Orthovoltage X-rays are produced by

X-ray tube An X-ray tube is a vacuum tube that converts electrical input power into X-rays. The availability of this controllable source of X-rays created the field of radiography, the imaging of partly opaque objects with penetrating radiation. In contrast ...

s operating at

voltage Voltage, also known as electric pressure, electric tension, or (electric) potential difference, is the difference in electric potential between two points. In a static electric field, it corresponds to the work needed per unit of charge to ...

s in the 100–500 kV range, and therefore the X-rays have a peak

energy In physics, energy (from Ancient Greek: ἐνέργεια, ''enérgeia'', “activity”) is the quantitative property that is transferred to a body or to a physical system, recognizable in the performance of work and in the form of hea ...

in the 100–500

keV Kev can refer to: Given name * Kev Adams, French comedian, actor, screenwriter and film producer born Kevin Smadja in 1991 * Kevin Kev Carmody (born 1946), Indigenous Australian singer-songwriter * Kev Coghlan (born 1988), Scottish Grand Prix moto ...

range. Orthovoltage X-rays are sometimes termed "deep" X-rays (DXR). They cover the upper limit of energies used for diagnostic

radiography 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 "therapeu ...

, and are used in

external beam radiotherapy External beam radiotherapy (EBRT) is the most common form of radiotherapy (radiation therapy). The patient sits or lies on a couch and an external source of ionizing radiation is pointed at a particular part of the body. In contrast to brachyt ...

to treat

cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...

and

tumor A neoplasm () is a type of abnormal and excessive growth of tissue. The process that occurs to form or produce a neoplasm is called neoplasia. The growth of a neoplasm is uncoordinated with that of the normal surrounding tissue, and persists ...

s. They penetrate tissue to a useful depth of about 4–6 cm. This makes them useful for treating

skin Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation. Other animal coverings, such as the arthropod exoskeleton, have different de ...

, superficial tissues, and ribs, but not for deeper structures such as

lungs The lungs are the primary organs of the respiratory system in humans and most other animals, including some snails and a small number of fish. In mammals and most other vertebrates, two lungs are located near the backbone on either side ...

or pelvic organs. The relatively low energy of orthovoltage X-rays causes them to interact with matter via different physical mechanisms compared to higher energy megavoltage X-rays or radionuclide γ-rays, increasing their

relative biological effectiveness In radiobiology, the relative biological effectiveness (often abbreviated as RBE) is the ratio of biological effectiveness of one type of ionizing radiation relative to another, given the same amount of absorbed energy. The RBE is an empirica ...

History

The energy and penetrating ability of the X-rays produced by an X-ray tube increases with the

on the tube. External beam radiotherapy began around the turn of the 20th century with ordinary diagnostic X-ray tubes, which used voltages below 150 kV. Physicians found that these were adequate for treating superficial tumors, but not tumors inside the body. Since these low energy X-rays were mostly absorbed in the first few centimeters of tissue, to deliver a large enough radiation dose to buried tumors would cause severe skin burns. Therefore beginning in the 1920s "orthovoltage" 200–500 kV X-ray machines were built. These were found to be able to reach shallow tumors, but to treat tumors deep in the body more voltage was needed. By the 1930s and 1940s megavoltage X-rays produced by huge machines with 3–5 million volts on the tube, began to be employed. With the introduction of

linear accelerator A linear particle accelerator (often shortened to linac) is a type of particle accelerator that accelerates charged subatomic particles or ions to a high speed by subjecting them to a series of oscillating electric potentials along a linear ...

s in the 1970s, which could produce 4–30 MV beams, orthovoltage X-rays are now considered quite shallow.

References

{{Radiation oncology Radiation therapy X-rays

History

See also

References