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Editor-In-Chief: Henry A. Hoff

An X-ray picture (radiograph), Hand mit Ringen (Hand with Ring, the dark oval on the third finger), is the first "medical" X-ray taken by Wilhelm Röntgen, on December 22, 1895, and presented to Professor Ludwig Zehnder of the Physik Institut, University of Freiburg, on January 1, 1896,[1][2] of his wife, Anna Bertha Ludwig's[3] hand

X-radiation (composed of X-rays, or Röntgen rays) is a form of electromagnetic radiation with a wavelength in the range of 10 to 0.01 nanometers, corresponding to frequencies in the range 30 petahertz (PHz) to 30 exahertz (EHz) (3 × 1016 Hz to 3 × 1019 Hz) and energies in the range 120 eV to 120 keV. They are shorter in wavelength than UV rays. In many languages it is called Röntgen radiation after one of the first investigators of the X-rays, Wilhelm Conrad Röntgen. Röntgen had called them X-rays to signify an unknown type of radiation.[4]

X-rays are primarily used for diagnostic radiography and crystallography. As a result, the term X-ray is metonymically used to refer to a radiographic image produced using this method, in addition to the method itself. X-rays are a form of ionizing radiation and as such can be dangerous. From about 0.12 to 12 keV they are classified as soft X-rays, and from about 12 to 120 keV as hard X-rays, due to their penetrating abilities.

The distinction between X-rays and gamma rays has changed in recent decades. Originally, the electromagnetic radiation emitted by X-ray tubes had a longer wavelength than the radiation emitted by radioactive nuclei (gamma rays).[5] So older literature distinguished between X- and gamma radiation on the basis of wavelength, with radiation shorter than some arbitrary wavelength, such as 10−11 m, defined as gamma rays.[6] However, as shorter wavelength continuous spectrum "X-ray" sources such as linear accelerators and longer wavelength "gamma ray" emitters were discovered, the wavelength bands largely overlapped. The two types of radiation are now usually defined by their origin: X-rays are emitted by electrons outside the nucleus, while gamma rays are emitted by the nucleus.[5][7][8][9]

Unit of measure and exposure

The measure of X-rays ionizing ability is called the exposure:

  • The coulomb per kilogram (C/kg) is the SI unit of ionizing radiation exposure, and measures the amount of radiation required to create 1 coulomb of charge of each polarity in 1 kilogram of matter.
  • The röntgen (R) is an obsolete older traditional unit of exposure, which represented the amount of radiation required to create 1 esu of charge of each polarity in 1 cubic centimeter of dry air. 1 röntgen = 2.58×10−4 C/kg

However, the effect of ionizing radiation on matter (especially living tissue) is more closely related to the amount of energy deposited rather than the charge. This is called the absorbed dose:

  • The gray (Gy) which has units of (J/kg), is the SI unit of absorbed dose which is the amount of radiation required to deposit 1 joule of energy in 1 kilogram of any kind of matter.
  • The rad is the (obsolete) corresponding traditional unit, equal to 0.01 J deposited per kg. 100 rad = 1 Gy.

The equivalent dose is the measure of the biological effect of radiation on human tissue. For X-rays it is equal to the absorbed dose. The rem is the traditional unit of dose equivalent. This describes the Energy delivered by <math>\gamma</math> or X-radiation (indirectly ionizing radiation) for humans. The SI counterpart is the Sievert (Sv). One Sievert is equal to 100 rem. Because the rem is a relatively large unit, typical equivalent dose is measured in millirem (mrem), or one thousandth of a rem. In microsievert (μSv) - 1/1000000 Sv -, 1 mrem equals 10 μSv.

Medical X-rays are a major source of manmade radiation exposure, accounting for 58% in the USA in 1987, but since most radiation exposure is natural (82%) it only accounts for 10% of total USA radiation exposure.[10] The average person living in the United States is exposed to approximately 150 mrem annually from background sources alone.

Reported dosage due to dental X-rays seems to vary significantly. Depending on the source, a typical dental X-ray of a human results in an exposure of perhaps, 3[11][12], 40[13], 300[14], or as many as 900[15][16] mrems (30 to 9,000 μSv).

