Why are high energy X-rays used in radiotherapy?

High energy photons penetrate deeply, so they can deliver a dose to a tumour well below the skin surface. They also deposit relatively less energy in the overlying skin.

How is the dose to healthy tissue kept low when a deep tumour is treated with X-rays?

The beam is rotated about the patient so that it always passes through the tumour but enters through a different path each time. The tumour therefore receives the full dose while each region of surrounding tissue receives only a fraction of it.

Fluoroscopy is the production of a continuous, real time X-ray image on a screen using a low intensity beam. It allows a clinician to watch movement, such as a swallow or a catheter being guided.

Eduqas A-Level Physics A420QS

Basic Physics

Topic overview SI base units and prefixes Checking equations for homogeneity Scalars and vectors Adding and resolving vectors Density Moments and the principle of moments Centre of gravity and equilibrium

Kinematics

Topic overview Displacement, velocity and acceleration Displacement-time graphs Velocity-time graphs and non-uniform acceleration The equations of uniformly accelerated motion Free fall, air resistance and terminal velocity Projectile motion

Dynamics

Topic overview Force and Newton's third law Free body diagrams and resultant force Newton's second law and F = ma Linear momentum Force as the rate of change of momentum Conservation of momentum in collisions

Energy Concepts

Topic overview Work done by a constant force Work done when the force is not along the motion Gravitational and elastic potential energy Kinetic energy and the work-energy relationship Conservation of energy Power, dissipative forces and efficiency

Circular Motion

Topic overview Period and frequency of rotation The radian as a measure of angle Angular velocity Centripetal acceleration and centripetal force Applying the circular motion equations

Vibrations

Topic overview Defining simple harmonic motion Frequency, period, amplitude and phase The displacement equation for simple harmonic motion Velocity in simple harmonic motion Displacement and velocity graphs The mass-spring oscillator The simple pendulum Energy in simple harmonic motion Free oscillation and damping Forced oscillation and resonance

Kinetic Theory

Topic overview The ideal gas equation of state Assumptions of the kinetic theory of gases The Avogadro constant, the mole and molar mass The kinetic theory pressure equation Molecular kinetic energy and temperature

Thermal Physics

Topic overview Internal energy Absolute zero and temperature Internal energy of an ideal monatomic gas Heat as energy in transit Thermal equilibrium Work done by a gas The first law of thermodynamics Specific heat capacity

Conduction of Electricity

Topic overview Electric charge and the coulomb Electric current and the ampere Conductors, insulators and charge carriers Drift of free electrons in a metal Deriving and using I = nAve

Resistance

Topic overview Potential difference and the volt Resistance, Ohm's law and the ohm I–V characteristics of a metal wire and a filament lamp Electrical power and energy transfer The microscopic origin of resistance Resistivity and the equation R = ρl/A Resistance and temperature Superconductivity and the transition temperature High temperature superconductors and their uses

D.C. Circuits

Topic overview Current at a junction and conservation of charge Potential difference round a circuit and conservation of energy Resistors in series Resistors in parallel The potential divider Sensing circuits with LDRs and thermistors emf and internal resistance

Capacitance

Topic overview The parallel plate capacitor and stored charge Capacitance and the farad The capacitance of a parallel plate capacitor Dielectrics The uniform field between the plates and E = V/d Energy stored in a capacitor Capacitors in series and in parallel Charging and discharging through a resistor

Solids Under Stress

Topic overview Hooke's law and the spring constant Stress, strain and the Young modulus Work done in deforming a solid Crystalline, amorphous and polymeric solids Metals under stress: dislocations and ductile fracture Brittle solids and rubber under stress

Electrostatic and Gravitational Fields of Force

Topic overview Electric field strength and Coulomb's law Gravitational field strength and Newton's law of gravitation Field lines and equipotential surfaces Electric potential and potential energy Gravitational potential and potential energy Resultant fields and potentials from several sources Comparing electric and gravitational fields

Using Radiation to Investigate Stars

Topic overview Stellar spectra and the origin of absorption lines Black bodies and the black body spectrum Wien's displacement law and stellar temperature Stefan's law, luminosity and stellar radius The inverse square law, stellar distance and multiwavelength astronomy

