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Mechanical properties and water-vapor permeability of soy-protein films affected by calcium salts and glucono-delta-lactone.

Edible films were prepared from solutions of soy protein with calcium salts and glucono-delta-lactone (GDL). Calcium salts cross-linking interactions with soy-protein isolate (SPI) could result in the formation of films with rigid three-dimensional structure. GDL contributed to the formation of a homogeneous film structure due to increased protein--solvent attraction. Tensile strength (TS) of calcium sulfate treated SPI film (8.6 MPa) was higher than the TS of calcium chloride treated SPI films (6.4 MPa) and the control SPI film (5.5 MPa). Puncture strength (PS) of calcium sulfate treated SPI film (9.8 MPa) was higher than the PS of calcium chloride treated SPI films (8.5 MPa) and the control SPI film (5.9 MPa). SPI film formulated with GDL had larger elongation at break (39.4%) than that of SPI control film (18.2%). Calcium salts and GDL-treated SPI films had lower water-vapor permeability than the SPI control film.

Biofilms↗

Barrier and mechanical properties of milk protein-based edible films containing nutraceuticals.

Calcium caseinate (CC) and whey protein isolate (WPI) films were prepared to contain 5 or 10% Gluconal Cal (GC), a mixture of calcium lactate and gluconate, or 0.1 or 0.2% alpha-tocopheryl acetate (VE), respectively. The pH and viscosity of film-forming solutions and the water vapor permeability and tensile property of the films were determined using standard procedures. CC and WPI films have the capabilities to carry high concentration of GC or VE, but some of the film functionality might be compromised. Adding VE to CC and WPI films increased film elongation at break, whereas incorporating 0.2% VE decreased WVP of CC films and tensile strength of both CC and WPI films. Incorporation of GC reduced the tensile strength of CC films (P < 0.05), with 10% GC decreasing both elongation at break and WVP (P < 0.05). These types of films may be used for wrapping or coating to enhance the nutritional value of foods. The concentration of GC and VE added to the films must be carefully selected to meet required water barrier and mechanical properties of the films depending on their specific applications.

Biomechanical Phenomena↗

Dynamic in situ spectroscopic ellipsometry of the reaction of aqueous iron(II) with 2,2'-bipyridine in a thin Nafion film.

Dynamic in situ spectroscopic ellipsometry studies of the chemical reaction between ferrous ion and 2,2'-bipyridine (bpy) in a thin Nafion film are presented. A simple prototype system composed of a thin Nafion film on a glass substrate was used throughout the work. The reaction was detected by optically monitoring the formation of the strongly absorbing complex ion, Fe(bpy)3(2+) (epsilon 520 = 7.70 x 10(3) M(-1) cm(-1) in 0.1 M NaCl). The changes in film optical constants, n and k, and the thickness upon exposure of it to various solutions were monitored in a flow cell with the film on the backside of the substrate relative to the interrogation by light. A "step-by-step" approach was used to isolate the component parts of the system in which the film was consecutively exposed to solutions in the following order: supporting electrolyte, bpy, and, last, ferrous iron solution. The optical properties of the materials were quantitatively described before and during mass transport within the film by modeling using the appropriate multilayer optical models, i.e., the Cauchy equation for nonabsorbing media and the Urbach and Tauc-Lorentz (oscillator) functions for a film that absorbed. The experiments done allowed study of the diffusion in the film and the chemical reactions that are important in the sensing scheme for ferrous iron. Ligand (bpy) diffusion followed a two-stage diffusion mechanism described by a Berens-Hopfenberg model for incremental sorption (D25 = 7.04 x 10(-13) cm2 s(-1)). The stabilities of the appropriate systems, i.e., Nafion film with bpy, iron, and iron complex, were studied by exposing equilibrated films to circulating supporting electrolyte solutions. The measurements gave important insights into a set of film chemical reactions and, in turn, selective film dynamics. This work exemplifies the usefulness of spectroscopic ellipsometry in monitoring the kinetics of a chemical reaction in situ, as well as the changes in the film physical properties under dynamic conditions.

Journal Article↗

Kinetics of film formation by interfacial polycondensation.

