or, much less commonly, X-radiation, is a penetrating form of high-energy electromagnetic radiation. Most X-rays have a wavelength ranging from 10 picometers to 10 nanometers, corresponding to frequencies in the range 30  ...
(CT scan) applications. On the Hounsfield scale,
distilled water
Distilled water is water that has been boiled into vapor and condensed back into liquid in a separate container. Impurities in the original water that do not boil below or near the boiling point of water remain in the original container. Thus, di ...
has a value of 0 Hounsfield units (HU), while air is specified as -1000 HU.
In modern medicine, radiodense substances are those that will not allow X-rays or similar radiation to pass.
Radiographic imaging has been revolutionized by radiodense
contrast media
A contrast agent (or contrast medium) is a substance used to increase the contrast of structures or fluids within the body in medical imaging. Contrast agents absorb or alter external electromagnetism or ultrasound, which is different from radiop ...
, which can be passed through the bloodstream, the
gastrointestinal tract
The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The GI tract contains all the major organ (biology), organs of the digestive syste ...
, or into the cerebral spinal fluid and utilized to highlight CT scan or X-ray images. Radiopacity is one of the key considerations in the design of various devices such as guidewires or
stent
In medicine, a stent is a metal or plastic tube inserted into the lumen of an anatomic vessel or duct to keep the passageway open, and stenting is the placement of a stent. A wide variety of stents are used for different purposes, from expandab ...
s that are used during
radiological
In physics, radiation is the emission or transmission of energy in the form of waves or particles through space or through a material medium. This includes:
* ''electromagnetic radiation'', such as radio waves, microwaves, infrared, visib ...
intervention. The radiopacity of a given endovascular device is important since it allows the device to be tracked during the interventional procedure.
The two main factors contributing to a material's radiopacity are density and atomic number. Two common radiodense elements used in medical imagery are
barium
Barium is a chemical element with the symbol Ba and atomic number 56. It is the fifth element in group 2 and is a soft, silvery alkaline earth metal. Because of its high chemical reactivity, barium is never found in nature as a free element.
Th ...
and
iodine
Iodine is a chemical element with the symbol I and atomic number 53. The heaviest of the stable halogens, it exists as a semi-lustrous, non-metallic solid at standard conditions that melts to form a deep violet liquid at , and boils to a vi ...
.
Medical devices often contain a radiopacifier to enhance visualization during implantation for temporary implantation devices, such as catheters or guidewires, or for monitoring the position of permanently implanted medical devices, such as stents, hip and knee implants, and screws. Metal implants usually have sufficient radiocontrast that additional radiopacifier is not necessary. Polymer-based devices, however, usually incorporate materials with high electron density contrast compared to the surrounding tissue. Examples of radiocontrast materials include titanium, tungsten, barium sulfate, bismuth oxide and zirconium oxide. Some solutions involve direct binding of heavy elements, for instance iodine, to polymeric chains in order to obtain a more homogeneous material which has lower interface criticalities.
When testing a new medical device for regulatory submission, device manufacturers will usually evaluate the radiocontrast according t
ASTM F640 "Standard Test Methods for Determining Radiopacity for Medical Use."
See also
*
Hounsfield scale The Hounsfield scale , named after Sir Godfrey Hounsfield, is a quantitative scale for describing radiodensity. It is frequently used in CT scans, where its value is also termed CT number.
Definition
The Hounsfield unit (HU) scale is a linear tr ...
References
{{Reflist
External links
Application note on measuring radiopacity
Radiography
Radiology