Performance Assessment of DR Systems Director of Symposium JA Seibert, Ph.D. UC Davis Medical Center Sacramento, CA Digital System Technologies Projection Radiography • Computed Radiography (CR) • CCD cameras • CMOS detectors “Direct” Radiography (DR) • TFT Flat Panel arrays 1 Speakers for DR symposium • Robin Winsor, Chief Technical Officer – Imaging Dynamics Company, Calgary, AB Canada • Richard Aufrichtig, X-ray Detector Engrg – General Electric Medical Systems, Santa Clara, CA • Nikos Gkanatsios, Scientist – Hologic Medical Imaging, Danbury, CT DR: “Direct” Radiography ....refers to the acquisition and capture of the x-ray image without user intervention ACQUISITION “Indirect” detector: a conversion of xx-rays into light and then light into photoelectrons “Direct” detector: a conversion of xx-rays to electronelectron-hole pairs with direct signal capture 2 Large FOV Radiography Systems • Computed radiography • CCD linear array and CCD camera systems • Thin Film Transistor indirect acquisition • Thin Film Transistor direct acquisition CCD detector 35 cm High fill factor ~ 100 % Good light conversion efficiency (~85%) 5 cm 5 cm 2.5 cm 43 cm 2.5 cm Larger CCD arrays Scintillator Optical de-magnification Lens efficiency? Secondary Quantum Sink 3 Light emission & Optical coupling Scintillator Light Large loss of light!!! Optical coupling inefficiency can contribute to “secondary quantum sink” Lens X-rays CCD / CMOS Detector Demagnification Lens design is crucial! Optically Coupled CCD cameras Direct acquisition Optical design potentially suffers from poor lens collection efficiency --“secondary --“secondary quantum sink” 4 Scanning-slot Digital Mammo System Fiberoptic taper – CCD array detector ~8000 x 128 channels Front View Side View Display Pb Shield Phosphor Fiber Optic CCD Direction of Scan Computer A/D A/D DMA Large FOV Radiography Systems • Computed radiography • CCD linear array and CCD camera systems • Thin Film Transistor indirect acquisition • Thin Film Transistor direct acquisition 5 Thin-Film-Transistor Array Laptop display Photo-emitter X-ray converter Photo detector TFT Active Matrix Array Amorphous Silicon TFT active matrix array Amplifiers – Signal out G1 Active Area G2 Dead Zone Gate switches ThinThin-Film Transistor Storage Fill Factor = Active area ÷ (Active area + Dead Zone) Capacitor G3 Ideal detector: 100% Large pixels: ~ 70% …… ~ 150 µm Small pixels: ~ 30 % …… ~ 70 µm Charge D1 Data lines CR1 D2 CR2 D3 CR3 Collector Electrode Charge Amplifiers Analog to Digital Converters 6 Indirect detector: a-Si TFT/ CsI phosphor X-ray Structured XX-ray phosphor (CsI) Light Source Gate Drain G S + D Adjacent gate line TFT Charge Photodiode Storage capacitor X-rays to light to electrons to electronic signal Direct detector: a-Se / TFT array Incident xx-rays High voltage + - - - - - + - + + - + + + ++ + + - Top electrode Dielectric layer Selenium photoconductor Charge collection electrode (pixel size) ThinThin-FilmFilm-Transistor Storage capacitor Glass substrate Stored charge X-rays to electrons to electronic signal 7 Direct / Indirect flat panel detector systems TFT digital mammo systems Indirect detector mammo system Direct detector mammo system 8 Digital pre and post processing • Pre-processing – Bad pixel corrections – Shading / nonnon-uniformity corrections • Post-processing – Dynamic range compression – Contrast enhancement – Spatial resolution enhancement Flat-field Correction • Linear response required • Periodic flat field acquisitions needed Uncorrected Contrast Enhanced 9 Digital Radiography and Dose • Flexibility is a doubledouble-edged sword with DR – – – reduced retakes variable speed (tailor exposure to exam)…. but more difficult to correctly use • All digital detectors should monitor exposure levels • Good image quality and appropriate SNR are more important than low radiation dose • Dose for a given SNR inversely depends on DQE Digital Radiography QC • Information? – Task group #10 AAPM on Computed Radiography – Draft: email to jaseibert@ jaseibert@ucdavis. ucdavis.edu – DMIST digital mammography trial • Automated daily tests – – Specified tests must verify adequate performance Deficiencies must be corrected before imaging • Weekly, Monthly, SemiSemi-Annually – More complete, quantitative evaluation – Continuous analysis: correct potential problems before they occur 10 The Bottom Line • Digital detectors will replace screenscreen-film • The system is only as good as the weakest link – – – – Secondary quantum sink FlatFlat-fielding / Image processing Continuing optimization and Quality Control Soft copy display • There are several viable “digital” pathways to the filmless, digital radiology department Now to the speakers…… • Robin Winsor: Winsor: CCDCCD-based digital radiography system • Richard Aufrichtig: Aufrichtig: Indirect TFT detector radiography system • Nikos Gkanatsios: Gkanatsios: Direct TFT detector mammography system • Followed by a 30 minute panel discussion, so get your questions ready…… 11