An approximate analytical model of film formation by interfacial polycondensation is presented. The analysis requires knowledge of a minimal set of certain kinetic parameters (monomer diffusivities and reaction rate constants) and reaction conditions (monomer concentrations and thickness of the unstirred layer). The process proceeds as a succession of two or three markedly different kinetic regimes. Each regime (insipient film formation, slowdown, and diffusion-limited growth) sets a different pattern of local polymer accumulation, with important implications for the structure of the emerging film. At the incipient stage, a loose polymer film begins to emerge in a fixed narrow region inside the boundary layer, followed by gradual densification of the middle part of the film. A condition for film formation is thus formulated on the basis of our analysis. The model predicts that two different scenarios are possible, which depend on the permeability of the polymer: films with a low permeability to both monomers pass through an abrupt slowdown of film growth, whereas permeable films undergo a smooth transition between the incipient film formation and diffusion-limited regimes. The model incorporates the highly important effects of the accumulation of reactive end groups and the decrease of monomer diffusion with the polymer concentration on the kinetics of the process and film characteristics. In addition, the validity of the utilized mean-field approach is analyzed, and the analysis suggests a direct correlation between the roughness and the thickness of the film. The results are in good agreement with an earlier numerical study and the direct structural studies of polyamide membrane films.

Journal Article↗

In situ layer-by-layer film formation kinetics under an applied voltage measured by optical waveguide lightmode spectroscopy.

Layer-by-layer (LbL) thin film assembly occurs via the alternate adsorption of positively and negatively charged macromolecular species. We investigate here the control of LbL film growth through the electric potential of the underlying substrate. We employ optical waveguide lightmode spectroscopy (OWLS) to obtain in situ kinetic measurements of poly(allylamine hydrochloride)/poly(sodium 4-styrenesulfonate) (PAH/PSS) and poly(L-lysine)/dextran sulfate (PLL/DXS) multilayer film formation in the presence of an applied voltage difference (deltaV) between the adsorbing substrate, an indium tin oxide- (ITO-) coated waveguiding sensor chip, and a parallel platinum counterelectrode. We find initial layer adsorption to be significantly enhanced by an applied potential for both polyelectrolyte systems: the mass and thickness of (positively charged) PAH and PLL layers on ITO are about 60% and 500% larger, respectively, at deltaV = 2 V than at open circuit potential (OCP), in apparent violation of electrostatics. A kinetic analysis reveals the initial attachment rate constant to decrease with voltage, in agreement with electrostatics. To reconcile these results, we propose a more coiled and loosely bound adsorbed polymer conformation at higher applied potential. Following 10 adsorption steps, the mass and thickness of a PAH/PSS film grown under deltaV = 2 V are about 15% less than those of a comparable film grown under OCP, reflecting a lower degree of complexation between adsorbing polyanions and more highly coiled adsorbed polycations. Following 14 adsorption steps, the mass and thickness of a PLL/DXS film grown under deltaV = 2 V are about 70% greater than those of a comparable film grown under OCP, reflecting the increased charge overcompensation in the initial layer. We find the scaling of film mass () with the number of adsorption steps (n) to be linear in the PAH/PSS system and exponential (i.e., approximately eyn) in the PLL/DXS system, irrespective of applied voltage. We observe to decrease with applied voltage and to exhibit a crossover to a smaller value around n = 5. Extrapolation reveals PLL/DXS multilayer films to be suppressed by increased voltage in the limit of large n: the mass of films grown at OCP and deltaV = 1 V would surpass that of a film grown under deltaV = 2 V at about the 23rd and 18th adsorption steps, respectively. The formation kinetics of PLL/DXS, but not PAH/PSS, change qualitatively under voltage: PLL adsorption is slow to reach a plateau, possibly due to the formation of secondary structure, and a decrease in film mass occurs toward the end of each DXS adsorption step, suggesting spontaneous removal of some PLL/DXS complexes from the film.

Journal Article↗

Wetting-dewetting transition line in thin polymer films.

Thin polymeric films are increasingly being utilized in diverse technological applications, and it is crucial to have a reliable method to characterize the stability of these films against dewetting. The parameter space that influences the dewetting of thin polymer films is wide (molecular mass, temperature, film thickness, substrate interaction) and a combinatorial method of investigation is suitable. We thus construct a combinatorial library of observations for polystyrene (PS) films cast on substrates having orthogonal temperature and surface energy gradients and perform a series of measurements for a range of molecular masses (1800 g/mol < M < 35 000 g/mol) and film thicknesses h (30 nm < h < 40 nm) to explore these primary parameter axes. We were able to obtain a near-universal scaling curve describing a wetting-dewetting transition line for polystyrene films of fixed thickness by introducing reduced temperature and surface energy variables dependent on M. Our observations also indicate that the apparent polymer surface tension gamma(p) becomes appreciably modified in thin polymer films from its bulk counterpart for films thinner than about 100-200 nm, so that bulk gamma(p) measurements cannot be used to estimate the stability of ultrathin films. Both of these observations are potentially fundamental for the control of thin film stability in applications where film dewetting can compromise film function.

