Skip to main content
Top
Published in: European Radiology 2/2006

01-02-2006 | Chest

Contrast-detail evaluation and dose assessment of eight digital chest radiography systems in clinical practice

Authors: Wouter J. H. Veldkamp, Lucia J. M. Kroft, Mireille V. Boot, Bart J. A. Mertens, Jacob Geleijns

Published in: European Radiology | Issue 2/2006

Login to get access

Abstract

The purpose of this study was to assess contrast-detail performance and effective dose of eight different digital chest radiography systems. Digital chest radiography systems from different manufacturers were included: one storage phosphor system, one selenium-coated drum system, and six direct readout systems including four thin-film transistor (TFT) systems and two charge-coupled device (CCD) systems. For measuring image quality, a contrast-detail test object was used in combination with a phantom that simulates the primary and scatter transmission through lung fields (LucAl). Six observers judged phantom images of each modality by soft-copy reading in a four-alternative-forced-choice experiment. The entrance dose was also measured, and the effective dose was calculated for an average patient. Contrast-detail curves were constructed from the observer data. The blocked two-way ANOVA test was used for statistical analysis. Significant difference in contrast-detail performance was found between the systems. Best contrast-detail performance was shown by a CCD system with slot-scan technology, and the selenium-coated drum system was compared to the other six systems (p values ≤0.003). Calculated effective dose varied between 0.010 mSv and 0.032 mSv. Significant differences in contrast-detail performance and effective dose levels were found between different digital chest radiography systems in clinical practice.
Literature
1.
go back to reference Kotter E, Langer M (2002) Digital radiography with large-area flat-panel detectors. Eur Radiol 12:2562–2570PubMed Kotter E, Langer M (2002) Digital radiography with large-area flat-panel detectors. Eur Radiol 12:2562–2570PubMed
2.
go back to reference Schaefer-Prokop C, Uffmann M, Eisenhuber E, Prokop M (2003) Digital radiography of the chest: detector techniques and performance parameters. J Thorac Imaging 18:124–137CrossRefPubMed Schaefer-Prokop C, Uffmann M, Eisenhuber E, Prokop M (2003) Digital radiography of the chest: detector techniques and performance parameters. J Thorac Imaging 18:124–137CrossRefPubMed
3.
go back to reference Huda W, Slone R. Review of radiologic physics 1995 Lippincott Wiliams & Wilkins, USA Huda W, Slone R. Review of radiologic physics 1995 Lippincott Wiliams & Wilkins, USA
4.
go back to reference International Commission on Radiation Units and Measurements (1996) Medical imaging—the assessment of image quality. ICRU Report no. 54 Bethesda, Md: International Commission on Radiation Units and Measurements, p. 54 International Commission on Radiation Units and Measurements (1996) Medical imaging—the assessment of image quality. ICRU Report no. 54 Bethesda, Md: International Commission on Radiation Units and Measurements, p. 54
5.
go back to reference Thijssen MA, Thijssen HO, Merx JL, van Woensel MP (1988) Quality analysis of DSA equipment. Neuroradiology 30:561–568CrossRefPubMed Thijssen MA, Thijssen HO, Merx JL, van Woensel MP (1988) Quality analysis of DSA equipment. Neuroradiology 30:561–568CrossRefPubMed
6.
go back to reference Conway BJ, Butler PF, Duff JE et al (1984) Beam quality independent attenuation phantom for estimating patient exposure from x-ray automatic exposure controlled chest examinations. Med Phys 11:827–832CrossRefPubMed Conway BJ, Butler PF, Duff JE et al (1984) Beam quality independent attenuation phantom for estimating patient exposure from x-ray automatic exposure controlled chest examinations. Med Phys 11:827–832CrossRefPubMed
7.
go back to reference AAPM Report No. 73, American Association of Physicists in Medicine, Quality Control in Diagnostic Radiology (2002) Diagnostic X-ray Imaging Committee Task Group No. 12, July 2002 AAPM Report No. 73, American Association of Physicists in Medicine, Quality Control in Diagnostic Radiology (2002) Diagnostic X-ray Imaging Committee Task Group No. 12, July 2002
