Other effects were sometimes blamed for the damage including ultraviolet rays and (according to Tesla) ozone. Many physicians claimed there were no effects from X-ray exposure at all. On 3 August 1905, in San Francisco, California, Elizabeth Fleischman, an American X-ray pioneer, died from complications as a result of her work with X-rays.
Hall-Edwards developed a cancer (then called X-ray dermatitis) sufficiently advanced by 1904 to cause him to write papers and give public addresses on the dangers of X-rays. His left arm had to be amputated at the elbow in 1908,
and four fingers on his right arm soon thereafter, leaving only a thumb. He died of cancer in 1926. His left hand is kept at
Birmingham University.
20th century and beyond

The many applications of X-rays immediately generated enormous interest. Workshops began making specialized versions of Crookes tubes for generating X-rays and these first-generation
cold cathode or Crookes X-ray tubes were used until about 1920.
A typical early 20th-century medical X-ray system consisted of a
Ruhmkorff coil
An induction coil or "spark coil" (archaically known as an inductorium or Ruhmkorff coil after Heinrich Rühmkorff) is a type of electrical transformer used to produce high-voltage pulses from a low-voltage direct current (DC) supply. p.98 To ...
connected to a
cold cathode Crookes X-ray tube. A spark gap was typically connected to the high voltage side in parallel to the tube and used for diagnostic purposes.
The spark gap allowed detecting the polarity of the sparks, measuring voltage by the length of the sparks thus determining the "hardness" of the vacuum of the tube, and it provided a load in the event the X-ray tube was disconnected. To detect the hardness of the tube, the spark gap was initially opened to the widest setting. While the coil was operating, the operator reduced the gap until sparks began to appear. A tube in which the spark gap began to spark at around was considered soft (low vacuum) and suitable for thin body parts such as hands and arms. A spark indicated the tube was suitable for shoulders and knees. An spark would indicate a higher vacuum suitable for imaging the abdomen of larger individuals. Since the spark gap was connected in parallel to the tube, the spark gap had to be opened until the sparking ceased to operate the tube for imaging. Exposure time for photographic plates was around half a minute for a hand to a couple of minutes for a thorax. The plates may have a small addition of fluorescent salt to reduce exposure times.
Crookes tubes were unreliable. They had to contain a small quantity of gas (invariably air) as a current will not flow in such a tube if they are fully evacuated. However, as time passed, the X-rays caused the glass to absorb the gas, causing the tube to generate "harder" X-rays until it soon stopped operating. Larger and more frequently used tubes were provided with devices for restoring the air, known as "softeners". These often took the form of a small side tube that contained a small piece of
mica
Micas ( ) are a group of silicate minerals whose outstanding physical characteristic is that individual mica crystals can easily be split into extremely thin elastic plates. This characteristic is described as perfect basal cleavage. Mica is ...
, a mineral that traps relatively large quantities of air within its structure. A small electrical heater heated the mica, causing it to release a small amount of air, thus restoring the tube's efficiency. However, the mica had a limited life, and the restoration process was difficult to control.
In
1904
Events
January
* January 7 – The distress signal ''CQD'' is established, only to be replaced 2 years later by ''SOS''.
* January 8 – The Blackstone Library is dedicated, marking the beginning of the Chicago Public Library system.
* ...
,
John Ambrose Fleming
Sir John Ambrose Fleming FRS (29 November 1849 – 18 April 1945) was an English electrical engineer and physicist who invented the first thermionic valve or vacuum tube, designed the radio transmitter with which the first transatlantic rad ...
invented the
thermionic diode, the first kind of
vacuum tube
A vacuum tube, electron tube, valve (British usage), or tube (North America), is a device that controls electric current flow in a high vacuum between electrodes to which an electric voltage, potential difference has been applied.
The type kn ...
. This used a
hot cathode that caused an
electric current
An electric current is a stream of charged particles, such as electrons or ions, moving through an electrical conductor or space. It is measured as the net rate of flow of electric charge through a surface or into a control volume. The moving pa ...
to flow in a
vacuum
A vacuum is a space devoid of matter. The word is derived from the Latin adjective ''vacuus'' for "vacant" or "void". An approximation to such vacuum is a region with a gaseous pressure much less than atmospheric pressure. Physicists often dis ...
. This idea was quickly applied to X-ray tubes, and hence heated-cathode X-ray tubes, called "Coolidge tubes", completely replaced the troublesome cold cathode tubes by about 1920.
In about 1906, the physicist
Charles Barkla discovered that X-rays could be scattered by gases, and that each element had a characteristic
X-ray spectrum. He won the
1917
Events
Below, the events of World War I have the "WWI" prefix.
January
* January 9 – WWI – Battle of Rafa: The last substantial Ottoman Army garrison on the Sinai Peninsula is captured by the Egyptian Expeditionary Force's ...
Nobel Prize in Physics
)
, image = Nobel Prize.png
, alt = A golden medallion with an embossed image of a bearded man facing left in profile. To the left of the man is the text "ALFR•" then "NOBEL", and on the right, the text (smaller) "NAT•" then " ...
for this discovery.
In
1912
Events January
* January 1 – The Republic of China (1912–49), Republic of China is established.
* January 5 – The Prague Conference (6th All-Russian Conference of the Russian Social Democratic Labour Party) opens.
* January 6 ...
,
Max von Laue
Max Theodor Felix von Laue (; 9 October 1879 – 24 April 1960) was a German physicist who received the Nobel Prize in Physics in 1914 for his discovery of the diffraction of X-rays by crystals.
In addition to his scientific endeavors with cont ...
, Paul Knipping, and Walter Friedrich first observed the
diffraction
Diffraction is defined as the interference or bending of waves around the corners of an obstacle or through an aperture into the region of geometrical shadow of the obstacle/aperture. The diffracting object or aperture effectively becomes a s ...
of X-rays by crystals. This discovery, along with the early work of
Paul Peter Ewald
Paul Peter Ewald, FRS (January 23, 1888 in Berlin, Germany – August 22, 1985 in Ithaca, New York) was a German crystallographer and physicist, a pioneer of X-ray diffraction methods.
Education
Ewald received his early education in the classi ...
,
William Henry Bragg, and
William Lawrence Bragg, gave birth to the field of
X-ray crystallography
X-ray crystallography is the experimental science determining the atomic and molecular structure of a crystal, in which the crystalline structure causes a beam of incident X-rays to diffract into many specific directions. By measuring the angles ...
.
In
1913
Events January
* January 5 – First Balkan War: Battle of Lemnos (1913), Battle of Lemnos – Greek admiral Pavlos Kountouriotis forces the Turkish fleet to retreat to its base within the Dardanelles, from which it will not ven ...
,
Henry Moseley
Henry Gwyn Jeffreys Moseley (; 23 November 1887 – 10 August 1915) was an English physicist, whose contribution to the science of physics was the justification from physical laws of the previous empirical and chemical concept of the atomic num ...
performed crystallography experiments with X-rays emanating from various metals and formulated
Moseley's law which relates the frequency of the X-rays to the atomic number of the metal.
The
Coolidge X-ray tube was invented the same year by
William D. Coolidge
William David Coolidge (; October 23, 1873 – February 3, 1975) was an American physicist and engineer, who made major contributions to X-ray machines. He was the director of the General Electric Research Laboratory and a vice-president of t ...
. It made possible the continuous emissions of X-rays. Modern X-ray tubes are based on this design, often employing the use of rotating targets which allow for significantly higher heat dissipation than static targets, further allowing higher quantity X-ray output for use in high-powered applications such as rotational CT scanners.

The use of X-rays for medical purposes (which developed into the field of
radiation therapy
Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is a therapy using ionizing radiation, generally provided as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator. Radia ...
