Durability of imaging plates in clinical use.

In many X-ray clinics, the traditional photographic film has been replaced by an imaging plate (IP). The IP is re-usable and the purpose of this study was to test if image deterioration occurred after successive uses of the IP. The emphasis is placed on the efficiency of image formation and on image uniformity. In a cross-sectional study, 21 clinically used IPs were exposed with a standardized phantom imaging protocol. These IPs were in clinical use between one month and two years and the IPs were exposed between 191 and 3787 times. After digitizing, the mean pixel value (MPV) in a predefined image area was determined. The relation between MPV and IP uses was assessed. In a second experiment, image uniformity of 30 other clinically used IPs was visually inspected for artifacts on a diagnostic monitor. These IPs were in clinical use between one week and two years and exposed between 76 and 5373 times. The first experiment showed that no significant deterioration of the MPV with increasing usage count of the IP was present (p = 0.15). The second experiment showed the appearance of clinically relevant artifacts on the IP before 3000 uses. It was concluded that the efficiency of the image formation process does not significantly deteriorate after successive use of IPs and is therefore not expected to limit their life span. Mechanical handling in the digitizer of the used system seems to set a limit to IP durability. Uniformity should therefore be checked regularly in clinical quality control.