title: Comparing image quality of flat-panel chest radiography with storage phosphor radiography and film-screen radiography.
abstract: OBJECTIVE
  To evaluate image quality of a large-area direct-readout flat-panel detector system in chest radiography, we conducted an observer preference study. A clinical comparative study was conducted of the flat-panel system versus the storage phosphor and standard film-screen systems.
  
  
  METHODS
  Routine chest radiographs (posteroanterior) of 30 patients that were obtained using flat-panel, storage phosphor, and film screen systems were compared. The visibility of 10 anatomic regions and the overall image quality criteria were rated independently by three radiologists using a 5-point scale. The significance of the differences in diagnostic performance was tested with a Wilcoxon's signed rank test. Dose measurements for the three modalities were performed.
  
  
  RESULTS
  The flat-panel radiography system showed an improved visibility in most anatomic structures when compared with a state-of-the-art conventional film-screen system and an equal visibility when compared with a storage phosphor system. The flat-panel system showed the greatest enhancement in the depiction of small detailed structures (p < 0.05) and achieved this with a reduction in overall radiation dose of more than 50%.
  
  
  CONCLUSIONS
  The visibility of anatomic structures provided by this flat-panel detector system is as good as if not better than that provided by conventional or storage phosphor systems while emitting a reduced radiation dose.
authors.affiliation: Department of Diagnostic Radiology, Ruprecht-Karls-University of Heidelberg, Radiological University Hospital, Im Neuenheimer Feld 110, 69120 Heidelberg, Germany.
authors.forename: Marika
authors.initials: M
authors.lastname: Ganten
authors.forename: Boris
authors.initials: B
authors.lastname: Radeleff
authors.forename: Annette
authors.initials: A
authors.lastname: Kampschulte
authors.forename: Mark D
authors.initials: MD
authors.lastname: Daniels
authors.forename: Günter W
authors.initials: GW
authors.lastname: Kauffmann
authors.forename: Jochen
authors.initials: J
authors.lastname: Hansmann
mesh_terms: D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement / Q000295:instrumentation; D013902:Radiography, Thoracic / Q000295:instrumentation* / Q000379:methods; D014963:X-Ray Intensifying Screens