Medical Physics

X-ray K-series spectral line wavelengths (nm) for some common target materials.[17]
Target Kβ₁ Kβ₂ Kα₁ Kα₂
Fe 0.17566 0.17442 0.193604 0.193998
Co 0.162079 0.160891 0.178897 0.179285
Ni 0.15001 0.14886 0.165791 0.166175
Cu 0.139222 0.138109 0.154056 0.154439
Zr 0.070173 0.068993 0.078593 0.079015
Mo 0.063229 0.062099 0.070930 0.071359

X-rays are a type of electromagnetic radiation with wavelengths of around 10-10 meters. When medical X-rays are being produced, a thin metallic sheet is placed between the emitter and the target, effectively filtering out the lower energy (soft) X-rays. This is often placed close to the window of the X-ray tube. The resultant X-ray is said to be hard. Soft X-rays overlap the range of extreme ultraviolet. The frequency of hard X-rays is higher than that of soft X-rays, and the wavelength is shorter. Hard X-rays overlap the range of "long"-wavelength (lower energy) gamma rays, however the distinction between the two terms depends on the source of the radiation, not its wavelength; X-ray photons are generated by energetic electron processes, gamma rays by transitions within atomic nuclei.

The basic production of X-rays is by accelerating electrons in order to collide with a metal target.[18] In medical applications, this is usually tungsten or a more crack resistant alloy of rhenium (5%) and tungsten (95%), but sometimes molybdenum for more specialised applications, such as when soft X-rays are needed as in mammography. In crystallography, a copper target is most common, with cobalt often being used when fluorescence from iron content in the sample might otherwise present a problem. Here the electrons suddenly decelerate upon colliding with the metal target and if enough energy is contained within the electron it is able to knock out an electron from the inner shell of the metal atom and as a result electrons from higher energy levels then fill up the vacancy and X-ray photons are emitted. This process is extremely inefficient (~0.1%) and thus to produce reasonable flux of X-rays plenty of energy has to be wasted into heat which has to be removed. The maximum energy of the produced X-ray photon in keV is limited by the energy of the incident electron, which is equal to the voltage on the tube, so an 80 kV tube can't create higher than 80 keV X-rays. The voltages used in diagnostic X-ray tubes, and thus the highest energies of the X-rays, range from roughly 20 to 150 kV.[19]

The spectral lines generated depends on the target (anode) element used and thus are called characteristic lines. Usually these are transitions from upper shells into K shell (called K lines), into L shell (called L lines) and so on. There is also a continuum Bremsstrahlung radiation given off by the electrons as they are scattered by the strong electric field near the high-Z (proton number) nuclei. In medical diagnostic applications, the low energy (soft) X-rays are unwanted, since they are totally absorbed by the body, increasing the dose. A thin metal (often aluminum, but can be one of many X-Ray filters) sheet is placed over the window of the X-ray tube, filtering out the low energy end of the spectrum.

X-rays can detect cancer, cysts, and tumors. Due to their short wavelength, in medical applications X-rays act more like a particle than a wave. This is in contrast to their application in crystallography, where their wave-like nature is most important.

Nowadays, for many (non-medical) applications, X-ray production is achieved by synchrotrons (see synchrotron light). Its unique features are brightness many orders of magnitude greater than X-ray tubes, wide spectrum, high collimation, and linear polarization.[20]

To create a blood or artery X-ray, also called digital angiography, iodine is injected into the veins and a digitized image is created. Then, a second image is established of only the parts of the X-rayed section without iodine. The first image is subtracted then a final image is produced containing both the first and second images together. Lastly, the results are printed. The doctor or surgeon then compares the results of the angiography to a perfect angiography structure to see if there are any malfunctions.

To take an X-ray of the bones, no iodization is required. Short X-ray pulses are shot through a body at first. Next, the bones absorb the most waves because they are more dense and contain Ca which absorbs stronger than the carbon, oxygen, and nitrogen atoms of soft tissue (due to more electrons in Ca atom). The X-rays that do not get absorbed turn the photographic film from white to black, leaving a white shadow of bones on the film.


Photographic plate

The detection of X-rays is based on various methods. The most commonly known methods, "Image Receptors" (IR), are a photographic plate, X-ray film in a cassette, and rare earth screens.

A photographic plate or film is used in hospitals to produce images of the internal organs and bones of a patient. They are also used in industrial radiography processes, for example, to inspect welded seams. Since photographic plates are sensitive to X-rays, they provide a convenient and easy means of recording the image. X-ray film is usually provided as pre-loaded paper cartridges with the film inside a light proof paper envelope. An additional paper coated in a thin layer of lead is often included in contact with the photographic film. The lead reflects the x-rays back through the photo film to more or less double the sensitivity of the assembly. Thus, photographic film has to be used the right way round, and is marked as such. The emulsion is frequently coated on both sides of the film or plate in order to increase the sensitivity further.

The part of the patient to be X-rayed is placed between the X-ray source and the photographic receptor to produce what is a shadow of all the internal structure of that particular part of the body being X-rayed. The X-rays are blocked by dense tissues such as bone and pass through soft tissues. Those areas where the X-rays strike the photographic receptor turn black when it is developed. So where the X-rays pass through "soft" parts of the body such as organs, muscle, and skin, the plate or film turns black. Contrast compounds, containing high atomic numbered elements such as barium or iodine, which are radiopaque, can be injected in the artery of a particular organ, or given intravenously. The contrast compounds essentially block the X-rays and hence the circulation of the organ can be more readily seen. Many years ago thorium was used as a contrast medium (Thorotrast) — this caused many people to be injured or even die from the effects of the radiation from the thorium.

