The “cathodal rays” which pass from the cathode to the anticathode consist of infinitesimal particles traveling at a high rate of speed; when the progress of these minute bodies is arrested, X-rays are produced. The green fluorescence on the sides of the tube opposite the anticathode, though not caused by the X-rays, demonstrate their presence.
What the X-rays Are.—The X-rays are ethereal vibrations traveling with much the same velocity as light. They travel in a straight line in all directions from the point of origin, and are almost incapable of reflection or refraction.
X-rays are invisible to the eye, but have the property of rendering fluorescent certain substances—for example, calcium tungstate and barium platino-cyanide. When a screen coated with these substances is placed near the X-ray tube in a darkened room, the tungstate or barium surface emits a fairly bright fluorescence. If an object such as the hand or a lead pencil is placed between the screen and the tube, the denser parts (the bones or the graphite) appear as black shadows in a gray background.
X-rays penetrate all substances to a greater or less degree, although heavy metals, such as lead and mercury, are, for photographic or visual purposes, practically opaque to the rays.
The greater part of X-ray examination is conducted by photographic methods, as the image given by the rays on a dry plate or film show far more detail than can be seen by visual examination with the fluorescent screen.
Apparatus.—The apparatus required consists of a suitable source of electrical energy, such as a battery or dynamo, etc., and a powerful induction or a large electrostatic influence machine, combined of course in either case with [922] an X-ray tube and special X-ray photographic plates. Ordinary photographic plates can be used, but do not give such brilliant results. If we wish to take a radiograph of the hand, we must first of all use a plate slightly larger than the hand, and enclose it in an opaque envelope. Two such are usually employed, one red and the other black. This is placed on the table or stand, film side uppermost, and the hand is placed upon it, and a short distance above the hand is located the X-ray tube. Since what we really take is a shadowgraph picture, to give a good sharp outline, the hand should be placed as flat as possible on the plate, and the tube some six to eight inches from it.
With some of the most powerful apparatus now in use, even the human trunk can be radiographed in a single flash, which is an improvement on the exposure necessary in the early days of its use, when ten, twenty, or even forty minutes’ exposure was no uncommon practice.
The Fluorescent Screen.—When the X-rays impinge on certain substances they cause them to light up or “fluoresce” under their action. The number of bodies or chemicals which do so is very large, but for practical purposes only one or two are of any use. The best, and the one always employed, is a chemical known as barium platino-cyanide. The screen-holder consists of a box, preferably of pyramidal form, with a flattened apex or top. Inserted in this apex are two tubes, like opera-glass tubes but without lenses; through these we can look into the box in such a manner as to prevent any outside light from entering. The bottom of the box consists of the screen proper, a piece of cardboard or other suitable substance, one side (the inner) of which is coated with the substance mentioned above, because the light rays given off by the barium platino-cyanide under the action of the X-rays cannot of course penetrate an object opaque to light. The box should be absolutely light-tight except for the eye-tubes.
If such a screen be held in the neighborhood of an X-ray tube, opposite the most brilliantly phosphorescing half of the tube, it will be found to be lighted up under the action of the X-rays. If now we place between the tube and the screen an object such as the hand, putting it in as close proximity to the tube as possible, we obtain a shadowgram on the screen, varying in intensity according to the relative transparency of the different parts of the hand to the X-rays. Since the bones are far less transparent than the flesh, they cast a much denser shadow and are very distinct. On such a screen it is possible to see the beats of the heart, the rising and falling of the diaphragm, etc.
X-rays at Work.—In medical X-ray work, the patient is placed upon a couch consisting of a wooden frame covered with canvas. A box containing the tube moves on wheels and rails beneath the couch; it is lined with metal to shield the operator from the X-rays. The time of exposure depends upon the strength of current used, the power of the coil, and the condition of the tube. A “hard” tube—that is, a tube with an extremely high vacuum—requires less exposure than a “soft” or low-vacuum tube.