X-ray tube voltage and image quality in adult and pediatric CT

2006 ◽  
Author(s):  
W. Huda ◽  
K. M. Ogden ◽  
E. M. Scalzetti ◽  
R. L. Lavallee ◽  
E. Samei
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Andreas P. Sauter ◽  
Jana Andrejewski ◽  
Manuela Frank ◽  
Konstantin Willer ◽  
Julia Herzen ◽  
...  

AbstractGrating-based X-ray dark-field imaging is a novel imaging modality with enormous technical progress during the last years. It enables the detection of microstructure impairment as in the healthy lung a strong dark-field signal is present due to the high number of air-tissue interfaces. Using the experience from setups for animal imaging, first studies with a human cadaver could be performed recently. Subsequently, the first dark-field scanner for in-vivo chest imaging of humans was developed. In the current study, the optimal tube voltage for dark-field radiography of the thorax in this setup was examined using an anthropomorphic chest phantom. Tube voltages of 50–125 kVp were used while maintaining a constant dose-area-product. The resulting dark-field and attenuation radiographs were evaluated in a reader study as well as objectively in terms of contrast-to-noise ratio and signal strength. We found that the optimum tube voltage for dark-field imaging is 70 kVp as here the most favorable combination of image quality, signal strength, and sharpness is present. At this voltage, a high image quality was perceived in the reader study also for attenuation radiographs, which should be sufficient for routine imaging. The results of this study are fundamental for upcoming patient studies with living humans.


2011 ◽  
Vol 35 (1) ◽  
pp. 7-17
Author(s):  
Mahfuza Begum ◽  
AS Mollah ◽  
MA Zaman ◽  
M Haq ◽  
AKM Mizanur Rahman

Different essential radiographic parameters were studied in order to assess radiographic image quality ensuring reduction of radiation exposure in some diagnostic X-ray facilities of Bangladesh. Different parameters for developing and fixing liquid were investigated in order to eliminate improper film processing techniques. General information about intensifying screen, radiography and mammography film was also collected. X-ray tube voltage, output radiation dose and exposure time for diagnostic X-ray machines were tested to achieve significant dose reduction without loss of diagnostic information. It is found that output radiation dose varies in different diagnostic X-ray installations. 70% X-ray installations achieve the recommended value for tube voltage while 87.5% measure the exposure time appropriately. Radiation dose level at patient waiting room, dark room and around control panel was also measured. About 92.5, 85 and 77.5% installations show their results within the acceptance limit at these positions respectively which provide radiation safety for patients, workers and public in diagnostic radiology.DOI: http://dx.doi.org/10.3329/jbas.v35i1.7967Journal of Bangladesh Academy of Sciences, Vol.35, No.1, 7-17, 2011


1998 ◽  
Vol 4 (3) ◽  
pp. 199-207 ◽  
Author(s):  
M. Söderman ◽  
B. Hansson ◽  
B. Axelsson

During endovascular treatment the patient may be subject to fluoroscopy for long periods as well as multiple x-ray exposures. The radiation dose to the patient can be considerable, and cause local deterministic effects such as alopecia or even skin burn. The potential carcinogenic effects should also be noted, being especially important in the paediatric population. We measured radiation doses to patients and personnel during neuroendovascular procedures and diagnostic neuroangiography. We also tried to reduce the radiation dose to the patient utilising increased tube voltage, additional primary X-ray filtration and by removing the antiscatter grid in front of the image intensifier, employing air gap technique. We investigated radiation doses to patient and personnel during neuroangiographic procedures and optimized the examination technique with regard to radiation dose with maintained image quality. Radiation exposure to patients and personnel was measured with thermoluminescent dosimeters and permanently mounted KermaDose-Area-Product meters in front of the X-ray tubes during 13 cerebral angiographies and six neuroendovascular procedures. We performed experiments with radiation dose measurements and evaluation of image quality with 80 and 90 kV tube voltage during image acquisition and 75 and 85 kV during fluoroscopy, as well as with different primary X-ray filtration. Images from patient studies acquired with the original grid in front of the image intensifier were compared with images from patient studies acquired with the grid removed and air gap technique (30 cm). Images from patient studies acquired with the original examination technique were compared to images from patient studies acquired with increased x-ray tube voltage, increased x-ray filtering and with the antiscatter grid removed using an airgap as scatter reduction method. Radiation exposure to personnel was very low using standard protective devices. Measurable doses were recorded only on the hands and forehead of the neuroradiologist. Maximum entrance skin dose was about 1 Gy on the side of the patientspatient's forehead during an endovascular procedure. Increasing the tube voltage from 75 to 85 – 85 and 90 kV, exchanging the original 0.5 mm aluminium primary filtration for 0.2 mm copper and removing the antiscatter grid allowed us to reduce entrance skin dose to the patient by 70% with unchanged or slightly improved image quality.


