Digital Radiology Fundamentals - V1.0
Digital Radiology Fundamentals - V1.0
Digital Radiology Fundamentals - V1.0
© 2011 Mindray
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Glossary
SV Sievert
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Contents
Concept in Radiologic Physics
History of x-ray imaging
X-ray Features
X-ray Physics
X-ray safety introduction
DR Composition and Theory
Core components introduction
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Sources OF Ionizing Radiation
Cosmic
Terrestrial
Internal
Medical X-rays
Ionization
Nuclear Medicine
Consumer Products
Nuclear Power---industrial
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Sources OF Ionizing Radiation
Natural Environmental Radiation Man Made Ionizing Radiation Sources
The Contribution Of Various Sources To The Average USA Population Radiation Dose
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Cosmic Radiation
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Terrestrial Radiation – Radon is the Largest Source
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Internal Radiation
In addition to the cosmic and terrestrial sources, all people also have
radioactive potassium-40, carbon-14, lead-210, and other isotopes inside
their bodies from birth. The variation in dose from one person to another is
not as great as the variation in dose from cosmic and terrestrial sources.
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Man Made Ionizing Radiation Sources
Tobacco
Televisions
Medical X-rays
Smoke detectors
Lantern mantles
Nuclear medicine
Building materials
Nuclear power plants
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Man Made Ionizing Radiation Sources
By far, the most significant source of man-made radiation exposure to the public is
from medical procedures, such as diagnostic X-rays, nuclear medicine, and radiation
therapy. Some of the major isotopes would be I-131, Tc-99m, Co-60, Ir-192, Cs-137,
and others.
In addition, members of the public are exposed to radiation from consumer products,
such as tobacco (thorium), building materials, combustible fuels (gas, coal, etc.),
ophthalmic glass, televisions, luminous watches and dials (tritium), airport X-ray
systems, smoke detectors (americium), road construction materials, electron tubes,
fluorescent lamp starters, lantern mantles (thorium), etc.
Of lesser magnitude, members of the public are exposed to radiation from the nuclear
fuel cycle, which includes the entire sequence from mining and milling of uranium to
the actual production of power at a nuclear plant. This would be uranium and its
daughter products.
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Who Discovered the x-ray
Debate still persists as to who was the first to discover X-rays. Was it the
Ukrainian scientist Jan Puluj (Ivan Puliui) or a German physicist Wilhelm
Conrad Roentgen, the 1901 Nobel Prize winner?
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Who Discovered the x-ray
Wilhelm Conrad Röntgen. While working with a Crookes tube, a plate of Barium Platino-
Cyanide (fluorescent crystals) on a table six feet away in his workroom glowed when he
activated the tube. Even after covering the tube with black cardboard it kept glowing. He
concluded that a new type of ray emitted from the tube, passed through the covering,
and casted shadows of solid objects. The rays passes through most substances, including
the soft tissues of the body, but left the bones and most metals visible. One of his
earliest photographic plate from his experiments was a film of his wife, Bertha's hand
with a ring, was produced on Friday, November 8, 1895
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History of x-ray imaging
Because this phenomenon can’t be explained at that time , so it is named as
X-ray
In order commemorate Roentgen,X-ray is also named as Roentgen ray
Roentgen discovered x-rays while experimenting with the Crookes tube.
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History of x-ray imaging
1896 First medical applications of x-ray in diagnosis & therapy.
1905 Einstein introduced his theory of relativity
1907 Snook interrupterless transformer to make high voltage. The capabilities of
the transformer exceeded the capacity of Crookes tubes.