Photographic plates are losing favour in many X-ray facilities because of the necessity to have processing facilities readily at hand, and because the photographic plates themselves, plus the processing chemicals are relatively expensive consumables. Silver (necessary to the radiographic and photographic industry) is a non-renewable resource. Computed (CR) and digital radiography (DR) has started to replace film. Archiving of these new technologies is also space saving for facilities. Each IR technology required a lot of exposure (to the patient). This has been reduced by the use of intensifying screens.

Photostimulable Phosphors (PSPs)

An increasingly common method of detecting X-rays is the use of Photostimulable Luminescence (PSL), pioneered by Fuji in the 1980s. In modern hospitals a PSP plate is used in place of the photographic plate. After the plate is X-rayed, excited electrons in the phosphor material remain 'trapped' in 'colour centres' in the crystal lattice until stimulated by a laser beam passed over the plate surface. The light given off during laser stimulation is collected by a photomultiplier tube and the resulting signal is converted into a digital image by computer technology, which gives this process its common name, computed radiography (also referred to as digital radiography). The PSP plate can be used over and over again, and existing x-ray equipment requires no modification to use them.

Geiger counter

Initially, most common detection methods were based on the ionization of gases, as in the Geiger-Müller counter: a sealed volume, usually a cylinder, with a polymer or thin metal window contains a gas, and a wire, and a high voltage is applied between the cylinder (cathode) and the wire (anode). When an X-ray photon enters the cylinder, it ionizes the gas and forms ions and electrons. Electrons accelerate toward the anode, in the process causing further ionization along their trajectory. This process, known as an avalanche, is detected as a sudden flow of current, called a "count" or "event".

Ultimately, the electrons form a virtual cathode around the anode wire drastically reducing the electric field in the outer portions of the tube. This halts the collisional ionizations and limits further growth of avalanches. As a result, all "counts" on a Geiger counter are the same size and it can give no indication as to the particle energy of the radiation, unlike the proportional counter. The intensity of the radiation is measurable by the Geiger counter as the counting-rate of the system.

In order to gain energy spectrum information a diffracting crystal may be used to first separate the different photons, the method is called wavelength dispersive X-ray spectroscopy (WDX or WDS). Position-sensitive detectors are often used in conjunction with dispersive elements. Other detection equipment may be used which are inherently energy-resolving, such as the aforementioned proportional counters. In either case, use of suitable pulse-processing (MCA) equipment allows digital spectra to be created for later analysis.

For many applications, counters are not sealed but are constantly fed with purified gas (thus reducing problems of contamination or gas aging). These are called "flow counter".


Some materials such as sodium iodide (NaI) can "convert" an X-ray photon to a visible photon; an electronic detector can be built by adding a photomultiplier. These detectors are called "scintillators", filmscreens or "scintillation counters". The main advantage of using these is that an adequate image can be obtained while subjecting the patient to a much lower dose of X-rays.

Image intensification

X-ray during Cholecystectomy

X-rays are also used in "real-time" procedures such as angiography or contrast studies of the hollow organs (e.g. barium enema of the small or large intestine) using fluoroscopy acquired using an X-ray image intensifier. Angioplasty, medical interventions of the arterial system, rely heavily on X-ray-sensitive contrast to identify potentially treatable lesions.

Direct semiconductor detectors

Since the 1970s, new semiconductor detectors have been developed (silicon or germanium doped with lithium, Si(Li) or Ge(Li)). X-ray photons are converted to electron-hole pairs in the semiconductor and are collected to detect the X-rays. When the temperature is low enough (the detector is cooled by Peltier effect or even cooler liquid nitrogen), it is possible to directly determine the X-ray energy spectrum; this method is called energy dispersive X-ray spectroscopy (EDX or EDS); it is often used in small X-ray fluorescence spectrometers. These detectors are sometimes called "solid state detectors". Cadmium telluride (CdTe) and its alloy with zinc, cadmium zinc telluride detectors have an increased sensitivity, which allows lower doses of X-rays to be used.

Practical application in medical imaging didn't start taking place until the 1990s. Currently amorphous selenium is used in commercial large area flat panel X-ray detectors for mammography and chest radiography. Current research and development is focussed around pixel detectors, such as CERN's energy resolving Medipix detector.

Note: A standard semiconductor diode, such as a 1N4007, will produce a small amount of current when placed in an X-ray beam. A test device once used by Medical Imaging Service personnel was a small project box that contained several diodes of this type in series, which could be connected to an oscilloscope as a quick diagnostic.

