Theoretical Investigation of Photon Interaction and X-Ray Imaging Performance of PEEK-Based Composites for Medical Implants

Polyetheretherketone (PEEK) is a high-performance, biocompatible polymer with remarkable mechanical properties, making it a promising candidate for medical implants. However, its intrinsic radiolucency poses a challenge for post-operative imaging. This study investigates the photon shielding capabilities and X-ray imaging qualities of pure PEEK and its composites with barium sulfate (BaSO₄), tantalum (Ta), bismuth oxide (Bi₂O₃), and hydroxyapatite (HA). The Monte Carlo-based Geant4 toolkit and the EpiXS application were used to evaluate key photon interaction parameters, including mass attenuation coefficients, effective atomic number (Z_eff), and effective electron density (N_eff), as well as the imaging performance metrics such as energy deposition and signal-to-noise ratio (SNR). Results indicate that high atomic number composites significantly enhance PEEK's photon attenuation and imaging contrast. PEEK-Bi₂O₃ exhibited the highest attenuation coefficients and energy deposition, making it the most effective X-ray shielding material. PEEK-Ta provided a balanced performance with enhanced shielding and lower secondary radiation effects, making it suitable for applications requiring both radiopacity and imaging stability. PEEK-BaSO₄ moderately improved attenuation while maintaining a lower density, offering a trade-off between radiopacity and mechanical properties. Conversely, PEEK-HA demonstrated minimal enhancement in photon attenuation, limiting its effectiveness for radiographic applications. The findings suggest that incorporating high atomic number elements into PEEK significantly enhances its suitability for radiopaque medical implants, allowing for improved post-operative monitoring.