Background of the Invention
[0001] This is a continuation-in-part application of copending patent application Serial
Number 239,313, filed March 2, 1981, entitled ELECTRONIC X-RAY RECORDING.
[0002] This invention relates to electronic means for recording x-ray shadowgrams. A shadowgram
is, defined as a. two-dimensional spatial picture of the shadow, i.e., the absorption
of x-rays by some object placed between an x-ray source and the recording system.
[0003] Since the discovery of x-rays at the end of the 19th century, there have only been
two principal methods available for recording x-ray shadowgrams in medical applications.
These two methods are fluoroscopy, in which the x-rays strike selected chemical compounds
causing them to emit visible light, and photography, in which x-rays directly interact
with grains of silver halide in a photographic emulsion rendering them developable.
[0004] For the last 40 years, the principal tool for x-ray generation for medical x-ray
diagnosis has been the hot cathode-tungsten anode x-ray tube. Refinements have been
made, such as rotating anodes, which increase the intensity of the x-ray flux available
and thereby reduce exposure times. However, due to the low sensitivity of photographic
and fluoroscopic materials and their lack of differentiation of response to x-ray
photons of different energies, little work has been done on materially different x-ray
tube sources.
[0005] In contrast to the low sensitivity of photographic and fluoroscopic methods, ionization
detectors are very sensitive at x-ray energy levels. When the energy of an x-ray photon
is the same as the energy required just to eject one of the electrons from an atom
of the gas, then the gas becomes strongly absorbing, i.e., the x-ray photon energy
is equal to an absorption edge energy of the gas. Photons having an energy below the
absorption edge of the gas are absorbed weakly and, therefore, are not detected. Photons
having an energy above the absorption edge of the gas emit secondary photons, as well
as electrons, upon collision with a gas atom. If the incoming x-ray photon is of sufficiently
high energy, the secondary photon may itself be absorbed and cause electron emission,
possibly from a different level. Electrons produced by secondary photons degrade x-ray
images, and specialized techniques must be used to reduce their effect.
[0006] Electronic detectors utilizing gas ionization chambers have been used with x-ray
beams in CAT scanning devices, but these devices are extremely expensive and cannot
be considered as a practical substitute for the ordinary two-dimensional shadowgram.
Ionization chamber detectors based on multi-wire proportional counters have also been
described for gamma ray and nuclear particle detection and have been used in other
applications as x-ray detectors. These latter detectors, however, if used to obtain
x-ray shadowgrams, would require x-ray exposure periods on the order of fractions
of a minute because the electronic read-out time is substantial. Over-exposure of
the patient can be avoided by reducing the intensity of the x-ray flux, but practical
limits on the time a patient may remain free of voluntary and involuntary movement
dictate that the exposure time be only a few seconds at most. Ideally, exposure time
would be significantly less than one second so that heart movement could be frozen.
Brief Description of the Invention
[0007] The present invention provides a method and structure which will permit the formation
of x-ray shadowgram images of a quality comparable to that of photographic or fluoroscopic
techniques while, at the same time, reducing patient exposure to harmful high energy
x-ray radiation. The method is a technique for optimizing the efficiency of position
sensitive ionization detectors. Ionization detector structures which make routine
diagnostic shadowgrams practical by acquiring image information with an exposure of
only fractions of a second are also part of the present invention.
[0008] Ionization detectors employing high electric field gradients, such as those employing
a fine wire positive electrode, have the advantage that an electron released from
a gas atom by an x-ray photon, once in the. vicinity of the wire electrode, is strongly
accelerated. This high energy electron collides with other gas atoms and ionizes them,
thereby creating a shower of electrons and positively charged gas ions. The path of
the electrons ends at the wire, whereas the positive ions return to the negative electrode.
This charge multiplication characteristic makes it much easier to detect single x-ray
photons and thereby offers the potential of providing the same information as that
of conventional photographic or fluoroscopic techniques while maintaining patient
exposure at a much lower level.
[0009] One aspect of the present invention is a method of maximizing the efficiency of the
x-ray ionization detectors by matching the detector absorbing gas and x-ray source
so that the energy level of the x-rays emitted by the source is just .above the absorption
edge of the gas. This keeps patient exposure to a minimum while achieving optimal
detector efficiency. Furthermore, the problem of secondary photon emission causing
false images is minimized, any secondary photons emitted having too low an energy
to be strongly absorbed by the detector gas. This method of matching the detector
gas and the x-ray source, in addition to lowering patient dosage by maximizing the
efficiency of the detector, also permits lower patient exposures by use of lower energy
x-rays for images of the patient's thinner extremities where body absorption of lower
energy radiation is insufficient to seriously reduce the radiation flux reaching the
detector.
[0010] A variation of the inventive method involves providing two or more matched gas/source
combinations so that successive images obtained from x-rays of different energy levels
can be compared to enhance contrast, as for instance, between bone and soft tissue.
It is also possible to differentiate by this means between bone and either dye or
calcium deposits. By employing subtractive techniques on images from two energy levels,
it is possible to produce a deep body image of soft tissue in which the interfering
bone structure can be significantly suppressed, if not eliminated. Of particular utility
would be the production of images of the thorax (heart, lungs and medial stinum) with
minimal obstruction of ribs and vertabrae. This type of image could reduce the need
of multiple x-ray views (i.e., lateral and oblique) when trying to detect soft tissue
abnormalities.
[0011] Several different two-dimensional ionization detectors have also been invented to
solve the problem of slow image read-out which has heretofore prevented practical
application of ionization detectors to production of two-dimensional diagnostic shadowgrams.
A first detector has a multi-wire two-dimensional proportional counter which utilizes
simultaneous read-out and storage of one- dimensional x-ray collision information
from each wire followed by processing of the information from all wires into a two-dimensional
image. This parallel read-out technique substantially decreases the amount of time
necessary to obtain detailed image information. For instance, for an image of 256
x 256 dots, the acquisition time is approximately 0.125 seconds.
[0012] Other detectors are electro-mechanical ionization chamber detectors which create
an ion density distribution, corresponding to the x-ray shadow image, on an insulating
sheet and then electronically read the image after the x-ray exposure has ceased.