Silicon drift detectors (SDDs), produced by conventional semiconductor fabrication, now provide a cost-effective and high resolving power radiation measurement. Unlike conventional X-ray detectors, such as Si(Li)s, they do not need to be cooled with liquid nitrogen.

Scintillator plus semiconductor detectors (indirect detection)

With the advent of large semiconductor array detectors it has become possible to design detector systems using a scintillator screen to convert from X-rays to visible light which is then converted to electrical signals in an array detector. Indirect Flat Panel Detectors (FPDs) are in widespread use today in medical, dental, veterinary and industrial applications. A common form of these detectors is based on amorphous silicon thin film transistor (TFT)/photodiode arrays.

The array technology is a variant on the amorphous silicon TFT arrays used in many flat panel displays, like the ones in computer laptops. The array consists of a sheet of glass covered with a thin layer of silicon that is in an amorphous or disordered state. At a microscopic scale, the silicon has been imprinted with millions of transistors arranged in a highly ordered array, like the grid on a sheet of graph paper. Each of these TFTs is attached to a light-absorbing photodiode making up an individual pixel (picture element). Photons striking the photodiode are converted into two carriers of electrical charge, called electron-hole pairs. Since the number of charge carriers produced will vary with the intensity of incoming light photons, an electrical pattern is created that can be swiftly converted to a voltage and then a digital signal, which is interpreted by a computer to produce a digital image. Although silicon has outstanding electronic properties, it is not a particularly good absorber of X-ray photons. For this reason, X-rays first impinge upon scintillators made from eg. gadolinium oxysulfide or cesium iodide. The scintillator absorbs the X-rays and converts them into visible light photons that then pass onto the photodiode array.

Visibility to the human eye

While generally considered invisible to the human eye, in special circumstances X-rays can be visible. Brandes, in an experiment a short time after Röntgen's landmark 1895 paper, reported after dark adaptation and placing his eye close to an X-ray tube, seeing a faint "blue-gray" glow which seemed to originate within the eye itself.[21] Upon hearing this, Röntgen reviewed his record books and found he too had seen the effect. When placing an X-ray tube on the opposite side of a wooden door Röntgen had noted the same blue glow, seeming to emanate from the eye itself, but thought his observations to be spurious because he only saw the effect when he used one type of tube. Later he realized that the tube which had created the effect was the only one powerful enough to make the glow plainly visible and the experiment was thereafter readily repeatable. The knowledge that X-rays are actually faintly visible to the dark-adapted naked eye has largely been forgotten today; this is probably due to the desire not to repeat what would now be seen as a recklessly dangerous and harmful experiment with ionizing radiation. It is not known what exact mechanism in the eye produces the visibility: it could be due to conventional detection (excitation of rhodopsin molecules in the retina), direct excitation of retinal nerve cells, or secondary detection via, for instance, X-ray induction of phosphorescence in the eyeball with conventional retinal detection of the secondarily produced visible light.

If the intensity of an X-ray beam is high enough, the ionization of the air will make the beam visible with a white glow. The beamline from the wiggler at the ID11 at ESRF is one example of such high intensity.[22]

Medical uses

X-Ray Image of the Paranasal Sinuses, Lateral Projection

Since Röntgen's discovery that X-rays can identify bony structures, X-rays have been developed for their use in medical imaging. Radiology is a specialized field of medicine. Radiographers employ radiography and other techniques for diagnostic imaging. Indeed, this is probably the most common use of X-ray technology.

X-rays are especially useful in the detection of pathology of the skeletal system, but are also useful for detecting some disease processes in soft tissue. Some notable examples are the very common chest X-ray, which can be used to identify lung diseases such as pneumonia, lung cancer or pulmonary edema, and the abdominal X-ray, which can detect ileus (blockage of the intestine), free air (from visceral perforations) and free fluid (in ascites). In some cases, the use of X-rays is debatable, such as gallstones (which are rarely radiopaque) or kidney stones (which are often visible, but not always). Also, traditional plain X-rays pose very little use in the imaging of soft tissues such as the brain or muscle. Imaging alternatives for soft tissues are computed axial tomography (CAT or CT scanning), magnetic resonance imaging (MRI) or ultrasound. Since 2005, X-rays are listed as a carcinogen by the U.S. government.[23] The benefits of the X-ray investigation should be balanced with the potential hazards to the unborn fetus.[24][25]

Radiotherapy, a curative medical intervention, now used almost exclusively for cancer, employs higher energies of radiation.

The efficiency of X-ray tubes is less than 2%. Most of the energy is used to heat up the anode.

