Liu H, Fajardo L L, Barrett J R, Baxter R A
Department of Radiology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Acad Radiol. 1997 Mar;4(3):197-203. doi: 10.1016/s1076-6332(05)80291-0.
The authors compared the contrast-detail detectability properties of an optically coupled charge-coupled device (CCD) digital mammography system with those of a conventional analog screen-film mammography system.
A proprietary contrast-detail phantom was imaged with both systems. Twelve observers viewed analog and digital images obtained at seven different mean glandular doses. Contrast-detail-dose curves were generated on the basis of the readers' visual perceptions. Interobserver errors were also calculated. In addition, the authors applied a theoretical model for lesion detectability to calculate and compare the digital and analog mammography systems.
The readers' contrast-detail detectability was significantly superior with the digital system in the detail and contrast ranges evaluated (P < .001).
The performance of the readers paralleled the performance predicted by the theoretical model for the two imaging systems. The following features account for the superior performance of the digital mammography system: (a) higher quantum efficiency of the phosphor, (b) wider dynamic range, (c) better contrast transfer characteristics, and, most important, (d) greater photon flux at the phosphor entrance.
作者比较了光学耦合电荷耦合器件(CCD)数字乳腺摄影系统与传统模拟屏-片乳腺摄影系统的对比度-细节可探测性特性。
使用这两种系统对一种专利对比度-细节模型进行成像。12名观察者观察了在七种不同平均腺体剂量下获得的模拟图像和数字图像。根据读者的视觉感知生成对比度-细节-剂量曲线。还计算了观察者间误差。此外,作者应用一种病变可探测性理论模型来计算和比较数字与模拟乳腺摄影系统。
在评估的细节和对比度范围内,数字系统的读者对比度-细节可探测性明显更优(P <.001)。
读者的表现与两种成像系统理论模型预测的表现相符。数字乳腺摄影系统的卓越性能归因于以下特点:(a)磷光体的量子效率更高,(b)动态范围更宽,(c)对比度传递特性更好,以及最重要的(d)磷光体入口处的光子通量更大。