) was pioneered by Major
John Hall-Edwards
John Francis Hall-Edwards FRSE (19 December 1858 – 15 August 1926) was a British doctor and pioneer in the medical use of X-rays in the United Kingdom.
Life
Hall-Edwards was the son of John Edwards, and was born on Moseley Road, King ...
in
Birmingham
Birmingham ( ) is a city and metropolitan borough in the metropolitan county of West Midlands in England. It is the second-largest city in the United Kingdom with a population of 1.145 million in the city proper, 2.92 million in the West ...
, England. Then in 1908, he had to have his left arm amputated because of the spread of
X-ray dermatitis on his arm.
Medical science also used the motion picture to study human physiology. In 1913, a motion picture was made in Detroit showing a hard-boiled egg inside a human stomach. This early X-ray movie was recorded at a rate of one still image every four seconds. Dr Lewis Gregory Cole of New York was a pioneer of the technique, which he called "serial radiography". In 1918, X-rays were used in association with
motion picture cameras to capture the human skeleton in motion. In 1920, it was used to record the movements of tongue and teeth in the study of languages by the Institute of Phonetics in England.
In
1914
This year saw the beginning of what became known as World War I, after Archduke Franz Ferdinand of Austria, heir to the Austrian throne was Assassination of Archduke Franz Ferdinand, assassinated by Serbian nationalist Gavrilo Princip. It als ...
,
Marie Curie
Marie Salomea Skłodowska–Curie ( , , ; born Maria Salomea Skłodowska, ; 7 November 1867 – 4 July 1934) was a Polish and naturalized-French physicist and chemist who conducted pioneering research on radioactivity. She was the first ...
developed radiological cars to support soldiers injured in
World War I
World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, the United States, and the Ottoman Empire, with fightin ...
. The cars would allow for rapid X-ray imaging of wounded soldiers so battlefield surgeons could quickly and more accurately operate.
From the early 1920s through to the 1950s, X-ray machines were developed to assist in the fitting of shoes and were sold to commercial shoe stores. Concerns regarding the impact of frequent or poorly controlled use were expressed in the 1950s, leading to the practice's eventual end that decade.
The
X-ray microscope
An X-ray microscope uses electromagnetic radiation in the soft X-ray band to produce magnified images of objects. Since X-rays penetrate most objects, there is no need to specially prepare them for X-ray microscopy observations.
Unlike visible li ...
was developed during the 1950s.
The
Chandra X-ray Observatory
The Chandra X-ray Observatory (CXO), previously known as the Advanced X-ray Astrophysics Facility (AXAF), is a Flagship-class space telescope launched aboard the during STS-93 by NASA on July 23, 1999. Chandra is sensitive to X-ray sources 1 ...
, launched on
23 July 1999, has been allowing the exploration of the very violent processes in the
universe
The universe is all of space and time and their contents, including planets, stars, galaxies, and all other forms of matter and energy. The Big Bang theory is the prevailing cosmological description of the development of the universe. Acc ...
that produce X-rays. Unlike
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 ...
, which gives a relatively stable view of the universe, the X-ray universe is unstable. It features
star
A star is an astronomical object comprising a luminous spheroid of plasma (physics), plasma held together by its gravity. The List of nearest stars and brown dwarfs, nearest star to Earth is the Sun. Many other stars are visible to the naked ...
s being torn apart by
black hole
A black hole is a region of spacetime where gravitation, gravity is so strong that nothing, including light or other Electromagnetic radiation, electromagnetic waves, has enough energy to escape it. The theory of general relativity predicts t ...
s,
galactic collisions, and
nova
A nova (plural novae or novas) is a transient astronomical event that causes the sudden appearance of a bright, apparently "new" star (hence the name "nova", which is Latin for "new") that slowly fades over weeks or months. Causes of the dramati ...
e, and
neutron star
A neutron star is the collapsed core of a massive supergiant star, which had a total mass of between 10 and 25 solar masses, possibly more if the star was especially metal-rich. Except for black holes and some hypothetical objects (e.g. white ...
s that build up layers of
plasma
Plasma or plasm may refer to:
Science
* Plasma (physics), one of the four fundamental states of matter
* Plasma (mineral), a green translucent silica mineral
* Quark–gluon plasma, a state of matter in quantum chromodynamics
Biology
* Blood pla ...
that then
explode
An explosion is a rapid expansion in volume associated with an extreme outward release of energy, usually with the generation of high temperatures and release of high-pressure gases. Supersonic explosions created by high explosives are known ...
into
space
Space is the boundless three-dimensional extent in which objects and events have relative position and direction. In classical physics, physical space is often conceived in three linear dimensions, although modern physicists usually consider ...
.

An
X-ray laser device was proposed as part of the
Reagan Administration's
Strategic Defense Initiative
The Strategic Defense Initiative (SDI), derisively nicknamed the "''Star Wars'' program", was a proposed missile defense system intended to protect the United States from attack by ballistic strategic nuclear weapons (intercontinental ballistic ...
in the 1980s, but the only test of the device (a sort of laser "blaster" or
death ray
The death ray or death beam was a theoretical particle beam or electromagnetic weapon first theorized around the 1920s and 1930s. Around that time, notable inventors such as Guglielmo Marconi, Nikola Tesla, Harry Grindell Matthews, Edwin R. Scot ...
, powered by a thermonuclear explosion) gave inconclusive results. For technical and political reasons, the overall project (including the X-ray laser) was defunded (though was later revived by the second
Bush Administration as
National Missile Defense using different technologies).
Phase-contrast X-ray imaging refers to a variety of techniques that use phase information of an X-ray beam to form the image. Due to its good sensitivity to density differences, it is especially useful for imaging soft tissues. It has become an important method for visualizing cellular and histological structures in a wide range of biological and medical studies. There are several technologies being used for X-ray phase-contrast imaging, all using different principles to convert phase variations in the X-rays emerging from an object into intensity variations.
These include propagation-based phase contrast,
Talbot
Talbot was an automobile marque introduced in 1902 by English-French company Clément-Talbot. The founders, Charles Chetwynd-Talbot, 20th Earl of Shrewsbury and Adolphe Clément-Bayard, reduced their financial interests in their Clément-Talbot ...
interferometry,
[ refraction-enhanced imaging, and X-ray interferometry. These methods provide higher contrast compared to normal absorption-based X-ray imaging, making it possible to distinguish from each other details that have almost similar density. A disadvantage is that these methods require more sophisticated equipment, such as ]synchrotron
A synchrotron is a particular type of cyclic particle accelerator, descended from the cyclotron, in which the accelerating particle beam travels around a fixed closed-loop path. The magnetic field which bends the particle beam into its closed p ...
or microfocus X-ray sources, X-ray optics X-ray optics is the branch of optics that manipulates X-rays instead of visible light. It deals with focusing and other ways of manipulating the X-ray beams for research techniques such as X-ray crystallography, X-ray fluorescence, small-angle X-ray ...
, and high resolution X-ray detectors.
Energy ranges
Soft and hard X-rays
X-rays with high photon energies above 5–10 keV (below 0.2–0.1 nm wavelength) are called ''hard X-rays'', while those with lower energy (and longer wavelength) are called ''soft X-rays''. The intermediate range with photon energies of several keV is often referred to as ''tender X-rays''. Due to their penetrating ability, hard X-rays are widely used to image the inside of objects (e.g. in medical 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 "therapeut ...
and airport security). The term ''X-ray'' is metonymically
Metonymy () is a figure of speech in which a concept is referred to by the name of something closely associated with that thing or concept.
Etymology
The words ''metonymy'' and ''metonym'' come from grc, μετωνυμία, 'a change of name' ...
used to refer to a radiographic image produced using this method, in addition to the method itself. Since the wavelengths of hard X-rays are similar to the size of atoms, they are also useful for determining crystal structures by X-ray crystallography
X-ray crystallography is the experimental science determining the atomic and molecular structure of a crystal, in which the crystalline structure causes a beam of incident X-rays to diffract into many specific directions. By measuring the angles ...