[0013] Three embodiments of this latter detector are described which have the image read-out
means located within the detector. The second is a simple variation of the first,
having two insulating sheets and two read-out structures so that contrast information
may be obtained by taking sequential images at different photon energies. In the third
embodiment, the insulating sheet is provided in belt form. The belt is driven past
the read-out structures to simplify mechanization of the read-out operation.
[0014] Some embodiments of the electro-mechanical detector are portable cassettes which
are free of external encumbrances or electrical connections. The read-out means may
be external to and separate from the cassette so that multiple cassettes may be employed
with a single read-out machine. Such a cassette may be exposed in much the same manner
as x-ray film cassettes currently used.
Brief Description of the Drawings
[0015]
Figure 1 is an exploded pictorial view of the functional elements of a two-dimensional
proportional counter type ionization detector typical of the prior art.
Figure 2 is a view taken along line 2-2 of Figure 1 depicting an x-ray/gas atom collision
event within the detector.
Figure 3 is a view taken along line 3-3 of Figure 1, also depicting an x-ray/gas atom
collision event.
Figure 4 is an exploded pictorial view of the multi-wire proportional counter detector
of the present invention.
Figure 5 is a view taken along line 5-5 of Figure 4 depicting an x-ray/atom collision
event within the inventive detector.
Figure 6 is a diagram of a fast electronic read-out circuit of the multi-wire proportional
counter detector.
Figure 7 is a pictorial exploded view of the electro-mechanical detector of the present
invention, with parts not shown as described in the specification hereof.
Figure 8 is a pictorial view of the sliding bar read-out device for the electro-mechanical
detector of Figure 7.
Figure 9 is a detail view of the corona discharge element of the read-out bar of Figure
8.
Figure 10 is an alternate embodiment of the electro-mechanical detector of Figure
8.
Figure 11 is a pictorial exploded view of a portable cassette chamber for use with
a separate electro-mechanical read-out device.
Figure 12 is a side plan view of the chamber of Figure 11 with the back removed and
in association with an electro-mechanical read-out device.
Figure 13 is a cut-away top view of another form of the read-out chamber.
Figure 14 is a fragmentary and enlarged view of the belt showing the use of the secondary
grid on the dielectric surface.
Detailed Description of the Invention
Improved Method and Apparatus for Obtaining X-ray Shadowgrams
[0016] In its broadest form, the present invention includes the method of minimizing patient
x-ray exposure when producing a two-dimensional shadowgram image by detecting the
image in an ionization gas chamber detector and matching the x-ray source energy with
the ionization gas absorption edge so that the x-ray energy level is just above an
absorption edge of the ionization gas. An example of such a combination is a Praesodymium
anode and Xenon detector gas. The x-rays produced by the Praesodymium anode have an
energy level just above the k absorption edge of the Xenon gas. Another example of
such a gas/anode combination is Krypton gas with a Yttrium anode x-ray tube. Again,
the Yttrium anode produces fluorescent k x-ray emissions with energies just above
the k x-ray absorption edge of the Krypton detector gas.
[0017] The methods of the present invention need not be limited to matched combinations
of x-ray sources and elemental gases. Molecular gases may also be useful. Neutron
counting using Boron trifluoride is an established technique, as is the use of hydrocarbons,
such as isobutane. However, no such literature exists for gaseous compounds of high
Z materials. Of particular interest would be a gaseous compound of Erbium which would
be the resonant. material for Tungsten fluorescent x-ray emission (Tungsten is the
standard x-ray tube target material). Such a compound must not disassociate too easily
with x-ray radiation and, more importantly, it should not form negative ions which
would trap the initial electron and prevent multiplication (i.e., act as a quenching
gas). Prospective gases can be tested for these characteristics by observation of
their behavior in a proportional counter.
[0018] If two different x-ray sources are provided, successive images at different x-ray
photon energies can be taken and compared electronically, by conventional means, to
enhance image contrast or the degree of calcification, etc. For maximum efficiency,
a second anode source is matched with a different cathode gas or different absorption
edge of the same detector gas. For example, using a Praesodymium anode/Xenon combination
to produce one image and a Yttrium anode/Krypton combination for a second image allows
calcium, for which the ratio of absorption at the two energies is about 1:80, to be
distinguished from carbon, for which the absorption ratio is 1:13. This enables image
subtraction to be used for enhancing or suppressing bone tissue (calcium) relative
to the soft tissue image (carbon).
[0019] This technique can also be used to enhance the identification of the cause of abnormal
density changes in the soft tissue. For example, the aggregation of calcium in cancerous
cell colonies will enable their direct differentiation from similar density benign
cell tumors. It has been reported that the nuclei of breast cancer cells have such
a high calcium concentration. It may be possible, therefore, to identify aggregates
of breast cancer cells which are not visible by conventional mammography or palpation.
[0020] Although detection efficiency increases with increased concentration of gas atoms,
it is not necessary to change detector gases between exposures when employing the
method of comparing images obtained from different energy levels. If one is willing
to operate the detector at higher pressure or to sacrifice some detector efficiency,
mixtures of ionizing gases may be used. Alternatively, two absorption edges of a single
gas, e.g. the k and 1 edges of Xenon, may be used in some applications.
[0021] When using mixed gases, the respective concentrations can be adjustd so that their
absorption is approximately equal at the two x-ray energies of the target gases. In
the case of Xenon and Krypton, the Krypton concentration need only be about 10% of
the total gas concentration.
[0022] To change x-ray sources, it is contemplated that a x-ray tube would be provided with
a turret target having a mechanical rotation device to facilitate rapid charging of
x-ray sources. Other means for changing energies may also be employed including demountable
tubes or a plurality of different x-ray tubes which may be successively directed at
the subject.
[0023] It is most preferred that the method of the present invention be employed with one
of the ionization detectors described hereinafter. In different ways, each of these
detectors permits an electronic image to be obtained while exposing the patient to
the x-ray source for a minimal length of time.
Multi-Wire Proportional Counter with Ultrafast Electronic Read-out
[0024] Two-dimensional x-ray detectors of the proportional counter type have, in the past,
used either a continuous position sensing element (for example, a long wire) or a
two-dimensional matrix. Such counters are economical to realize, but have the basic
defect that only one measurement can be made within the counter resolving time over
the whole area of the counter. This restriction makes its application to medical radiography
impractical as the needed exposure times to produce an x-ray image are. unreasonably
long.