2019 ◽  
Vol 12 (1) ◽  
pp. 62-73
Author(s):  
A. V. Vodovatov

Assessment of the quality of the images obtained using optimized (low-dose) protocols is the inherent part of the optimization in X-ray diagnostics. To perform the objective quantitative image quality assessment one can use dedicated test-objects, including several components for the simultaneous measurement of the different physical image characteristics (contrast and spatial resolution). The use of such test objects allows estimating and assessing the relations between the patient dose, parameter of the X-ray examination and image quality. That is especially important for the optimization of the digital radiographic examinations performed with automated exposure control. The aim of the current study was to evaluate the possibilities of the patient dose reduction using “contrast-detail” test-object for the digital radiography of the chest in posterior-anterior projection performed with automated exposure control. The study was performed in St-Petersburg Mariinsky hospital on a digital X-ray unit “ARC-Electron” with a flat-panel detector. The combination of a test-object and a tissue-equivalent phantom were imaged on a range of chest X-ray protocols: on a 60–150 kV tube voltage range with automated exposure control; and using fixed 90 kV tube voltage on a range of 2–100 mAs tube current-exposure time product. Dose-area product (cGy×cm2) was measured for each exposure; effective dose (mSv) was estimated for each exposure based on dose-area product. A dedicated software was developed for the automated image quality assessment. The results of the study indicate that the use of a high tube voltage (140–150 kV) with current automated exposure control settings would lead to 60% and 95% reduction of the dose-area product and effective dose, respectively, compared to the standard protocol. The adjustment of the current automated exposure control settings with the reduction of the tube current-exposure time product from 11,2 mAs to the 4,2 mAs for the tube voltage of 90 kV would lead to the reduction of both the dose-area product and effective dose up to a factor of three, compared to the standard protocol. For both scenarios image quality characteristics decreased by less than 15%. The proposed low-dose protocols are under the clinical approbation at Mariinsky hospital. The proposed method of image quality assessment and development of low-dose protocols is recommended for inclusion in the quality assurance program for the radiography examinations.


2020 ◽  
Vol 64 (2) ◽  
pp. 20503-1-20503-5
Author(s):  
Faiz Wali ◽  
Shenghao Wang ◽  
Ji Li ◽  
Jianheng Huang ◽  
Yaohu Lei ◽  
...  

Abstract Grating-based x-ray phase-contrast imaging has the potential to enhance image quality and provide inner structure details non-destructively. In this work, using grating-based x-ray phase-contrast imaging system and employing integrating-bucket method, the quantitative expressions of signal-to-noise ratios due to photon statistics and mechanical error are analyzed in detail. Photon statistical noise and mechanical error are the main sources affecting the image noise in x-ray grating interferometry. Integrating-bucket method is a new phase extraction method translated to x-ray grating interferometry; hence, its image quality analysis would be of great importance to get high-quality phase image. The authors’ conclusions provide an alternate method to get high-quality refraction signal using grating interferometer, and hence increases applicability of grating interferometry in preclinical and clinical usage.


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