rad tech 265 more digital imaging. digital fluoroscopy radiation dose –patient dose for df is...
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Rad Tech 265
More Digital Imaging
Digital Fluoroscopy
• Radiation dose– Patient dose for DF is significantly less than
conventional fluoro• At 7.5 pulses/second DF has a 75% drop in
exposure
• At 3 pulses/sec a 90% reduction in dose
• The lower dose is obviously advantageous for pediatric work.
Types of DF
• The most common methodology is to add a CCD to the video chain.
• A truly digital system can be either indirect or direct.– Pulse progressive fluoroscopy
• Uses a high frequency generator with regular mA values
Digital Fluoroscopy Room
Flat panel vs. Image Intensifier
Field coverage / size advantage to flat panelField coverage / size advantage to flat panel Image distortion advantage to flat panelImage distortion advantage to flat panel
FlatFlatpanelpanel
IIII
Flat vs. Fat Digital Flat Panel Conventional II
Dynamic Range Very Wide (5-10 times more
than conventional)
Narrow (TV camera limit)
Distortion No Distortion Distortion from curved input surface of II
Detector Size Weight and thickness much lower
Heavy, bulky detector
Image Area 41 cm x 41 cm square Round area is more than 20% smaller area for same diameter
Image Quality Good resolution, high DQE Good resolution, high DQE
Direct DF
• In direct capture or direct to digital systems, x-ray energy is not converted to light. Instead, it is captured by a thin film transistor matrix of a material such as amorphous selenium that changes it into electronic signals. No intensifying screen is required, and none of the energy is lost through scatter, as happens when x-ray energy is converted to light on its way to display of an image.
Indirect DF
• The indirect capture systems, including some flat panel displays that can be integrated into analog systems, are similar conceptually to the traditional film-screen technology. In one version, a cesium iodide scintillator captures the x-rays as they exit the patient and converts them to light. This light is turned into electronic signals by a matrix of amorphous silicon sensors. Each sensor corresponds to a single pixel of the image and is connected to a readout line. The signals from each cell in the matrix are read out in sequence row by row to obtain the image. High information transfer rates permit the display of moving images.
Indirect v. Direct
• Notice, that the comparison of direct v. indirect digital fluoroscopy is the same as direct v. indirect digital radiography.
• In the indirect systems, the photons are converted to a light image first before being digitized.
Direct v. Indirect
Direct v. Indirect Resolution
Digital v Conventional Film
Digital v. Analog
Acquisition steps
Image Manipulation with DF
• Pan/zoom, background noise reduction, adjustable contrast and brightness, edge enhancement, quantitative analysis of vessel diameter and stenosis severity, subtraction capabilities, roadmapping, and bolus chase are common.
Pixels (matrix)
Matrix size
32 x 32 128 x 128
Matrix size
128 x 128 512 x 512
Edge enhancement
Bits (gray scale)
Bits
4 bits 8 bits
Temporal averaging
Last image hold (lih)
DSA
DSA
DSA
Digital Tomosynthesis: Digital Tomosynthesis: reducereduce structured structured noisenoise
• 3 cm above detector
• 9 views, + to - 30°
• 1.4 x dose
Tomographic rampTomographic ramp
Shift images to select planeShift images to select planeAdd to create tomogramAdd to create tomogram
LeftLeft RightRight
Niklason, L.T. et.al. Radiology 205:399-406