1913 Bohr theorizes his model of the atom.
1913 The Crookes cathode ray tube was replaced by Coolidge hot cathode tube.
1913 Dr. Gustave Bucky built the first grid.
1918 Double emulsion film by Kodak.
1920 Dr. Hollis Potter put a Grid in a moving cabinet to remove grid lines.
1922 Compton describes scattering of x-rays
1928 The roentgen is defined as the unit of measurement of x-ray intensity.
1929 Rotating anode x-ray tube introduced.
1930 Tomography is demonstrated by several investigators.
1942 Morgan exhibits the first electronic phototimer.
1942 First automatic film processor
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History of x-ray imaging
1948 First fluoroscopic image intensifier.
1953 Rad is officially adopted as the unit of absorbed dose.
1956 First automatic roller transport film processor introduced by Kodak
1963 Single photon emission computed tomography demonstrated.
1965 Ninety second film processor introduced.
1966 Diagnostic ultrasound enters routine use.
1972 Rare earth radiographic intensifying screen are introduced.
1973 Hounsfield completes development of the first computed tomography (CT)
scanner (EMI)
1973 Damadian and Lauterbur produce the first magnetic resonance image
(MRI)
1980 First superconductor MR imager introduced
1981 The International System of Units (SI) is adopted by the ICRU
1983 First tabular grain film emulsion
1983 First tabular grain film emulsion ( Kodak) introduced.
1984 Laser stimulable phosphors for direct digital radiographs appear.
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Contents
Concept in Radiologic Physics
History of x-ray imaging
X-ray Features
X-ray Physics
X-ray safety introduction
DR Composition and Theory
Core components introduction
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X-rays characteristics
The human eye covers only a range
from 400 to 780 nm of the
electromagnetic spectrum.
X-Rays are electromagnetic waves
with a higher frequency.
X ray is very short electronic
magnetic wave , with great energy.
Wave length 0.001~100nm
For medical application wave length
is between 0.001 ~ 0.1nm Energy.
Energy of X-ray photon is 10,000 ~
100,000 times of visible light photon
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X-rays characteristics
Highly penetrating, invisible rays
Electrically neutral
Travel in straight lines.
Travel with the speed of light in vaccum: 300, 000 km/sec
Ionize matter by removing orbital electrons
Induce fluorescense in some substances. Fluorescent
screen glow after being stricken with photons.
Can't be focused by lenses nor by collimators.
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X-ray features
Physical effects
Penetration :
Ionization :
Fluorescence :
heating:
Interference, diffraction, reflection, refraction
Chemical effects
Photographic
colorization
Biological Effects
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X-ray strength and penetration ability
X-ray penetration ability
X-rays penetration ability relate to the energy of the X-ray photons, the
shorter wavelength, the greater the photon energy, and the stronger the
penetration
For different substances X-ray has different penetration effect (difference in
absorption characteristics)
The higher density , it will absorb more and less penetration
X-ray intensity
In the vertical direction of X-ray , the sum of photon energy per unit time and
area
Unit :J/(cm2*sec)
Higher energy for each photon, the same number of photons, X-ray intensity
will increase
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Quantity and quality of X-ray
I q = ∑ N1hν 1 + N 2 hν 2 + N 3 hν 3 + ……
i
Quality of X-ray
X-ray penetration ability is called the X-ray material quality, also known as X-ray
hardness
The hardness of X-ray only relate to the energy of photon , the larger energy of
photon , the more difficult for the photon to be absorbed .
Hardness of X-ray is described in wavelength or frequency
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Diagnosis of hardness and strength
mA*s
Commonly we use the tube current (mA) multiplied by exposure time-s to
describe the quantity : mA×s=mAs
The higher the tube current , the more electronic bombardment on the anode
target, the higher intensity. Considering in period time of “s” ,it means the
total radiation .
Tube voltage peak, the KV value
The peak tube voltage determines the electron to reach the maximum kinetic
energy arriving at anode target surface, while useful electronic generate X-
rays generally concentrated near the peak, the tube voltage of peak voltage
can represent the X-ray penetration ability
X-ray machine use KV value to define X-ray quality value
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Medical significance of quality and quantity
Lumbar photography
Lumbar photography need high KV,if KV value too low,Most of the X-ray
photons can not pass through lumbar spine ,no matter how high of the mAs
value,we can not get good comparison of the film , and the level can not be
distinguished .
