Digital radiography of the skeleton using a large-area detector based on amorphous silicon technology: Image quality and potential for dose reduction in comparison with screen-film radiography

Voelk, Markus and Strotzer, M. and Holzknecht, N. and Manke, C. and Lenhart, M. and Gmeinwieser, J. and Link, J. and Reiser, M. and Feuerbach, S. (2000) Digital radiography of the skeleton using a large-area detector based on amorphous silicon technology: Image quality and potential for dose reduction in comparison with screen-film radiography. CLINICAL RADIOLOGY, 55 (8). pp. 615-621. ISSN 0009-9260

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Abstract

AIM: The purpose of this study was to evaluate a large-area, flat-panel X-ray detector (FD), based on caesium-iodide (CsI) and amorphous silicon (a-Si) with respect to skeletal radiography, Conventional images were compared with digital radiographs using identical and reduced radiation doses. MATERIALS AND METHODS: Thirty consecutive patients were studied prospectively using conventional screen-film radiography (SFR; detector dose 2.51 mu Gy). Digital images were taken from the same patients with detector doses of 2,5, 1.25 and 0.625 mu Gy, respectively. The active-matrix detector had a panel size of 43 x 43 cm, a matrix of 3 x 3K, and a pixel size of 143 mu m, All hard copies were presented in a random order to eight independent observers, who rated image quality according to subjective quality criteria. Results were assessed for significance using the Student's t-test (confidence level 95%). RESULTS: A statistically significant preference for digital over conventional images was revealed for all quality criteria, except for over-exposure (detector dose 2.5 mu Gy) Digital images with a 50% dose showed a small, statistically not significant, inferiority compared with SFR, The FD-technique was significantly inferior to SFR at 75% dose reduction regarding bone cortex and trabecula, contrast and overall impression. No statistically significant differences were found with regard to over- and under-exposure and soft tissue presentation, CONCLUSION: Amorphous silicon-based digital radiography yields good image quality, The potential for dose reduction depends on the clinical query. (C) 2000 The Royal College of Radiologists.

Item Type: Article
Uncontrolled Keywords: X-RAY-DETECTOR; SPATIAL-RESOLUTION REQUIREMENTS; FLAT-PANEL; COMPUTED RADIOGRAPHY; CHEST; PERFORMANCE; FRACTURES; skeleton; radiography; comparative studies; digital; amorphous silicon; dose reduction
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 29 Mar 2022 06:23
Last Modified: 29 Mar 2022 06:23
URI: https://pred.uni-regensburg.de/id/eprint/42281

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