. By contrast, soft X-rays are easily absorbed in air; the attenuation length of 600 eV (~2 nm) X-rays in water is less than 1 micrometer.
Gamma rays
There is no consensus for a definition distinguishing between X-rays and gamma ray
A gamma ray, also known as gamma radiation (symbol γ or \gamma), is a penetrating form of electromagnetic radiation arising from the radioactive decay of atomic nuclei. It consists of the shortest wavelength electromagnetic waves, typically ...
s. One common practice is to distinguish between the two types of radiation based on their source: X-rays are emitted by electron
The electron ( or ) is a subatomic particle with a negative one elementary electric charge. Electrons belong to the first generation of the lepton particle family,
and are generally thought to be elementary particles because they have no kn ...
s, while gamma rays are emitted by the atomic nucleus
The atomic nucleus is the small, dense region consisting of protons and neutrons at the center of an atom, discovered in 1911 by Ernest Rutherford based on the 1909 Geiger–Marsden gold foil experiment. After the discovery of the neutron i ...
. This definition has several problems: other processes can also generate these high-energy 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, or sometimes the method of generation is not known. One common alternative is to distinguish X- and gamma radiation on the basis of wavelength (or, equivalently, frequency or photon energy), with radiation shorter than some arbitrary wavelength, such as 10−11 m (0.1 Å), defined as gamma radiation. This criterion assigns a photon to an unambiguous category, but is only possible if wavelength is known. (Some measurement techniques do not distinguish between detected wavelengths.) However, these two definitions often coincide since the electromagnetic radiation emitted by X-ray tubes generally has a longer wavelength and lower photon energy than the radiation emitted by radioactive
Radioactive decay (also known as nuclear decay, radioactivity, radioactive disintegration, or nuclear disintegration) is the process by which an unstable atomic nucleus loses energy by radiation. A material containing unstable nuclei is consid ...
nuclei. Occasionally, one term or the other is used in specific contexts due to historical precedent, based on measurement (detection) technique, or based on their intended use rather than their wavelength or source.
Thus, gamma-rays generated for medical and industrial uses, for example radiotherapy
Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is a therapy using ionizing radiation, generally provided as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator. Radia ...
, in the ranges of 6–20 MeV
In physics, an electronvolt (symbol eV, also written electron-volt and electron volt) is the measure of an amount of kinetic energy gained by a single electron accelerating from rest through an Voltage, electric potential difference of one volt i ...
, can in this context also be referred to as X-rays.
Properties
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 carry enough energy to ionize atoms and disrupt molecular bond
A covalent bond is a chemical bond that involves the sharing of electrons to form electron pairs between atoms. These electron pairs are known as shared pairs or bonding pairs. The stable balance of attractive and repulsive forces between atoms ...
s. This makes it a type of ionizing radiation
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
, and therefore harmful to living tissue. A very high radiation dose
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
over a short period of time causes burns and radiation sickness, while lower doses can give an increased risk of radiation-induced cancer. In medical imaging, this increased cancer risk is generally greatly outweighed by the benefits of the examination. The ionizing capability of X-rays can be used in cancer treatment to kill malignant cells
Cell most often refers to:
* Cell (biology), the functional basic unit of life
Cell may also refer to:
Locations
* Monastic cell, a small room, hut, or cave in which a religious recluse lives, alternatively the small precursor of a monastery w ...
using radiation therapy
Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is a therapy using ionizing radiation, generally provided as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator. Radia ...
. It is also used for material characterization using X-ray spectroscopy.
Hard X-rays can traverse relatively thick objects without being much absorbed or scattered
Scattered may refer to:
Music
* ''Scattered'' (album), a 2010 album by The Handsome Family
* "Scattered" (The Kinks song), 1993
* "Scattered", a song by Ace Young
* "Scattered", a song by Lauren Jauregui
* "Scattered", a song by Green Day from ' ...
. For this reason, X-rays are widely used to image
An image is a visual representation of something. It can be two-dimensional, three-dimensional, or somehow otherwise feed into the visual system to convey information. An image can be an artifact, such as a photograph or other two-dimensiona ...
the inside of visually opaque objects. The most often seen applications are in medical 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 "therapeut ...
and airport security scanners, but similar techniques are also important in industry (e.g. industrial radiography
Industrial radiography is a modality of non-destructive testing that uses ionizing radiation to inspect materials and components with the objective of locating and quantifying defects and degradation in material properties that would lead to the f ...
and industrial CT scanning
Industrial computed tomography (CT) scanning is any computer-aided tomographic process, usually X-ray computed tomography, that uses irradiation to produce three-dimensional internal and external representations of a scanned object. Industrial CT ...
) and research (e.g. small animal CT). The penetration depth varies with several orders of magnitude over the X-ray spectrum. This allows the photon energy to be adjusted for the application so as to give sufficient transmission
Transmission may refer to:
Medicine, science and technology
* Power transmission
** Electric power transmission
** Propulsion transmission, technology allowing controlled application of power
*** Automatic transmission
*** Manual transmission
*** ...
through the object and at the same time provide good contrast in the image.
X-rays have much shorter wavelengths than visible light, which makes it possible to probe structures much smaller than can be seen using a normal microscope
A microscope () is a laboratory instrument used to examine objects that are too small to be seen by the naked eye. Microscopy is the science of investigating small objects and structures using a microscope. Microscopic means being invisibl ...
. This property is used in X-ray microscopy
An X-ray microscope uses electromagnetic radiation in the soft X-ray band to produce magnified images of objects. Since X-rays penetrate most objects, there is no need to specially prepare them for X-ray microscopy observations.
Unlike visible li ...
to acquire high-resolution images, and also in X-ray crystallography
X-ray crystallography is the experimental science determining the atomic and molecular structure of a crystal, in which the crystalline structure causes a beam of incident X-rays to diffract into many specific directions. By measuring the angles ...
to determine the positions of atom
Every atom is composed of a nucleus and one or more electrons bound to the nucleus. The nucleus is made of one or more protons and a number of neutrons. Only the most common variety of hydrogen has no neutrons.
Every solid, liquid, gas, and ...
s in crystal
A crystal or crystalline solid is a solid material whose constituents (such as atoms, molecules, or ions) are arranged in a highly ordered microscopic structure, forming a crystal lattice that extends in all directions. In addition, macros ...
s.
Interaction with matter
X-rays interact with matter in three main ways, through photoabsorption, Compton scattering, and Rayleigh scattering. The strength of these interactions depends on the energy of the X-rays and the elemental composition of the material, but not much on chemical properties, since the X-ray photon energy is much higher than chemical binding energies. Photoabsorption or photoelectric absorption is the dominant interaction mechanism in the soft X-ray regime and for the lower hard X-ray energies. At higher energies, Compton scattering dominates.
Photoelectric absorption
The probability of a photoelectric absorption per unit mass is approximately proportional to ''Z''3/''E''3, where ''Z'' is the atomic number
The atomic number or nuclear charge number (symbol ''Z'') of a chemical element is the charge number of an atomic nucleus. For ordinary nuclei, this is equal to the proton number (''n''p) or the number of protons found in the nucleus of every ...
and ''E'' is the energy of the incident photon. This rule is not valid close to inner shell electron binding energies where there are abrupt changes in interaction probability, so called absorption edges An absorption edge, absorption discontinuity or absorption limit is a sharp discontinuity in the absorption spectrum of a substance. These discontinuities occur at wavelengths where the energy of an absorbed photon corresponds to an electronic tran ...
. However, the general trend of high absorption coefficients and thus short penetration depths for low photon energies and high atomic numbers is very strong. For soft tissue, photoabsorption dominates up to about 26 keV photon energy where Compton scattering takes over. For higher atomic number substances, this limit is higher. The high amount of calcium
Calcium is a chemical element with the symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar to ...
