The validity and reliability of the exposure index as a metric for estimating the radiation dose to the patient

Introduction With the introduction of digital radiography, the feedback between image quality and over-exposure has been partly lost which in some cases has led to a steady increase in dose. Over the years the introduction of exposure index (EI) has been used to resolve this phenomenon referred to as ‘dose creep’. Even though EI is often vendor specific it is always a related of the radiation exposure to the detector. Due to the nature of this relationship EI can also be used as a patient dose indicator, however this is not widely investigated in literature. Methods A total of 420 dose-area-product (DAP) and EI measurements were taken whilst varying kVp, mAs and body habitus on two different anthropomorphic phantoms (pelvis and chest). Using linear regression, the correlation between EI and DAP were examined. Additionally, two separate region of interest (ROI) placements/per phantom where examined in order to research any effect on EI. Results When dividing the data into subsets, a strong correlation between EI and DAP was shown with all R-squared values > 0.987. Comparison between the ROI placements showed a significant difference between EIs for both placements. Conclusion This research shows a clear relationship between EI and radiation dose which is dependent on a wide variety of factors such as ROI placement, body habitus. In addition, pathology and manufacturer specific EI’s are likely to be of influence as well. Implications for practice The combination of DAP and EI might be used as a patient dose indicator. However, the influencing factors as mentioned in the conclusion should be considered and examined before implementation

Feasibility of using neutron radiography to inspect the Space Shuttle solid rocket booster aft skirt, forward skirt and frustum. Part 1: Summary report

The space shuttle's solid rocket boosters (SRB) include components made primarily of aluminum that are parachuted back for retrieval from the ocean and refurbished for repeated usage. Nondestructive inspection methods used on these aging parts to reduce the risk of unforeseen problems include x-ray, ultrasonics, and eddy current. Neutron radiography tests on segments of an SRB component show that entrapped moisture and naturally occurring aluminum corrosion can be revealed by neutron radiography even if present in only small amounts. Voids in sealant can also be evaluated. Three alternatives are suggested to follow-up this study: (1) take an SRB component to an existing neutron radiography system; (2) take an existing mobile neutron radiography system to the NASA site; or (3) plan a dedicated system custom designed for NASA applications

The osteological use of diagnostic radiographs: Further material for osteoarchaeologists

This article discusses the use of radiography in osteoarchaeology

Statistical Uncertainty in Quantitative Neutron Radiography

We demonstrate a novel procedure to calibrate neutron detection systems commonly used in standard neutron radiography. This calibration allows determining the uncertainties due to Poisson-like neutron counting statistics for each individual pixel of a radiographic image. The obtained statistical errors are necessary in order to perform a correct quantitative analysis. This fast and convenient method is applied to data measured at the cold neutron radiography facility ICON at the Paul Scherrer Institute. Moreover, from the results the effective neutron flux at the beam line is determined

Rheumatoid arthritis and spondyloarthropathy

Part 2 of the article can be found through this link: https://www.um.edu.mt/library/oar//handle/123456789/13280Rheumatoid arthritis (RA) and spondyloarthropathy are two groups of inflammatory joint disease. Detection of early inflammatory joint disease is not possible with clinical examination or plain radiography, which have been the main diagnostic methods in the past. Changes detected on plain radiography are those of chronic damage caused by these conditions rather that acute inflammation, which results in delay in diagnosis and often suboptimal outcomes in these patients.peer-reviewe

Technical innovation changes standard radiographic protocols in veterinary medicine: is it necessary to obtain two dorsoproximal-palmarodistal oblique views of the equine foot when using computerised radiography systems?

Since the 1950s, veterinary practitioners have included two separate dorsoproximal–palmarodistal oblique (DPr–PaDiO) radiographs as part of a standard series of the equine foot. One image is obtained to visualise the distal phalanx and the other to visualise the navicular bone. However, rapid development of computed radiography and digital radiography and their post-processing capabilities could mean that this practice is no longer required. The aim of this study was to determine differences in perceived image quality between DPr–PaDiO radiographs that were acquired with a computerised radiography system with exposures, centring and collimation recommended for the navicular bone versus images acquired for the distal phalanx but were subsequently manipulated post-acquisition to highlight the navicular bone. Thirty images were presented to four clinicians for quality assessment and graded using a 1–3 scale (1=textbook quality, 2=diagnostic quality, 3=non-diagnostic image). No significant difference in diagnostic quality was found between the original navicular bone images and the manipulated distal phalanx images. This finding suggests that a single DPr–PaDiO image of the distal phalanx is sufficient for an equine foot radiographic series, with appropriate post-processing and manipulation. This change in protocol will result in reduced radiographic study time and decreased patient/personnel radiation exposure