Soft tissue Photography
Soft tissue photographic needs relatively low KV value, if the KV value is too
large, the vast majority of X-ray photons are passing through the soft tissue,
the film will be over exposure, loss of clinical value
Photography law
Select the appropriate KV value to meet the situation of the object being shot,
and then select the appropriate mAs values to get the correct exposure does
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Contents
Concept in Radiologic Physics
History of x-ray imaging
X-ray Features
X-ray Physics
X-ray safety introduction
DR Composition and Theory
Core components introduction
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X-ray Generation
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X-ray Generation
Tube Voltage-KV
Filament Current
e-
Cathode anode
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Three conditions for generating X-ray
Source of electronic
According to need, at any time to provide a sufficient number of electronic
High-speed electron flow
Have high voltage electric field :make electronic have the kinetic energy
High vacuum environment :in which electronic elements will not reduce the
energey against the barrier and the ionization of gas discharge, while also
protecting the filament will not be destroyed by oxidation
Target
An obstacle that can withstand a high-speed electron bombardment and
generate X-ray
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X ray generating mechanism
Characteristic radiation
When the electron of the bombardment interact with the target atomic inner
orbital electronic, the inner electronic of target will be hit off ,the outer electron
will fill the inner space, so atoms converted from excited state to the steady-
state transition, produce radiation
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Characteristic X-ray spectra
E2-E1 = hν
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Characteristic X-ray spectra
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X ray generating mechanism
Continuous radiation
When the high-speed electronic slowing down or stopped by target atoms ,there
will be energy loss , the loss of this energy released in the form of X-ray and it is
distributed well , then generate continuous radiation .
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X-ray radiation spectra
Continuous X-ray line spectrum
Tube voltage
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X-ray radiation spectra
In X-ray diagnosis ,the band near the highest intensity wave plays the most
important role
In each continuous X-ray spectral lines ,the square below the curve means the
total intensity of continuous X-ray
Experimental results show the total intensity of X-ray tube current, tube voltage,
anode target atomic number relationship is:I0=K1·I·Z·U2
Tube current increases, ,the more electrons generated per unit time ,the
total intensity of radiation will be greater .
the greater tube voltage , the greater energy absorbed by each electron ,
short-wave component of the X-ray increase .
The stronger the electric field of nuclear atom, the total strength of
continuous radiation will be greater.
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Affect X-ray radiation spectrum of factors
Tube current
As Tube current increases , number of electrons bombarded anode surface
will be more in unit time , resulting in the greater X-ray intensity , X-ray tube
current is proportional with the intensity .
Tube voltage
X-ray photon of maximum energy depends on the maximum energy electron
bombardment, the electron energy is decided by the peak tube voltage, so
changes in X-ray tube voltage will change the intensity of it .
X-ray intensity is proportional to the square of tube voltage
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X-ray of the anode effect
Anode effect
O point of the target surface to generate X-ray radiation in all directions, the
distance through the target material for OC is longer than OB、OA,the
attenuation is big,so the intensity near OC is the weakest,intensity near
OA is bigger,the phenomenon of X-ray intensity distribution varies
according to the angle of the anode target surface is called anode effect .
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X-ray distribution
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The reaction between X-ray and material
X-ray source Low energy, medium energy,
high-energy X-rays interact
with the whole atom, the
electron cloud, the core of
atom will produce different
reaction
scattering without change
Scatered line Compton Effect
Photoelectric effect
E-on effect
Optical transformation
Film
Fog Area Black White area
area
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Unchangeable scattering
e-
e- e-
e-
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Compton Effect
Recoil electron
Incident photon Outer electron
e- e-
e-
Scattered photon
Photon with enough energy shoot e-
e- e- e-
material, interact with the outer e-
electron, then the photon +
e- e-
frequency and shooting direction e-
change, and produce a large e-
e- e- e-
enough recoil energy e-
e-
e- + Atomic
Orbit electronic
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Clinical manifestations of Compton effect
Filtration is difficult A B
Small angle scattered line lose less
energy, inevitably reach the film,
resulting in fog, such as the A line Scatter line
Attention while protection
During diagnosis, the scattering line from
patients will be distributed to the whole
space, must pay attention of it .