(''Z'' = 20) in bones, together with their high density, is what makes them show up so clearly on medical radiographs.
A photoabsorbed photon transfers all its energy to the electron with which it interacts, thus ionizing the atom to which the electron was bound and producing a photoelectron that is likely to ionize more atoms in its path. An outer electron will fill the vacant electron position and produce either a characteristic X-ray or an Auger electron
The Auger effect or Auger−Meitner effect is a physical phenomenon in which the filling of an inner-shell vacancy of an atom is accompanied by the emission of an electron from the same atom. When a core electron is removed, leaving a vacancy, an ...
. These effects can be used for elemental detection through X-ray spectroscopy or Auger electron spectroscopy
file:HD.6C.037 (11856519893).jpg, A Hanford Site, Hanford scientist uses an Auger electron spectrometer to determine the elemental composition of surfaces.
Auger electron spectroscopy (AES; pronounced in French) is a common analytical technique us ...
.
Compton scattering
Compton scattering is the predominant interaction between X-rays and soft tissue in medical imaging. Compton scattering is an inelastic scattering of the X-ray photon by an outer shell electron. Part of the energy of the photon is transferred to the scattering electron, thereby ionizing the atom and increasing the wavelength of the X-ray. The scattered photon can go in any direction, but a direction similar to the original direction is more likely, especially for high-energy X-rays. The probability for different scattering angles is described by the Klein–Nishina formula. The transferred energy can be directly obtained from the scattering angle from the conservation of energy
In physics and chemistry, the law of conservation of energy states that the total energy of an isolated system remains constant; it is said to be ''conserved'' over time. This law, first proposed and tested by Émilie du Châtelet, means th ...
and momentum
In Newtonian mechanics, momentum (more specifically linear momentum or translational momentum) is the product of the mass and velocity of an object. It is a vector quantity, possessing a magnitude and a direction. If is an object's mass an ...
.
Rayleigh scattering
Rayleigh scattering is the dominant elastic scattering mechanism in the X-ray regime. Inelastic forward scattering gives rise to the refractive index, which for X-rays is only slightly below 1.
Production
Whenever charged particles (electrons or ions) of sufficient energy hit a material, X-rays are produced.
Production by electrons
X-rays can be generated by an X-ray tube, a vacuum tube
A vacuum tube, electron tube, valve (British usage), or tube (North America), is a device that controls electric current flow in a high vacuum between electrodes to which an electric voltage, potential difference has been applied.
The type kn ...
that uses a high voltage to accelerate the electron
The electron ( or ) is a subatomic particle with a negative one elementary electric charge. Electrons belong to the first generation of the lepton particle family,
and are generally thought to be elementary particles because they have no kn ...
s released by a hot cathode to a high velocity. The high velocity electrons collide with a metal target, the anode
An anode is an electrode of a polarized electrical device through which conventional current enters the device. This contrasts with a cathode, an electrode of the device through which conventional current leaves the device. A common mnemonic is ...
, creating the X-rays. In medical X-ray tubes the target is usually tungsten
Tungsten, or wolfram, is a chemical element with the symbol W and atomic number 74. Tungsten is a rare metal found naturally on Earth almost exclusively as compounds with other elements. It was identified as a new element in 1781 and first isolat ...
or a more crack-resistant alloy of rhenium (5%) and tungsten (95%), but sometimes molybdenum
Molybdenum is a chemical element with the symbol Mo and atomic number 42 which is located in period 5 and group 6. The name is from Neo-Latin ''molybdaenum'', which is based on Ancient Greek ', meaning lead, since its ores were confused with lea ...
for more specialized applications, such as when softer X-rays are needed as in mammography. In crystallography, a copper target is most common, with cobalt
Cobalt is a chemical element with the symbol Co and atomic number 27. As with nickel, cobalt is found in the Earth's crust only in a chemically combined form, save for small deposits found in alloys of natural meteoric iron. The free element, pr ...
often being used when fluorescence from iron content in the sample might otherwise present a problem.
The maximum energy of the produced 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 ...
is limited by the energy of the incident electron, which is equal to the voltage on the tube times the electron charge, so an 80 kV tube cannot create X-rays with an energy greater than 80 keV. When the electrons hit the target, X-rays are created by two different atomic processes:
# ''Characteristic X-ray Characteristic X-rays are emitted when outer-shell electrons fill a vacancy in the inner shell of an atom, releasing X-rays in a pattern that is "characteristic" to each element. Characteristic X-rays were discovered by Charles Glover Barkla in 1909 ...
emission'' (X-ray electroluminescence): If the electron has enough energy, it can knock an orbital electron out of the inner electron shell of the target atom. After that, electrons from higher energy levels fill the vacancies, and X-ray photons are emitted. This process produces an emission spectrum
The emission spectrum of a chemical element or chemical compound is the spectrum of frequencies of electromagnetic radiation emitted due to an electron making a atomic electron transition, transition from a high energy state to a lower energy st ...
of X-rays at a few discrete frequencies, sometimes referred to as spectral lines. Usually, these are transitions from the upper shells to the K shell (called K lines), to the L shell (called L lines) and so on. If the transition is from 2p to 1s, it is called Kα, while if it is from 3p to 1s it is Kβ. The frequencies of these lines depend on the material of the target and are therefore called characteristic lines. The Kα line usually has greater intensity than the Kβ one and is more desirable in diffraction experiments. Thus the Kβ line is filtered out by a filter. The filter is usually made of a metal having one proton less than the anode material (e.g. Ni filter for Cu anode or Nb filter for Mo anode).
# ''Bremsstrahlung
''Bremsstrahlung'' (), from "to brake" and "radiation"; i.e., "braking radiation" or "deceleration radiation", is electromagnetic radiation produced by the deceleration of a charged particle when deflected by another charged particle, typicall ...
'': This is radiation given off by the electrons as they are scattered by the strong electric field near the nuclei. These X-rays have a continuous spectrum
In physics, a continuous spectrum usually means a set of attainable values for some physical quantity (such as energy or wavelength) that is best described as an interval of real numbers, as opposed to a discrete spectrum, a set of attainable ...
. The frequency of ''Bremsstrahlung'' is limited by the energy of incident electrons.
So, the resulting output of a tube consists of a continuous ''Bremsstrahlung'' spectrum falling off to zero at the tube voltage, plus several spikes at the characteristic lines. The voltages used in diagnostic X-ray tubes range from roughly 20 kV to 150 kV and thus the highest energies of the X-ray photons range from roughly 20 keV to 150 keV.
Both of these X-ray production processes are inefficient, with only about one percent of the electrical energy used by the tube converted into X-rays, and thus most of the electric power
Electric power is the rate at which electrical energy is transferred by an electric circuit. The SI unit of power is the watt, one joule per second. Standard prefixes apply to watts as with other SI units: thousands, millions and billions o ...
consumed by the tube is released as waste heat. When producing a usable flux of X-rays, the X-ray tube must be designed to dissipate the excess heat.
A specialized source of X-rays which is becoming widely used in research is synchrotron radiation
Synchrotron radiation (also known as magnetobremsstrahlung radiation) is the electromagnetic radiation emitted when relativistic charged particles are subject to an acceleration perpendicular to their velocity (). It is produced artificially in ...
, which is generated by particle accelerators. Its unique features are X-ray outputs many orders of magnitude greater than those of X-ray tubes, wide X-ray spectra, excellent collimation, and linear polarization.
Short nanosecond bursts of X-rays peaking at 15 keV in energy may be reliably produced by peeling pressure-sensitive adhesive tape from its backing in a moderate vacuum. This is likely to be the result of recombination of electrical charges produced by triboelectric charging
The triboelectric effect (also known as triboelectric charging) is a type of contact electrification on which certain materials become electrically charged after they are separated from a different material with which they were in contact. Rub ...
