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[高强化增感屏-胶片组合是否适用于检测肺部细微间质改变?一项使用拟人化胸部模型的ROC研究结果]

[Are high-intensifying film-screen combinations suitable for the detection of fine interstitial lung changes? The results of a ROC study with an anthropomorphic thorax phantom].

作者信息

Müller R D, John V, Voss M, Buddenbrock B, Blendl C, Hirche H, Ewen K, Löhr E

机构信息

Röntgendiagnostisches Zentralinstitut des Universitätsklinikums-GHS-Essen.

出版信息

Rofo. 1993 Jul;159(1):54-9. doi: 10.1055/s-2008-1032721.

DOI:10.1055/s-2008-1032721
PMID:8334259
Abstract

Exposures of an anthropomorphic thorax phantom in posteroanterior projection were made using a focus-film distance of 200 cm and 125 kV with film-screen combinations in class 200 (Curix RP 1L/MR 200) and class 400 (Curix ST-L/Regular). Pathomorphological structures of the lung parenchyma of fine nodular, linear and reticular types were simulated by suitable materials. A ROC analysis including a t-test showed no significant difference in the evaluation of these structural details (p > 0.05). In order to describe image quality for the two film-screen systems, density curves, sigma D-curves and modulation transfer function (MTF) were determined. The only demonstrable difference was reduced MTF of 10-15% for the higher intensification film-screen combination with a resulting poorer resolution of 3.7 l/mm (for the 400 system) compared with 4.3 l/mm for the 200 system.

摘要

使用200厘米的焦-片距和125千伏电压,对一个仿真人体胸部模型进行后前位投照,使用200类(Curix RP 1L/MR 200)和400类(Curix ST-L/Regular)的增感屏-胶片组合。通过合适的材料模拟细结节状、线状和网状肺实质的病理形态结构。包括t检验的ROC分析表明,在评估这些结构细节方面没有显著差异(p>0.05)。为了描述这两种增感屏-胶片系统的图像质量,测定了密度曲线、西格玛D曲线和调制传递函数(MTF)。唯一可证明的差异是,与200系统的4.3线对/毫米相比,更高增感的增感屏-胶片组合的MTF降低了10-15%,导致分辨率较差,为3.7线对/毫米(对于400系统)。

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