[0025] A prior art two-dimensional type matrix type counter is shown in Figure 1. An ionization
chamber is constructed using a frame of insulating material 10 across which is strung
a set of closely spaced fine wires 12. This chamber is closed and made gas tight by
two plates 14 and 16 made of insulating material and carrying on their inner side
a closely spaced array of conducting strips 18. One of these plates, 16, is made thin
in order to permit x-rays (originating from a source shown generally as box 17) to
enter the chamber. In operation, this counter is filled with gas, usually at high
pressure, and a positive potential applied to wires 12.
[0026] Incoming x-rays cause a sequence of events to occur, as is shown in Figures 2 and
3. Incoming x-ray g interacts at point x with an atom of the counter gas filling,
releasing a free electron e and possibly a further photon h of reduced energy. The
free electron is attracted to the nearest wire 12a by the positive potential applied
and on its way, in the vicinity of the wire, creates a shower of further electrons
e' by collision ionization processes. The electrical outcome of this process is a
pulse of current on wire 12a and on the metal strip 18 opposite the location of the
event. These two pulses provide the electronic information of the X, Y location of
the x-ray event, and can then be processed by standard digital electronics.
[0027] Figure 4 shows the inventive multi-wire detector used to record x-ray information
in this application. As before, in an insulating frame 20 a set of fine (25 micron)
conductors 22 are strung at 1 mm intervals. These spacings are illustrated and not
fundamental to the design. In this case, however, the "wire" is made of a highly resistive
material, namely, a carbon film deposited on a quartz core. Electrically completing
the counter are two sheets of aluminized Mylar (a polyester film marketed by DuPont)
24, 26 which are assembled with their conducting sides toward the wires and mechanical
end plates 28 and 30 which render the chamber gas-tight. Plate 28 is made thin to
allow the unrestricted entry of x-rays, while plate 30 is thick to absorb x-rays which
have failed to interact in the counter. Holes 32 admit gas to the counter, in this
case Xenon, at a pressure of 3 atmospheres together with a 1 percent addition of "Freon
13B1."
[0028] The operation of this chamber is identical to that of the prior art in that an incoming
x-ray produces an electron e which flows at a given location to the nearest wire,
being repelled from the Mylar sheets 24, 26 by virtue of a negative potential placed
on them. As before, close to the wire 22a the electron generates a cloud of electrons
e' and ions due to collision ionization. This process is effective instantaneously,
taking 10-11 seconds or less, and results electrically in a charge being placed instantaneously
at a given point on the wires 22a.
[0029] This charge is not, however, able to flow away instantaneously to the wire ends,
as the wire resistance, together with the capacitance between the wire and the aluminized
Mylar plates, forms a distributed RC time constant. The RC product will be proportional
to the distance of the event from each end of the wire. Determination of those time
constants will, therefore, determine one coordinate of the event, the other being
determined by the physical location of the wire.
[0030] It should be noted that, providing independent event processing is available for
each wire, the data acquisition rate is now determined by the time to process N events
simultaneously, where N is the number of wires in the counter (in the first realization
256). Assuming each position on the wire must process an average of 500 events and,
for symmetry, the wire is divided into 256 distinct cells, then the acquisition time
is 500 x 256 x p, where p is the event processing time. In this realization, p is
in. the order of one microsecond, making the acquisition time for an x-ray image approximately
0.125 seconds.
[0031] The electronics affecting the acquisition of position information is shown in Figure
6. Two high speed operational amplifiers operating in inverting mode (A A ) present
to the wire W virtual grounds at their inputs. As charge flows from wire W into A
and A , a potential pulse is developed at their outputs proportional to the magnitude
of the incoming charge flow, the proportionality constant being determined by R ,
R . This signal is transferred directly and delayed by delay lines D
1 D
2 to the inputs of differential comparators A A . When the potential from the amplifiers
A
1 A
2 is increasing, the direct signal to the comparator will be larger (more positive)
than the delayed signal. When the majority of the charge has been collected, the amplifier
signal will decrease, and the delayed signal will be larger than the direct signal.
The comparator will thus become true for the time taken for the amplifier signal to
reach its peak value and start to decline again, thus measuring the "rise time" of
the signal at each end of the wire.
[0032] These signals are converted to digital information by an 8-bit counter C , C which
is clocked by an 1 2 external 325 MHz signal. When comparator A has gone true and
returned to false, D type flip flop F
1 will be set. The NAND gate G
1 will, therefore, be satisfied, its enable will be low and the counter will start
counting. Similarly, when A
4 comparator goes through a false true false cycle, D type flip flop F
2 will set, thus terminating the count. Delay line D
3 is inserted in the signal from A
4 to the flip flop so that the operation of the flip flop is delayed by 128 clock cycles.
This enables the counter to work in the positive integer mode. When flip flop F
2 is set, the AND gate G
2 is satisfied and the signal STORE becomes true. At this point, the counter information
is transferred through level translators T , T , thus 1 2 releasing the analysis for
another event.
[0033] The latched information from T
1 T2 is then
pro- cessed by normal digital techniques (not shown). Associated with each wire is
memory of capacity 256 words of 12 bits. Each STORE request results in a read, add
one, replace (RAO) cycle being executed at the address determined by the latched values
of A through A
7.
[0034] This memory which totals 64 K words is also organized on normal data bus techniques
to be part of the memory space of the associated computer and also to refresh the
memory of the video display. It should be noted that each wire of the counter corresponds
to one line of information of the video display, hence a minimal processing is needed
to initially display the acquired image.
[0035] Components which may be used in the circuitry of Figure 6 are as follows:
A , A . Fairchild A 715 or equivalent (amplifier)
A , A Motorola MC 1650 or equivalent 3 4 (comparator)
D , D Bel Fuse 100 100 or equivalent 1 2 (delay line)
C Motorola MC 1654 or equivalent (4-bit 1 binary counter)
C Motorola MC 10136 or equivalent (4-bit 2 binary counter) 7
[0036] As a total of 256 x 256 x 500 = 32 x 10 photons are required to form an image in
the embodiment discussed above, the total photon flux into the counter must be 9 2.56
x 10 photons per second for 100 percent counter efficiency. As the calculated counter
efficiency is 5 percent, 10 the required flux is 5.12 x 10 photons per second. The
x-ray tube intensity requirements are, therefore, minimal.