Journal Article↗

Ultrathin film deposition by liquid CO2 free meniscus coating-uniformity and morphology.

Ultrathin organic films of sucrose octaacetate (SOA) were deposited on 12.5 cm diameter silicon wafer substrates using high-pressure free meniscus coating (hFMC) with liquid CO2 (l-CO2) as a coating solvent. The dry film thickness across the wafer and the morphology of deposited films were characterized as a function of coating conditions-withdrawal velocity, solution concentration, and evaporation driving force (deltaP). When no evaporation driving force was applied (deltaP = 0), highly uniform films were deposited with thickness in the range of 8-105 angstroms over the entire concentration range (3-11 wt%). Uniform films were also obtained at low concentrations (3-5 wt%) with a low evaporation driving force (deltaP = 0.0138 MPa). However, films deposited at medium to high concentrations (7-11 wt%) were thicker (110-570 angstroms) and less uniform, with larger nonuniformities at higher applied evaporation driving forces. Optical microscopy and atomic force microscopy (AFM) were used to characterize film morphology including drying defects and film roughness. Films deposited without evaporation had no apparent drying defects and very low root-mean-square (RMS) roughness (1.4-3.8 angstroms). Spinodal-like dewetting morphologies including holes with diameters in the range of 100-300 nm, and surface undulations were observed in films deposited at medium concentration (7 wt%) and low deltaP (0.0138-0.0276 MPa). At higher concentrations and higher evaporative driving forces, spinodal-like dewetting morphologies disappeared but concentric ring defect structures were observed with diameters in the range 20-125 microm. The film thickness and morphology of SOA films deposited from 1-CO2 hFMC were compared to those deposited from toluene and acetone under normal dip coating. Films deposited from l-CO2 hFMC were much thinner, more uniform, and exhibited much fewer drying defects and lower RMS roughness.

Carbon Dioxide↗

Photocatalytic decomposition of an alkylammonium cation in a Langmuir-Blodgett film of a titania nanosheet.

The formation of inorganic-organic hybrid films of a titania nanosheet and an amphiphilic alkylammonium cation has been investigated, and the photocatalytic decomposition of the alkylammonium cation in the film has been pursued. When a solution of the amphiphilic alkylammonium salt (octadecylammonium chloride: ODAH+ Cl-) was spread on an interface between the air and a titania nanosheet suspension, the negatively charged nanosheets were adsorbed onto the floating monolayer of ODAH+ to form a hybrid monolayer. The hybridization was confirmed by pi-A isotherm measurements, atomic force microscopy, and X-ray photoelectron spectroscopy. Multilayered films were fabricated in a layer-by-layer way by transferring the hybrid monolayers onto glass plates. Areas per ODAH+ cation in the films were estimated from the infrared (IR) spectra of the films, but these areas were smaller than those estimated from the pi-A isotherm curves. The orientation of the alkyl chain of ODAH+ in the hybrid film was determined by means of polarized IR spectroscopy. The alkyl chains were tilted 41 +/- 1 degrees and 47 +/- 1 degrees from the surface normal for the films prepared from the 8 and 20 ppm (ppm = mg dm(-3)) suspensions, respectively. Together with X-ray diffraction data of the films, the structure of the hybrid film was discussed. When the films were illuminated with a UV light, the absorption intensities due to the alkyl chain of ODAH+ decreased exponentially, indicating the photocatalytic decomposition of ODAH+ by the titania nanosheets in the films. Deviation from the exponential trend in the decomposition rate was observed in the initial period for the hybrid films prepared from the suspensions at low concentrations. Interestingly, the layered structure of the hybrid film was disturbed significantly after the ODAH+ cations were decomposed.

Journal Article↗

Drug release from film-coated chlorpheniramine maleate nonpareil beads: effect of water-soluble polymer, coating level, and soluble core material.

