Radiodensity
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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 (sho ...
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 fro ...
: that is, the relative inability of those kinds of
electromagnetic radiation In physics, electromagnetic radiation (EMR) consists of waves of the electromagnetic (EM) field, which propagate through space and carry momentum and electromagnetic radiant energy. It includes radio waves, microwaves, infrared, (visib ...
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 alwa ...
sNovelline, 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 dimension ...
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 t ...
. 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, 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, 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, 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 organs of the digestive system, in humans and ...
, 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 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 (chemistry), 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 , ...
. 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


References

{{Reflist


External links


Application note on measuring radiopacity
Radiography Radiology