. The intensity of X-ray triboluminescence
Triboluminescence is a phenomenon in which light is generated when a material is mechanically pulled apart, ripped, scratched, crushed, or rubbed (see tribology). The phenomenon is not fully understood, but appears to be caused by the separation a ...
is sufficient for it to be used as a source for X-ray imaging.
Production by fast positive ions
X-rays can also be produced by fast protons or other positive ions. The proton-induced X-ray emission or particle-induced X-ray emission
Particle-induced X-ray emission or proton-induced X-ray emission (PIXE) is a technique used for determining the elemental composition of a material or a sample. When a material is exposed to an ion beam, atomic interactions occur that give off EM ...
is widely used as an analytical procedure. For high energies, the production cross section
Cross section may refer to:
* Cross section (geometry)
** Cross-sectional views in architecture & engineering 3D
*Cross section (geology)
* Cross section (electronics)
* Radar cross section, measure of detectability
* Cross section (physics)
**Abs ...
is proportional to ''Z''12''Z''2−4, where ''Z''1 refers to the atomic number
The atomic number or nuclear charge number (symbol ''Z'') of a chemical element is the charge number of an atomic nucleus. For ordinary nuclei, this is equal to the proton number (''n''p) or the number of protons found in the nucleus of every ...
of the ion, ''Z''2 refers to that of the target atom. An overview of these cross sections is given in the same reference.
Production in lightning and laboratory discharges
X-rays are also produced in lightning accompanying terrestrial gamma-ray flash
A terrestrial gamma-ray flash (TGF), also known as dark lightning, is a burst of gamma rays produced in Earth's atmosphere. TGFs have been recorded to last 0.2 to 3.5 milliseconds, and have energies of up to 20 million electronvolts. It is specu ...
es. The underlying mechanism is the acceleration of electrons in lightning related electric fields and the subsequent production of photons through ''Bremsstrahlung''. This produces photons with energies of some few keV and several tens of MeV. In laboratory discharges with a gap size of approximately 1 meter length and a peak voltage of 1 MV, X-rays with a characteristic energy of 160 keV are observed. A possible explanation is the encounter of two streamers and the production of high-energy run-away electrons; however, microscopic simulations have shown that the duration of electric field enhancement between two streamers is too short to produce a significant number of run-away electrons. Recently, it has been proposed that air perturbations in the vicinity of streamers can facilitate the production of run-away electrons and hence of X-rays from discharges.
Detectors
X-ray detectors vary in shape and function depending on their purpose. Imaging detectors such as those used for 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 "therapeut ...
were originally based on photographic plate
Photographic plates preceded photographic film as a capture medium in photography, and were still used in some communities up until the late 20th century. The light-sensitive emulsion of silver salts was coated on a glass plate, typically thinn ...
s and later photographic film
Photographic film is a strip or sheet of transparent film base coated on one side with a gelatin photographic emulsion, emulsion containing microscopically small light-sensitive silver halide crystals. The sizes and other characteristics of th ...
, but are now mostly replaced by various digital
Digital usually refers to something using discrete digits, often binary digits.
Technology and computing Hardware
*Digital electronics, electronic circuits which operate using digital signals
**Digital camera, which captures and stores digital i ...
detector types such as image plate Photostimulated luminescence (PSL) is the release of stored energy within a phosphor by stimulation with visible light, to produce a luminescent signal. X-rays may induce such an energy storage. A plate based on this mechanism is called a photostimu ...
s and flat panel detectors
Flat-panel detectors are a class of solid-state x-ray digital radiography devices similar in principle to the image sensors used in digital photography and video. They are used in both projectional radiography and as an alternative to x-ray imag ...
. For radiation protection
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Expos ...
direct exposure hazard is often evaluated using ionization chambers, while dosimeters are used to measure the radiation dose
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
the person has been exposed to. X-ray spectra can be measured either by energy dispersive or wavelength dispersive spectrometer
A spectrometer () is a scientific instrument used to separate and measure spectral components of a physical phenomenon. Spectrometer is a broad term often used to describe instruments that measure a continuous variable of a phenomenon where the ...
s. For X-ray diffraction
X-ray crystallography is the experimental science determining the atomic and molecular structure of a crystal, in which the crystalline structure causes a beam of incident X-rays to diffract into many specific directions. By measuring the angles ...
applications, such as X-ray crystallography
X-ray crystallography is the experimental science determining the atomic and molecular structure of a crystal, in which the crystalline structure causes a beam of incident X-rays to diffract into many specific directions. By measuring the angles ...
, hybrid photon counting detectors are widely used.
Medical uses
Since Röntgen's discovery that X-rays can identify bone structures, X-rays have been used for medical imaging
Medical imaging is the technique and process of imaging the interior of a body for clinical analysis and medical intervention, as well as visual representation of the function of some organs or tissues (physiology). Medical imaging seeks to rev ...
. The first medical use was less than a month after his paper on the subject. Up to 2010, five billion medical imaging examinations had been conducted worldwide. Radiation exposure from medical imaging in 2006 made up about 50% of total ionizing radiation exposure in the United States.[
]
Projectional radiographs
Projectional radiography is the practice of producing two-dimensional images using X-ray radiation. Bones contain a high concentration of calcium
Calcium is a chemical element with the symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar to ...
, which, due to its relatively high atomic number
The atomic number or nuclear charge number (symbol ''Z'') of a chemical element is the charge number of an atomic nucleus. For ordinary nuclei, this is equal to the proton number (''n''p) or the number of protons found in the nucleus of every ...
, absorbs X-rays efficiently. This reduces the amount of X-rays reaching the detector in the shadow of the bones, making them clearly visible on the radiograph. The lungs and trapped gas also show up clearly because of lower absorption compared to tissue, while differences between tissue types are harder to see.
Projectional radiographs are useful in the detection of pathology
Pathology is the study of the causes and effects of disease or injury. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in ...
of the skeletal system
A skeleton is the structural frame that supports the body of an animal. There are several types of skeletons, including the exoskeleton, which is the stable outer shell of an organism, the endoskeleton, which forms the support structure inside ...
as well as for detecting some disease processes in soft tissue. Some notable examples are the very common chest X-ray
A chest radiograph, called a chest X-ray (CXR), or chest film, is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are the most common film taken in med ...
, which can be used to identify lung diseases such as pneumonia
Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity ...
, lung cancer, or pulmonary edema
Pulmonary edema, also known as pulmonary congestion, is excessive edema, liquid accumulation in the parenchyma, tissue and pulmonary alveolus, air spaces (usually alveoli) of the lungs. It leads to impaired gas exchange and may cause hypoxemia an ...
, and the abdominal x-ray, which can detect bowel (or intestinal) obstruction, free air (from visceral perforations), and free fluid (in ascites). X-rays may also be used to detect pathology such as gallstones (which are rarely radiopaque) or kidney stones which are often (but not always) visible. Traditional plain X-rays are less useful in the imaging of soft tissues such as the brain or muscle
Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of muscl ...
. One area where projectional radiographs are used extensively is in evaluating how an orthopedic implant
Implant can refer to:
Medicine
*Implant (medicine), or specifically:
** Brain implant
** Breast implant
**Buttock implant
**Cochlear implant
**Contraceptive implant
**Dental implant
** Fetal tissue implant
**Implantable cardioverter-defibrillator ...
, such as a knee, hip or shoulder replacement, is situated in the body with respect to the surrounding bone. This can be assessed in two dimensions from plain radiographs, or it can be assessed in three dimensions if a technique called '2D to 3D registration' is used. This technique purportedly negates projection errors associated with evaluating implant position from plain radiographs.