Orbits and the Wider Universe

Topic overview Kepler's laws of planetary motion Newton's law of gravitation applied to planets and satellites Deriving Kepler's third law for a circular orbit Using orbital data to find the mass of the central object Galactic rotation curves and dark matter The centre of mass of a two-body system The Doppler shift of spectral lines and radial velocity Masses in a double system from radial velocity data Hubble's law, the age of the universe and its fate

The Nature of Waves

Topic overview Progressive waves and energy transfer Transverse and longitudinal waves Polarisation Phase and antiphase Wave quantities and the wave equation Wave graphs and wavefronts

Wave Properties

Topic overview Diffraction at slits and obstacles Wavelength, slit width and the spread of the beam The principle of superposition Coherence and the conditions for interference Path difference and the interference conditions Young's double slit experiment The historical importance of Young's experiment The diffraction grating Comparing the grating with the double slit Stationary waves

Refraction of Light

Topic overview Refractive index and the speed of light Snell's law Snell's law and the wave model Total internal reflection and the critical angle Multimode optical fibres Multimode dispersion and monomode fibres

Photons

Topic overview Photons and the quantum of light Demonstrating the photoelectric effect The vacuum photocell and stopping potential Einstein's equation and the energy graph The electromagnetic spectrum and photon energies Line emission and line absorption spectra Atomic energy levels Ionisation energy from an energy level diagram Electron diffraction and the de Broglie relationship

Lasers

Topic overview Stimulated emission and coherence Population inversion Two, three and four level systems Pumping and the structure of a laser The semiconductor laser and its uses

Nuclear Decay

Topic overview Spontaneous decay and the nature of α, β and γ radiation Nuclear transformation equations and nuclide notation Distinguishing α, β and γ by ionisation, penetration and range Background radiation and gamma intensity with distance Activity, the becquerel and the decay constant The exponential decay law and half-life

Particles and Nuclear Structure

Topic overview The Rutherford alpha particle scattering experiment Coulomb repulsion in the plum pudding and Rutherford models Quarks and leptons: the first generation Antiparticles, annihilation and their symbols Hadrons: baryons, antibaryons and mesons Quark composition of the proton, neutron and pions The four fundamental interactions Conservation laws in particle reactions

Nuclear Energy

Topic overview Mass–energy equivalence and E = Δmc² Mass defect, binding energy and the unified atomic mass unit Calculating binding energy per nucleon The binding energy per nucleon curve Fission, fusion and the nuclear power debate

Magnetic Fields

Topic overview The motor effect and Fleming's left-hand rule F = BIl sinθ and measuring magnetic flux density The force on a moving charge, F = Bqv sinθ The Hall effect and the Hall probe Magnetic fields due to a straight wire and a solenoid Forces between current-carrying conductors Charged particle beams and accelerators

Electromagnetic Induction

Topic overview Magnetic flux, flux linkage and the weber Faraday's law and Lenz's law Applying the laws: emf from rate of change of flux linkage Emf induced in a linear conductor moving through a field The rotating coil and the a.c. generator

Option A: Alternating CurrentsOption A

Topic overview Electromagnetic induction in a rotating coil Frequency, period, peak and rms values Mean power dissipated in a resistor Using an oscilloscope to measure voltage and frequency Inductors in a.c. circuits and inductive reactance Capacitors in a.c. circuits and capacitive reactance Phasors, phase angle and impedance Resonance in the series RCL circuit and the Q factor

Option B: Medical PhysicsOption B

Topic overview The nature and properties of X-rays X-ray production and controlling the beam Attenuation of X-rays and half-value thickness X-ray imaging, fluoroscopy and radiography Computed tomography scanning Ultrasound generation and acoustic impedance Ultrasound scanning and the Doppler technique Magnetic resonance and MRI Radiation effects on living matter and dosimetry Radionuclide tracers, the gamma camera and PET