[0037] A conventional pierce electron gun system using an air cooled anode may be employed.
The preferred anode materials are, however, unique being a pellet of Praeso-. dymium
or Yttrium imbedded in a carbon block. These materials are chosen as they produce
fluorescent k x-rays of energy just above the required k absorption edge energy of
Xenon and Krypton, respectively, the preferred chamber gas fillings. Usual filtering
is employed to minimize the white background radiation.
[0038] As previously described, the multi-wire detector of the present invention may be
used to obtain contrasting images by making successive exposures with different source/detector
gas combinations. To do so, however, will normally require doubling of the initial
memory capability because the second exposure will be most advantageously made before
the data from the initial exposure can be processed into a composite image.
Electro-Mechanical X-Ray Image Chamber
[0039] The ionization chamber used in this embodiment is shown in Figure 7. It consists
of a frame 40 supporting taut closely strung wires 42. Wires 42 are typically 2 mil
gold plated Tungsten strung at 10 mil intervals. On one side of this frame is a sheet
of metal backed insulating material 44 which is typically copper-backed Mylar. Sheet
44 is separated from the wires by a small space, typically .5 inches. The whole assembly
is mounted in a gas-tight container comprising rigid back plate 50, thin window 52
and gas retaining enclosing walls (not shown). The wire frame/insulating sheet assembly
must remain in mechanical alignment without distortion during pressurization of the
chamber and, for this reason, this assembly is not attached rigidly to the container.
[0040] Within the container and resting normally below the wire frame/insulating sheet assembly
is a bar 56 mounted on guides 58 and 60, as shown in Figure 8. Bar 56 may be mechanically
moved along guides 58 and 60 by means of drive cable 62. Although not shown in Figure
7, guides 58 and 60 and drive cable 62 extend upwardly between the wire frame 40 and
plate 44. The thickness of bar 56 is such that it will pass between the wires and
the insulating plate 44.
[0041] The ionization chamber is filled with a suitable gas (typically Xenon) under pressure,
to which may be added a stabilizing agent, such as Freon 13B1 (the combination being
known in the literature as "magic gas"). The choice of front window thickness and
gas pressure is chosen in order to minimize the fraction of x-ray photons absorbed
in the window and to maximize the fraction absorbed in the Xenon gas filling.
[0042] In recording the x-rays, a high positive potential (typically plus 2000 V) is applied
to the wires 42 with respect to the conductive rear surface of plate 44. In this embodiment,
the wires are not insulated from each other and are, therefore, energized together.
When x-ray photons are passed through window 52 into the detector chamber, ions and
electrons are formed as previously described. The electrons are attracted to the wire,
while the positive gas ions (Xenon) are attracted to the plate. As before', in the
vicinity of the wire the high local electric field causes the incoming electrons to
produce more electron ion pairs by collision with the gas atoms. Typically, each arriving
electron generates 1-10,000 further pairs. The positive gas ions are repelled from
the wire to the plate where they come to rest on the surface of the insulating layer
of plate 44. Due to the insulating properties of this layer, these ions are immobilized
at their landing site and, therefore, remain as a density distribution which reflects
the x-ray intensity distribution, i.e., the x-ray image desired.
[0043] The ion density distribution is read out by means of bar 56. On the face of bar 56
is a close packed line of plates 66, each plate being insulated from its neighbors.
Each plate, therefore, interrogates one line element of the insulated sheet 44. In
a typical embodiment, each plate 66 is about 25 mils square and is held by bar 56
about 10 mils. from the insulator surface of plate 44.
[0044] Insulated plates 66 are each connected on the interior side, that is, the side remote
from the insulating surface of sheet 44, to a current to voltage amplifier. Alternatively,
the interior sides of plates 66 form a set of contacts which connect to a group of
current to voltage amplifiers which are guided down the bar. In principle, and in
fact, this operation is similar to the beam and carriage operation of an X-Y recorder.
The output of these amplifiers is transferred by flexible leads to connections passing
through the pressure vessel.
[0045] A drive motor (not shown), associated with drive cable 62, causes the bar to traverse
the insulator surface.
[0046] In order to sense the vertical position of the bar, a displacement transducer (typically
a linear potentiometer) is mounted along side bar guide 60.
[0047] Underneath bar 56 a slit cylindrical tube 70; containing a sharp-edged electrode
74, is mounted. The function of this device is to establish a uniform charge on the
insulating surface of sheet 44 prior to x-ray exposure.
[0048] To read out the x-ray image created by the ion density distribution on insulating
sheet 44, the high potential on wires 42 is removed and bar 56 is traversed at constant
speed over the insulating surface. As the sensing capacitance plates 66 scan the surface
of sheet 44, displacement currents flow as the charge shares between the capacitance
formed by the sheet 44 surface to its metallic backing and the capacitance formed
by the sheet 44 surface to the sensing electrode or plates 66. These currents, which
are the differential of the charge pattern of the plate, are converted to potentials
and led out of the chamber.
[0049] In the most luxurious realization of this detector, each pick-up plate 66 has its
own amplifier, and an on-bar multiplexer enables all line images to be read out in
one pass. In a more economical realization, a group of amplifiers is mechanically
switched to a group of pick-up plates, and several passes are made over the insulating
surface. These details, however, merely affect the speed of the read-out.
[0050] When the read-out is finished, a high potential is applied from a constant current
supply to the sharp-edged electrode 74, establishing a steady corona discharge between
it and the surrounding tube 70. This discharge causes a conducting plasma to protrude
from the tube slit 78 and contact the insulating surface of sheet 44. If this discharge
is now traversed over the insulating layer of sheet 44 by moving bar 66, ions or electrons
will land on it preferentially until the insulator surface is at plasma potential.
In this manner, a uniform nearly zero charge is deposited on the insulator before
commencing the next x-ray exposure.
