rationale and objectives
The authors evaluate a new flat-panel x-ray detector (FD) with respect to foreign body detection and reduction of radiation dose compared with screen-film radiography.
Flat-panel x-ray detector is based on amorphous silicon
technology and uses a 1 k x 1 k photo-detector matrix with a pixel size of 143 x 143 µm and 12-bit digital output. A thallium-doted cesium iodide scintillation layer converts x-rays into light. An ex vivo experimental model was used to determine the detectability of foreign bodies
. Foreign bodies
with varying sizes were examined: glass with and without addition of lead, bone, aluminium, iron, copper, gravel fragments, and graphite. Four hundred observation fields were examined using conventional radiography(speed, 400; system dose: 2.5 µGy) as well as FD with a simulated speed of 400, 800, 1200, and 1600, corresponding to a detector dose of 2.5 µGy, 1.25 µGy, 0.87 µGy, and 0.625µGy, respectively. Four independent radiologists performed receiver operating characteristic analysis of 8000 observations.
Flat-panel x-ray detector with a simulated speed of 400 was significantly superior (P
= 0.012) to screen-film radiography (speed, 400). At a simulated speed of 800 and 1200 FD yielded results equivalent to screen-film radiography. Flat-panel x-ray detector was significantly inferior to screen-film radiography at a simulated speed of 1600 (P
Flat-panel x-ray detector technology allows significant reduction in radiation dose compared with screen-film radiography without loss of diagnostic accuracy.