26. April 18, 2014concepts of radiological science
Man made radiation---60 mrem.
Medical
Nuclear medicine
Occupational
Nuclear power
Industrial
Consumer products
28. Discovery of X rays
April 18, 2014concepts of radiological science
During 1870s and 1880s
Conduction of cathode rays through Crookes tube–
invented by Sir William Crookes.
Crookes tube—forerunner of modern fluorescent
lamps & X rays tubes.
30. April 18, 2014concepts of radiological science
In 1895, Wilhelm Roentgen was working in his lab in
Wuzburg Germany.
Completely enclosed his Crookes tube in black
photographic paper.
Barium platinocyanide coated plate
The plate glowed.
31. April 18, 2014concepts of radiological science
Intensity of the glow increased as plate was brought
closer
Glow—fluorescence
Roentgen named the invisible light-- X light
37. Development of modern radiology
April 18, 2014concepts of radiological science
2 types of X ray examinations
Radiography—uses X ray films
X ray tube is mounted from ceiling on a track
X ray tube can be moved in any direction
Fixed images
38. April 18, 2014concepts of radiological science
Fluoroscopy
X ray tube usually located under examination
table.
Moving images are provided to radiologist
39. April 18, 2014concepts of radiological science
X ray voltage is measured in kilovolt peak(kVp)
X ray currents are measured in milliamperes(mA)
40. April 18, 2014concepts of radiological science
OTHER DEVELOPMENTS
Radiographic intensifying screens—by Micheal
Pupin in 1896 to reduce the exposure time.
Double emulsion films in 1904—further reduced
the exp. Time.
Cellulose nitrate—substitute for glass plate
Fluoroscope—1898 by Thomas A. Edison
41. April 18, 2014concepts of radiological science
In 1907, H.C.Snook—a high voltage power supply—
interrupterless transformer.
In 1913,William Coolidge---hot cathode x ray tube. A
vacuum tube that allowed x ray intensity & energy to
be selected separately & with accuracy.
43. Reports of radiation injury
April 18, 2014concepts of radiological science
The first x ray fatality– in 1904, Edison’s assistant &
friend- Clarence Dally.
Suffered severe X ray burns that eventually resulted
in amputataions of both arms.
44. April 18, 2014concepts of radiological science
In coming years—the frequency of injuries increased.
Skin damage, loss of hair and anemia.
Blood disorders; aplastic anemia and leukemia—
more in radiologists.
By introduction of Coolidge tube and Snook transf. –
reduction in frequency of injuries.
45. Basic Radiation Protection
April 18, 2014concepts of radiological science
After 1910, biologic effects of x rays were
scientifically investigated & reported.
X ray workers were routinely investigated.
Provided with personnel radiation monitoring
devices.
46. Radiation protection devices
April 18, 2014concepts of radiological science
Filtration—Al or Cu filters—low energy x rays are
absorbed.
Collimation---restricts useful beam to the part of
body to be imaged, reduces scatter radiation,
improves image contrast.
Intensifying screens—reduce exposure to x rays by
more than 95%
47. Protective apparel—lead impregnated material used
to make aprons & gloves
Gonadal shielding—lead impregnated gonadal
shields in persons of child bearing age.
Protective barriers--Radiographic control console
should be located behind a protective barrier-often
lead-lined & a leaded glass window.
April 18, 2014concepts of radiological science
48. Always practice ALARA;
keep radiation exposures
As Low As Reasonably Achievable.
April 18, 2014concepts of radiological science
49. The Ten Commandments of Radiation Protection
1. Understand and apply the cardinal principles of
radiation control: time, distance, and shielding.
2. Do not allow familiarity to result in false security.
3. Never stand in the primary beam.
4. Always wear protective apparel when not behind a
protective barrier.
April 18, 2014concepts of radiological science
50. 5. Always wear a radiation monitor and position it
outside the protective apron at the collar.
6. Never hold a patient during radiographic
examination. Use mechanical restraining devices when
possible. Otherwise, have parents or friends hold the
patient.
7. The person holding the patient must always wear a
protective apron and, if possible, protective gloves.
April 18, 2014concepts of radiological science
51. 8. Use gonadal shields on all people of childbearing
age when such use will not interfere with the
examination.
9. Examination of the pelvis and lower abdomen of a
pregnant patient should be avoided whenever
possible, especially during the first trimester.
10. Always collimate to the smallest field size
appropriate for the examination.
April 18, 2014concepts of radiological science