Radiography Procedures: How Are X-Rays Performed?

Dec 2, 2023 12:00:00 AM / by Chad Hutchison

X-rays, a cornerstone of medical diagnostics for over a century, remain crucial in today's healthcare landscape. This radiographic technique provides vital insights into the body's internal structure, assisting in accurate diagnosis and treatment planning. But how exactly are X-rays performed?

In today’s blog, we'll explore radiography procedures, demystifying what patients can expect and the types of diagnostic assessments it facilitates. Let's go!

What Is an X-Ray?

X-rays are the foundation of a non-invasive medical imaging technique that employs electromagnetic radiation to capture images of the body's internal structures. This technology is rooted in the ability of X-ray radiation to pass through bodily tissues to varying degrees. Bones and dense materials absorb more X-rays, making them appear white on the resultant film, while softer tissues, which absorb less radiation, appear in shades of gray.

In medical and diagnostic settings, X-rays are used extensively to examine various body parts. They’re instrumental in diagnosing fractures, locating foreign objects, and assessing conditions affecting the lungs and chest cavity, among many other applications. The technology has evolved with digital advancements, leading to clearer images, faster processing, and reduced radiation exposure. 

Furthermore, other advancements have also improved the versatility of these techniques, allowing for portable X-ray treatment in rural or emergency settings. X-rays remain a fundamental tool in modern medicine, providing crucial information that aids in accurate diagnosis and effective treatment planning.

The Purpose of X-Ray Examinations

X-ray examinations are utilized for various diagnostic purposes, each tailored to reveal specific aspects of the body's internal structure and function. Here is an overview of various types of X-ray procedures and the conditions they help diagnose:

  • Chest X-ray: Primarily used to examine the lungs, heart, and chest wall. This common X-ray helps diagnose conditions like pneumonia, heart failure, lung cancer, or tuberculosis.
  • Bone X-ray: Essential for detecting bone fractures and joint abnormalities, from orthopedics to podiatry. It's also used to monitor treatment progress for bone diseases and injuries.
  • Abdominal X-ray: Helps identify issues within the abdominal cavity, including obstructions, perforations, or certain tumors.
  • Mammography: A specialized X-ray technique for breast examination. It's crucial in screening for breast cancer and investigating breast lumps or other abnormalities.
  • Dental X-ray: Provides detailed images of the teeth and jawbone, aiding in diagnosing cavities, tooth decay, and impacted teeth.
  • Barium Swallow, Enema, or Upper GI: These X-rays involve swallowing a barium-based contrast material to visualize the gastrointestinal tract, helping diagnose conditions like ulcers, tumors, or polyps.
  • Angiography: Involves injecting a contrast dye into the bloodstream to visualize blood flow in arteries and veins. It's used to identify blockages, aneurysms, and other vascular abnormalities.
  • Arthrogram: A diagnostic tool for joint conditions. It involves injecting contrast dye into a joint, like the shoulder or knee, to provide clear images of the joint structures.
  • Intravenous Pyelogram (IVP): This test examines the kidneys, bladder, and urinary tract with a contrast dye. It's useful for identifying kidney stones, tumors, or abnormalities in the urinary tract.

Each X-ray procedure plays a vital role in modern diagnostics, offering valuable insights that guide effective treatment strategies. With advancements in radiographic technology, including various machine types, these examinations have become more efficient and patient-friendly, enhancing the overall diagnostic process.

X-Ray Examination Procedure: What To Expect

Undergoing an X-ray examination is a standard procedure in medical diagnostics, and understanding the process can help alleviate any concerns. Initially, you may be asked to change into a hospital gown and remove any jewelry or metal objects. The radiologic technologist will then guide you to either lie on an X-ray table or stand in front of an imaging panel. Proper positioning is crucial for acquiring the best possible images. In some cases, you might be instructed to hold your breath briefly during the X-ray to prevent blurring of the images.

Protective gear, like a lead apron, will be provided to shield parts of your body from the X-ray's radiation. The actual process of taking the X-ray is quick and painless, as the technologist operates the machine from behind a protective barrier, and you won't feel anything, as X-rays are invisible and their interaction is painless.

