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X-Ray Spectrum
The x-ray (or roentgen-ray) spectrum consists of electromagnetic radiation with wavelengths shorter than ultraviolet (UV) and longer than gamma rays. The usual photon energies of x-rays range from 100 electron volt (eV) to 100 keV (wavelengths of around 10 to 0.01 nanometers; or around 100 to 0.1 Angstroms); corresponding to frequencies in the range of 30 PHz to 30 EHz (see Hertz).
The energy distribution (wavelength, frequency) of x-ray photons emerges from the source, the x-ray tube. In a conventional tube, x-rays are generated in two different ways that, together, form a typical spectrum consisting of the bremsstrahlung, which is superimposed by the lines of the characteristic spectrum (in a graph, the curve is shaped like a hump topped by several spikes).

See also Angstrom, Direct Radiation, Secondary Radiation, and Radiation Meter.
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Contrast
Contrast is the relative difference of intensities in two adjacent regions of an image. When referring to computed tomography (CT), contrast is defined as a difference in Hounsfield units between structures. The measurement of contrast resolution in CT imaging involves determining how easy it is to differentiate tissues whose CT density is similar to that of their surroundings. An image lacks contrast when there are no sharp differences between black and white. Brightness refers to the overall lightness or darkness of an image.
The contrast between air, soft tissue, and bones in x-ray and CT images is based on their different absorption of x-rays. Differences in tissue density, thickness and changes of the x-ray spectrum have consequences for image contrast, image noise as well as patient dose.
Optimized tube current, collimation, pitch and image reconstruction improves the contrast. Higher image contrast is produced by increased slice thickness, smaller matrix, and large field of view which results in large voxel size; high mAs to reduce noise; low pass filter.

See also Contrast Enhanced Computed Tomography.
X-Ray
X-rays are a part of the electromagnetic spectrum. X-rays and gamma rays are differentiated on the origin of the radiation, not on the wavelength, frequency, or the energy. X-rays are emitted by electrons outside the nucleus, while gamma rays are emitted by the nucleus. X-rays have wavelengths in the range of about 1 nanometer (nm) to 10 picometer (pm), frequencies in the range of 10-16 to 10-20 Hertz (Hz) and photon energies between 0.12 and 120 kilo electron Volt (keV). The energy of rays increase with decreased wavelengths. X-rays with energies between 10 keV and a few hundred keV are considered hard X-rays. The cutoff between soft or hard X-rays is around a wavelength of 100 pm.
Because of their short wavelength, X-rays interact little with matter and pass through a wide range of materials. These interactions occur as absorption or scattering;; primary are the photoelectric effect, Compton scattering and, for ultrahigh photon energies of above 1.022 mega electron Volt (MeV), pair production.
X-rays are produced when high energy electrons struck a metal target. The kinetic energy of the electrons is transformed into electromagnetic energy when the electrons are abruptly decelerated (also called bremsstrahlung radiation, or braking radiation) similar to the deceleration of the circulating electron beam in a synchrotron particle accelerator. Another type of rays is produced by the inner, more tightly bound electrons in atoms;; frequently occurring in decay of radionuclides (characteristic radiation, gamma ray, beta ray). The energy of an X-ray is equivalent to the difference in energy of the initial and final atomic state minus the binding energy of the electron.
Wilhelm Conrad Roentgen discovered this type of rays (also called Roentgen-rays) in 1895 and realized that X-rays penetrate soft tissue but are absorbed by bones, which provides the possibility to image anatomic structures; the first type of diagnostic imaging was established. Radiographic images are based on this difference in attenuation for tissue and organs of different density. Today ionizing radiation is widely used in medicine in the field of radiology.

See also Exposure Factors, X-Ray Tube, and X-Ray Spectrum.
Ionizing Radiation
Radiation can ionize matter caused by the high energy which displaces electrons during interactions with atoms. In the electromagnetic spectrum higher frequency ultraviolet radiation begins to have enough energy to ionize matter.
Examples of ionizing radiation include alpha particles, beta particles, gamma rays, x-rays, neutrons, high-speed electrons, high-speed protons, and other particles capable of producing ions by direct or secondary processes in passage through tissues.
Damage of living tissue results from the transfer of energy to atoms and molecules in the cellular structure. Ionized cells have to repair themselves to remain alive. Generally, healthy cells have a higher capability to repair themselves than cancer cells.

Biological effects of ionizing radiation exposure:
Generation of free radicals;
break down of chemical bonds;
production of new chemical bonds and cross-linkage between macromolecules;
deregulation of vital cell processes by molecule damage (e.g. DNA, RNA, proteins).

Ionizing radiation are used in a wide range of facilities, including health care, research institutions, nuclear reactors and their support facilities, and other manufacturing settings. These radiation sources can pose a serious hazard to affected people and environment if not properly controlled.

See also Radiation Safety, Controlled Area, Radiotoxicity and As Low As Reasonably Achievable.
Radiation Safety
Radiation safety concerns the safe use of ionizing radiation. The radiation exposure has to be controlled to protect people and the environment from unnecessary exposure and the damaging effect to the health. Legal regulations require that radiation exposure (individual radiation exposure as well as collective dose) must be kept as low as reasonably achievable.
The electromagnetic spectrum includes x-rays, gamma rays, ultraviolet radiation, visible light, infrared radiation, and radio waves. Additionally, there are several types of particulate radiation e.g., alpha and beta particles. All types of radiation are used in a wide range of medicine, industry, research and communication. Radiation risks can occur due to either long-term low level exposure or short-term high level exposure. A well-functioning dosimetry program is essential for a safe use and for compliance with federal and state regulations.

Three basic rules have to be observed for a safe use of ionizing radiation.
Keep a radiation source at high distance. A doubled distance reduces the exposure by a factor of four.
Minimize the time near a source of radiation.
Optimize radiation shielding to absorb radiation. The greater the shielding around a radiation source, the smaller the exposure.

See also Inverse Square Law, Administrative Dose Guidelines and Annual Dose Limit.
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