Beneficial aspects
Make use of Compton effect in order to
reduce patient X-ray absorption while
shooting in the bone
Scatter line
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Photoelectric effect
X-ray photon bombardment of atomic inner electrons, make the inner
electron released from the atomic core,X photon is captured by atomic,
this phenomenon is called photoelectric effect
Feature-ray e-
e-
e-
Outer electron e e-
-
e-
e-
e- + e-
e-
Injection photon e- e- e-
e-
e-
e-
This feature is also known
Photoelectron
as X-ray fluorescence X-ray
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Feature of photoelectric effect
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Energy relationship after interaction with material
Basically, an image can be produced by the optical absorption and the penetration
of radiation, this characteristic is known as differential absorption
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The importance of different absorption
Soft tissue
To take the soft tissue
of the small
difference need to
use low KV value, use
the photoelectric
Compton effect proportional to
Effect fourth power of
atomic number law
increase the
absorption difference
Bone structure
We need to lift KV
values to shoot
structure of bone,
Photoelect then we can use the
ric effect feature photoelectric
effect decline and
penetration increase,
In the shooting, according to different organizations, choose a to reduce the
different X-ray energy (KV value), to take advantage of the absorption of the ray.
photoelectric effect, to eliminate the harmful effects of scattering
and improve the quality of the film
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X-ray attenuation and filtration
X-ray attenuation
The incident X-ray maximum energy is 1000 , average energy is40KeV ,after the
absorption by more thick material ,the energy intensity decrease and increase
the average energy .
Qualitative change is due to more low-energy photon is absorbed or attenuated,
while improving the average energy, and finally make average energy close to its
highest energy, this phenomenon is called the hardening effect
Filtering is a device based on an X-ray attenuation
Determine the quality of X-ray beam : filtering condition and excitation voltage
(tube voltage)
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Attenuation effect on the clinical
In practice, KV value is based on X-ray attenuation level
It will be 60KV when take lung photography ,when heart and lung
overlap then 77KV ,for lumbar of higher attenuation we will choose
higher KV values.
If KV value is too low, the vast majority of X-ray photons can’t go
through the object, no matter how big of the mAs value, the film can
not achieve good contrast
KV value is too high, most X-ray photons are passing through the
object being shot, resulting in excessive exposure
Select the appropriate values to accommodate the KV case the object being shot,
and then select the appropriate mAs value to get the correct exposure film
For the same “mAs” ,there are many combinations of mA and time , as long
as the KV value to maintain a certain, amount of photosensitive film is equal
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Affect X-ray qualitative and quantitative factors
Factors that affect the quantity
X-ray is proportional to the amount and mAs, and proportional to (KV)2,
inversely proportional to square of the distance
Filtration: filtering the larger, the less amount of X-ray
Factors affecting quality
Tube voltage: Improving X-ray tube voltage can improve the quality and half
layer, so the average energy move to high energy, penetration ability increase
Filtration: filtering of low energy rays, equivalent to raising the quality of X-ray
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The type of filtration
Inherent filtration
Filtering of X-ray tubes glass wall, oil, window on the X-ray is called inherent
filtration, approximately 0.5mm aluminum
Because the glass wall will increase the layer of tungsten from evaporation
out of filament and target , the old X-ray tube will increase the inherent
filtration
Additional filtration
During diagnosis, in general need to add 1-3mm aluminum for filtration to
remove low-energy X-ray that can’t reach film, play a protection role for
patients.
The wedge shape filtration plate is a special additional filtration according to
different irradiated site .
