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Impact of increasing energy on interactions

The nature of the x-ray image obtained is related to the type of

interaction which occurs.

At X-ray energies in the kilovoltage (kV) range the interaction is

predominately via the

photoelectric effect.

As the X-ray energy

increases to megavoltage (MV) levels the most likely interaction is via

the

Compton interaction.

Results in poorer soft tissue contrast with MV imaging

0.00

0.20

0.40

0.60

0.80

1.00

Compton

1 MeV

10MeV

100keV

10keV

1keV

Photoelectric

Compton