计算机X射线摄影新旧成像板的比较

目的 通过体模检测和病例检查的对照研究,比较计算机X射线摄影(computed radiography,CR)新旧两种不同成像板(IP)对影像质量和病人辐射的影响,探讨新旧IP的使用原则。方法 对新旧IP进行常规暗噪声、均匀性和一致性、擦除完全性检测;根据阈值对比度-细节检测能力(TCDD)技术,75 kV时新旧IP对体模TO.16进行摄影,请3位观察者采用双盲法对所得影像进行观察评分,计算阈值检测指数H_T(A);结合临床用相同曝光条件,不同的IP分别对膝关节、胸部、腰椎进行投照,请3位放射专家进行双盲阅片,评价影像质量。结果 新旧IP在物理指标上基本相同,在相同曝光条件下,新IP的检测能力高于旧IP,当旧IP提高20%的辐射剂量后,旧IP检测能力接近新IP。结论 随着IP使用次数的增加,需逐步提高曝光剂量才能保证影像质量;若保持原有剂量不变,IP的检测能力就会下降,将影响疾病的诊断。

Comparison of the new and the used imaging plates on computed radiography

Objective To compare image quality and radiation dose of the new imaging plate (IP) with the used IP on computed radiography (CR),and to investigate the using principle in the two kinds of IP. Methods The dark noise, uniformity and erasure thoroughness of the new and the used IP were measured respectively. Based on threshold contrast-detail detectability (TCCD) technique, the phantom TO.16 photography was done at 75 kV, and with the two kinds of IP respectively. Three observers scored each image sequence using double blind method, calculated the threshold detection index (H_T). The volunteers were randomly divided into three groups: the knee joint group, the chest group and the lumbar group. Each group had 50 cases and checked with the same condition as the phantom. Three radiologists using double blind method evaluated the imaging quality of knee joint, chest and lumbar. Results The physical characteristic indexes of the new and the used IP were similar to each other. Under the same condition, the detection ability of the new IP was better than that of the used one. When the dose of exposure was raised about 20%, the detection ability of the used IP was close to that of the new one. Conclusions The dose of exposure can be raised to keep the same imaging quality with the increase times of IP used. The detection ability of IP can decrease with the same dose as before, and the image quality decreases too.