title: Flat panel digital radiography compared with storage phosphor computed radiography: assessment of dose versus image quality in phantom studies.
abstract: OBJECTIVE
  To assess and quantify the dose reduction by use of a CsI-flat panel digital radiography (DR)-system compared with digital computed radiography (CR).
  
  
  METHODS
  A TCDD-test using the CDRAD-phantom was performed at mAs-values of 5, 4, 2.5, 2, 1, and 0.5 mAs for both digital systems. Entrance surface doses were recorded for all images. Images were presented to four independent observers. For quantitative comparison the image quality figure (IQF) was calculated. Statistical analysis was performed using the Pearson correlation and the Wilcoxon test. A ROC analysis was performed using the TRG-phantom. Settings of 4, 2.5, 2 mAs for both systems were used. In addition, 1 and 0.5 mAs were used for the DR system only. Statistical significance was evaluated using Student test.
  
  
  RESULTS
  The DR system provided equivalent results compared with CR with respect to high frequency information and superior results with respect to low contrast details. Compared with computed radiography, the flat panel detector demonstrated significantly lower IQFs, ensuring a better image quality with respect to contrast and detail detectability. IQFs for DR and CR were equal at a surface dose reduction of 87% for DR. ROC analysis revealed significantly higher values under the curve for DR up to a surface dose reduction of 70%.
  
  
  CONCLUSIONS
  Image quality of DR proved to be far superior to CR in particular for low contrast details. The image quality of CR is similar to that of DR only at high dose levels.
authors.affiliation: Department of Radiology, Charité Virchow-Klinikum, Medical Faculty of the Humboldt University Berling, Germany. Frank.Fischbach@charite.de
authors.forename: Frank
authors.initials: F
authors.lastname: Fischbach
authors.forename: Jens
authors.initials: J
authors.lastname: Ricke
authors.forename: Torsten
authors.initials: T
authors.lastname: Freund
authors.forename: Michael
authors.initials: M
authors.lastname: Werk
authors.forename: Birgit
authors.initials: B
authors.lastname: Spors
authors.forename: Clemens
authors.initials: C
authors.lastname: Baumann
authors.forename: Marcie J
authors.initials: MJ
authors.lastname: Pech
authors.forename: Roland
authors.initials: R
authors.lastname: Felix
mesh_terms: D019047:Phantoms, Imaging; D012372:ROC Curve; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement / Q000295:instrumentation*; D012542:Scattering, Radiation; D018709:Statistics, Nonparametric; D014963:X-Ray Intensifying Screens