[0051] In practice, the insulating sheet 44 may not be discharged evenly, and the gains
and offsets of the amplifiers for the individual plates 66 may not be matched. This
is overcome by reading first a discharged surface and then a surface after a uniform
x-ray exposure. The value so obtained need not be retained by the associated computer
and memory, but can be written out onto mass storage for later use as normalizing
parameters. In this matter, systematic noise can be removed by renormalization of
the data after recording.
[0052] The correct "exposure" can be obtained by integrating the displacement current to
the metallic backing of the sheet 44 during the time the x-ray tube is emitting. This
feature can be used to automatically control the x-ray flux to ensure an acceptable
image with a minimal patient dose.
[0053] For a .062 inch Mylar sheet 44, an ion pair multiplication ratio of 10,000 at the
wire will ensure that 500 detected photons will produce a surface potential of 60
volts. At this potential, the uncertainty fluctuation. noise of the photons (about
500 to the 1/2 power) is greater than the electrical current noise of normal 741 series
operational amplifiers when operated at a band width determined as follows. Assuming
an 11 x 16 inch insulating sheet read in a 16-inch direction and with maximum television
resolution, i.e., 512 elements in the 11-inch and 768 in the 16-inch direction, the
reading time will be 512 x 768 x 100 x 10 = 40 seconds, if a normal 8-bit successive
approximation ADC of 100 microseconds conversion time is used and all pick-up plates
are read at one passage. During this time, any individual line is read 768 times,
i.e., at 20 times a second. A band width of 100 Hz is, therefore, adequate to ensure
settling to 2 percent accuracy between the readings. The reading speed limit is probably
in the order of one second, assuming a typical slew rate for the bar of 20 inches
per second. This would involve a 2.5 microsecond conversion rate and a current to
voltage amplifier band width of about 2000 Hz, both of which are easily within the
reach of modest electronics.
[0054] If a contrast image, obtained by comparing two images obtained from x-rays of different
energy levels, is desired, the chamber of this embodiment may be constructed using
two insulating sheet read-out bar assemblies. The second metallic backed insulating
sheet 80 shown in Figure 10 is placed between the chamber window 52' and the wire
frame 40. Likewise, a second read-out beam and guide bar assembly, as shown in Figure
8, is placed between sheet 80 and frame 40'. To expose sheet 44', sheet 44' is grounded,
while sheet 80 is maintained at a potential of the wires 42'. The positive ions formed
in the vicinity of wires 42', when the x-rays enter the chamber, are attracted to
sheet 44' and repelled from sheet 80. To obtain an image on sheet 80, the potential
difference between the metallized surfaces of sheets 44' and 80' is reversed. That
is, the metallic surface of sheet 80 is grounded, whereas the metallic surface of
sheet 44' is maintained at the wire potential.
[0055] This double insulating sheet/read-out bar structure permits recording of two x-ray
images, closely spaced in time, for subsequent processing for contrast information
as previously described.
Portable Cassette Form of Electro-Mechanical X-ray Imaging Chamber
[0056] The portable cassette described in this section is an alternate embodiment of the
electro-mechanical image chamber just described. This embodiment is a transportable
cassette which can replace film x-rays almost completely as the recording device has
no electrical connections or other encumbrances. It may be extended to dental and
industrial applications. The image recording chamber is separate from the image reading
machine, thus permitting a reading machine to be shared over multiple cassettes.
[0057] The basic construction of the cassette is shown in Figure 11. It consists of an enclosed
gas-tight metal box having a 'metal front window 84, a frame 86 comprising side walls
of the chamber, a grid or harp of fine wires 88 carried on the frame and an insulating
rear window 90 transparent to ultraviolet light. The wire grid is insulated from the
box and provided for the connection to the outside. In normal use, a metallic back
cover 92 is secured to the back of the box in order to provide protection for the
rear window and to insure that the box is completely electrically conducting on the
outer surface. The gas in this chamber, however, is retained by the transparent window,
not the back cover. A high quality capacitor 94 (polystyrene or similar dielectric),
shown schematically in Figure 12, is connected between the wire grid and the outer
ground potential surface of the box.
[0058] To operate this chamber, the back cover is attached by any suitable means, and a
high voltage power supply is connected through a high impedance, such as 1 Megohm
resistor 95 to the wire grid, and the high quality. capacitor charged. The high impedance
provides both safety for the operator and prevents large currents from flowing. The
power supply is then disconnected. The cassette is then ready for use. A polystyrene
capacitor has a leakage time of approximately 50 years, so the wire grid will remain
charged to operating potential for an extended period.
[0059] The cassette is exposed in the same manner as a film x-ray cassette, i.e., placed
behind the subject being x-rayed. The electrical function is the same as described
previously, the x-rays producing electrons, multiplication taking place near to the
wires and positively charged ions accumulating on the inside surface of the transparent
insulating sheet 90 where they are immobilized. Because the front window 84 is maintained
at the same potential, i.e., ground potential, as the insulating sheet 90, it is preferred
that the wire grid be as close to window 84 as possible without causing arcing between
the grid and window 84. The potential on the grid typically will be on the order of
2 kilovolts. Moving the wire grid closer to front window 84 than to rear window 90
results in most photon-gas atom collisions occurring behind the wire mesh so that
the positive ions resulting therefrom migrate toward insulating sheet 90, rather than
toward metal front window 84.
[0060] The cassette is read out by removing the back cover 92 and placing the cassette with
the exposed insulating plate over read-out bar equipment similar to that shown in
Figure 8. The read-out equipment contains a movable read-out bar 56' essentially identical
to bar 56 described in Figure 8. However, this equipment does not have the corona
discharge tube 70, shown in Figure 8. Bar 56' traverses in close proximity to the
outer surface of the insulating sheet and reads the displacement currents flowing
to a row of sensors in a manner similar to that described for the electro-mechanical
chamber.
[0061] Once read-out is complete, the high voltage on the wire grid is removed by discharging
the storage capacitor through the high impedance, and ultraviolet light is projected
through the transparent insulating window 90. This light produces photoelectrons which
are attracted to the positively charged ions immobilized by the inner surface of window
90 and continues to neutralize them until the inner surface is uniformly charged slightly
negative, thus preventing further electrons from landing.