Shielding against X-Rays

Lead is the most common shield against X-Rays because of its high density (11340 kg/m3), ease of installation and low cost. The maximum range of a high-energy photon such as an X-ray in matter is infinite - at every point in the matter traversed by the photon, there is a probability of interaction. Thus there is a very small probability of no interaction over very large distances. The shielding of photons is therefore exponential - doubling the thickness of shielding will square the shielding effect.

The following table shows the recommended thickness of lead shielding in function of X-Ray energy, from the Recommendations by the Second International Congress of Radiology.[26]

X-Rays generated by peak voltages
not exceeding
Minimum thickness
of Lead
75 kV 1.0 mm
100 kV 1.5 mm
125 kV 2.0 mm
150 kV 2.5 mm
175 kV 3.0 mm
200 kV 4.0 mm
225 kV 5.0 mm
300 kV 9.0 mm
400 kV 15.0 mm
500 kV 22.0 mm
600 kV 34.0 mm
900 kV 51.0 mm

Other uses

Each dot, called a reflection, in this diffraction pattern forms from the constructive interference of scattered X-rays passing through a crystal. The data can be used to determine the crystalline structure.

Notable uses of X-rays include


Among the important early researchers in X-rays were Professor Ivan Pulyui, Sir William Crookes, Johann Wilhelm Hittorf, Eugen Goldstein, Heinrich Hertz, Philipp Lenard, Hermann von Helmholtz, Nikola Tesla, Thomas Edison, Charles Glover Barkla, Max von Laue, and Wilhelm Conrad Röntgen.

Johann Hittorf

Physicist Johann Hittorf (1824 - 1914) observed tubes with energy rays extending from a negative electrode. These rays produced a fluorescence when they hit the glass walls of the tubes. In 1876 the effect was named "cathode rays" by Eugen Goldstein, and today are known to be streams of electrons. Later, English physicist William Crookes investigated the effects of electric currents in gases at low pressure, and constructed what is called the Crookes tube. It is a glass cylinder mostly (but not completely) evacuated, containing electrodes for discharges of a high voltage electric current. He found, when he placed unexposed photographic plates near the tube, that some of them were flawed by shadows, though he did not investigate this effect. Crookes also noted that his cathode rays caused the glass walls of his tube to glow a dull blue colour. Crookes failed to realise that it wasn't actually the cathode rays that caused the blue glow, but the low level x-rays produced when the cathode rays struck the glass. Crookes tubes created electrons by ionization of the residual air in the tube by a high DC voltage of anywhere between a few kilovolts and 100 kV. This voltage accelerated the electrons coming from the cathode to a high enough velocity that they created X-rays when they struck the anode or the glass wall of the tube. Many of the early Crookes tubes undoubtedly radiated X-rays, because early researchers noticed effects that were attributable to them.[28]

Ivan Pulyui

In 1877 Ukranian-born Ivan Pulyui, a lecturer in experimental physics at the University of Vienna, constructed various designs of Geissler vacuum discharge tube to investigate their properties.[29] He continued his investigations when appointed professor at the Czech Technical University in Prague (Prague Polytechnic). In 1886 he found that sealed photographic plates became dark when exposed to the emanations from the tubes. Early in 1896, just a few weeks after Röntgen published his first X-ray photograph, Pulyui published high-quality x-ray images in journals in Paris and London.[29] Although Pulyui had studied with Röntgen at the University of Strasbourg in the years 1873-75, his biographer Gaida (1997) asserts that his subsequent research was conducted independently.[29]

As a result of experiments into what he called cold light Ivan Pulyui is reputed to have developed an X-ray emitting device as early as 1881. He reputedly first demonstrated an X-ray photograph of a 13-year-old boy's broken arm and an X-ray photograph of his daughter's hand with a pin lying under it. The device became known as the Pulyui lamp and was mass-produced for a period. Reputedly, Pulyui personally presented one to Wilhelm Conrad Röntgen who went on to be credited as the major developer of the technology. Pulyui published his results in a scientific paper, Luminous Electrical Matter and the Fourth State of Matter in the Notes of the Austrian Imperial Academy of Sciences (1880-1883), but expressed his ideas in an obscure manner using obsolete terminology. Pulyui did gain some recognition when the work was translated and published as a book by the Royal Society in the UK. Pulyui made many other discoveries as well. He is particularly noted for inventing a device for determining the mechanical equivalent of heat that was exhibited at the Exposition Universelle, Paris, 1878. Pulyui also participated in opening of several power plants in Austria-Hungary.

