The x-ray spectrum is defined as the energy distribution of the radiat
ion produced in an x-ray exposure. The x-ray spectrum has a major impa
ct on image quality and radiation dose delivered to patients. The auth
ors explored the effects of three key factors on x-ray spectra: genera
tor type, peak tube potential, and filtration. Different generator typ
es are characterized by the amount of ripple in the kilovoltage wavefo
rm. Those with high (100%) ripple such as single-phase units produce l
ess penetrating radiation than units with low (4%) ripple such as thre
e-phase, 12-pulse generators. As peak tube potential increases, the ha
lf-value layer increases nearly linearly; radiation output increases b
y approximately the square of the tube potential. Filtration materials
with atomic numbers less than 42, such as aluminum, titanium, copper,
and niobium, produce similar spectra, with only slight variations in
efficiency. Although aluminum has the lowest efficiency, this may be c
ompensated for by increasing milliampere seconds. Filtration in additi
on to the inherent filtration provided by the tube reduces both skin s
urface dose and average depth-dose, with the optimal amount being appr
oximately 2-3 mm or less of aluminum-equivalent material.