8.
go back to reference Peer S, Giacomuzzi SM, Peer R, Gassner E, Steingruber I, Jaschke W (2003) Resolution requirements for monitor viewing of digital flat-panel detector radiographs: a contrast detail analysis. Eur Radiol 13:413–417PubMed Peer S, Giacomuzzi SM, Peer R, Gassner E, Steingruber I, Jaschke W (2003) Resolution requirements for monitor viewing of digital flat-panel detector radiographs: a contrast detail analysis. Eur Radiol 13:413–417PubMed
9.
go back to reference Servomaa A, Tapoivaara M (1998) Organ dose calculation in medical x-ray examinations by the program PCXMC. Radiat Prot Dosim 80:213–219 Servomaa A, Tapoivaara M (1998) Organ dose calculation in medical x-ray examinations by the program PCXMC. Radiat Prot Dosim 80:213–219
10.
go back to reference Veldkamp WJ, Thijssen MA, Karssemeijer N (2003) The value of scatter removal by a grid in full field digital mammography. Med Phys 30:1712–1718CrossRefPubMed Veldkamp WJ, Thijssen MA, Karssemeijer N (2003) The value of scatter removal by a grid in full field digital mammography. Med Phys 30:1712–1718CrossRefPubMed
11.
go back to reference Samei E, Saunders RS, Lo JY, Dobbins JT III, Jesneck JL, Floyd CE, Ravin CE (2004) Fundamental imaging characteristics of a slot-scan digital chest radiographic system. Med Phys 31:1298–2687CrossRef Samei E, Saunders RS, Lo JY, Dobbins JT III, Jesneck JL, Floyd CE, Ravin CE (2004) Fundamental imaging characteristics of a slot-scan digital chest radiographic system. Med Phys 31:1298–2687CrossRef
12.
go back to reference Diekmann F, Diekmann S, Richter K, Bick U, Fischer T, Lawaczeck R, Press WR, Schon K, Weinmann HJ, Arkadiev V, Bjeoumikhov A, Langhoff N, Rabe J, Roth P, Tilgner J, Wedell R, Krumrey M, Linke U, Ulm G, Hamm B (2004) Near monochromatic X-rays for digital slot-scan mammography: initial findings. Eur Radiol 14:1641–1646CrossRefPubMed Diekmann F, Diekmann S, Richter K, Bick U, Fischer T, Lawaczeck R, Press WR, Schon K, Weinmann HJ, Arkadiev V, Bjeoumikhov A, Langhoff N, Rabe J, Roth P, Tilgner J, Wedell R, Krumrey M, Linke U, Ulm G, Hamm B (2004) Near monochromatic X-rays for digital slot-scan mammography: initial findings. Eur Radiol 14:1641–1646CrossRefPubMed
13.
go back to reference Veldkamp WJ, Kroft LJ, Mertens BJ, Geleijns J (2005) Comparison of image quality between a digital slot-scan CCD chest radiography system and AMBER and Bucky screen-film radiography chest systems. Radiology 235:857–866PubMed Veldkamp WJ, Kroft LJ, Mertens BJ, Geleijns J (2005) Comparison of image quality between a digital slot-scan CCD chest radiography system and AMBER and Bucky screen-film radiography chest systems. Radiology 235:857–866PubMed
14.
go back to reference Kroft LJ, Geleijns J, Mertens BJ, Veldkamp WJ, Zonderland HM, de Roos A (2004) Digital slot-scan charged coupled device chest radiography versus AMBER and Bucky screen-film radiography: detection of simulated chest nodules and interstitial disease using a chest phantom. Radiology 231:156–163PubMed Kroft LJ, Geleijns J, Mertens BJ, Veldkamp WJ, Zonderland HM, de Roos A (2004) Digital slot-scan charged coupled device chest radiography versus AMBER and Bucky screen-film radiography: detection of simulated chest nodules and interstitial disease using a chest phantom. Radiology 231:156–163PubMed
15.
go back to reference Kroft LJ, Veldkamp WJ, Mertens BJ, Boot MV, Geleijns J. Comparison of eight digital chest radiography systems: variation in detection of simulated chest disease. Am J Roengenol 185:339–346 Kroft LJ, Veldkamp WJ, Mertens BJ, Boot MV, Geleijns J. Comparison of eight digital chest radiography systems: variation in detection of simulated chest disease. Am J Roengenol 185:339–346
16.
