Kishimoto Kenji, Ariga Eiji, Ishigaki Rikuta, Imai Masatake, Kawamoto Kiyosumi, Kobayashi Kenichi, Sawada Michito, Noto Kimiya, Nakamae Mitsuhiro, Higashide Ryo
Department of Radiology, Osaka City University Hospital.
Nihon Hoshasen Gijutsu Gakkai Zasshi. 2011;67(11):1381-97. doi: 10.6009/jjrt.67.1381.
Recently about 90% of radiographs have been taken by the digital radiographic system in Japan, but the exposure dose of the patients are about ten-times different among the systems. We understood it by a surveytaken in 2007. We studied the visual evaluation with varying exposure doses using the image phantom of the lumber AP, lumber lateral and hip AP. Additionally we measured quantum efficiency (DQE) of the digital systems. We also studied the exposure index (EI) of IEC standard to see whether it is able to be the sensitivity index among the digital systems. DQE in 1.0 cycle/mm of CR, FPD (GOS), FPD (CsI, a-Se) became 0.2-0.25, 0.3, 0.5, respectively. Our results display that the dose reduction is relative to DQE. The visual evaluation results also show that dose reduction is possible among the systems. From these results, we are able to reduce the exposure dose of the patients at the clinical site. We also suggest that we manage the exposure dose using the E.I of the IEC standard.
最近在日本约90%的X光片是由数字射线照相系统拍摄的,但不同系统中患者的曝光剂量相差约十倍。我们通过2007年进行的一项调查了解到这一点。我们使用腰椎前后位、腰椎侧位和髋关节前后位的图像体模,研究了不同曝光剂量下的视觉评估。此外,我们测量了数字系统的量子效率(DQE)。我们还研究了IEC标准的曝光指数(EI),以查看它是否能够成为数字系统之间的灵敏度指标。CR、FPD(GOS)、FPD(CsI,a-Se)在1.0周期/毫米时的DQE分别为0.2 - 0.25、0.3、0.5。我们的结果表明剂量降低与DQE相关。视觉评估结果也表明不同系统之间有可能降低剂量。基于这些结果,我们能够在临床现场降低患者的曝光剂量。我们还建议使用IEC标准的EI来管理曝光剂量。