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Contents
Concept in Radiologic Physics
History of x-ray imaging
X-ray Features
X-ray Physics
X-ray safety introduction
DR Composition and Theory
Core components introduction
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Radiation hazards to human
Radiation damage
Radiation damage: after certain amount of ionizing radiation on the body ,
the pathological reactions of the subjected body
Acute injury: due to Acute injury: due to short time high-dose irradiation
Chronic injury: is defined as chronic low-dose continuous exposure caused
damage, mainly due to X-ray professionals usually pay no attention to
protection, long time for the radiation overdose.
Mechanism of radiation damage
When X-ray irradiation of living organisms, direct ionization causing material
damage to certain macromolecules, such as protein molecular chain, RNA,
DNA and a number of important metabolic enzymes
The water molecules exist in abundance can also be ionized in the formation
of free radicals, through the indirect role of these free radicals damage the
body
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Factors that affect the radiation damage
Radiation properties
Such as: low energy X-ray exposure required to cause skin erythema is less
than high-energy X-ray
X-ray dose
The higher dose of the higher mortality rate, when the high dose to a certain
value, can occur 100% of the animals died
Dose rate
Dose rate is the absorbed dose per unit time, the same total dose, the greater
the biological effect
Exposure mode
The same dose, one-way and multi-direction radiation exposure of impact is
different, it is quite different for exposure for 1 time or many times ,and also
different for different time interval between exposure
Location and extent of exposure
Total body irradiation damage is more serious than the special field irradiation.
When cell is in division it is sensitive to radiation, while the normal non-
dividing cells are resistant to radiation.
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The order of the radiation sensitivity of human
Highly sensitive organization
Lymphoid tissue, thymus, bone marrow, gastrointestinal epithelium, glands,
embryonic tissue
Moderately sensitive tissue
Sensory organs (corner Prince, lens), endothelial cells, skin epithelial cells,
salivary glands, kidneys liver, lung epithelial cells
Light-sensitive tissue
Central nervous system, endocrine (other than gonads), heart
Organization is not sensitive
Muscles, cartilage and bone, connective tissue
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The principle of X-ray protection
Time protection
The longer exposure , the greater the accumulated dose, so the working staff
should reduce staying time in X-ray place
Distance Protection
Distance is inversely proportional to the amount of exposure, so except the
person under examination ,other staff need to stay as far as possible away
from the X-ray
Shielding protection
Increase the absorption of shielding material, such as: lead, like leather gloves,
lead aprons, lead defense chair, compartment shooting
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Contents
Concept in Radiologic Physics
History of x-ray imaging
X-ray Features
X-ray Physics
X-ray safety introduction
DR Composition and Theory
Core components introduction
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DR product composition
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X-ray tube
X-ray tube is constructed by the anode, cathode, glass part
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X-ray tube focus
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X-ray tube
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Rotating anode X-ray tube
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Rotating anode X-ray tube
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Rotating anode X-ray tube
Low speed:2800r/min
Moderate speed:8500r/min
High speed:9700r/min
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X-ray tube cover
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Tube parameters
Structural parameters
Include: the tilt angle of the target surface, the effective focus, size of shape ,
weight, wall filtering equivalent amount , anode rotation speed, temperature
and cooling forms
Electrical parameters
Include: filament heating voltage and current, the maximum tube voltage,
tube current, the longest exposure time, the maximum allowable power and
anode heat capacity
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Several important parameters
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Tube parameters table
Varian X-ray Tube Units
Insert Type Focal Spot KW Rating Heat Units Target Angle KVP Range
RAD-8 1.0-2.0 24/47* 150 kHU 16° 125 KVP
RAD-12 0.6-1.2 22/50 150 kHU 12.5° 150 KVP
RAD-74 0.6-1.5 19.8/52* 200 kHU 14° 150 KVP
A-145 0.3-0.6 6/25* 300 kHU 10° 125 KVP