[0062] The removable back is then reattached, the wire grid recharged and the cassette is
again ready for use.
[0063] A suitable material for the insulating is quartz, as this is both of high resistivity
and transparent to ultraviolet light. However, materials satisfying both criteria
may also be used. Since the read-out equipment must sense the capacitance differentials
through the thickness of window 90, this window must be maintained at a minimum thickness,
preferably about 10 mils or less.
[0064] The wire harp is preferably supported from the side of the enclosure by polystyrene
insulators, not shown, as it is necessary to minimize leakage.
[0065] At present, the absence of a backing plate in front of insulating sheet 90, i.e.,
inside the chamber, reduces the available signal currents by an estimated factor of
10. Because of this, it may be necessary to introduce a fine mesh secondary or screen
grid 96 immediately in front of the insulating plate. If this grid is introduced,
it should be maintained slightly positive with respect to the insulating sheet, e.g.
about 100 volts, so that the positively charged gas ions will migrate through the
mesh to insulating sheet 90.
[0066] Whereas the schematic representation of capacitor C
1 and resistor R 11 shown in Figure 12 shows these components on the exterior of the
cassette chamber, it is contemplated that, in practice, these elements will be imbedded
in the frame 86 of the cassette. A recessed access port 97 can be used to provide
means for making the. necessary electrical connection to charge and discharge the
capacitor.
[0067] Another access port 98 can be used to flush and fill the chamber with ionizing gas.
[0068] Figure 13 shows a top cut away view of another embodiment of the detector which may
be more easily read out than the detectors shown in Figures 7, 10 and 11. In this
embodiment of the invention, the transparent insulating window is formed into a continuous
belt 90' supported by rollers 98 and 100 at both sides of the window in frame 86.
Belt 90' is on opposite sides of and surrounds the grid or harp of wires 88. The outside
surface of belt 90' is divided into two conductive portions positioned with one on
each side of grid 88 when the belt is positioned to receive an x-ray shadowgram. Rollers
98 and 100 have a conductive rubber surface which discharges any portion of the insulating
surface of belt 90' brought into direct contact therewith.
[0069] The improved embodiment of Figure 13 is particularly suited to take two images in
close time sequence. This feature is important when it is desired to take identical
views of a subject using different intensities to differentiate between bone and dye
or calcium.
[0070] As was the case with the detector embodiment in Figures 11 and 12, the wire grid
88 is insulated from the remainder of the box and may be held at high potential by
being connected to one of the conductive portions of belt 90' with a high quality
capacitor 94 which has been charged through a high impedance resistor 95. The other
conductive portion is connected to the box reference potential to minimize interference
with the ions in the detector. The detector is then exposed by being placed behind
the subject being x-rayed, and the inside dielectric surface of the lower portion
of belt 90' receives the stored charge in accordance with the received radiation intensity
to define an image. A second image can be placed on the outer insulating surface of
the belt by establishing the grid potential with respect to the other conductive backing
and exposing the detector to the x-ray source.
[0071] In this embodiment, the read-out of the image is accomplished by rotating the drums
98 and 100 in a clockwise manner, as viewed in Figure 14, to move the inner surfaces
of the dielectric sheet 90' past the read-out heads 56A" and 56B" which are located
in the vicinity of the roller 98. The read-outs 56A" and 56B" are the equivalent of
the read-outs 56 and 56' in Figures 8 and 12, but differ from them in that they remain
fixed in a stationary manner relative to frame 86 during the entire read-out process,
while the dielectric surfaces of belt 90' are transported past them by rotation of
rollers 98 and 100. As the portion of the insulating surface bearing the deposited
charge come into contact with the conductive surface of the nearest roller, the surface
of the roller returns the dielectric surface to a nearly uncharged zero potential
condition so that further images can be applied to the film as soon as it is read
out.
[0072] It can be seen that both the top and bottom inner surfaces of the dielectric belt
90' can be exposed at about the same time by selectively energizing the appropriate
back conductor of the dielectric as desired before the read-out is accomplished. The
two inner surfaces of the belt are read out simultaneously by the detector arrays
56A" and 56B" which are mounted on frame 86 in proximity with the inner face of belt
90'. The two images are read and the belt is erased by drums 98 and 100 in a coordinated
one-step operation as the information is stored in the storage means for further processing
or use.
[0073] Instead of utilizing the secondary grid 96 mounted separately on frame 86 in front
of the dielectric sheet 90, the improved embodiment of Figure 13 utilizes a secondary
grid 96' which is deposited directly on the inner dielectric surface of belt 90'.
Figure 15 shows, in amplified detail, the surface of a portion of belt 90' with the
conductive elements 96 of the secondary grid directly deposited on the inner surface
of belt 90' on the opposite side of the belt from the conductive back portion 91.
In operation, the potential between the conductive grid 88 and the conductive back
plate 91 of belt 90' is approximately 2000 volts with a potential maintained between
the secondary grid and the back plate of approximately 100 volts. The secondary grid
96 produces a potential distribution indicated by dotted lines 101 in Figure 14, thus
preventing a charge build-up on the dielectric layer from repelling incoming charged
particles and deflecting them off their ballistic path. A charged particle is shown
on its trajectory 97 in Figure 14. A deflection due to charge build-up would result
in an undesirable defocussing of the image. The secondary grid also acts to provide
a drain for excess charge build-up on the dielectric surface in the event of high
intensity flow of charged particles. Excessive charge build-up can cause blooming
of the x-ray image and a resultant loss of detail.
[0074] The net effect of applying the secondary grid 96 to the surface of the dielectric
medium is to linearize the exposure versus charge relationship until the surface potential
is equal to the voltage maintained on the secondary grid, at which point the charge
versus exposure characteristic becomes flattened with virtually no further increase
in the charge deposited on the dielectric after this threshold is reached. This prevents
the common and undesirable blooming effects in prior art x-ray devices where high
intensity radiation passing around a small object being x-rayed, for example, "blooms"
and obliterates all detail in the perimeter of the object being illuminated. In prior
art systems, it was necessary to use water bags and other techniques to reduce the
difference in transmissibility to x-ray radiation between the object being illuminated
and the background. The improved linearity and sharp cut-off of the exposure characteristics
avoids the need of taking precautions to avoid large density differences between the
object to be x-rayed and the background.
