KONG Xiang-chuang,XIA Zhong-xin,YU Jian-ming.Effects of source to image receptor distance on image quality and entrance surface dose of chest digital radiography for infants[J].Chinese Journal of Radiological Medicine and Protection,2011,31(6):719-721
Effects of source to image receptor distance on image quality and entrance surface dose of chest digital radiography for infants
Received:March 01, 2011  
DOI:10.3760/cma.j.issn.0254-5098.2011.06.027
KeyWords:Infants  Digital radiography  Source to image receptor distance(SID)  Entrance surface dose (ESD)  Image quality
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Author NameAffiliation
KONG Xiang-chuang 430022 武汉,华中科技大学同济医学院附属协和医院放射科 
XIA Zhong-xin 孝感市第一人民医院 
YU Jian-ming Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 432100, China 
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Abstract::
      Objective To investigate the effects of source to image receptor distance (SID) on the image quality and entrance surface dose (ESD) in the chest digital radiography (DR) for infants. Methods Anthropomorphic chest phantoms were exposed to 60 kVp and different values of SID (150-80 cm with the interval of 10 cm, totally 8 groups) so as to record the values of mAs and ESD. The SID values of 110 cm and 90 cm with the moderate and low ESD values were selected for clinical test. Forty-two hospitalized infants, aged 12 months (8 months to 2 years) underwent chest DR with the SID of 110 cm before admission and 90 cm before discharge respectively. The values of ESD were recorded and compared.Three experienced experts assessed the quality of 84 pieces of images. Results The values of mAs and ESD decreased gradually along with the decrease of the SID from 150 cm to 80 cm. All the 84 images from the 42 infants met the demands for diagnosis. There was no significant difference in the score of image quality of the group with the SID of 110 cm (4.4±0.3) and 90 cm(4.2±0.4) (t=0.453,P>0.05). The value of ESD of the group with the SID of 90 cm was significantly lower than that of the group of SID of 110 cm by 0.0034 mGy (t=12.001,P<0.05). Conclusions The image quality of chest DR could meet the demands for diagnosis in spite of the value of SID, however, the SID value in chest DR significantly might influence the ESD.The SID value of 90 cm shoud be recommended in chest DR for infants.
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