The effect of dose reduction on image quality in digital radiography using a flat-panel detector: experimental study in rabbits

To evaluate the effect of dose reduction on image quality in digital radiography using a flat-panel detector. Digital radiographs of 30 rabbits were obtained at two different dose levels (33.23 μGY for the standard dose group and 20.09 μGY for the reduced dose group). The amorphous selenium-based flat-panel detector system had a panel size of 7 x 8.5 inches, a matrix of 1280 x 1536 (pixels?), and a pixel pitch of 138 μm. Four observers evaluated the soft-copy images on a high-resolution video monitor (2560 x 2048 x 8 bits) in random order. The observers rated the visibility of 13 different anatomic structures on a 5-point scale, viz, the retrocardiac lung, subdiaphragmatic lung, heart border, diaphragmatic border, proximal airway, unobscured lung, liver border, kidney border, bowel gas, flank stripe, ribs, and vertebrae in the mediastinal and abdominal regions. Statistical significance was determined using Wilcoxon's signed rank test. There was no statistically significant difference in the visibility of the anatomic structures on digital radiography between the standard and reduced dose groups. Digital radiography using an amorphous selenium-based flat-panel detector can preserve the image quality, though the dose is reduced to 40% of the standard level