Imhof H
Wien Klin Wochenschr Suppl. 1977;74:1-14.
The advantages of radiographic magnification technique - better detail recognition and improved contrast with an enlarged field of vision - should prove an important supplement to the properties of a high-speed rare-earth system - low-current intensity, low voltage, short exposure time and, consequently, lower irradiation dosage. Physical measurements of the Wiener spectral value, MTF and HD curve proved the superiority of the radiographic magnification technique in combination with a rare-earth screen-film system as compared with a conventional system (Dupont Par speed screen, RP films). Phantom radiographs confirmed these results. The clinical usefulness of this method was assessed with respect to the detection rate of gall-stones by means of oral cholecystography. Two out of 25 cases showed gallstones only following implementation of the radiographic magnification technique. This method seems to be particularly valuable in angiography. In 7 out of 18 abdominal angiograms and 4 out of 14 renal angiograms the number of visible vessel ramifications was greater with the magnification technique. In 5 cases valuable diagnostic information was revealed only by means of the magnification technique. Despite two-fold or 1.7-fold magnification, measurements of skin irradiation exposure showed a reduction of about half in comparison with conventional techniques. Reduced exposure to irradiation combined with improved detail resolution should ensure that this method receives an established place in routine radiodiagnosis.
射线照相放大技术的优点——更好的细节识别以及在扩大视野下提高对比度——应被证明是对高速稀土系统特性的重要补充,该系统具有低电流强度、低电压、短曝光时间以及因此更低的辐射剂量。对维纳光谱值、调制传递函数(MTF)和调制清晰度(HD)曲线的物理测量证明,与传统系统(杜邦帕速增感屏、RP胶片)相比,射线照相放大技术与稀土增感屏-胶片系统相结合具有优越性。体模射线照片证实了这些结果。通过口服胆囊造影术对胆结石的检出率评估了该方法的临床实用性。25例中有2例仅在采用射线照相放大技术后才显示出胆结石。该方法在血管造影术中似乎特别有价值。在18例腹部血管造影中有7例,14例肾血管造影中有4例,放大技术显示出的可见血管分支数量更多。在5例中,仅通过放大技术才揭示出有价值的诊断信息。尽管放大了两倍或1.7倍,但皮肤辐射暴露测量显示,与传统技术相比减少了约一半。减少辐射暴露并提高细节分辨率应确保该方法在常规放射诊断中占有一席之地。