The first medical X-ray made in the United States was obtained using a discharge tube of Pulyui's design. In January 1896, on reading of Röntgen's discovery, Frank Austin of Dartmouth College tested all of the discharge tubes in the physics laboratory and found that only the Pulyui tube produced X-rays. This was a result of Pulyui's inclusion of an oblique "target" of mica, used for holding samples of fluorescent material, within the tube. On 3 February 3, 1896 Gilman Frost, professor of medicine at the college, and his brother Edwin Frost, professor of physics, exposed the wrist of Eddie McCarthy, whom Edwin had treated some weeks earlier for a fracture, to the x-rays and collected the resulting image of the broken bone on gelatin photographic plates obtained from Howard Langill, a local photographer also interested in Röntgen's work.[30]

Nikola Tesla

In April 1887, Nikola Tesla began to investigate X-rays using high voltages and tubes of his own design, as well as Crookes tubes. From his technical publications, it is indicated that he invented and developed a special single-electrode X-ray tube [31] [32], which differed from other X-ray tubes in having no target electrode. The principle behind Tesla's device is nowadays called the Bremsstrahlung process, in which a high-energy secondary X-ray emission is produced when charged particles (such as electrons) pass through matter. By 1892, Tesla performed several such experiments, but he did not categorize the emissions as what were later called X-rays. Tesla generalized the phenomenon as radiant energy of "invisible" kinds.[33] [34] Tesla stated the facts of his methods concerning various experiments in his 1897 X-ray lecture [35] before the New York Academy of Sciences. Also in this lecture, Tesla stated the method of construction and safe operation of X-ray equipment. His X-ray experimentation by vacuum high field emissions also led him to alert the scientific community to the biological hazards associated with X-ray exposure.[36]

Fernando Sanford

X-rays were first generated and detected by Fernando Sanford (1854-1948), the foundation Professor of Physics at Stanford University, in 1891. From 1886 to 1888 he had studied in the Hermann Helmholtz laboratory in Berlin, where he became familiar with the cathode rays generated in vacuum tubes when a voltage was applied across separate electrodes, as previously studied by Heinrich Hertz and Philipp Lenard. His letter of January 6, 1893 (describing his discovery as "electric photography") to The Physical Review was duly published and an article entitled Without Lens or Light, Photographs Taken With Plate and Object in Darkness appeared in the San Francisco Examiner.[37]

Heinrich Hertz

In 1892, Heinrich Hertz began experimenting and demonstrated that cathode rays could penetrate very thin metal foil (such as aluminium). Philipp Lenard, a student of Heinrich Hertz, further researched this effect. He developed a version of the cathode tube[38] and studied the penetration by X-rays of various materials. Philipp Lenard, though, did not realize that he was producing X-rays. Hermann von Helmholtz formulated mathematical equations for X-rays. He postulated a dispersion theory before Röntgen made his discovery and announcement. It was formed on the basis of the electromagnetic theory of light (Wiedmann's Annalen, Vol. XLVIII). However, he did not work with actual X-rays.

Wilhelm Röntgen

On November 8, 1895, Wilhelm Conrad Röntgen, a German physics professor, began observing and further documenting X-rays while experimenting with vacuum tubes. Röntgen, on December 28, 1895, wrote a preliminary report "On a new kind of ray: A preliminary communication". He submitted it to the Würzburg's Physical-Medical Society journal.[39] This was the first formal and public recognition of the categorization of X-rays. Röntgen referred to the radiation as "X", to indicate that it was an unknown type of radiation. The name stuck, although (over Röntgen's great objections), many of his colleagues suggested calling them Röntgen rays. They are still referred to as such in many languages. Röntgen received the first Nobel Prize in Physics for his discovery.

Röntgen was working on a primitive cathode ray generator that was projected through a glass partially evacuated tube. Suddenly he noticed a faint green light against the wall. The odd thing he had noticed, was that the light from the cathode ray generator was traveling through a bunch of the materials in its way (paper, wood, and books). He then started to put various objects in front of the generator, and as he was doing this, he noticed that the outline of the bones from his hand were displayed on the wall. Röntgen said he did not know what to think and kept experimenting. Two months after his initial discovery, he published his paper translated "On a New Kind of Radiation" and gave a demonstration in 1896. Röntgen had his lab notes burned after his death, but this is a likely reconstruction by his biographers.[40]

Rontgen discovered the medical use of X radiation when he saw a picture of his wife's hand on a photographic plate formed due to X-rays. The photograph was apparently the first ever of a human body part using X-rays.

Thomas Edison

Diagram of a water cooled X-ray tube. (simplified/outdated)

In 1895, Thomas Edison investigated materials' ability to fluoresce when exposed to X-rays, and found that calcium tungstate was the most effective substance. Around March 1896, the fluoroscope he developed became the standard for medical X-ray examinations. Nevertheless, Edison dropped X-ray research around 1903 after the death of Clarence Madison Dally, one of his glassblowers. Dally had a habit of testing X-ray tubes on his hands, and acquired a cancer in them so tenacious that both arms were amputated in a futile attempt to save his life.

