title: [Thoracic radiography in intensive care units. Comparison of an asymmetric film-screen-grid combination with an L-film].
abstract: OBJECTIVE
  Using an asymmetrical screen-film-grid combination with an ITC-VHC special grid (Kodak), the effect of the individual components was evaluated with regard to detail in the lungs and mediastinum as well as patient dose.
  
  
  METHODS
  The system was compared with the Curix Ortho screen film system (Agfa L-film) using phantoms and 62 patients in an intensive care unit. The results were analysed by three independent observers. Dose measurements on phantoms were carried out with a WD 10 (Wellhoefer) dosimeter and with a thermoluminescence dosimeter for patients.
  
  
  RESULTS
  Both phantom and patient images showed improved demonstration of mediastinal structures with similar details of lung structure. Details in the peripheral lungs are significantly better shown with the ITC-VHC system with the special grid than they are without the grid. However, there is an increase about three to four times in radiation dose when using the grid.
  
  
  CONCLUSIONS
  Our trial shows that the use of the ITC-VHC grid system is to be recommended for routine clinical use because of the better demonstration of details, but one must be aware of the increased radiation dose to the patient.
authors.affiliation: Radiologische Klinik, Zentralkrankenhauses Links der Weser.
authors.forename: G
authors.initials: G
authors.lastname: Luska
authors.forename: H
authors.initials: H
authors.lastname: von Boetticher
authors.forename: B
authors.initials: B
authors.lastname: Amling
authors.forename: R
authors.initials: R
authors.lastname: Herzog
mesh_terms: D005069:Evaluation Studies as Topic; D006801:Humans; D007362:Intensive Care Units; D008168:Lung / Q000000981:diagnostic imaging; D008482:Mediastinum / Q000000981:diagnostic imaging; D008961:Models, Structural; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement; D013902:Radiography, Thoracic / Q000379:methods*; D014962:X-Ray Film; D014963:X-Ray Intensifying Screens
vernacular_title: Thoraxaufnahmen auf der Intensivstation. Vergleich einer asymmetrischen Film-Folien-Raster-Kombination mit einem L-Film.