骨盆数字化X射线摄影曝光剂量的优化研究

目的研究直接数字化X射线摄影照射剂量与成像质量的关系，确定骨盆X射线摄影的最佳摄影条件。方法以对比度一细节体模CDRAD2．0在不同照射剂量下所获取的影像的图像质量因子IQF，进行ANOVA及SNK统计学分析，确定最佳照射条件。应用X射线摄影模拟人拍摄骨盆X射线影像，按照欧共体（CEC）图像质量标准验证最佳摄影条件与常规摄影条件下照射剂量与成像质量的差别。结果不同照射剂量条件下，对比度一细节体模影像质量因子IQF有显著性差别（P=0．0001），照射剂量大于0．61mGy时，不同剂量组间IQF差异无统计学意义。对以最佳照射条件和常规照射条件所拍摄的X射线摄影模拟人影像按照CEC标准评判，两者影像质量的差异无统计学意义。结论直接数字化X射线摄影时通过增大照射剂量可以提高影像质量，但是当曝光剂量达到足够大时，再增大曝光剂量并不能显著改善图像质量，影像质量与曝光剂量间存在一个优化剂量。标准体模骨盆X射线摄影的优化剂量为0．61mGy。

Exploration of exposure dose optimization for pelvic examination in direct digital radiography with a phantom

Objective To investigate the relationship between exposure dose and image quality for a direct digital radiography system and to determine the optimum exposure parameters for pelvic examination. Methods A contrast-detail phantom CDRAD2.0 was exposed to different doses and the IQF of phantom images were calculated. The optimum exposure parameters were determined by ANOVA and SNK analysis. The image of an anthropomorphic phantom taken with optimized exposure parameters was verified using CEC image criteria. Results The IQF of the images of CDRAD2.0 phantom was significantly different for different doses, as the exposure dose was greater than 0.61 mGy. The IQFs have no difference for different dose groups. The image quality between this optimized exposure dose and conventional exposure dose not was significantly different. Conclusion The image quality of direct digital radiography system is improved as the exposure dose increases, and as the exposure dose exceeds a certain threshold, the image quality will not change apparently. There is an optimum exposure dose and the optimized exposure dose for the researched phantom is 0.61 mGy.