After the images are captured, the technologist may review them to ensure they’re clear for diagnostic use. A radiologist will then analyze the images and report their findings to your doctor, who will discuss the results with you. It's important to remember that X-ray exams are designed to be straightforward and comfortable, with low radiation exposure. However, if you have any concerns or questions, don't hesitate to discuss them with the technologist or your doctor.

What Comes After Your X-Ray Examination?

Once your X-ray examination concludes, the process moves towards analyzing and interpreting the images. The X-ray images, whether captured digitally or on film, are processed and made ready for review. This step is especially swift in digital systems, where images are available almost immediately.

A radiologist specializing in reading and interpreting medical images then examines these X-rays. Their expertise is vital in identifying any anomalies or signs that point to the medical condition in question. After a thorough analysis, the radiologist compiles a detailed report of their findings, which may include observations, possible diagnoses, and recommendations for further testing or specific treatments.

This report is sent to your referring doctor, who will discuss the results during a follow-up appointment. This consultation is essential, clarifying your condition and the possible paths forward. It might involve discussing further diagnostic tests, immediate treatment options, or even lifestyle adjustments based on the findings.

Remember, X-rays are often a part of a broader diagnostic process. Your healthcare provider will consider these results alongside other medical evaluations to determine the best course of action for your health.

What Are the Risks of X-Rays?

X-rays are an invaluable diagnostic tool in modern medicine, but they come with certain risks, primarily due to the ionizing radiation at the core of the technique. Modern X-ray techniques are designed to use the lowest possible dose of radiation, but any level of exposure carries some risk. Repeated or excessive exposure over time can increase the likelihood of developing cancer later in life. This is mainly a concern for medical staff regularly working with X-ray equipment, underscoring the importance of following stringent safety protocols.

Another significant risk is associated with pregnancy. X-rays, especially those targeting the abdominal area, can be potentially harmful to an unborn baby. It’s vital for pregnant women to inform their healthcare provider of their pregnancy before undergoing an X-ray examination. 

Additionally, some X-ray procedures require the use of contrast materials to enhance image clarity. These substances, which are either ingested or injected, can sometimes lead to allergic reactions ranging from mild to severe, though such occurrences are relatively rare. More on this below!

Despite these risks, the benefits of X-rays in diagnosing and treating medical conditions often outweigh the potential hazards. Healthcare providers consider the risks versus the benefits when recommending X-ray examinations, ensuring they’re used appropriately and judiciously for each patient.

Potential Side Effects and Concerns of X-Rays

X-ray examinations, while essential for diagnostic purposes, can have potential side effects and concerns, primarily related to exposure to ionizing radiation. One of the immediate concerns post-examination could be the risk of a mild skin reaction akin to a sunburn, especially in cases of prolonged exposure or higher doses.

In addition, patients who undergo X-ray procedures involving contrast materials might experience side effects related to these substances. These can include nausea, itching, or a feeling of warmth or flushing. In very rare cases, severe allergic reactions to the contrast medium can occur, requiring immediate medical attention.

Long-term exposure to X-ray radiation, particularly in high doses or frequent examinations, raises concerns about the cumulative effect on the body. This exposure has been linked to a slightly increased risk of developing cancer over time. It's important to note, however, that modern X-ray technology and practices are designed to minimize this risk as much as possible, using the lowest radiation dose necessary to achieve clear diagnostic images.

Final Thoughts

X-rays are a vital tool in diagnostics, balancing risk with immense medical benefit. Modern advancements in X-ray technology have significantly reduced these risks, making them safer than ever. 

For healthcare professionals seeking to enhance their diagnostic capabilities, Maven Imaging offers a range of advanced digital X-ray machines. Discover our high-quality, safety-oriented options at Maven Imaging, and equip your practice with the best in radiographic technology.

Tags: Digital X-ray System, x-ray equipment

Chad Hutchison

Written by Chad Hutchison

Founder and CEO of Maven Imaging, Chad Hutchison has been in the medical imaging equipment market since 2003. As his business grew, he pioneered buying and selling medical equipment online and eventually began offering leasing and financing to meet market demands and help customers. His market expertise goes beyond traditional medical imaging and finance support, as he’s spearheading cloud-based lending solutions for vendors across the sector.