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Course Instructions
Objectives
Introduction
X-ray Characteristics
Density and Contrast (Imaging Terms)
Effects of Radiation
Film Speed
Digital Radiography
Infection Control
Prescribing Radiographs
Who Gets Which Films?
Shadow-Casting Principles
Radiographic Surveys
Patient Management
Film Processing
Qualities of Excellent X-Rays
Common Errors
Mounting Films
Glossary
Word Processor Printable Test and Answer Sheet
Web Based Test
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Introduction
Wilhelm Conrad Roentgen
(pictured at right), a Bavarian physicist
discovered x rays. He was working with sealed glass vacuum tubes that contained
a cathode and an anode. During his experiments, he applied voltage to these
tubes and noticed that a screen near the tubes was glowing. He blocked the path
of these newfound rays to see what would prevent the screen from glowing. When
he placed his own hand there, he could see the outline of his bones on the
screen. This historic discovery on November 8, 1895 dramatically changed
diagnostic procedures for both medicine and dentistry. Roentgen (in some
references spelled “Röntgen”) received the first Nobel Prize in physics in 1901
for his discovery of x rays.
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Roentgen's Hand |
| The dental x-ray tube is a vacuum-sealed glass enclosure surrounded
by lead shielding. The shielding has only one opening in it to allow the
escape of the x-ray beam. The glass enclosure houses a
cathode made up of a tungsten filament wire with a focusing cup, and an
anode composed of a thin slab of tungsten, molybdenum, palladium
or another heavy metal embedded in copper. The anode gets very hot, so
heat is dissipated by oil which circulates through the copper. The tungsten wire in the cathode is heated by an electric current
and emits electrons. The focusing cup focuses the negatively charged
electrons generated by the cathode and directs them across the gap to a
small spot on the positively
charged anode. The point where the electrons are focused is called the focal
spot. Two types of energy are generated at the focal spot: heat and x
rays. (The process is very inefficient, with 99% of the energy supplied
to the tube dissipated as heat.) The x rays escape the housing through an aluminum filter at the
opening of the tube head. The collimator at the opening of the
tube restricts the x-ray beam to less than 2 1/4 inches at the patient's
skin surface. A lead-lined cone collimates the beam further.
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The image to the left is a Coolidge X-ray tube manufactured by
General Electric in 1913. There are numerous newer designs for
medical and industrial x-ray units, but the Coolidge tube has
remained the design used in modern dental x-ray units. |
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