X-ray

X-rays have long been the most commonly used imaging technique. An X-ray machine is now standard equipment in a veterinary practice. These invisible rays were discovered in 1895 by German physicist Wilhelm Conrad Röntgen, who received the first Nobel Prize in Physics in 1901 for this technology, which has been used worldwide ever since.

INHALT
How it works Technology Implementation Radiation protection
How it works

An X-ray image is produced with the aid of an X-ray tube, inside which a high voltage is generated between two electrical conductors (electrodes, anode and cathode), causing electrons to accelerate. When the electrons (negatively charged elementary particles) hit the cathode, some of the energy is released in the form of electromagnetic waves, known as X-rays. This radiation penetrates the various tissues of the body to varying degrees, producing the X-ray image on the X-ray film (detector) behind it.

X-ray examinations enable the visualization of tissues inside the body. The higher the density of individual tissues, the more radiation is absorbed and the less is transmitted. Tissues that absorb a lot of X-rays, such as bone tissue, appear bright on the X-ray image. A lot of radiation passes through soft tissues and cavities onto the X-ray film. These areas appear dark or even black on the image.

X-ray image of a cat with urethral obstruction
Depiction of different tissues on an X-ray image (cat with urethral obstruction)
Technology

Unlike analog X-ray technology, which required time-consuming development of X-ray films, modern X-ray systems consist of an X-ray tube and a digital X-ray system that converts the incoming rays into digital signals. This means that the X-ray image appears on the computer screen shortly after it is taken. Digital X-ray images also offer the advantage of better resolution and can be edited, for example enlarged, brightened, or darkened.

Implementation

In order to obtain sharp and clear images, it is necessary to position the patient correctly and ensure that they do not move. Depending on the area of the body being examined, animals are placed on the examination table in a supine, lateral, or prone position. The relevant body parts are held in the correct position. Horses are X-rayed while standing. If it is not possible to perform an X-ray without movement, the animal must be given a mild sedative.

Since the X-ray image is only a two-dimensional representation of what is actually a three-dimensional object, several images are usually taken at different angles in order to reliably detect changes such as bone fractures.

If it is not possible to obtain an accurate image of individual tissues, an X-ray examination can be performed with the aid of a contrast agent. This involves injecting a specific contrast agent into the patient or administering it with food to create an artificial contrast. A contrast agent is often used to better visualize parts of the gastrointestinal tract, the urinary tract, or the blood vessels.

Radiation protection

X-rays are electromagnetic waves that have a lot of energy and can break down chemical compounds, which is why they can cause significant damage to the body's cells. The extent of the damage depends on the dose of X-ray radiation. The radiation exposure from digital X-rays is now significantly lower than it was with analog X-rays.

The genetic material (DNA) of cells is particularly at risk. Damage to the DNA of germ cells (egg cells, sperm) can lead to hereditary diseases. Damage to the DNA of various body cells can cause cancer.

In practice, the X-ray beam is directed at a specific region of the animal's body. However, a small amount of radiation can always be measured in the examination room. Due to these risks, effective radiation protection is very important in X-ray diagnostics. Radiation protection clothing and the correct position when holding the animal offer a certain degree of protection against so-called scattered radiation. Young people under the age of 18 and pregnant women are at increased risk of radiation damage, which is why they are not allowed to be in the room during X-ray examinations.

The Radiation Protection Act and the Radiation Protection Ordinance set out all legal requirements for handling X-rays in medicine. This includes regular inspections of all X-ray equipment by the trade supervisory authority.