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- McVey, Graham, et al.
(författare)
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A study and optimization of lumbar spine X-ray imaging systems
- 2003
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Ingår i: British Journal of Radiology. - : British Institute of Radiology. - 0007-1285 .- 1748-880X. ; 76:903, s. 177-188
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Tidskriftsartikel (refereegranskat)abstract
- A Monte Carlo program has been developed that incorporates a voxel phantom of an adult patient in a model of the complete X-ray imaging system, including the anti-scatter grid and screen-film receptor. This allows the realistic estimation of patient dose and the corresponding image (optical density map) for a wide range of equipment configurations. This paper focuses on the application of the program to lumbar spine anteroposterior and lateral screen-film examinations. The program has been applied to study the variation of physical image quality measures and effective dose for changing system parameters such as tube voltage, grid design and screen-film system speed. These variations form the basis for optimization of these system parameters. In our approach to optimization, the best systems are those that can match (or come close to) the calculated image quality measure of systems preferred in a recent European clinical trial, but with lower patient dose. The largest dose savings found were 21% for a 400 speed class system with a grid having a strip density of 40 cm-1 and a grid ratio of 16. A further dose saving of 13% was possible when a 600 speed class system was employed. The best systems found from the optimization correspond to those recommended by the European Commission guidelines on image quality criteria for diagnostic radiographic images.
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| 4. |
- Sandborg, Michael, 1961-, et al.
(författare)
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A voxel phantom based Monte Carlo computer program for optimisation of chest and lumbar spine X ray imaging systems
- 2000
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Ingår i: Radiation Protection Dosimetry. - 0144-8420 .- 1742-3406. ; 90:1-2, s. 105-108
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Tidskriftsartikel (refereegranskat)abstract
- A Monte Carlo computer model of X ray imaging systems has been developed which uses a voxel phantom to simulate the patient. Image details were selected in accordance with the European quality criteria document. Contrast and signal-to-noise ratio for these details were calculated to estimate image quality. Effective dose was computed to enable optimisation. The program was validated with measurements on phantoms, patients and digitised patient images. It was demonstrated that the computational model of the imaging system provides predictions of entrance dose and contrast that lie within the range of values measured on patients. To illustrate the importance of using a realistic model of the patient, scatter-to-primary ratios, S/P, in a chest PA examination were calculated. It was found that the S/P varied by a factor of 10 in the image and that a grid was slightly more efficient than an air gap in removing the scatter behind the heart.
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| 5. |
- Sandborg, Michael, et al.
(författare)
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Collection and analysis of patient and image data for calibration of a voxelphantombased Monte Carlo code and for the modelling of important structures
- 1997
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The contribution of the Medical Physics Departments at Linköping University (LKP) and The Royal Marsden NHS Trust (RMH) to the joint project ‘Predictivity and Optimisation in Medical Radiation Protection’ is in modelling of the chest and lumbar spine radiographic examinations. This involves:the development of quantitative imaging requirements;an investigation of the effect of imaging technique on image quality and patientdose, andan optimisation of system design.One of the objectives for this first reporting period (0-12 months) was to collect a set of chest and lumbar spine radiographs of patients for subsequent analysis in order to establish patient doses and important features in the images. The set of radiographs and the outcome of the image feature analysis will during this project’s second year be used to calibrate our Monte Carlo computational model of the conventional chest and lumbar spine screen-film X-ray imaging systems.
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| 6. |
- Sandborg, Michael, 1961-, et al.
(författare)
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Comparison of model predictions of image quality with results of clinical trials in chest and lumbar spine screen-film imaging
- 2000
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Ingår i: Radiation Protection Dosimetry. - 0144-8420 .- 1742-3406. ; 90:1-2, s. 173-176
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Tidskriftsartikel (refereegranskat)abstract
- The ability to predict image quality from known physical and technical parameters is a prerequisite for making successful dose optimisation. In this study, imaging systems have been simulated using a Monte Carlo model of the imaging systems. The model includes a voxelised human anatomy and quantifies image quality in terms of contrast and signal-to-noise ratio for 5-6 anatomical details included in the anatomy. The imaging systems used in clinical trials were simulated and the ranking of the systems by the model and radiologists compared. The model and the results of the trial for chest PA both show that using a high maximum optical density was significantly better than using a low one. The model predicts that a good system is characterised by a large dynamic range and a high contrast of the blood vessels in the retrocardiac area. The ranking by the radiologists and the model agreed for the lumbar spine AP.
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| 7. |
- Sandborg, Michael, 1961-, et al.
