SU-F-P-48: The Quantitative Evaluation and Comparison of Image Distortion and Loss of X-Ray Images Between Anti-Scattered Grid and Moire Compensation Processing in Digital Radiography

Purpose: To quantitatively analyze the influence image processing for Moire elimination has in digital radiography by comparing the image acquired from optimized anti-scattered grid only and the image acquired from software processing paired with misaligned low-frequency grid. Methods: Special phantom, which does not create scattered radiation, was used to acquire non-grid reference images and they were acquired without any grids. A set of images was acquired with optimized grid, aligned to pixel of a detector and other set of images was acquired with misaligned low-frequency grid paired with Moire elimination processing algorithm. X-ray technique used was based on consideration to Bucky factor derived from non-grid reference images. For evaluation, we analyze by comparing pixel intensity of acquired images with grids to that of reference images. Results: When compared to image acquired with optimized grid, images acquired with Moire elimination processing algorithm showed 10 to 50% lower mean contrast value of ROI. Severe distortion of images was found with when the object's thickness was measured at 7 or less pixels. In this case, contrast value measured from images acquired with Moire elimination processing algorithm was under 30% of that taken from reference image. Conclusion: This study shows the potential risk of Moire compensation images in diagnosis. Images acquired with misaligned low-frequency grid results in Moire noise and Moire compensation processing algorithm used to remove this Moire noise actually caused an image distortion. As a result, fractures and/or calcifications which are presented in few pixels only may not be diagnosed properly. In future work, we plan to evaluate the images acquired without grid but based on 100% image processing and the potential risks it possesses.