The effect of the ceiling-mounted radiation shielding on the amount of the scatter radiation was assessed under conditions simulating obese patients for clinically relevant exposure parameters. Measurements were performed in different projections and with different positions of the ceiling-mounted shielding: without shielding; shielding closest to the patient; and shielding closest to the physician performing the procedure. The protection provided by the shielding was assessed for cardiology when the femoral access is used and for radiology when the physician performs the procedure in the abdominal area. The results show that the use of the ceiling-mounted shielding can decrease the dose from the scatter radiation by 95% at the position of the performing physician. In cardiology, the impact is more pronounced when the left oblique projection is used. In radiology, a large decrease was observed for right oblique projections, compared to cardiology. The ceiling-mounted shielding should be placed as close to the physician as possible. The idea of creating the largest radiation shadow by placing the radiation shielding as close to the patient as possible does not provide as effective radiation protection of the operator as it might be thought.
Objective: The aim of this study was to compare image quality of different abdominal acquisition modes under conditions simulating obese patients whose images suffer more from noise and scatter radiation. Images were acquired in clinically used acquisition modes on the static and dynamic phantom for four angiography systems.Methods: A LEGO cart with 34 cm of PMMA and Pro-RTG Fluo18 phantom were used to simulate obese patients. The low-contrast resolution was assessed subjectively by two readers and objectively using signal-difference-to-noise ratio (SDNR) and using SDNR to air kerma rate. The line-pair resolution was assessed using the transmitted contrast value for line-pair groups.Results: Systems use different exposure parameters and dose but they differ in postprocessing too. Qualitative and quantitative assessments of noise produced similar results, images produced by systems A and C were noisier than by systems B and D. Highest SDNR was provided by System B, whilst System A produced the lowest values, which were almost the same for objects with different contrast. The image quality was affected mainly by frame lengths and postprocessing, but also by the dose. The images of the static phantom were better compared to the images of the dynamic phantom, which was an expected result.Conclusions: It was possible to identify image quality differences and to characterize features of postprocessing from measurements on standardized objects. A potential for optimization on some systems was identified, although further work, including assessment of clinical images, would be needed as part of the optimization process.
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