Presently, patient exposure and x-ray tube kilovoltage are determined by image visibility requirements on x-ray film. With the employment of image-processing techniques, image visibility may be manipulated and the exposure may be determined only by the desired information content, i.e., by the required degree of tissue-density descrimination and spatial resolution. This work gives quantitative relationships between the image information content and the patient exposure, give estimates of the minimum exposures required for the detection of image signals associated with particular radiological exams. Also, for subject thickness larger than approximately 5 cm, the results show that the maximum information content may be obtained at a single kilovoltage and filtration with the simultaneous employment of image-enhancement and antiscatter techniques. This optimization may be used either to reduce the patient exposure or to increase the retrieved information.
The image information transfer efficiency for five x-ray fluorescent screens (calcium tungstate, barium halide, and three rare earth screens) has been experimentally determined with monoenergetic x-ray beams at energies of 18, 22, 32, 49, 51, 58, and 69 keV. The transfer efficiency, which is defined by the ratio of the output signal-to-noise ratios, was determined from measurements of (a) the fraction of incident x rays absorbed in the screen and (b) the statistical distribution of the number of light photons emitted from the screen per absorbed x ray which was determined by light photon counting techniques. Comparisons of the information transfer efficiency, the average number of light photons emitted per absorbed x ray, and the light output energy per Roentgen are given for the above screens and x-ray energies.
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