Chest radiography with a large-area detector based on cesium-iodide/amorphous-silicon technology - Image quality and dose requirement in comparison with an asymmetric screen-film system

Strotzer, Michael and Voelk, Markus and Reiser, Maximilian and Lenhart, Markus and Manke, Christoph and Gmeinwieser, Josef and Holzknecht, Nicolaus and Link, Johann and Feuerbach, Stefan (2000) Chest radiography with a large-area detector based on cesium-iodide/amorphous-silicon technology - Image quality and dose requirement in comparison with an asymmetric screen-film system. JOURNAL OF THORACIC IMAGING, 15 (3). pp. 157-161. ISSN 0883-5993

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Abstract

The purpose of this study was to evaluate a large-area, flat-panel X-ray detector, which uses cesium-iodide (CsI) and amorphous silicon (a-Si). Conventional images were compared with digital images acquired with equal dose (2.5 mu Gy) and with 50% dose reduction. Fifteen consecutive patients were studied prospectively using an asymmetric screen-film system (detector dose, 2.5 mu Gy). Digital images were taken from the same patients in a posteroanterior view with detector doses of 2.5 and 1.25 mu Gy, respectively. The CsI/a-Si active-matrix imager had a panel-size of 43 x 43 cm, a matrix of 3 x 3k, and a pixel-pitch of 143 mu m. Hard copies were presented in a random order to eight independent observers, who rated image quality according to six subjective quality criteria. Statistical significance of differences was evaluated with Student's t test for paired samples (confidence level, 95%). Digital radiographs with 2.5 and 1.25 mu Gy were superior to conventional images regarding all quality criteria. Statistically significant differences were observed for five of six criteria at a detector dose of 2.5 mu Gy and for only one quality feature at 1.25 mu Gy. mat-panel digital imagers based on CsI/a-Si technique have the potential to replace conventional systems and might allow a reduction of radiation dose by 50% without loss of image quality.

Item Type: Article
Uncontrolled Keywords: DIGITAL RADIOGRAPHY; AMORPHOUS-SILICON; OBSERVER PERFORMANCE; LESIONS; thorax radiography; radiography, comparative studies; radiography, digital; amorphous silicon; dose reduction
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 05 Apr 2022 10:06
Last Modified: 05 Apr 2022 10:06
URI: https://pred.uni-regensburg.de/id/eprint/42362

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