Dental radiography is commonly used in the diagnoses of common oral problems, such as cavities
Cavity may refer to:
Biology and healthcare
*Body cavity, a fluid-filled space in many animals where organs typically develop
**Gastrovascular cavity, the primary organ of digestion and circulation in cnidarians and flatworms
*Dental cavity or too ...
.
In medical diagnostic applications, the low energy (soft) X-rays are unwanted, since they are totally absorbed by the body, increasing the radiation dose without contributing to the image. Hence, a thin metal sheet, often of aluminium, called an X-ray filter, is usually placed over the window of the X-ray tube, absorbing the low energy part in the spectrum. This is called ''hardening'' the beam since it shifts the center of the spectrum towards higher energy (or harder) X-rays.
To generate an image of the cardiovascular system
The blood circulatory system is a system of organs that includes the heart, blood vessels, and blood which is circulated throughout the entire body of a human or other vertebrate. It includes the cardiovascular system, or vascular system, tha ...
, including the arteries and veins ( angiography) an initial image is taken of the anatomical region of interest. A second image is then taken of the same region after an iodinated contrast agent has been injected into the blood vessels within this area. These two images are then digitally subtracted, leaving an image of only the iodinated contrast outlining the blood vessels. The radiologist
Radiology ( ) is the medical discipline that uses medical imaging to diagnose diseases and guide their treatment, within the bodies of humans and other animals. It began with radiography (which is why its name has a root referring to radiatio ...
or surgeon then compares the image obtained to normal anatomical images to determine whether there is any damage or blockage of the vessel.
Computed tomography
Computed tomography
A computed tomography scan (CT scan; formerly called computed axial tomography scan or CAT scan) is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers ...
(CT scanning) is a medical imaging modality where tomographic images or slices of specific areas of the body are obtained from a large series of two-dimensional X-ray images taken in different directions. These cross-sectional images can be combined into a three-dimensional
Three-dimensional space (also: 3D space, 3-space or, rarely, tri-dimensional space) is a geometric setting in which three values (called ''parameters'') are required to determine the position of an element (i.e., point). This is the informal ...
image of the inside of the body. CT scans are a quicker and more cost effective imaging modality that can be used for diagnostic and therapeutic purposes in various medical disciplines.
Fluoroscopy
Fluoroscopy is an imaging technique commonly used by physicians or radiation therapist
A radiation therapist, therapeutic radiographer or radiotherapist is an allied health professional who works in the field of radiation oncology. Radiation therapists plan and administer radiation treatments to cancer patients in most Western cou ...
s to obtain real-time moving images of the internal structures of a patient through the use of a fluoroscope. In its simplest form, a fluoroscope consists of an X-ray source and a fluorescent screen, between which a patient is placed. However, modern fluoroscopes couple the screen to an X-ray image intensifier and CCD video camera allowing the images to be recorded and played on a monitor. This method may use a contrast material. Examples include cardiac catheterization (to examine for coronary artery blockages) and barium swallow (to examine for esophageal disorders and swallowing disorders). As of recent, modern fluoroscopy utilizes short bursts of x-rays, rather than a continuous beam, to effectively lower radiation exposure for both the patient and operator.
Radiotherapy
The use of X-rays as a treatment is known as radiation therapy
Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is a therapy using ionizing radiation, generally provided as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator. Radia ...
and is largely used for the management (including palliation
Palliative care (derived from the Latin root , or 'to cloak') is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Wit ...
) of cancer; it requires higher radiation doses than those received for imaging alone. X-rays beams are used for treating skin cancers using lower energy X-ray beams while higher energy beams are used for treating cancers within the body such as brain, lung, prostate, and breast.
Adverse effects
X-rays are a form of ionizing radiation
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
, and are classified as a carcinogen
A carcinogen is any substance, radionuclide, or radiation that promotes carcinogenesis (the formation of cancer). This may be due to the ability to damage the genome or to the disruption of cellular metabolic processes. Several radioactive substan ...
by both the World Health Organization's International Agency for Research on Cancer
The International Agency for Research on Cancer (IARC; french: Centre International de Recherche sur le Cancer, CIRC) is an intergovernmental agency forming part of the World Health Organization of the United Nations.
Its role is to conduct and ...
and the U.S. government. Diagnostic X-rays (primarily from CT scans due to the large dose used) increase the risk of developmental problems and cancer in those exposed. It is estimated that 0.4% of current cancers in the United States are due to computed tomography
A computed tomography scan (CT scan; formerly called computed axial tomography scan or CAT scan) is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers ...
(CT scans) performed in the past and that this may increase to as high as 1.5–2% with 2007 rates of CT usage.
Experimental and epidemiological data currently do not support the proposition that there is a threshold dose of radiation below which there is no increased risk of cancer. However, this is under increasing doubt. Cancer risk can start at the exposure of 1100 mGy. It is estimated that the additional radiation from diagnostic X-rays will increase the average person's cumulative risk of getting cancer by age 75 by 0.6–3.0%. The amount of absorbed radiation depends upon the type of X-ray test and the body part involved. CT and fluoroscopy entail higher doses of radiation than do plain X-rays.
To place the increased risk in perspective, a plain chest X-ray will expose a person to the same amount from background radiation
Background radiation is a measure of the level of ionizing radiation present in the environment at a particular location which is not due to deliberate introduction of radiation sources.
Background radiation originates from a variety of sources ...
that people are exposed to (depending upon location) every day over 10 days, while exposure from a dental X-ray is approximately equivalent to 1 day of environmental background radiation. Each such X-ray would add less than 1 per 1,000,000 to the lifetime cancer risk. An abdominal or chest CT would be the equivalent to 2–3 years of background radiation to the whole body, or 4–5 years to the abdomen or chest, increasing the lifetime cancer risk between 1 per 1,000 to 1 per 10,000. This is compared to the roughly 40% chance of a US citizen developing cancer during their lifetime. For instance, the effective dose to the torso from a CT scan of the chest is about 5 mSv, and the absorbed dose is about 14 mGy. A head CT scan (1.5 mSv, 64 mGy)[Shrimpton, P.C; Miller, H.C; Lewis, M.A; Dunn, M]
Doses from Computed Tomography (CT) examinations in the UK – 2003 Review
that is performed once with and once without contrast agent, would be equivalent to 40 years of background radiation to the head. Accurate estimation of effective doses due to CT is difficult with the estimation uncertainty range of about ±19% to ±32% for adult head scans depending upon the method used.
The risk of radiation is greater to a fetus, so in pregnant patients, the benefits of the investigation (X-ray) should be balanced with the potential hazards to the fetus. If there is 1 scan in 9 months, it can be harmful to the fetus. Therefore, women who are pregnant get ultrasounds as their diagnostic imaging because this does not use radiation. If there is too much radiation exposure there could be harmful effects on the fetus or the reproductive organs of the mother. In the US, there are an estimated 62 million CT scans performed annually, including more than 4 million on children. Avoiding unnecessary X-rays (especially CT scans) reduces radiation dose and any associated cancer risk.
Medical X-rays are a significant source of human-made radiation exposure. In 1987, they accounted for 58% of exposure from human-made sources in the United States. Since human-made sources accounted for only 18% of the total radiation exposure, most of which came from natural sources (82%), medical X-rays only accounted for 10% of ''total'' American radiation exposure; medical procedures as a whole (including nuclear medicine
Nuclear medicine or nucleology is a medical specialty involving the application of radioactive substances in the diagnosis and treatment of disease. Nuclear imaging, in a sense, is "radiology done inside out" because it records radiation emitting ...
) accounted for 14% of total radiation exposure. By 2006, however, medical procedures in the United States were contributing much more ionizing radiation than was the case in the early 1980s. In 2006, medical exposure constituted nearly half of the total radiation exposure of the U.S. population from all sources. The increase is traceable to the growth in the use of medical imaging procedures, in particular computed tomography
A computed tomography scan (CT scan; formerly called computed axial tomography scan or CAT scan) is a medical imaging technique used to obtain detailed internal images of the body. The personnel that perform CT scans are called radiographers ...
