Toward safer medical x-ray exams.
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Biomedical subjects
Publications and source records attributed to J W Motz.
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The ratio of the scattered to the total X-ray fluence (scatter fraction) at the centre of the image plane for X-rays transmitted through polystyrene phantoms has been measured for X-ray energies of 32 and 69 keV, X-ray beam diameters from 4 to 40 cm, phantom thicknesses from 5 to 30 cm and phantom-to-image-plane separations from 0.3 to 40 cm. The experimental values for this ratio have less than a 10% variation for these two X-ray energies and the experimental data show good agreement with Monte Carlo calculations and available experimental results for low atomic number materials. Based on these results, simple curves are generated which give estimates (+/- 10%) of the scatter fraction for all combinations of the geometric parameters encountered in diagnostic radiology.
With monoenergetic x-ray beams incident on polystyrene phantoms, the spectra of the tramsmitted x rays were measured with a scintillation spectrometer. The scattered and unscattered components of the transmitted x-ray fluence at a point on the beam axis were determined as a function of (i) the incident x-ray energy (18, 22, 32, 49, 58, 69, and 660 keV), (ii) the phantom thickness (5.3, 10, and 21 cm), (iii) the scatter solid angle determined by the exposed area of the phantom and the separation distance of the image plane (0.090, 0.31, 0.66, 1.8, 3.5 4.3, 4.8, and 5.1 sr), and (iv) the beam diameter at the image plane (25, 17, and 10 cm). The results indicate that, as the incident x-ray energy decreases from 660 to 30 keV, the contribution of the scattered component to the transmitted fluence increases from approximately 50% to 90% for the 21-cm phantom and from 21% to 50% for the 5.3-cm phantom. For typical cases, the data show the effect of the scatter component on the ratio of the image to the background signals. In addition, the examples show that optimum conditions for maximizing this signal ratio may be obtained by a careful selection of the incident x-ray energy for low-, medium, and high-contrast objects.
Presently, patient exposure and x-ray tube kilovoltage are determined by image visibility requirements on x-ray film. With the employment of image-processing techniques, image visibility may be manipulated and the exposure may be determined only by the desired information content, i.e., by the required degree of tissue-density descrimination and spatial resolution. This work gives quantitative relationships between the image information content and the patient exposure, give estimates of the minimum exposures required for the detection of image signals associated with particular radiological exams. Also, for subject thickness larger than approximately 5 cm, the results show that the maximum information content may be obtained at a single kilovoltage and filtration with the simultaneous employment of image-enhancement and antiscatter techniques. This optimization may be used either to reduce the patient exposure or to increase the retrieved information.
This work describes a new method for the experimental evaluation of antiscatter x-ray grids in radiography. Five commercial grids are evaluated in terms of two parameters which are determined only by the construction of the grid and the x-ray energy. A comparison of the grid performances was made for the x-ray energies and scatter conditions that usually apply to chest radiography and mammography. The results show that for maximum scatter conditions the grid enhances the subject contrast by factors of approximately 6 and 2 in chest radiography and mammography, respectively, and that the contrast increases as the grid ratio increases. Also, in these examinations, the results show that, with improved grids, it is possible to reduce the patient exposures required for the no-grid case by approximately one-half without loss of the image-information content (signal-to-noise ratio).
The image information transfer efficiency for five x-ray fluorescent screens (calcium tungstate, barium halide, and three rare earth screens) has been experimentally determined with monoenergetic x-ray beams at energies of 18, 22, 32, 49, 51, 58, and 69 keV. The transfer efficiency, which is defined by the ratio of the output signal-to-noise ratios, was determined from measurements of (a) the fraction of incident x rays absorbed in the screen and (b) the statistical distribution of the number of light photons emitted from the screen per absorbed x ray which was determined by light photon counting techniques. Comparisons of the information transfer efficiency, the average number of light photons emitted per absorbed x ray, and the light output energy per Roentgen are given for the above screens and x-ray energies.