(författare)
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Demonstration of correlation between physical and clinical image quality measures in chest and lumbar spine imaging.
- 2000
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Ingår i: Digest of papers of the 2000 world congress on medical physics. CD-Rom Chicago July 23-28,2000. - : IEEE. - 0780364651 ; , s. 3078-3081 vol.4
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Konferensbidrag (refereegranskat)abstract
- Clinical and physical assessments of image quality are compared and the correlation between the two derived. Clinical assessment has been made by a group of expert radiologists who evaluated the fulfillment of the European Image Criteria for chest and lumbar spine radiography; yielding the so-called Image Criteria Score, ICS. Physical measures of image quality were calculated using a Monte Carlo model of the complete imaging system. This model includes a voxelised male anatomy and calculates contrast and signal-to-noise ratio of various anatomical details and a measure of useful dynamic range. Correlations between the ICS and the physical image quality measures were sought. Four lumbar spine and 16 chest imaging systems were evaluated and simulated with the model. The most useful physical quantities for chest radiography were the dynamic range and contrast of blood vessels in the retro-cardiac area. In lumbar spine, it was the signal-to-noise ratio of trabecular structures. The significant correlation is encouraging and shows that clinical image quality can be predicted provided the imaging conditions are well known and that relevant measures of physical image quality are used to assess the quality of the image
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| 8. |
- Sandborg, Michael, 1961-, et al.
(författare)
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Demonstration of correlations between clinical and physical image quality measures in chest and lumbar spine screen-film radiography
- 2001
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Ingår i: British Journal of Radiology. - : British Institute of Radiology. - 0007-1285 .- 1748-880X. ; 74:882, s. 520-528
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Tidskriftsartikel (refereegranskat)abstract
- The ability to predict clinical image quality from physical measures is useful for optimization in diagnostic radiology. In this work, clinical and physical assessments of image quality are compared and correlations between the two are derived. Clinical assessment has been made by a group of expert radiologists who evaluated fulfilment of the European image criteria for chest and lumbar spine radiography using two scoring methods: image criteria score (ICS) and visual grading analysis score (VGAS). Physical image quality measures were calculated using a Monte Carlo simulation model of the complete imaging system. This model includes a voxelized male anatomy and was used to calculate contrast and signal-to-noise ratio of various important anatomical details and measures of dynamic range. Correlations between the physical image quality measures on the one hand and the ICS and VGAS on the other were sought. 16 chest and 4 lumbar spine imaging system configurations were compared in frontal projection. A statistically significant correlation with clinical image quality was found in chest posteroanterior radiography for the contrast of blood vessels in the retrocardiac area and a measure of useful dynamic range. In lumbar spine anteroposterior radiography, a similar significant correlation with clinical image quality was found between the contrast and signal-to-noise ratio of the trabecular structures in the L1-L5 vertebrae. The significant correlation shows that clinical image quality can, at least in some cases, be predicted from appropriate measures of physical image quality.
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| 9. |
- Sandborg, Michael, et al.
(författare)
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Report on the study and optimisation of chestand lumbar spine X-ray imaging
- 2000
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The optimisation of radiological equipment and equipment parameters is a key stage in the optimisation of image quality and patient dose in diagnostic radiology. It is essential, however, to underpin such optimisation with theoretical modelling which can provide both the direct quantification of the effect on image quality and dose of changes in system parameters and the opportunity for optimisation of equipment selection and use. Our principal contribution to the joint CEC-project 'Predictivity and Optimisation in Diagnostic Radiology' is in modelling of planar chest and lumbar spine radiographic examinations. The results of this work for the chest PA, lumbar spine AP and lumbar spine lateral examinations are presented in this report. Prior to this, several development stages have been completed which include the calibration and validation of our methods by measurements in the clinical environment on patients and patient images. These important aspects are not dealt with in detail here, but are described in separate reports. This report focuses on three aspects from our results of using our Monte Carlo model of the patient and imaging equipment: (1) Study of the effects on image quality and patient dose when the imaging parameters are varied; Establishment of imaging parameters and systems that result in as least as good image quality as systems with good performance singled out from results of clinical trials (optimisations); Comparison of the results from the model with the results from clinical trials performed by partners in the joint CEC-project. An objective of the report is to present our results at a level of detail not usually possible in the refereed scientific literature. The report should therefore not be read all at once, but preferably used as a ‘reference library’ or documentation of all our efforts. There are many interesting results and findings from this collaborative work and these will be submitted for publication to the appropriate journals.
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