go back to reference Bernhardt TM, Rapp-Bernhardt U, Hausmann T, Reichel G, Krause UW, Doehring W (2000) Digital selenium radiography: anti-scatter grid for chest radiography in a clinical study. Br J Radiol 73:963–968PubMed Bernhardt TM, Rapp-Bernhardt U, Hausmann T, Reichel G, Krause UW, Doehring W (2000) Digital selenium radiography: anti-scatter grid for chest radiography in a clinical study. Br J Radiol 73:963–968PubMed
17.
go back to reference Neitzel U, Maack I, Gunther-Kohfahl S (1994) Image quality of a digital chest radiography system based on a selenium detector. Med Phys 21:509–516CrossRefPubMed Neitzel U, Maack I, Gunther-Kohfahl S (1994) Image quality of a digital chest radiography system based on a selenium detector. Med Phys 21:509–516CrossRefPubMed
18.
go back to reference Samei E, Flynn MJ (2003) An experimental comparison of detector performance for direct and indirect digital radiography systems. Med Phys 30:608–622CrossRefPubMed Samei E, Flynn MJ (2003) An experimental comparison of detector performance for direct and indirect digital radiography systems. Med Phys 30:608–622CrossRefPubMed
19.
go back to reference Awai K, Komi M, Hori S (2001) Selenium-based digital radiography versus high-resolution storage phosphor radiography in the detection of solitary pulmonary nodules without calcification: receiver operating characteristic curve analysis. Am J Roentgenol 177:1141–1144 Awai K, Komi M, Hori S (2001) Selenium-based digital radiography versus high-resolution storage phosphor radiography in the detection of solitary pulmonary nodules without calcification: receiver operating characteristic curve analysis. Am J Roentgenol 177:1141–1144
20.
go back to reference Goo JM, Im J-G, Kim JH, et al (2000) Digital chest radiography with selenium-based flat-panel detector versus a storage phosphor system: comparison of soft-copy images. Am J Roentgenol 175:1013–1018 Goo JM, Im J-G, Kim JH, et al (2000) Digital chest radiography with selenium-based flat-panel detector versus a storage phosphor system: comparison of soft-copy images. Am J Roentgenol 175:1013–1018
21.
go back to reference Mansson LG, Kheddache S, Lanhede B, Tylen U (1999) Image quality for five modern chest radiography techniques: a modified FROC study with an anthropomorphic chest phantom. Eur Radiol 9:1826–1834CrossRefPubMed Mansson LG, Kheddache S, Lanhede B, Tylen U (1999) Image quality for five modern chest radiography techniques: a modified FROC study with an anthropomorphic chest phantom. Eur Radiol 9:1826–1834CrossRefPubMed
22.
go back to reference Beute GH, Flynn MJ, Eyler WR, Samei E, Spizarny DL, Zylak CJ (1998) Chest radiographic image quality: comparison of asymmetric screen-film, digital storage phosphor, and digital selenium drum systems—preliminary study. Radiographics 18:745–754PubMed Beute GH, Flynn MJ, Eyler WR, Samei E, Spizarny DL, Zylak CJ (1998) Chest radiographic image quality: comparison of asymmetric screen-film, digital storage phosphor, and digital selenium drum systems—preliminary study. Radiographics 18:745–754PubMed
23.
go back to reference Borasi G, Nitrosi A, Ferrari P, Tassoni D (2003) On site evaluation of three flat panel detectors for digital radiography. Med Phys 30:1719–1731CrossRefPubMed Borasi G, Nitrosi A, Ferrari P, Tassoni D (2003) On site evaluation of three flat panel detectors for digital radiography. Med Phys 30:1719–1731CrossRefPubMed
24.
go back to reference Samei E (2003) Image quality in two phosphor-based flat panel digital radiographic detectors. Med Phys 30:1747–1757CrossRefPubMed Samei E (2003) Image quality in two phosphor-based flat panel digital radiographic detectors. Med Phys 30:1747–1757CrossRefPubMed
25.
go back to reference Granfors PR, Aufrichtig R (2000) Performance of a 41×41-cm2 amorphous silicon flat panel x-ray detector for radiographic imaging applications. Med Phys 27:1324–1331CrossRefPubMed Granfors PR, Aufrichtig R (2000) Performance of a 41×41-cm2 amorphous silicon flat panel x-ray detector for radiographic imaging applications. Med Phys 27:1324–1331CrossRefPubMed
26.
