Ionsproduced by a chest X-ray
In a typical chest X-ray about 10 mrem \left(10 \times 10^{-3} \text { rem }\right) of radiation is absorbed by about 5 kg of body tissue. The X-ray photons used in such exams each have energy of about 50,000 eV. Determine about how many ions are produced by this X-ray exam.
Represent mathematically We can estimate first the number of X-ray photons absorbed and then try to use that number to estimate the number of ions formed. We can accomplish this using Eq. (28.14):
Dose or dose equivalent = (Absorbed dose)(RBE)
=\left(\frac{\text { Energy absorbed }}{\text { Mass of absorbing material }}\right)(\mathrm{RBE})
Solve and evaluate The RBE of X-rays is 1. Thus, the dose of X-rays in rem equals the absorbed dose in rad. For an absorbed dose of 10 mrad, we can insert the known values and solve the equation to determine the energy absorbed per kilogram of exposed tissue:
10 \mathrm{mrad}=\left(10 \times 10^{-3} \mathrm{rad}\right)\left(\frac{10^{-2} \mathrm{~J} / \mathrm{kg}}{1 \mathrm{rad}}\right)=10^{-4} \mathrm{~J} / \mathrm{kg}
Because 5 kg of tissue receives this dose, the total absorbed energy is
(5 \mathrm{~kg})\left(10^{-4} \mathrm{~J} / \mathrm{kg}\right)=5 \times 10^{-4} \mathrm{~J}
We can determine the number of X-ray photons by dividing this result by the energy of a single photon:
\frac{5 \times 10^{-4} \mathrm{~J}}{\left(50,000 \frac{\mathrm{eV}}{\text { photon }}\right)\left(\frac{1.6 \times 10^{-19} \mathrm{~J}}{\mathrm{eV}}\right)}=6 \times 10^{10} \text { photons }
or 60 billion photons. Because the energy of each photon is so large compared to the typical ionization energy of atoms and molecules, it’s reasonable to suggest that each photon will produce approximately 100 ions. Therefore, the number of ions is approximately
6 \times 10^{10} \text { photons } \times 100 \text { ions/photon }=6 \times 10^{12} \text { ions }
Try it yourself: What number of ions may be produced by a bilateral mammogram, assuming that each breast has a mass of 0.5 kg, the absorbed dose for both breasts is 0.2 rad, and 50,000-eV X-ray photons are used?
Answer: \approx 3 \times 10^{11} \text { photons or } 3 \times 10^{13} if each photon causes 100 ions.