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Optimization of Dose and Image Quality for Computed Radiography and Digital Radiography

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The surface doses to patients during chest, abdomen and pelvis radiography were measured over a period of 3 years, during which time computed radiography (CR) and digital radiography (DR) systems were introduced to replace film–screen systems. For film–screen and CR the surface doses were measured with thermoluminescent dosimeters. For DR the surface doses were calculated from the dose–area product (DAP) meter readings. Measurements were made for each type of examination and detector type on 10 average-size patients. Measurements were made immediately after the new systems were introduced, and subsequently as adjustments were made to optimize dose and image quality. Published diagnostic reference levels were used as target values in this optimization. Initially, CR doses were the same as or higher than for film–screen, and the doses were lower for DR compared to film–screen. Subsequent clinical experience with the systems led to changes in the technique used for chest examinations both for CR and for DR. For CR, it was possible to change the algorithm and decrease the dose to one quarter of the initial value with acceptable image quality. For DR, it was decided to reduce noise by increasing the dose by a factor of two. No changes were made to abdomen or pelvic imaging techniques for either CR or DR. The final patient surface doses using CR were similar to published diagnostic reference doses; for DR, all patient doses were less than published reference levels.

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Acknowledgments

This study was undertaken jointly by the Department of Radiology of Vancouver General Hospital and the Radiation Protection Services of the Centre for Disease Control of British Columbia. We would like to thank David Morley for the provision and measurement of the TLDs and the radiology staff of Vancouver Hospital who helped in data collection.

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Authors and Affiliations

  1. Department of Radiology, Vancouver General Hospital and University of British Columbia, 899 West 12th Avenue, Vancouver, BC, Canada, V5Z 1M9

    John E. Aldrich, Pat Dunlop & John R. Mayo

  2. Department of Occupational Health, Vancouver General Hospital and University of British Columbia, Vancouver, BC, Canada

    Emerenciana Duran

Authors
  1. John E. Aldrich
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  2. Emerenciana Duran
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  3. Pat Dunlop
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  4. John R. Mayo
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Correspondence to John E. Aldrich.

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Aldrich, J.E., Duran, E., Dunlop, P. et al. Optimization of Dose and Image Quality for Computed Radiography and Digital Radiography. J Digit Imaging 19, 126–131 (2006). https://doi.org/10.1007/s10278-006-9944-9

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  • DOI: https://doi.org/10.1007/s10278-006-9944-9

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