[Effects of image post-processing parameters on digital radiography chest radiograph for the diagnosis of pneumoconiosis]

To explore the effects of image post-processing parameters on DR chest radiograph for the diagnosis of pneumoconiosis. Eighty three coal miners were examined with high-kV and DR chest radiographs at the same time. Image post-processing parameters (density, contrast and so on) were designed in a Philips Essenta DR machine were designed, then differences of image quality between high-kV and DR chest radiographs were compared. After regulating image and proceeding the parameters, the OD (optical density) values of high density areas in the upper-middle lung fields, subphrenic and direct exposure areas were 1.58 +/- 0.10, 0.23 +/- 0.02 and 2.80 +/- 0.21, respectively. The quality of chest films met the requirements of diagnostic criteria of pneumoconiosis. The rate of excellent chest films for DR chest radiograph was 95.18%, which was significantly higher than that (80.72%) for high-kV chest radiograph (P < 0.01). Appropriate parameters of image post-processing can make DR chest radiograph to meet the requirements of chest radiograph quality for the diagnosis of pneumoconiosis.
  • [Show abstract] [Hide abstract] ABSTRACT: Background: High-voltage analog X-ray examination is a main tool for pneumoconiosis, which is challenged by digital radiography (DR). The tube voltage of DR chest films required for diagnosis and staging of pneumoconiosis is concerned technically. We investigated the influence of the tube voltage on chest X-ray DR image quality of patients exposed to occupational dust. Methods: DR images of the CDRAD2.0model, an anatomical chest phantom, and 136 exposed workers were analyzed at different tube voltages by threereaders. Image quality factors (IQF) were calculated and compared using the CDRAD2.0 model. DR images of ten anatomic positions were scored against those of the high-kilovolt chest films in anatomical phantom and clinical cases, and differences in scores were analyzed. Results: In the CDRAD2.0 model, all three readers had a minimal IQF at 120 kV (mean: 22.25 kV). The differences in the mean IQF of DR images at different tube voltages was significant (F = 13.78, P < 0.001). The IQF of DR imaging at 120 kV was similar to high kilovolt analog imaging (t = -0.58, P > 0.05). In the anatomic phantom and clinical cases, the DR images at 120 kV were closest in anatomical detail to the high kV analog images, and the means were similar (P > 0.05). Conclusions: Among different tube voltages, DR image quality is closest to the high kilovolt analog images at 120 kV in patients exposed to occupational dust.
    Article · Aug 2014

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