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PURPOSE: In this study, we evaluated image quality and radiation dose reduction when a Copper (Cu) filter was added to hip joint X-ray imaging. METHODS: We measured effective energy without (0 mm) and with (0.1/0.2 mm) Cu-added filter at 70 kV, and we calculated soft tissue-bone contrast and signal-difference-to-noise-ratio (SDNR) under constant entrance surface dose. After that, we estimated the dose reduction rate. RESULTS: The effective energy was 32.07 keV for 0 mm Cu, 37.59 keV for 0.1 mm Cu, and 40.91 keV for 0.2 mm Cu. As the thickness of the Cu-added filter was increased, contrast decreased, but SDNR increased. The dose reduction rate in bone calculated measuring SDNR was 34% for 0.1 mm Cu and 47% for 0.2 mm Cu in max. CONCLUSION: It was suggested that adding Cu filter to hip-joint X-ray imaging could reduce entrance surface dose while maintaining the image quality based on SDNR.

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OBJECTIVE: Subject contrast of pulmonary tissues was investigated for five X-ray beams (70 kV without filter, 90 kV with 0.15 mm Cu filter, 90 kV with 0.2 mm Cu filter, 120 kV without filter, and 120 kV with 0.2 mm Cu filter) in CsI-FPD chest radiography using two types of model phantoms by Monte Carlo simulation. METHODS: A total of 72 million photons were entered to the model lung phantom (width, 300 mm; length, 300 mm; thickness, 200 mm; air space, 120 mm) and model mediastinum phantom (width, 300 mm; length, 300 mm; thickness, 200 mm; air space, 40 mm). Individual primary and secondary photon's process (absorption, scattering, and penetration) in the phantom and CsI-detector was recorded by Monte Carlo simulation. Subject contrast was calculated by entered and absorbed photon's number in the CsI-detector. RESULTS: Subject contrast pulmonary tissues were high to low energy X-ray beam; however, the ones of soft tissue and soft tissue overlaying bone had few differences for beam quality except 70 kV without filter. Moreover, the subject contrast by absorbed photons was higher compared to the one by entered photons in CsI. CONCLUSION: It was shown that the subject contrast study by Monte Carlo calculation can be replaced by the way of physical chest phantom, and that the subject contrast by absorbed photons and by injected photons in CsI was different. Furthermore, be verified that the subject contrast of soft tissue and soft tissue overlaying bone differs hardly.

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OBJECTIVES: Contrast-to-noise ratio (CNR) of four X-ray beams (90 kV with 0.15-mm Cu filter, 90 kV with 0.2-mm Cu filter, 120 kV without filter and 120 kV with 0.2-mm Cu filter) in CsI-flat panel detector (FPD) radiography for lung cancer diagnosis was investigated using Monte Carlo simulation. METHOD: Two billion photons were injected to the chest phantom model (width: 300 mm, length: 300 mm, thickness: 200 mm) with imitated lung nodules (10 mm diameter, CT value: +30 Hounsfield unit (HU), -375 HU, and -620 HU). Individual primary and secondary photon's process (absorption, scattering and penetration) in the phantom and CsI-detector was recorded by Monte Carlo simulation. CNR was calculated using primary and secondary absorbed photon's number in the CsI-detector. RESULTS: CNR of 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters was higher to 120 kV X-ray beam because of higher primary object contrast and photon's contribution, and high photon's absorption to CsI. CONCLUSION: By Monte Carlo calculation, it was verified that 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters yielded higher CNR to 120 kV X-ray beam.

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OBJECTIVES: Optimal beam quality for detection of pulmonary nodules in digital chest radiography using CsI-flat panel detector (FPD) was investigated in consideration of image quality and patient dose. METHODS: The human chest phantom with inserted imitated nodules (diameter: 10 mm, CT value: +30 Hounsfield unit (HU), -375 HU, -620 HU) was used for the measurement of contrast-to-noise ratio (CNR) of imitated nodules by twenty beams arranged by five tube voltages and four filters. RESULTS: The CNR varies with X-ray tube voltage and added filter. CNR correlates weakly to the tube voltage, fairly to the effective energy in second-order polynomial and strongly to the quality index (effective energy divided X-ray tube voltage). In order to improve the CNR, the effective energy and the quality index are kept about 50 keV and more than 0.5, respectively, using an 80-100 kV beam with a copper filter. CONCLUSION: A 90 kV (2.5 mm Al inherent filtration) beam with a 0.15 mm copper filter and a 90 kV or 100 kV (2.5 mm Al inherent filtration) beam with a 0.2 mm copper filter are appropriate for chest radiography using CsI-FPD.

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PURPOSE: To compare the visibility of anatomic structure in chest radiography acquired with different beam quality (120 kV beam and 90 kV beam with 0.15 mmCu) using CsI-flat panel detector. METHOD: Pair image obtained by different beam quality of 100 person's chest radiographies which were taken periodical health examination were compared with the visibility of normal structures (pulmonary vessels) and abnormal opacities by two pulmonologists and four radiological technologists. Moreover, the spectrum of the two beam quality were calculated using Monte Carlo simulation. RESULT: Dominant observers gave high score significantly (p<0.01) to the 90 kV beam's image in spite of 20% less dose. Monte Carlo simulation showed that 90 kV beam with 0.15 mmCu were much absorbed primary photon than 120 kV beam to CsI detector, and less absorbed secondary photon. CONCLUSION: The visibility of anatomic structure and abnormal opacities in FPD chest radiography was improved by using the 90 kV beam with 0.15 mmCu than traditional 120 kV beam's chest radiography.

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