1. An apparatus for producing diagnostic x-ray shadowgrams comprising an x-ray source
and a gas ionization detector having a gas filling ionizable by x-ray photons, the
first absorption edge of said detector gas and the energy level x-ray source being
matched so that the x-ray source produces photons of an energy just above an absorption
edge of the gas.
2. An apparatus as in claim 1 wherein the x-ray source is a Praesodymium anode and
the detector gas is Xenon.
3. An apparatus as in claim 1 wherein the x-ray source is a Yttrium anode and the
detector gas is Krypton.
4. An apparatus as in claim 1 having a plurality of x-ray sources having energies
matching a plurality of detector gas absorption edges.
5. An apparatus as in claim 4 wherein the detector contains a mixture of ionizable
gases having different absorption edges.
6. An apparatus as in claim 4 wherein the x-ray sources are matched to different absorption
edges of the same ionizing gas.
7. An apparatus as in claim 4 wherein a plurality of x-ray sources are mounted on
a rotatable turret for simplifying changing from one x-ray source to another.
8. An apparatus as in claim 1 wherein the detector comprises:
a gas-tight container having an x-ray penetratable window therein;
a wire harp within the container comprising a frame defining an opening aligned in
generally parallel planar relationship with the window and a plurality of closely
spaced substantially parallel fine wires carried by the frame within the frame opening;
a generally planar sheet of insulating material aligned in substantially parallel
planar relationship with the harp, said sheet having a first insulating surface within
the container facing the harp and an opposing second surface; and
means for applying a positive electrical potential to the wires relative to the second
surface of the insulating sheet.
9. An ionization chamber as in claim 8 wherein said means for applying a positive
potential includes:
a generally planar conductive sheet positioned adjacent to and aligned with the second
surface of said sheet of insulating material; and
a source of electrical potential connected to establish a positive potential between
the wires of said harp and said conductive sheet.
10. The ionization chamber as in claim 9 wherein said conductive sheet is a metallic
backing on said sheet of insulating material.
11. The ionization chamber as in claim 10, also including secondary grid means maintained
at a positive potential relative to said second surface which is substantially lower
than the positive potential of said wire harp relative to said second surface of said
sheet of insulating material, said secondary grid positioned in close proximity to
said first insulating surface for producing a potential distribution on said first
insulating surface thereby preventing charge build-up on said first insulating surface.
12. The ionization chamber as in claim 11 wherein said secondary grid means is comprised
of a plurality of conductive strips bonded to said first insulating surface.
13. The ionization chamber as in claim 12 wherein said secondary grid means is maintained
approximately 100 volts above the potential of said second surface while said wire
harp is maintained at a potential of approximately 2000 volts above said second surface.
14. An apparatus as in claim 1 wherein the detector comprises:
a sealable container having an x-ray penetratable window therein;
means for introducing an ionization gas into the container;
an insulating frame mounted in said container defining an opening in parallel planar
alignment with the window;
a pair of electrically conductive plates aligned parallel to said frame, said plates
disposed on opposite sides of said frame in said chamber;
a plurality of substantially parallel closely spaced highly resistant wires carried
in said frame;
means for applying a negative potential to said plates relative to said wire; and
electronic read-out means connected to each of said wires for determining the location
of a gas atom ionizing event along said wire, said read-out means including means
for integrating the gas ionizing event information from each said wire to provide
two-dimensional x-ray shadow information.
15. An apparatus as in claim 1 wherein said gas ionization detector comprises:
a sealable container having an x-ray penetratable window therein, the sealable container
having mounted therein:
a frame defining an opening aligned with the window;
a plurality of closely spaced, substantially parallel fine wires carried by the frame
within the frame opening;
first and second insulating sheets disposed on opposite sides of said frame; each
having one side thereof backed with an electrically conductive material, said insulating
sheets aligned with said frame so that the insulating sides thereof face said frame
and the planes defined by the sheets are generally parallel to the planes defined
by the frame and the window;
means for sequentially applying a positive electrical potential to the wires relative
to the conductive back of said first or said second sheet;
further means for sequentially applying electrical potential to the conductive surfaces
of said second and said first insulating sheets to maintain one said sheet at a relatively
negative potential with respect to the wires when the other sheet is at a positive
potential;
means for sensing the potential distribution created on said first insulating sheet
by ions immobilized on said sheet when the container is filled with ionizing gas,
a positive potential is applied to the wires and to said second sheet, a relatively
negative potential is applied to the conductive layer of said first insulating sheet,
and x-ray photons entering the container are absorbed by atoms of said gas; and
means for establishing a uniform potential across said first insulating sheet after
sensing the charge thereon.
16. An apparatus as in claim 15 wherein said capacitance sensing means comprise for
each said insulating sheet:
a pair of guide members extending between said wire frame and said insulating sheet;
a slidable transverse bar extending between and carried on said guide members;
a plurality of uniformly spaced capacitance sensing plates mounted on said bar facing
the insulating side of said insulating sheet;
drive means for introducing relative motion between the bar and the surface of the
insulating sheet; and
amplifying means operatively connected to said plates for separately sensing the charge
on the first surface of said insulating sheet as relative motion between the bar and
the first surface of said insulating sheet occurs.
17. A gas ionization chamber suitable for detecting x-rays comprising:
a gas-tight container having an x-ray penetratable window therein;
a wire harp within the container comprising a frame defining an opening aligned in
generally parallel planar relationship with the window and a plurality of closely
spaced substantially parallel fine wires carried by the frame within the frame opening;
a generally planar sheet of insulating material aligned in substantially parallel
planar relationship with the harp, said sheet having a first insulating surface within
the container facing the harp and an opposing second surface; and
means for applying a positive electrical potential to the wires relative to the second
surface of the insulating sheet.
18. An ionization chamber as in claim 17 wherein said means for applying a positive
potential includes:
a generally planar conductive sheet positioned adjacent to and aligned with the second
surface of said sheet of insulating material; and
a source of electrical potential connected to establish a positive potential between
the wires of said harp and said conductive sheet.
