title: [The potentials of digital image-intensifier radiography exemplified by digital spot imaging (DSI)].
abstract: OBJECTIVE
  We performed a comparative study of digitally and conventionally acquired images in gastrointestinal examinations.
  
  
  METHODS
  Radiation dose and spatial resolution were determined in a water phantom. In 676 examinations with either conventional or digital imaging (system: Diagnost 76, DSI) the number of images and the duration of the fluoroscopy time were compared. 101 examinations with digital as well as conventional documentation were evaluated by using 5 criteria describing the diagnostic performance.
  
  
  RESULTS
  The entrance dose of the DSI is 12% to 36% of the film/screen system and the spatial resolution of the DSI may be better than that of a film/screen system with a speed of 200. The fluoroscopy time shows no significant difference between DSI and the film/screen technique. In 2 of 4 examination modes significantly more images were produced by the DSI. With exception of the criterion of edge sharpness, DSI yields a significantly inferior assessment compared with the film/screen technique.
  
  
  CONCLUSIONS
  The DSI system was well integrated in the daily routine of gastrointestinal examinations. Low dose imaging, direct availability of images and dynamic studies with a frame rate up to 8 images per second are the advantages of the DSI. The lower spatial resolution in some cases is a diagnostic disadvantage that can reduce the diagnostic information.
authors.affiliation: Klinik für Radiologische Diagnostik, RWTH Aachen.
authors.forename: J
authors.initials: J
authors.lastname: Rückforth
authors.forename: B
authors.initials: B
authors.lastname: Wein
authors.forename: A
authors.initials: A
authors.lastname: Stargardt
authors.forename: R W
authors.initials: RW
authors.lastname: Günther
mesh_terms: D003287:Contrast Media; D004064:Digestive System / Q000000981:diagnostic imaging; D005069:Evaluation Studies as Topic; D006801:Humans; D011856:Radiographic Image Enhancement / Q000295:instrumentation / Q000379:methods*; D012680:Sensitivity and Specificity; D014963:X-Ray Intensifying Screens / Q000706:statistics & numerical data
chemical_list: D003287:Contrast Media
vernacular_title: Möglichkeiten der digitalen Bildverstärkerradiographie am Beispiel des Digital Spot Imaging (DSI).