RAD-68 1.0-2.0 54/96 300 kHU 14° 150 KVP
RAD-14 0.3-1.2 7.5/77 300 kHU 12° 150 KVP
RAD-14 0.6-1.5 32/95 300 kHU 12° 150 KVP
A-102 1.0-2.0 40/80 300 kHU 16° 150 KVP
A-132 0.6-1.2 32/76 300 kHU 12° 150 KVP
A-134 Grid 0.6-1.2 32/76 300 kHU 12° 150 KVP
A-142 0.3-1.0 9/70 300 kHU 10° 150 KVP
RAD-99 0.3-0.6 8/22 300 kHU 10° 125 KVP
RAD-21 0.6-1.2 36/100 300 kHU 12° 150 KVP
A-182 0.3-1.0 13/90 300 kHU 10° 150 KVP
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High-voltage generator
Effect
High-voltage generator is to provide the required X-ray tube high voltage and
X-ray tube filament heating voltage
Construction
High Voltage Transformers, X-ray tube filament transformer, high
voltage rectifiers, high voltage switching gates, high voltage cable
Feature
Small
High output voltage
Required a large input current
Design capacity is much less than the required capacity
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X-ray high-voltage and high-frequence generator
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High-voltage transformer
A
amperes
Characteristics of secondary coil
Number of turns is usually tens of thousands
to hundreds of thousands of turns 50KV
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Filament transformer and high voltage cables
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High Voltage plug
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Direct map of high voltage generator and the X-ray tubes
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DR circuit
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Contents
Concept in Radiologic Physics
History of x-ray imaging
X-ray Features
X-ray Physics
X-ray safety introduction
DR Composition and Theory
Core components introduction
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Core components introduction
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Ordinary X-ray machine and CR
Traditional X-ray imaging method is using X-ray to irradiate object and
image information is recorded in the film, after the imaging and snapshot
processing, images can be displayed in the photo
CR imaging methods to record information need to through the record,
reading, processing and display steps , its working principle are divided into
two parts
Imaging plate technology
Reading technology
Image plate
X-ray Read out Monitor
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IP technology and reading
A/D
Computer convert Amplify
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CR System
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The comparison ordinary X-ray machine and CR
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DR flat-panel detector
Flat-panel detector is direct digital photography, usually refers to
electronic imaging plate technology - flat-panel detector technology (FPD
Technique), electronic imaging plate is constructed with a large number
of tiny thin film transistors (TFT) array .
detector types
Indirect DR,in short IDR
The structure of indirect FPD multi-layer structure, mainly by the scintillator (CsI)
or fluorescent (GdSO) layer add amorphous silicon layer (amorphous Silicon, a-Si)
has function of photodiode and TFT array to form flat-panel detector.
Such a scintillator FPD or phosphor layer exposed under X-ray, the X-ray photons
transferred into visible light, then the role of a low-noise photodiode amorphous
silicon layer (TFT array) absorb visible light and converted to electrical signals,
then by the readout circuit read each pixel of the digital signals and transmit it to
the computer image processing system to integrate the X-ray image, and finally
get a digital image display
Indirect FPD due to visible light conversion process, so there will be light scattering,
which affect the image resolution
Direct DR,in short DDR
Mainly constructed by the amorphous selenium layer (Amorphous Selenium, a-Se)
and film semiconductor array (Thin Film Transistor array, TFT). Incident X-ray
photons produced in the selenium layer of electron hole pairs in the applied bias
electric field, electron and hole move in opposite directions on the formation of
the current, the current points in the thin film transistor in a storage charge. Each
transistor charge storage relates to the incident X-ray photon energy and the
number.
Material amorphous selenium is not produced visible light, but only energy loss for
electronic conduction, not scattered, refracted ray.
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The structure of flat-panel detector
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Grids and the principle
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Ionization chamber working principle
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Collimator
Radiation field
Light field
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Version
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Thanks!
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