19. The ionization chamber as in claim 18 wherein said conductive sheet is a metallic
backing on said sheet of insulating material.
20. The ionization chamber as in claim 19, also including secondary grid means maintained
at a positive potential relative to said second surface which is substantially lower
than the positive potential of said wire harp relative to said second surface of said
sheet of insulating material, said secondary grid positioned in close proximity to
said first insulating surface for producing a potential distribution on said first
insulating surface thereby preventing charge build-up on said first insulating surface.
21. The ionization chamber as in claim 20 wherein said secondary grid means is comprised
of a plurality of conductive strips bonded to said first insulating surface.
22. The ionization chamber as in claim 21 wherein said secondary grid means is maintained
approximately 100 volts above the potential of said second surface while said wire
harp is maintained at a potential of approximately 2000 volts above said second surface.
23. An ionization chamber as in claim 18 wherein the insulating sheet comprises a
wall of the container opposite the x-ray penetratable window and the insulating sheet
is made of a material transparent to ultraviolet light.
24. A chamber as in claim 23 wherein the insulating sheet is quartz and is 10 mils
thick or less.
25. A chamber as in claim 18 in association with means for sensing the potential distribution
created on said insulating sheet first surface by ions immobilized on said sheet when
the container is filled with ionizing gas, a positive potential relative to the conductive
sheet is applied to the wires, and x-ray photons entering the container are absorbed
by atoms of said gas.
26. A device as in claim 17 including means for returning the first surface of said
insulating sheet to a substantially uniform potential after sensing the potential
distribution thereon with said means for sensing.
27. A device as in claim 26 wherein said means for returning the first surface of
said insulating film to a uniform potential applies a conductive plasma to the first
surface of said sheet of insulating material.
28. A device as in claim 26 wherein said means for returning the first surface of
said insulating sheet to a uniform potential includes a roller having a conductive
coating thereon and means for introducing relative movement between the conductive
coating of the roller and the first surface of said sheet of insulating material.
29. A device as in claim 26 wherein said means for returning the first surface of
said insulating sheet to a uniform potential includes a source of ultraviolet energy
to apply ultraviolet fluid to the first surface of said sheet of insulating material
through said sheet of insulating material.
30. A device as in claim 25 wherein said potential sensing means comprises:
guide members defining a plane between said wire frame and said insulating sheet;
a slidable transverse bar extending between and carried on said guide members;
a plurality of uniformly spaced capacitance sensing plates mounted on said bar facing
the first surface of said insulating sheet;
drive means for introducing relative motion between the bar and the surface of the
insulating sheet; and
amplifying means operatively connected to said plates for separately sensing the charge
on the first surface of said sheet of insulating material as relative motion between
the bar and the first surface of said insulating sheet occurs.
31. A device as in claim 30 wherein said means for establishing a uniform potential
is fixed relative to said bar.
32. A detector as in claim 25 further comprising:
a second insulating sheet within said container on the opposite side of said wire
harp from said first insulating sheet, said second sheet having a conductive backing
on one side thereof, the other side of said second sheet facing the wire frame;
second capacitance sensing means for sensing a potential distribution on said second
insulating sheet;
second means for returning other side of said second insulating sheet to a uniform
potential; and wherein said means for applying an electrical potential to said first
insulating sheet includes means for maintaining said conductive layer of said second
insulating sheet at the potential of the wires when a relatively negative potential
is applied to the conductive layer of said first insulating sheet, and means for applying
a relatively negative potential to the conductive layer of said second insulating
sheet while maintaining the conductive layer of said first insulating sheet at the
potential of the wires.
33. A diagnostic x-ray detector comprising:
a sealable container having an x-ray penetratable window therein;
means for introducing an ionization gas into the container;
an insulating frame mounted in said container, defining an opening in parallel planar
alignment with the window;
a pair of electrically conductive plates aligned parallel to said frame, said plates
disposed on opposite sides of said frame in said container;
a plurality of substantially parallel closely spaced high resistance wires carried
in said frame;
means for applying a negative potential to said plates relative to said wire; and
electronic read-out means operatively connected to each of said wires for determining
the location of gas atom ionizing events occurring along said wires, said read-out
means including means for integrating the gas ionizing event information in parallel
from each said wire and providing thereby two-dimensional x-ray shadow information.
34. A detector as in claim 33 wherein said electronic read-out means includes means
for determining the location ) of the gas ionizing event along a wire by comparing
the time for a charge on the wire resulting from said event to reach the opposite
ends of the wire.
35. A method for forming a two-dimensional diagnostic x-ray shadowgram comprising:
placing the subject between an x-ray source and a gas ionization chamber x-ray detector;
matching the x-ray source and the detector ionization gas so that the x-rays produced
by the source have an energy level just above an absorption edge of the gas;
irradiating the subject with x-rays from the x-ray souce;
detecting the x-ray shadow image in the gas ionization chamber; and
electronically processing the detected image information to produce a visible shadowgram.
36. The method as in claim 35 wherein the ionizing gas is Xenon and the x-ray source
is a Praesodymium anode. ,
37. The method as in claim 35 wherein the ionizing gas is Krypton and the x-ray source
is a Yttrium anode.
38. The method as in claim 35 wherein the ionizing gas is a gaseous Erbium compound
and the x-ray source is a Tungsten anode.
39. A method as in claim 35 further comprising matching a second x-ray source and
a second detector gas absorption edge so that the x-rays produced by the second source
have an energy level just above the second gas absorption edge, irradiating the subject
with x-rays from the second x-ray source, and, detecting the second x-ray shadow image
in the gas ionization chamber; and wherein said image formation processing step includes
comparing the x-ray shadow image information obtained from the successive subject
irradiations so as to produce a visible image contrasting the successive x-ray shadow
images.
40. The method as in claim 39 wherein said first x-ray source is a Praesodymium anode,
said second x-ray source is a Yttrium anode, said first detector gas is Xenon and
said second detector gas is Krypton.
41. A method as in claim 39 wherein said first detector gas absorption edge is the
k edge of Xenon and said second detector gas absorption edge is the 1 edge of Xenon..