(CT), and to the growth in the use of nuclear medicine.
Dosage due to dental X-rays varies significantly depending on the procedure and the technology (film or digital). Depending on the procedure and the technology, a single dental X-ray of a human results in an exposure of 5 to 40 μSv. A full mouth series of X-rays may result in an exposure of up to 60 (digital) to 180 (film) μSv, for a yearly average of up to 400 μSv.
Financial incentives have been shown to have a significant impact on X-ray use with doctors who are paid a separate fee for each X-ray providing more X-rays.
Early photon tomography
Early may refer to:
History
* The beginning or oldest part of a defined historical period, as opposed to middle or late periods, e.g.:
** Early Christianity
** Early modern Europe
Places in the United States
* Early, Iowa
* Early, Texas
* Early ...
or EPT (as of 2015) along with other techniques are being researched as potential alternatives to X-rays for imaging applications.
Other uses
Other notable uses of X-rays include:
* X-ray crystallography
X-ray crystallography is the experimental science determining the atomic and molecular structure of a crystal, in which the crystalline structure causes a beam of incident X-rays to diffract into many specific directions. By measuring the angles ...
in which the pattern produced by the diffraction
Diffraction is defined as the interference or bending of waves around the corners of an obstacle or through an aperture into the region of geometrical shadow of the obstacle/aperture. The diffracting object or aperture effectively becomes a s ...
of X-rays through the closely spaced lattice of atoms in a crystal is recorded and then analysed to reveal the nature of that lattice. A related technique, fiber diffraction, was used by Rosalind Franklin
Rosalind Elsie Franklin (25 July 192016 April 1958) was a British chemist and X-ray crystallographer whose work was central to the understanding of the molecular structures of DNA (deoxyribonucleic acid), RNA (ribonucleic acid), viruses, co ...
to discover the double helical structure of DNA.
* X-ray astronomy, which is an observational branch of astronomy
Astronomy () is a natural science that studies astronomical object, celestial objects and phenomena. It uses mathematics, physics, and chemistry in order to explain their origin and chronology of the Universe, evolution. Objects of interest ...
, which deals with the study of X-ray emission from celestial objects.
* X-ray microscopic analysis, which uses 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 ...
in the soft X-ray band to produce images of very small objects.
* X-ray fluorescence, a technique in which X-rays are generated within a specimen and detected. The outgoing energy of the X-ray can be used to identify the composition of the sample.
* Industrial radiography
Industrial radiography is a modality of non-destructive testing that uses ionizing radiation to inspect materials and components with the objective of locating and quantifying defects and degradation in material properties that would lead to the f ...
uses X-rays for inspection of industrial parts, particularly welds.
* Radiography of cultural objects, most often X-rays of paintings to reveal underdrawing
Underdrawing is a preparatory drawing done on a painting ground before paint is applied, for example, an imprimatura or an underpainting. Underdrawing was used extensively by 15th century painters like Jan van Eyck and Rogier van der Weyden. These ...
, pentimenti alterations in the course of painting or by later restorers, and sometimes previous paintings on the support. Many pigment
A pigment is a colored material that is completely or nearly insoluble in water. In contrast, dyes are typically soluble, at least at some stage in their use. Generally dyes are often organic compounds whereas pigments are often inorganic compo ...
s such as lead white show well in radiographs.
* X-ray spectromicroscopy has been used to analyse the reactions of pigments in paintings. For example, in analysing colour degradation in the paintings of van Gogh
Vincent Willem van Gogh (; 30 March 185329 July 1890) was a Dutch Post-Impressionist painter who posthumously became one of the most famous and influential figures in Western art history. In a decade, he created about 2,100 artworks, inclu ...
.[ ]
* Authentication and quality control of packaged items.
* Industrial CT
Industrial computed tomography (CT) scanning is any computer-aided tomographic process, usually X-ray computed tomography, that uses irradiation to produce three-dimensional internal and external representations of a scanned object. Industrial CT ...
(computed tomography), a process that uses X-ray equipment to produce three-dimensional representations of components both externally and internally. This is accomplished through computer processing of projection images of the scanned object in many directions.
* Airport security luggage scanners use X-rays for inspecting the interior of luggage for security threats before loading on aircraft.
* truck scanners and domestic police departments use X-rays for inspecting the interior of trucks.
* X-ray art and fine art photography, artistic use of X-rays, for example the works by Stane Jagodič
Stane Jagodič (born 15 June 1943) is a Slovenian painter, photographer, caricaturist, and author. His art has been socially critical. He is especially known for his montages, assemblages, and collages, joining objects that would seem to be inc ...
* X-ray hair removal
Hair removal, also known as epilation or depilation, is the deliberate removal of body hair or head hair.
Hair typically grows all over the human body and can vary in thickness and length across human populations. Hair can become more visible ...
, a method popular in the 1920s but now banned by the FDA.
* Shoe-fitting fluoroscope
Shoe-fitting fluoroscopes, also sold under the names X-ray Shoe Fitter, Pedoscope and Foot-o-scope, were X-ray fluoroscope machines installed in shoe stores from the 1920s until about the 1970s in the United States, Canada, United Kingdom, Austra ...
s were popularized in the 1920s, banned in the US in the 1960s, in the UK in the 1970s, and later in continental Europe.
* Roentgen stereophotogrammetry
Roentgen stereophotogrammetry (RSA) is a highly accurate technique for the assessment of three-dimensional migration and micromotion of a joint replacement prosthesis relative to the bone it is attached to. It was introduced in 1974 by Göran Selvi ...
is used to track movement of bones based on the implantation of markers
* X-ray photoelectron spectroscopy is a chemical analysis technique relying on the photoelectric effect, usually employed in surface science
Surface science is the study of physical and chemical phenomena that occur at the interface of two phases, including solid–liquid interfaces, solid–gas interfaces, solid–vacuum interfaces, and liquid–gas interfaces. It includes the fiel ...
.
* Radiation implosion
Radiation implosion is the compression of a target by the use of high levels of electromagnetic radiation. The major use for this technology is in fusion bombs and inertial confinement fusion research.
History
Radiation implosion was first devel ...
is the use of high energy X-rays generated from a fission explosion (an A-bomb) to compress nuclear fuel to the point of fusion ignition (an H-bomb).
Visibility
While generally considered invisible to the human eye, in special circumstances X-rays can be visible. Brandes, in an experiment a short time after Röntgen's landmark 1895 paper, reported after dark adaptation and placing his eye close to an X-ray tube, seeing a faint "blue-gray" glow which seemed to originate within the eye itself. Upon hearing this, Röntgen reviewed his record books and found he too had seen the effect. When placing an X-ray tube on the opposite side of a wooden door Röntgen had noted the same blue glow, seeming to emanate from the eye itself, but thought his observations to be spurious because he only saw the effect when he used one type of tube. Later he realized that the tube which had created the effect was the only one powerful enough to make the glow plainly visible and the experiment was thereafter readily repeatable. The knowledge that X-rays are actually faintly visible to the dark-adapted naked eye has largely been forgotten today; this is probably due to the desire not to repeat what would now be seen as a recklessly dangerous and potentially harmful experiment with ionizing radiation
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
. It is not known what exact mechanism in the eye produces the visibility: it could be due to conventional detection (excitation of rhodopsin
Rhodopsin, also known as visual purple, is a protein encoded by the RHO gene and a G-protein-coupled receptor (GPCR). It is the opsin of the rod cells in the retina and a light-sensitive receptor protein that triggers visual phototransduction ...
molecules in the retina), direct excitation of retinal nerve cells, or secondary detection via, for instance, X-ray induction of phosphorescence
Phosphorescence is a type of photoluminescence related to fluorescence. When exposed to light (radiation) of a shorter wavelength, a phosphorescent substance will glow, absorbing the light and reemitting it at a longer wavelength. Unlike fluo ...
in the eyeball with conventional retinal detection of the secondarily produced visible light.