Someone shot President William McKinley, while he was attending the 1901 Pan-American Exposition in Buffalo, New York. The individual fired twice at close range with a .32 caliber revolver. The first bullet was removed but the second remained somewhere in McKinley's stomach. McKinley survived for some time and requested that Thomas Edison rush an X-ray machine to Buffalo to find the stray bullet. McKinley died of septic shock due to bacterial infection. The X-ray machine wasn't used.[41]

The 20th century and beyond

Prior to the 20th century and for a short while after, x-rays were generated in cold cathode tubes. These tubes had to contain a small quantity of gas (invariably air) as a current will not flow in such a tube if they are fully evacuated. One of the problems with early x-ray tubes is that the generated x-rays caused the glass to absorb the gas and consequently the efficiency quickly falls off. Larger and more frequently used tubes were provided with a means of restoring the air. This often took the form of small side tube which contained a small piece of mica - a substance that traps comparatively large quantities of air within its structure. A small electrical heater heats the mica and causes it to release a small amount of air restoring the tube's efficiency. However the mica itself has a limited life and the restore process was consequently difficult to control.

In 1904, Sir John Ambrose Flemming invented the thermionic diode valve (tube). This used a heated cathode which permitted current to flow in a vacuum. The principle was quickly applied to x-ray tubes, and hard vacuum heated cathode x-ray tubes completely solved the problem of efficiency reduction.

Two years later, physicist Charles Barkla discovered that X-rays could be scattered by gases, and that each element had a characteristic X-ray. He won the 1917 Nobel Prize in Physics for this discovery. Max von Laue, Paul Knipping and Walter Friedrich observed for the first time the diffraction of X-rays by crystals in 1912. This discovery, along with the early works of Paul Peter Ewald, William Henry Bragg and William Lawrence Bragg gave birth to the field of X-ray crystallography. The Coolidge tube was invented the following year by William D. Coolidge which permitted continuous production of X-rays; this type of tube is still in use today.

The use of X-rays for medical purposes (to develop into the field of radiation therapy) was pioneered by Major John Hall-Edwards in Birmingham, England. In 1908, he had to have his left arm amputated owing to the spread of X-ray dermatitis[1].

The X-ray microscope were invented in the 1950s. The Chandra X-ray Observatory launched on July 23, 1999, has been allowing the exploration of the very violent processes in the universe which produce X-rays. Unlike visible light, which is a relatively stable view of the universe, the X-ray universe is unstable, it features stars being torn apart by black holes, galactic collisions, and novas, neutron stars that build up layers of plasma that then explode into space.

ROSAT image of X-ray fluorescence of, and occultation of the X-ray background by, the Moon.

An X-ray laser device was proposed as part of the Reagan administration's Strategic Defense Initiative (SDI) in the 1980s, but the first and only test of the device (a sort of laser "blaster", or death ray, powered by a thermonuclear explosion) gave inconclusive results. For technical and political reasons, the overall project (including the X-ray laser) was de-funded (though was later revived by the second Bush administration as the National Missile Defense using different technologies).

