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Uffmann, M; Prokop, M; Eisenhuber, E; Fuchsjager, M; Weber, M; Schaefer-Prokop, C.
Computed radiography and direct radiography - Influence of acquisition dose on the detection of simulated lung lesions
INVEST RADIOL. 2005; 40(5): 249-256. Doi: 10.1097/01.rli.0000159875.01324.bf
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Co-Autor*innen der Med Uni Graz
Fuchsjäger Michael
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Abstract:
Purpose: We sought to evaluate the performance of dual-readout and single-readout computed radiography compared with direct radiography for detecting subtle lung abnormalities with a standard and a low-dose technique. Materials and Methods: Posteroanterior radiographs of an anthropomorphic chest phantom were obtained with a single-readout storage phosphor radiography system (CRS, pixel size 200 mu m), a dual-readout storage phosphor radiography system (CRD, pixel size 100 mu m), and a direct detector (DR, pixel size 143 mu m) at dose levels of 400 and 800 speed. Ten templates were superimposed to project 4 types of lesions over low- and high-attenuation areas, simulating nodules, micronodules, lines, and patchy opacities. Six radiologists evaluated 60 hard-copy images for the presence or absence of lesions. Statistical significance of differences was evaluated using receiver operating characteristic analysis and analysis of variance. Results: For both low- and high-attenuation areas, CRD(A(z) = 0.85 and 0.66) was superior to CRS (A(z) = 0.75 and 0.58) for overall performance and all lesion subtypes (P < 0.05). DR (A(z) = 0.87 and 0.67) performed slightly better than CRD, being significant only for the detection of micronodules. Acquisition dose significantly affected only the detection of lines and micronodules, whereas the detection of nodules and patchy opacities was not significantly different with reduced exposure, regardless of the system used. Conclusion: The dual-readout CR system significantly outperformed the single-readout CR and almost equaled the performance of DR. Dose reduction was more critical for small-sized lesions (micronodules, lines) than for nodular or patchy opacifications and affected mainly the lesions in high attenuation areas.
Find related publications in this database (using NLM MeSH Indexing)
Humans -
Image Processing, Computer-Assisted - methods
Lung Diseases - radiography
Observer Variation -
Phantoms, Imaging -
ROC Curve -
Radiation Dosage -
Radiographic Image Enhancement - instrumentation Radiographic Image Enhancement - methods
Tomography, X-Ray Computed - instrumentation Tomography, X-Ray Computed - methods
X-Ray Intensifying Screens -

Find related publications in this database (Keywords)
digital radiography
computed radiography
chest radiography
ROC analysis
comparative study
exposure settings
experimental study
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