X-ray

X-rays have long been the most commonly used imaging technique. An X-ray machine is now standard equipment in any veterinary practice. These invisible rays were discovered in 1895 by the German physicist Wilhelm Conrad Röntgen, who was awarded 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 using an X-ray tube. Inside the tube, a high voltage is generated between two electrical conductors (electrodes: the anode and cathode), which accelerates the electrons. When the electrons (= negatively charged elementary particles) strike the anode, part of their energy is emitted in the form of photon radiation (= high-energy, massless particles of light), known as X-rays. This radiation penetrates the body’s various tissues to varying degrees, thereby creating the X-ray image on the detector behind it—the X-ray film.

X-ray imaging allows for the visualization of internal body tissues. The higher the density of a tissue, the more radiation it absorbs and the less it transmits. Tissues that absorb a lot of X-ray radiation, such as bone tissue, appear bright on the X-ray image. A significant amount 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 of a cat with a urethral obstruction
Depiction of various tissues on an X-ray image (cat with urethral obstruction)
Technology

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

Implementation

To obtain sharp and clear images, proper positioning without movement is essential. Depending on the body region 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 motionless X-ray imaging is not possible, the animal must be given a mild sedative.

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

If it is not possible to obtain a clear image of specific tissues, an X-ray examination can be performed using a contrast agent. In this procedure, a specific contrast agent is injected into the patient or administered with food to create artificial contrast. A contrast agent is frequently used to better visualize parts of the gastrointestinal tract, the urinary tract, or the blood vessels.

Radiation protection

X-rays are electromagnetic waves that possess a great deal of energy and are capable of breaking down chemical bonds, 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 result in cancer.

In practice, the X-ray beam is directed specifically at a certain region of the animal’s body. Nevertheless, a small amount of radiation can always be detected in the examination room. Due to these risks, effective radiation protection is very important in X-ray diagnostics. Radiation-protective clothing and the correct positioning of the animal offer some protection against so-called scattered radiation. Adolescents under 18 and pregnant women are at increased risk of radiation damage, which is why they are not permitted to remain in the room during an X-ray examination.

The Radiation Protection Act and the Radiation Protection Ordinance set forth all legal regulations governing the use of X-rays in medicine. This includes regular inspections of all X-ray equipment by the State Office of Occupational Safety and Health.