See also


  1. Bettyann Holtzmann Kevles (1996). Naked to the Bone Medical Imaging in the Twentieth Century. Camden, NJ: Rutgers University Press, 19-22. ISBN 0813523583. 
  2. Sharron Sample (2007-03-27). X-rays. NASA. Retrieved on 2007-12-03. 
  3. Anna Bertha Ludwig's hand.
  4. Novelline, Robert (1997). Squire's Fundamentals of Radiology, 5th, Harvard University Press. ISBN 0674833392. 
  5. 5.0 5.1 Dendy PP, Heaton B (1999). Physics for Diagnostic Radiology. USA: CRC Press, p.12. ISBN 0750305916. 
  6. (1961) in Charles Hodgman: CRC Handbook of Chemistry and Physics, 44th, USA: Chemical Rubber Co., p.2850. 
  7. Richard Feynman, Robert Leighton, Matthew Sands (1963). The Feynman Lectures on Physics, Vol.1. USA: Addison-Wesley, p.2–5. ISBN 0201021161. 
  8. Michael L'Annunziata, Mohammad Baradei (2003). Handbook of Radioactivity Analysis. Academic Press, p.58. ISBN 0124366031. 
  9. Grupen C, Cowan G, Eidelman SD, Stroh T (2005). Astroparticle Physics. Springer, p.109. ISBN 3540253122. 
  10. US National Research Council (2006). Health Risks from Low Levels of Ionizing Radiation, BEIR 7 phase 2. National Academies Press, p.5, fig.PS–2. ISBN 030909156X. , data credited to NCRP (US National Committee on Radiation Protection) 1987
  11. Dental X-rays.
  12. X-ray Safety.
  13. Nuclear Safety.
  14. 114 Radiation.
  15. Chapter 8: Human Factors.
  16. X-Ray Dangers.
  17. in David R. Lide: CRC Handbook of Chemistry and Physics 75th edition. CRC Press, 10-227. ISBN 0-8493-0475-X. 
  18. Eric Whaites, Roderick Cawson (2002). Essentials of Dental Radiography and Radiology. Elsevier Health Sciences, p.15–20. ISBN 044307027X. 
  19. Jerrold Bushburg, Anthony Seibert, Edwin Leidholdt, John Boone (2002). The Essential Physics of Medical Imaging. USA: Lippincott Williams & Wilkins, p.116. ISBN 0683301187. 
  20. Burattini E, Ballerna A (1994). "Preface". Biomedical Applications of Synchrotron Radiation: Proceedings of the 128th Course at the International School of Physics -Enrico Fermi- 12-22 July 1994, Varenna, Italy: xv, IOS Press. Retrieved on 2008-11-11. 
  21. Paul Frame. Wilhelm Röntgen and the Invisible Light. Tales from the Atomic Age. Oak Ridge Associated Universities.
  22. (2001) Elements of Modern X-Ray Physics. John Wiley & Sons Ltd, 40–41. ISBN 0-471-49858-0. 
  23. 11th Report on Carcinogens.
  24. Giles BD, Hewitt D, Stewart A, Webb J (Sep 1956). "Malignant Disease in Childhood and Diagnostic Irradiation In Utero". Lancet. 271 (6940): 447. PMID 13358242.
  25. Pregnant Women and Radiation Exposure. eMedicine Live online medical consultation. Medscape (28 December 2008). Retrieved on 2009-01-16.
  26. Lead Shielding Sheet Lead For Shielding Applications Alchemy Art Lead Products.
  27. Kasai N, Kakudo M (2005). X-ray diffraction by macromolecules. Tokyo: Kodansha, 291–2. ISBN 3540253173. 
  28. Filler AG (2009). "The history, development, and impact of computed imaging in neurological diagnosis and neurosurgery: CT, MRI, DTI". Nature Precedings.. doi:10.1038/npre.2009.3267.4.
  29. 29.0 29.1 29.2 Roman Gaida et al (1997). Ukrainian Physicist Contributes to the Discovery of X-Rays. Mayo Foundation for Medical Education and Research. Retrieved on 2008-04-06.
  30. Peter K Spiegel (1995). "The first clinical X-ray made in America—100 years". American Journal of Roentgenology 164 (1): 241–243. Leesburg, VA: American Roentgen Ray Society. ISSN: 1546-3141.
  31. Morton, William James, and Edwin W. Hammer, American Technical Book Co., 1896. Page 68.
  32. U.S. Patent 514,170 , Incandescent Electric Light, and U.S. Patent 454,622 , System of Electric Lighting.
  33. Cheney, Margaret, "Tesla: Man Out of Time ". Simon and Schuster, 2001. Page 77.
  34. Thomas Commerford Martin (ed.), "The Inventions, Researches and Writings of Nikola Tesla". Page 252 "When it forms a drop, it will emit visible and invisible waves. [...]". (ed., this material originally appeared in an article by Nikola Tesla in The Electrical Engineer of 1894.)
  35. Nikola Tesla, "The stream of Lenard and Roentgen and novel apparatus for their production", Apr. 6, 1897.
  36. Cheney, Margaret, Robert Uth, and Jim Glenn, "Tesla, master of lightning". Barnes & Noble Publishing, 1999. Page 76. ISBN 0760710058
  37. Thomas Wyman (Spring 2005). "Fernando Sanford and the Discovery of X-rays". "Imprint", from the Associates of the Stanford University Libraries: 5–15.
  38. Joseph J Thomson (1903). The Discharge of Electricity through Gasses. USA: Charles Scribner's Sons, 182–6. 
  39. Arthur Stanton (1896-01-23), "Wilhelm Conrad Röntgen On a New Kind of Rays: translation of a paper read before the Würzburg Physical and Medical Society, 1895", Nature 53: 274-6, DOI:10.1038/053274b0, <http://www.nature.com/nature/journal/v53/n1369/pdf/053274b0.pdf>
  40. Peter Peters (1995). W. C. Roentgen and the discovery of x-rays. Medcyclopedia.com, GE Healthcare. Retrieved on 2008-05-05. 
  41. National Library of Medicine. "Could X-rays Have Saved President William McKinley?" Visible Proofs: Forensic Views of the Body.
  • Way Out There in the Blue: Reagan, Star Wars and the End of the Cold War, Frances Fitzgerald, Simon & Schuster (2001). ISBN 0-7432-0023-3

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