title: Advanced multiple beam equalization radiography (AMBER) in the detection of diffuse lung disease.
abstract: To evaluate the effects of scanning equalization radiography (SER) on the detection of diffuse lung disease a clinical comparison between an Advanced Multiple Beam Equalization Radiography (AMBER) unit and conventional chest radiography was performed. Even though the overall detection of focal pulmonary lesions with the AMBER unit has been shown to be significantly higher than with conventional radiography because of the improved demonstration of the costophrenic and retrocardiac regions, the utility of AMBER in the demonstration of diffuse lung disease has not been established. Twenty-one patients with diffuse lung disease (fibrosing alveolitis or sarcoidosis) and six patients with no pulmonary disease had high kVp frontal and lateral chest radiographs on both an AMBER unit and a conventional chest stand. The pooled results of five observers using Receiver Operating Characteristic (ROC) analysis indicate that there is a slight improvement but no statistically significant difference in observer performance between AMBER (Area under the ROC curve AZ = 0.934) and conventional radiography (AZ = 0.868) in the task of detecting diffuse lung disease.
authors.affiliation: Department of Radiology, Royal Brompton and National Heart Hospital, London.
authors.forename: D M
authors.initials: DM
authors.lastname: Hansell
authors.forename: R
authors.initials: R
authors.lastname: Coleman
authors.forename: R M
authors.initials: RM
authors.lastname: du Bois
authors.forename: D H
authors.initials: DH
authors.lastname: Carr
authors.forename: L R
authors.initials: LR
authors.lastname: Goodman
authors.forename: I H
authors.initials: IH
authors.lastname: Kerr
authors.forename: M C
authors.initials: MC
authors.lastname: Pearson
authors.forename: M B
authors.initials: MB
authors.lastname: Rubens
mesh_terms: D005069:Evaluation Studies as Topic; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D015588:Observer Variation; D011658:Pulmonary Fibrosis / Q000000981:diagnostic imaging; D011856:Radiographic Image Enhancement / Q000379:methods*; D012507:Sarcoidosis / Q000000981:diagnostic imaging