The purpose of this research was to use a new drug release model to study the effects of formulation parameters on drug release from a film-coated chlorpheniramine (CPM) nonpareil system. The film-coated CPM nonpareils were prepared by using a fluid bed apparatus. A hydroxylpropylmethylcellulose (HPMC) solution was blended with an aqueous ethylcellulose dispersion (Surelease) to adjust the permeability of the film. The apparent permeability of samples was obtained from dissolution data using a previously reported drug release equation. The apparent permeability was plotted versus the film coating level or the HPMC concentration in the film. When the natural logarithm of the apparent permeability versus coating level was graphed, a biphasic plot was observed in the group without HPMC in the film, showing the occurrence of a critical coating level. It was suggested that a mechanically formed porous film (due to an incomplete coating) could change to a nonporous film after the bead was completely coated. However, in the group that contained 12% HPMC in the film, the critical coating level was not observed. A porous film, formed by the leaching out of the water-soluble polymer, would not change to a nonporous film even after the bead is completely coated. Through a mathematical derivation, the decrease of apparent permeability versus coating level was related to the reduction of the total hole area. The apparent permeability was found to increase with the HPMC concentration. After a critical concentration was reached, the further addition of HPMC into the film caused a rapid increase in apparent permeability. The critical HPMC concentration was related to a minimum domain formation concentration (MDFC). A rapid increase of the drug release was observed when the dissolution profile of a sample made from a regular sugar nonpareil core (soluble) was compared with the sample made from a precoated nonpareil core (insoluble), which suggests that the drug release can be enhanced by the dissolution of the core. A minimum concentration of the HPMC was required to effectively modify permeability of the film. The critical coating level and critical concentration of HPMC can be determined from the apparent permeability plot using a previously published equation. The dissolution of a soluble core can greatly enhance the release of the drug from the nonpareil system.

Anti-Allergic Agents↗

Evaporated nanostructured Y2O3:Eu thin films.

Europium-doped yttrium oxide (Y2O3:Eu) is a well-known luminescent material that in recent years has been studied in thin-film form. However, to date there has not been a great effort put into altering the nanostructure of these films. A thin-film deposition technique called glancing angle deposition allows for a high degree of control over the nanostructure of the thin film, resulting in thin films with nanostructure geometries ranging from chevron and post to helix. Glancing-angle deposition was used to make europium-doped yttrium oxide thin films with slanted-post nanostructures. Portions of the films were annealed in air at 850 degrees C for 10 hours following deposition. Scanning electron microscopy was used to characterize the nanostructures of the films, while UV laser excitation was used to characterize the photoluminescence properties of the films. The annealed samples exhibited increased photoluminescent responses compared to unannealed samples; however, the porous nanoscale geometry of the films was unaffected. In order to optimize the photoluminescence properties of the films, both the partial pressure of oxygen during film deposition and the level of europium doping in the source material used were varied. Films fabricated from the source material with a greater amount of europium doping had larger photoluminescent responses, while the optimal partial pressure of oxygen during electron-beam evaporation was found to be less than 1.0 x 10(-4) torr.

Europium↗

Ultraviolet-visible and surface-enhanced Raman scattering spectroscopy studies on self-assembled metalloporphyrin films on organic monolayer-modified ultra-thin silver substrates.

A self-assembled monolayer (SAM) film of 5,10,15,20-tetra-(para-chlorophenyl)-porphyrin terbium (or lutetium) hydroxy compound (TbOH/LuOH) fabricated on a silver substrate premodified with a SAM of 4-mercaptopyridine (PySH) was studied by ultraviolet-visible (UV-Vis) spectroscopy and surface-enhanced Raman scattering (SERS) spectroscopy. PySH can modify the substrate and deliver its pyridyl group pointing out from the silver surface. Thus, we can investigate the effects of the central metals of the metalloporphyrins in the formation of the composite films. For the TbOH-PySH composite film, a new absorption band arising from TbOH appears at 425 nm, and a band at 512 nm due to the PySH-modified silver substrate shifts to a longer wavelength (538 nm). The results suggest that TbOH is successfully assembled on the top of PySH-modified silver film and that there is an interaction between TbOH and PySH in the film. The frequency shifts and relative intensity changes of bands due to PySH in the SERS spectra imply the coordination of the pyridyl group on Tb in the SAM. As for the LuOH-PySH composite film, its SERS spectrum shows bands arising from both the LuOH and PySH moieties, indicating that LuOH is assembled on the PySH-modified silver film. Furthermore, a band at 1221 cm(-1) due to the in-plane C-H bending mode of PySH disappears, implying that the pyridyl moiety of PySH becomes more parallel to the silver surface upon the formation of the LuOH-PySH composite film. Additionally, an absorption band at 515 nm shifts to a longer wavelength (541 nm) and becomes broad upon the formation of the composite film, suggesting an interaction between LuOH and PySH in the film. By comparing the spectral changes between the two self-assembled composite films, we find that the central metal is crucial in the formation of the composite films. The structure and orientation of the composite films depend on the central metal of the metalloporphyrin compounds.

Journal Article↗

Depiction of alcohol, tobacco, and other substances in G-rated animated feature films.