go back to reference Volk M, Hamer OW, Feuerbach S, Strotzer M (2004) Dose reduction in skeletal and chest radiography using a large-area flat-panel detector based on amorphous silicon and thallium-doped cesium iodide: technical background, basic image quality parameters, and review of the literature. Eur Radiol 14:827–834CrossRefPubMed Volk M, Hamer OW, Feuerbach S, Strotzer M (2004) Dose reduction in skeletal and chest radiography using a large-area flat-panel detector based on amorphous silicon and thallium-doped cesium iodide: technical background, basic image quality parameters, and review of the literature. Eur Radiol 14:827–834CrossRefPubMed
27.
go back to reference Bath M, Sund P, Mansson LG (2002) Evaluation of the imaging properties of two generations of a CCD-based system for digital chest radiography. Med Phys 29:2286–2297CrossRefPubMed Bath M, Sund P, Mansson LG (2002) Evaluation of the imaging properties of two generations of a CCD-based system for digital chest radiography. Med Phys 29:2286–2297CrossRefPubMed
28.
go back to reference Herrmann KA, Bonél H, Stäbler A et al (2002) Chest imaging with flat-panel detector at low and standard doses: comparison with storage phosphor technology in normal patients. Eur Radiol 12:385–390CrossRefPubMed Herrmann KA, Bonél H, Stäbler A et al (2002) Chest imaging with flat-panel detector at low and standard doses: comparison with storage phosphor technology in normal patients. Eur Radiol 12:385–390CrossRefPubMed
29.
go back to reference Bacher K, Smeets P, Bonnarens K, De Hauwere A, Verstraete K, Thierens H (2003) Dose reduction in patients undergoing chest imaging: digital amorphous silicon flat-panel detector radiography versus conventional film-screen radiography and phosphor-based computed radiography. Am J Roentgenol 181:923–929 Bacher K, Smeets P, Bonnarens K, De Hauwere A, Verstraete K, Thierens H (2003) Dose reduction in patients undergoing chest imaging: digital amorphous silicon flat-panel detector radiography versus conventional film-screen radiography and phosphor-based computed radiography. Am J Roentgenol 181:923–929
30.
go back to reference Goo JM, Im J-G, Lee HJ et al (2002) Detection of simulated chest lesions by using soft-copy reading: comparison of an amorphous silicon flat-panel detector system and a storage-phosphor system. Radiology 224:242–246PubMed Goo JM, Im J-G, Lee HJ et al (2002) Detection of simulated chest lesions by using soft-copy reading: comparison of an amorphous silicon flat-panel detector system and a storage-phosphor system. Radiology 224:242–246PubMed
31.
go back to reference Aufrichtig R (1999) Comparison of low contrast detectability between a digital amorphous silicon and a screen-film based imaging system for thoracic radiography. Med Phys 26:1349–1358CrossRefPubMed Aufrichtig R (1999) Comparison of low contrast detectability between a digital amorphous silicon and a screen-film based imaging system for thoracic radiography. Med Phys 26:1349–1358CrossRefPubMed
32.
go back to reference Sund P, Bath M, Kheddache S, Mansson LG (2004) Comparison of visual grading analysis and determination of detective quantum efficiency for evaluating system performance in digital chest radiography. Eur Radiol 14:48–58CrossRefPubMed Sund P, Bath M, Kheddache S, Mansson LG (2004) Comparison of visual grading analysis and determination of detective quantum efficiency for evaluating system performance in digital chest radiography. Eur Radiol 14:48–58CrossRefPubMed
33.
go back to reference Burgess AE, Jacobson FL, Judy PF (2001) Human observer detection experiments with mammograms and power-law noise. Med Phys 28:419–437CrossRefPubMed Burgess AE, Jacobson FL, Judy PF (2001) Human observer detection experiments with mammograms and power-law noise. Med Phys 28:419–437CrossRefPubMed
Metadata
Title
Contrast-detail evaluation and dose assessment of eight digital chest radiography systems in clinical practice
Authors
Wouter J. H. Veldkamp
Lucia J. M. Kroft
Mireille V. Boot
Bart J. A. Mertens
Jacob Geleijns
Publication date
01-02-2006
Publisher
Springer-Verlag
Published in
European Radiology / Issue 2/2006
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-2887-6

Other articles of this Issue 2/2006

European Radiology 2/2006 Go to the issue