Comparison of image quality and radiation dose between an image-intensifier system and a newer-generation flat-panel detector system: technical phantom measurements and evaluation of clinical imaging in children

Background: Many image-intensifier fluoroscopy systems have been replaced by flat-panel detectors in recent years. Objective: To compare the level of contrast, image resolution and radiation dose between an image-intensifier and a newer-generation flat-panel detector system in a pediatric radiology...

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Hauptverfasser: Weis, Meike (VerfasserIn) , Henzler, Claudia (VerfasserIn) , Schönberg, Stefan (VerfasserIn) , Neff, Wolfgang (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2016
In: Pediatric radiology
Year: 2015, Jahrgang: 46, Heft: 2, Pages: 286-292
ISSN:1432-1998
DOI:10.1007/s00247-015-3456-z
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1007/s00247-015-3456-z
Verlag, Volltext: https://doi.org/10.1007/s00247-015-3456-z
Volltext
Verfasserangaben:Meike Weis, Claudia Hagelstein, Theo Diehm, Stefan O. Schoenberg, K. Wolfgang Neff

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245 1 0 |a Comparison of image quality and radiation dose between an image-intensifier system and a newer-generation flat-panel detector system  |b technical phantom measurements and evaluation of clinical imaging in children  |c Meike Weis, Claudia Hagelstein, Theo Diehm, Stefan O. Schoenberg, K. Wolfgang Neff 
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520 |a Background: Many image-intensifier fluoroscopy systems have been replaced by flat-panel detectors in recent years. Objective: To compare the level of contrast, image resolution and radiation dose between an image-intensifier and a newer-generation flat-panel detector system in a pediatric radiology unit. Materials and methods: We compared two systems - a conventional image intensifier and a newer-generation flat-panel system. We measured image quality and radiation dose using a technical phantom. Additionally, we retrospectively compared age-matched fluoroscopic pediatric voiding cystourethrography (n = 15) and upper gastrointestinal investigations (n = 25). Results: In phantom studies image contrast was equal while image resolution was higher and mean radiation dose lower using the flat-panel system (P < 0.0001). In pediatric investigations, mean dose area product was significantly reduced on the flat-panel system for upper gastrointestinal investigation (45 ± 38 μGy*m2 vs. 11 ± 9 μGy*m2; P < 0.0001) and for voiding cystourethrography (18 ± 20 μGy*m2 vs. 10 ± 12 μGy*m2; P = 0.04). Conclusion: The newer flat-panel system performs at lower dose levels with equal to better image quality and therefore seems to be the more suitable technique for pediatric fluoroscopy in comparison to image-intensifier systems. 
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