Spahn M, Heer V, Freytag R
Angiographie-, Durchleuchtungs- und Aufnahmesysteme, Medical Solutions, Siemens AG, Forchheim.
Radiologe. 2003 May;43(5):340-50. doi: 10.1007/s00117-003-0890-y.
For all application segments X-ray systems with flat-panel detectors increasingly enter the market. In digital radiography,mammography and cardiologic angiography flat-panel detectors are already well established while they are made ready for market introduction in general angiography and fluoroscopy. Two flat-panel detector technologies are available. One technology is based on an indirect conversion process of X-rays while the other one uses a direct conversion method. For radiography and dynamic applications the indirect method provides substantial advantages, while the direct method has some benefits for mammography. In radiography and mammography flat-panel detectors lead to clear improvements with respect to workflow, image quality and dose reduction potentials. These improvements are fostered by the immediate availability of the image, the large dynamic range and the high sensitivity to X-rays. New applications and the use of complex image processing algorithms have the potential to enlarge the present diagnostic range of applications. Up to now, image intensifiers are still the well-established technology for angiography and fluoroscopy. Nevertheless flat-panel detectors begin to enter this field, especially in cardiologic angiography. Characteristics of flat-panel detectors such as the availability of distortion-free images, the excellent contrast resolution, the large dynamic range, the high sensitivity to X-rays and the usability in magnetic fields provide the basis for improved and new diagnostic and interventional methods.
对于所有应用领域,配备平板探测器的X射线系统正越来越多地进入市场。在数字放射摄影、乳腺摄影和心脏血管造影中,平板探测器已经得到广泛应用,同时它们也正准备在普通血管造影和荧光透视中推向市场。有两种平板探测器技术可供选择。一种技术基于X射线的间接转换过程,而另一种则采用直接转换方法。对于放射摄影和动态应用,间接方法具有显著优势,而直接方法在乳腺摄影方面有一些优点。在放射摄影和乳腺摄影中,平板探测器在工作流程、图像质量和剂量降低潜力方面带来了明显的改进。图像的即时可得性、大动态范围以及对X射线的高灵敏度促进了这些改进。新的应用和复杂图像处理算法的使用有可能扩大目前的诊断应用范围。到目前为止,影像增强器仍然是血管造影和荧光透视中成熟的技术。然而,平板探测器开始进入这个领域,特别是在心脏血管造影中。平板探测器的特性,如无失真图像的可得性、出色的对比分辨率、大动态范围、对X射线的高灵敏度以及在磁场中的可用性,为改进和新的诊断及介入方法提供了基础。