An intensifying screen is used to intensify the x-ray effect during radiation exposure of the x-ray film. Approximately 5% of the x-ray photons will be absorbed by the film only. Intensifying screens consist of a sheet of inorganic salts that emits fluorescent light when stroked by x-rays. The fluorescent input and output screens of the image intensifier are very similar to intensifying screens.
Calcium tungstate and rare earths are two common salts (also called phosphors) used for intensifying screens. For example, a calcium tungstate (CaWo4) screen can absorb around 40% of the x-ray photons and convert the radiation into light photons. A basic feature of this screen types is related to the position of the k-edge on the energy axis. Tungsten (W) is a heavy element has a k-edge at 69.5 keV, while that for rare earth elements is in around 50 keV.
The fraction of x-rays absorbed by a screen is depending on the speed. Factors affecting the speed of a screen: Mammography cassettes contain usually one intensifying screen, but most others use two screens per film cassette. The intensifying screen as part of a film screen system has been an important component in radiology to reduce the radiation dose of the patient. Today, the conventional film cassette is being replaced by an imaging plate used in digital systems.

See also Actinides, Cinefluorography and Added Filtration.

(ACD) Caused by positron decay and positron annihilation two photons are emitted each with an energy of 511 keV in opposite directions. The simultaneous detection of these two photons, by two detectors indicates that a positron annihilation occurred at the line of response (LOR), the path between the two detectors.
In PET imaging the annihilation coincidence detection is used to localize the tracer, e.g. F18.

See also Positron Decay and Electron Positron Annihilation.

The attenuation of radiation is a decrease in intensity as a result of interactions by transmission through matter. X-ray beams attenuate due to photon absorption by the material or scattering. Both effects are energy dependent. The probability of absorption or scattering is a function of the photon energy. The photoelectric absorption is much more energy dependent than the Compton scatter effect.

See also Attenuation Correction, Linear Energy Transfer, Broad Beam and Ion Beam.

Bone densitometry measures the strength and density of bones. Changes in trabecular bone mineral density (BMD) is an early indicator of change in metabolic function. Bone densitometry measures the amount of calcium in regions of the bones. A bone densitometer is used to determine the risk of developing osteoporosis and can also be used to estimate a patient's risk of fracture.
Bone densitometry methods involve:
Dual energy x-rays (DEXA) or CT scans (Osteo CT or QCT) compare the numerical density of the bone (calculated from the image), with empirical data bases of bone density. DEXA is widely available and has an accuracy between those of QCT and ultrasound.

Arthur Holly Compton discovered the scattering of x-ray photons when they collide with graphite atoms and demonstrated the relationship between the deflection ankle of the x-ray photon and its energy loss (Compton shift). He becomes in 1927 awarded with the Nobel prize for the 'Compton Effect' discovery.

See Compton Effect.