Siemens Medical Solutions
Introduction to Roentgen Systems
and
Diagnostic X-ray
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Topics to be covered
What is X-ray?
Radiation Safety
The X-ray Tube (generation of radiation).
Image Receptors.
Basic Imaging Principles.
Room Components.
Basics of Diagnostic Imaging.
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What is X-Ray?
Discovered by Wilhelm Roentgen
An invisible energy that can
penetrate solid objects.
It’s ability to penetrate objects
depends on the object’s density.
X-rays produce a shadow much
like visible light.
This shadow captured on film is
called a radiograph.
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How do X-rays work?
X-rays are emitted from an x-ray tube in precisely
measured doses.
However radiation can cause damage to the human body if
it is emitted in uncontrolled quantities - Thus, the Siemens’
emphasis on lowest radiation dose!!
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Important Safety Measures
Time: Keep the time spent in radiation areas to an absolute minimum.
Distance: Keep as much distance between you and the source as
possible. This is very important because when the distance is doubled,
radiation exposure is reduced by a factor of 4.
Shielding: Always use lead aprons or lead partitions when in a radiation
area.
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Basic Imaging Principle
Visible light produces a
shadow of the perimeter of a
solid object.
X-rays penetrate the soft
tissue around the bone and
the shadow is that of the skull.
This shadow is captured on
film.
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The X-ray Tube
How are X-rays generated?
When fast moving electrons
collide with matter in any form,
X-rays are produced
This is the function of the X-
ray tube
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Effect of contrast medium on x-ray absorption.
Contrast media are
substances which differ in
density and atomic number
from the tissues surrounding
them.
Blood vessels associated with
the kidney are easily seen.
Renal arteriogram.
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Collimation
The primary beam should be
confined to the size and shape
that will just cover the region
of diagnostic interest.
PBL
ACSS
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Grids
The primary radiation from the
focal spot passes through the
grid, but the scatter radiation
from the object hits the strips
at various angles and is
absorbed. This produces a
sharper image.
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Effects of the Grid
Non-grid Grid
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Bucky
A device comprised of a grid and the mechanism to move it
is called a Bucky.
Multix
Vertix
Sireskop
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Tomography
A technique which provides an
image of any selected plane
through the body, while
blurring out images of
structures that lie above and
below that plane.
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Image Intensifiers
Input phosphor - converts X-ray to
visible-light.
Photocathode - gives off electrons
in proportion to the intensity of the
light .
Electron optics - focus the
electrons onto an output phosphor
which is much smaller than the
input.
Anode - used to accelerate the
electrons to the output phosphor
where considerably brighter
visible-light is created.
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SDM Selective Dominant Measurement
Digital phototiming which
expands the feature of digital
imaging.
Eliminates repeat exposures
by providing an optimum
technique the first time.
Calculates exposure
technique during fluoro.
Siemens Exclusive
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Sireskop SX
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Typical Exams
Esophagram: Barium
swallow to diagnose a hiatul
hernia or narrowing of the
esophagus.
Upper GI: Time dependent
barium swallow to diagnose
stomach abnormalities and
small intestines.
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Typical Exams
Barium Enema: Diagnostic
examination to detect
abnormalities in the lower
intestine and colon.
Diverticulitis
Colon Cancer
Questions