Though X-rays are otherwise invisible, it is possible to see the ionization of the air molecules if the intensity of the X-ray beam is high enough. The beamline from the wiggler at the European Synchrotron Radiation Facility is one example of such high intensity.
Units of measure and exposure
The measure of X-rays ionizing
Ionization, or Ionisation is the process by which an atom or a molecule acquires a negative or positive charge by gaining or losing electrons, often in conjunction with other chemical changes. The resulting electrically charged atom or molecule i ...
ability is called the exposure:
* The coulomb
The coulomb (symbol: C) is the unit of electric charge in the International System of Units (SI).
In the present version of the SI it is equal to the electric charge delivered by a 1 ampere constant current in 1 second and to elementary char ...
per kilogram (C/kg) is the SI unit of ionizing radiation
Ionizing radiation (or ionising radiation), including nuclear radiation, consists of subatomic particles or electromagnetic waves that have sufficient energy to ionize atoms or molecules by detaching electrons from them. Some particles can travel ...
exposure, and it is the amount of radiation required to create one coulomb of charge of each polarity in one kilogram of matter.
* The roentgen (R) is an obsolete traditional unit of exposure, which represented the amount of radiation required to create one electrostatic unit
The franklin (Fr) or statcoulomb (statC) electrostatic unit of charge (esu) is the physical unit for electrical charge used in the cgs-esu and Gaussian units. It is a derived unit given by
: 1 statC = 1 dyn1/2⋅cm = 1 cm3/2⋅g1/2⋅s−1.
That ...
of charge of each polarity in one cubic centimeter of dry air. 1 roentgen = .
However, the effect of ionizing radiation on matter (especially living tissue) is more closely related to the amount of energy deposited into them rather than the charge generated. This measure of energy absorbed is called the absorbed dose
Absorbed dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass. Absorbed dose is used in the calculation of dose uptake in living tissue in both radiation protection (reduction of harmf ...
:
* The gray
Grey (more common in British English) or gray (more common in American English) is an intermediate color between black and white. It is a neutral or achromatic color, meaning literally that it is "without color", because it can be composed o ...
(Gy), which has units of (joules/kilogram), is the SI unit of absorbed dose
Absorbed dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass. Absorbed dose is used in the calculation of dose uptake in living tissue in both radiation protection (reduction of harmf ...
, and it is the amount of radiation required to deposit one joule
The joule ( , ; symbol: J) is the unit of energy in the International System of Units (SI). It is equal to the amount of work done when a force of 1 newton displaces a mass through a distance of 1 metre in the direction of the force applied ...
of energy in one kilogram of any kind of matter.
* The rad
RAD or Rad may refer to:
People
* Robert Anthony Rad Dougall (born 1951), South African former racing driver
* Rad Hourani, Canadian fashion designer and artist
* Nickname of Leonardus Rad Kortenhorst (1886–1963), Dutch politician
* Radley R ...
is the (obsolete) corresponding traditional unit, equal to 10 millijoules of energy deposited per kilogram. 100 rad = 1 gray.
The equivalent dose is the measure of the biological effect of radiation on human tissue. For X-rays it is equal to the absorbed dose
Absorbed dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass. Absorbed dose is used in the calculation of dose uptake in living tissue in both radiation protection (reduction of harmf ...
.
* The Roentgen equivalent man
The roentgen equivalent man (rem) is a CGS unit of equivalent dose, effective dose, and committed dose, which are dose measures used to estimate potential health effects of low levels of ionizing radiation on the human body.
Quantities measure ...
(rem) is the traditional unit of equivalent dose. For X-rays it is equal to the rad
RAD or Rad may refer to:
People
* Robert Anthony Rad Dougall (born 1951), South African former racing driver
* Rad Hourani, Canadian fashion designer and artist
* Nickname of Leonardus Rad Kortenhorst (1886–1963), Dutch politician
* Radley R ...
, or, in other words, 10 millijoules of energy deposited per kilogram. 100 rem = 1 Sv.
* The sievert (Sv) is the SI unit of equivalent dose, and also of effective dose. For X-rays the "equivalent dose" is numerically equal to a Gray
Grey (more common in British English) or gray (more common in American English) is an intermediate color between black and white. It is a neutral or achromatic color, meaning literally that it is "without color", because it can be composed o ...
(Gy). 1 Sv = 1 Gy. For the "effective dose" of X-rays, it is usually not equal to the Gray (Gy).
See also
*
*
* Backscatter X-ray
* Detective quantum efficiency
* High-energy X-rays
High-energy X-rays or HEX-rays are very hard X-rays, with typical energies of 80–1000 keV (1 MeV), about one order of magnitude higher than conventional X-rays used for X-ray crystallography (and well into gamma-ray energies over 120 k ...
* Macintyre's X-Ray Film
''Macintyre's X-Ray Film'' is an 1896 documentary radiography film directed by Scottish medical doctor John Macintyre.
The film shows X-ray images of a frog's knee joint and an X-ray radiograph of an adult's heart and digestive tract (using bism ...
– 1896 documentary radiography film
* N ray
* Neutron radiation
* NuSTAR
NuSTAR (Nuclear Spectroscopic Telescope Array, also named Explorer 93 and SMEX-11) is a NASA space-based X-ray telescope that uses a conical approximation to a Wolter telescope to focus high energy X-rays from astrophysical sources, especiall ...
* Radiographer
Radiographers, also known as radiologic technologists, diagnostic radiographers and medical radiation technologists are healthcare professionals who specialize in the imaging of human anatomy for the diagnosis and treatment of pathology. Radi ...
* Reflection (physics)
Reflection is the change in direction of a wavefront at an interface between two different media so that the wavefront returns into the medium from which it originated. Common examples include the reflection of light, sound and water waves. The ' ...
* Resonant inelastic X-ray scattering (RIXS)
* Small-angle X-ray scattering (SAXS)
* The X-Rays – 1897 British short silent comedy film
* X-ray absorption spectroscopy
* X-ray marker X-ray Markers, also known as: anatomical side markers, lead, Pb markers, lead markers, x-ray lead markers, or radiographic film identification markers, are used to mark x-ray films, both in hospitals and in industrial workplaces (such as on aeroplan ...
* X-ray nanoprobe
The hard X-ray nanoprobe at the Center for Nanoscale Materials (CNM), Argonne National Lab advanced the state of the art by providing a hard X-ray microscopy beamline with the highest spatial resolution in the world. It provides for fluorescence, ...
* X-ray reflectivity X-ray reflectivity (sometimes known as X-ray specular reflectivity, X-ray reflectometry, or XRR) is a surface-sensitive analytical technique used in chemistry, physics, and materials science to characterize surfaces, thin films and multilayers.J. ...
* X-ray vision
* X-ray welding X-ray welding is an experimental welding process that uses a high powered X-ray source to provide thermal energy required to welding, weld materials.
The phrase "X-ray welding" also has an older, unrelated usage in quality control. In this context, ...
References
External links
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*
*
Röntgen's discovery of X-rays
(PDF; English translation)
* Oakley, P. A., Navid Ehsani, N., & Harrison, D. E. (2020). 5 Reasons Why Scoliosis X-Rays Are Not Harmful. Dose-Response. https://doi.org/10.1177/1559325820957797
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{{Authority control
1895 in Germany
1895 in science
Electromagnetic spectrum
IARC Group 1 carcinogens
Ionizing radiation
Medical physics
Radiography
Wilhelm Röntgen