DR. BANGUN NUSANTORO, SP.
RAD
Radiology
Medical imaging
techniques and processes used
to create images of the human
body
RADIOGRAPHY
Radiographs / Roentgenographs
named after the discoverer of X-rays
8 November 1895
Wilhelm Conrad Rntgen (1845
1923)
often used for evaluation of bony
structures and soft tissue
Figure 1. Diagram of a standard x-ray tube
Taking an X-ray image with early
Crookes tube apparatus, late 1800s.
Wilhelm Conrad Rntgen (18451923)
X-ray equipmentS
X-ray equipments
X- RAYS DEFINITION
A relatively high-energy photon having
a wavelength in the approximate range
from 0.01 to 10 nanometers.
A stream of such photons, used for
their penetrating power in radiography,
radiology, radiotherapy, and scientific
research. Often used in the plural. Also
called roentgen ray.
A photograph taken with x-rays.
These previously unknown rays (hence
the X) were found to be a type of
electromagnetic radiation
.
Fluoroscopy,
computed tomography
(1970s),
mammography,
ultrasound (1970s), and
magnetic resonance
imaging (1980s).
Sources
X-ray photons
Sealed X-ray tubes
Gamma rays
Betatrons,
Linear
accelerators
(linacs)
Gamma rays, Radioactive sources such
as Ir -192 have been used.
GRADAtion DENSITy of
RAY FILM
X-
Very
Moderately Intermedia
Radiolucen radiolucen te
t
t
Moderately Very
Radiopaqe Radiopaqe
Gas
Bones
Calsium salt
Fatty Tissue
Connective
tissue
Muscle
tissue
Cartilago
Epithelium
Cholesterol
stones
Uric Acid
stones
Heavy
metals
CONTRAST AGENTS
Three type of contrast agents :
Positive contrast agents : Barium
sulphate, Organic Iodine.
Negative contrast agenst : Oxigen, Air,
Helium
Double contrast
BIOLOGICAL EFFECTS OF XRAY EXPOSURE
Early effects : Chemical changes
structure or function of constituent cells.
Delayed effects, such as cancer, may also
occur ultimately as a result of DNA
damage produced by the radiation in
surviving cells.
Earliest visual indications of a high
radiation dose erythema or skin
reddening
BIOLOGICAL EFFECTS OF XRAY EXPOSURE
The threshold dose
300 rads (3.0 Gray)
The effect erythema occurs within a day of the exposure and
then disappears.
The effect may recur 8-14 days later
pain in the
affected tissue.
After a few days, the skin may return to its normal
appearance but remain highly sensitive.
For doses in excess of 5000 rads (50 Gray)
blood flow
problems
atrophy and ulcerations.
may eventually require the amputation of fingers or major
portions of the hand.
Occupational Dose Limits for
External Exposures to Ionizing Radiation.
Quarterly
Annual
Whole body; head and trunk; lens of
eye; gonads
1.25 rems
5 rems
Hands and forearms; feet and ankles
18.75 rems
Skin of the whole body
7.5 rems
18.75 rems
30 rems
RADIATION PROTECTION
Time
Three factors
Distance
Shielding
ALARA : "As Low As Reasonably
Achievable".
Stomach (single
contrast)
Colon (single contrast)
Colon (double contrast)
IVU
X-RAY
FOR
K IDNEY
STONES
Hysterosalpingography
Inguinal and iliac lymph nodes and vessels
(lymphography)
SELAMAT
BELAJAR