Option C: The Physics of SportsOption C

Topic overview Centre of gravity, stability and toppling Moments in muscle systems and other sporting contexts Impulse and Newton's second law in sport The coefficient of restitution Moment of inertia Angular acceleration, torque and angular momentum Conservation of angular momentum and rotational energy Projectiles, Bernoulli's equation and drag

Option D: Energy and the EnvironmentOption D

Topic overview Thermal equilibrium and the Earth's energy balance Wien's law, the Stefan-Boltzmann law and solar radiation Melting ice, density and rising sea levels Photovoltaic cells and wind power Water power, pumped storage, fission and fusion Fuel cells, thermal conduction and insulation

Mathematical Requirements (Appendix C)

Topic overview Units, prefixes and standard form Significant figures and arithmetic means Uncertainty and how uncertainties combine Ratios, proportionality and order of magnitude estimates Rearranging and solving physics equations Logarithms, exponentials and decay Resolving vectors, Pythagoras and trigonometry Radians, small angles, areas and volumes Straight-line graphs, gradients and intercepts Tangents, areas under curves and logarithmic plots

How Science Works

Topic overview Hypotheses, predictions and scientific questions Evidence, experimental method and evaluating data Models and theories, and their limits Correlation and causation Peer review, the scientific community, ethics and society

Option B: Medical Physics

X-ray imaging, fluoroscopy and radiography

3 things to know
Component 3

Overview

Purpose of an intensifying screen in film radiography and two types of digital image receptor used in radiography.

What you need to know

Answer each one before you reveal it.

Your recallNot started

Key term

Why are low energy X-rays used for diagnosis rather than high energy ones?

Key term

Why is a contrast medium given to a patient before some X-ray examinations?

Key term

Name two contrast media used in X-ray imaging and state where each is used.

Questions from this subtopic

Each one with the model answer underneath.

1
Why are low energy X-rays used for diagnosis rather than high energy ones?
Model answer
Lower energy photons are absorbed differently by bone and soft tissue, which produces the contrast an image needs. High energy photons pass through almost everything equally and would give a uniformly grey image.
2
Why are high energy X-rays used in radiotherapy?
Model answer
High energy photons penetrate deeply, so they can deliver a dose to a tumour well below the skin surface. They also deposit relatively less energy in the overlying skin.
3
How is the dose to healthy tissue kept low when a deep tumour is treated with X-rays?
Model answer
The beam is rotated about the patient so that it always passes through the tumour but enters through a different path each time. The tumour therefore receives the full dose while each region of surrounding tissue receives only a fraction of it.
4
Why is a contrast medium given to a patient before some X-ray examinations?
Model answer
Soft tissues and body fluids have similar attenuation coefficients, so they show almost no contrast on a plain image. A substance of high atomic number placed in the organ absorbs strongly and makes its outline visible.
5
Name two contrast media used in X-ray imaging and state where each is used.
Model answer
Barium sulfate is swallowed or given as an enema to outline the digestive tract. An iodine-based compound is injected into the bloodstream to show blood vessels and the kidneys.
6
What is fluoroscopy?
Model answer
Fluoroscopy is the production of a continuous, real time X-ray image on a screen using a low intensity beam. It allows a clinician to watch movement, such as a swallow or a catheter being guided.

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X-ray imaging, fluoroscopy and radiography

Overview

What you need to know

Why are low energy X-rays used for diagnosis rather than high energy ones?

Why is a contrast medium given to a patient before some X-ray examinations?

Name two contrast media used in X-ray imaging and state where each is used.

Questions from this subtopic

Why are low energy X-rays used for diagnosis rather than high energy ones?

Why are high energy X-rays used in radiotherapy?

How is the dose to healthy tissue kept low when a deep tumour is treated with X-rays?

Why is a contrast medium given to a patient before some X-ray examinations?

Name two contrast media used in X-ray imaging and state where each is used.

What is fluoroscopy?

Other ways to work this

What is inside Levo

The 3-step method, run for you

Cram a whole paper in one sitting

Blank Blitz makes facts automatic

Build It gets the exam shape right

Test It catches misconceptions

Brain Breaks between sessions

Every question in Option B: Medical Physics, on a schedule.