Clinical trials performed for the FDA’s Section 510k compliance submission of the Statscan digital, full-body, linear slit scanning diagnostic radiography system revealed that comparable diagnostic results with a commercial full-field screen film device were obtained with the Statscan using much lower radiation doses. For certain imaging procedures the doses for Statscan were as much as twenty to thirty times lower. However the results varied by a large amount and in particular the results for chest radiographs were anomalous in that the Statscan dose was less reduced. Whilst it is well known that slit scanning radiography has considerably lower radiation exposure than full-field devices due to its much lower scatter to primary ratio and also that digital radiography has the potential for lower radiation dosages, it was thought that that this alone did not fully account for the dose differences. This paper suggests that these dose differences, including the anomaly mentioned above, can be explained by considering the unique way that slit scanning is undertaken by Statscan i.e. by scanning the tube, detector, slit and collimators together along a linear path. The effect on measured skin entrance doses is explained and the dosage differences as affected by digital technology, higher DQE, slit scanning (low scatter to primary ratio) and linear slit scanning methods are quantified. Furthermore it is explained how the Statscan geometry leads an improved “skin sparing” effect.
The Detective Quantum Efficiency (DQE) of a digital x-ray imaging system describes how much of the signal to noise ratio of the incident radiation is sustained in the resultant digital image. This measure of dose efficiency is suitable for the comparison of detectors produced by different manufacturers. The International Electrotechnical Commission (IEC) stipulates standard methods and conditions for the measurement of the DQE for single exposure imaging systems such as flat panel detectors. This paper shows how the calculation is adapted for DQE measurements of scanning systems. In this paper it is described how to measure the presampled Modulation Transfer Function (MTF) using an edge test method and how to extract the horizontal and vertical components of the Noise Power Spectrum (NPS) in a way that is insensitive to structured noise patterns often found in scanned images. The calculation of the total number of incident photons from the radiation dose measurement is explained and results are provided for the Lodox low dose full body digital x-ray scanning system which is developed in South Africa.
This paper presents a successful implementation of a real time inspection system of plastic bottle closures. The closures are inspected at a rate of 20 per second or one every 50ms. The available time to inspect each closure forces the algorithms used to be relatively simple. Even though the algorithms are simple, they have to be robust to ensure a good result. Two boundary tracking algorithms were designed and implemented, one based on edge strength information and one based on threshold information. Both use prior knowledge about the closure. The results are sufficiently accurate to replace a human operator with the machine inspection system. A description of the system including the timing and hardware used is given. The results achieved using each of the algorithms are presented. This is followed by a brief discussion of problems associated with achieving highly accurate results using a simple algorithms.
Temporal Digital Subtraction Angiography (DSA) is used to visualize blood vessels in x-ray images. A DSA image pair consists of the mask image, which is a digitized x-ray taken before a contrast medium is injected into the bloodstream, and the live image, which is taken once the contrast medium has traversed the circulatory system and reached the blood vessels of interest. The mask image is then subtracted from the live image and ideally only the contrast enhanced blood vessels should remain. DSA has two main limitations. Firstly, gross patient motion and physiological events occur in the time that elapses between x-rays. Secondly, there are local and global differences in the mean gray-level at corresponding points in the live and mask images, excluding the variations introduced by the contrast media. To solve the motion problem, we take the approach of matching regions around control points in the live image in a search area around the approximately corresponding points in the mask image. In this way a motion vector field that describes the spatial offset to the best match position in the mask image (with subpixel accuracy) is constructed. The problem of mean gray- level disparity between the live and mask images is to a large extent overcome by the use of a match measure that is invariant to overall additive gray-level differences. Incorrect mismatches caused by the contrast media are avoided by using multiple subtemplates in the matching process. The subtemplate method also allows the estimation of mean gray-level disparity between the mask and live images. The smoothed motion vector field and mean gray-level disparity estimates are used to perform an improved subtraction of the mask from the live image with a reduction in the artifacts that are a result of normal subtraction. Efficient best match search techniques are used to reduce the computational cost of the algorithm, at the expense of some difference image quality. Results are provided for simulated and actual DSA image pairs.
This paper discusses the methods used to model the structure of x-ray images of the human body and the individual organs within the body. A generic model of a region is built up from x-ray images to aid in automatic segmentation. By using the ribs from a chest x-ray image as an example, it is shown how models of the different organs can be generated. The generic model of the chest region is built up by using a priori knowledge of the physical structure of the human body. The models of the individual organs are built up by using knowledge of the structure of the organs as well as other information contained within each image. Each image is unique and therefore information from the region surrounding the organs in the image has to be taken into account when adapting the generic model to individual images. Results showing the application of these techniques to x-ray images of the chest region, the labelling of individual organs, and the generation of models of the ribs are presented.
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