OBJECTIVE: To quantify and characterize the depiction of alcohol, tobacco, and other substances in G-rated animated feature films. METHOD: The content of all G-rated animated feature films released in theaters between 1937 and 2000, recorded in English, and available on videocassette in the United States by October 31, 2000, was reviewed for portrayals of alcohol, tobacco, and other substances and their use. Duration of scenes depicting alcohol, tobacco, or other substances; type of characters using them (good, neutral, or bad); and correlation of amount and type used with character type and movie type were evaluated. RESULTS: Of the 81 films reviewed, 38 films (47%) showed alcohol use (mean exposure: 42 seconds per film; range: 2 seconds to 2.9 minutes) and 35 films (43%) showed tobacco use (mean exposure: 2.1 minutes per film; range: 2 seconds to 10.5 minutes). Analysis of time trends showed a significant decrease in both tobacco and alcohol use over time (both corrected for total screen duration and uncorrected.) No films showed the use of illicit drugs, although 3 films showed characters consuming a substance that transfigured them and 2 films showed characters injected with a drug. Analysis of the correlation of alcohol and tobacco depiction revealed several scenes in which alcohol and tobacco were shown in use in the same scene and that bar scenes in these movies depict a significant amount of drinking, smoking, and violence. Three films contained a message that a character should stop smoking but none contained messages about restricting consumption of alcohol. CONCLUSIONS: The depiction of alcohol and tobacco use in G-rated animated films seems to be decreasing over time. Nonetheless, parents should be aware that nearly half of the G-rated animated feature films available on videocassette show alcohol and tobacco use as normative behavior and do not convey the long-term consequences of this use.

Alcohol Drinking↗

Characteristics of a surface plasmon resonance sensor combined with a poly(vinyl chloride) film-based ionophore technique for metal ion analyses.

The characteristics of a surface plasmon resonance (SPR) sensor prepared by coating a metal film evaporated on a prism with a polymer film containing tetra-n-butyl thiuram disulfide (TBTDS) were studied. The differences in the sensitivity, selectivity, and detection limit for a Zn2+ ion of the SPR sensor were reported as a function of the thickness of the polymer film, the kind of a metal film, and the kind of a polymer film. The thinner was the polymer film, the higher was the sensitivity, and the lower was the detection limit. The Ag film gave to the SPR sensor higher sensitivity than the Au film. TBTDS contained in the poly(vinyl chloride) (PVC) film slightly improved the selectivity toward the Zn2+ ion. A non-conditioned poly(methyl methacrylate) (PMMA) film containing TBTDS gave a lower detection limit of 1.0 x 10(-6) mol/l, which is similar to that obtained by using an ion selective electrode (ISE) method, than the PVC film. The PVC film, however, gave higher concentration resolution than the PMMA film.

Journal Article↗

[Digital film viewer versus conventional view boxes in the identification of bone and joint disorders].

PURPOSE: To compare the diagnostic accuracy of a digital film viewer (Smartlight 2000 Plus) versus a conventional view box for the identification of bone and joint disorders. MATERIAL AND METHODS: In order to evaluate the qualitative and quantitative differences of digital and conventional film viewers, 100 plain films of patients with bone and joint disorders taken in an emergency room January through May 1998 were reviewed utilizing both types of view boxes. Three radiologists expert of bone and joint disorders, independently compared the films, filled a form about the qualitative and quantitative analysis of the lesions depicted for each patient, and reported a few notes on the technical quality of the plain films in terms of exposure. The results were compared using the chi-square test (p < 0.005). RESULTS: Data analysis showed that the digital film viewer permitted a quicker reading of the film while decreasing the perception threshold for elementary lesions and ocular fatigue. All the radiographs read with the digital film viewer were considered technically adequate: the film quality was considered good in 10 cases and sufficient in 2. Two of the same radiographs read with the conventional view box were considered of good quality, nine were considered sufficient and one was considered insufficient due to overexposure. There were six cases of agreement and six of disagreement for the diagnosis: four were due to overexposure of the radiograph and two to better conspicuity provided by the digital film viewer. DISCUSSION: Correct image illumination is the first element a radiologist evaluates when reading a radiograph. A conventional view box may, when it is not properly maintained or when the radiograph is overexposed, decrease the radiologist's visual capacity. This increases the time required to read the radiograph and, therefore, physical and ocular fatigue, which in turn increases the risk of missing or misevaluating a lesion. A digital film viewer emits light with a variable intensity which is proportional to the optical density of the film. This increases the visual capacity of the radiologist and the lesion contrast, while reducing the factors which affect the radiograph reading. CONCLUSIONS: The use of a digital film viewer increased the visual capacity of the radiologist and eliminated the negative elements which complicated the radiograph reading and permitted the use of radiographs that would otherwise have been considered of poor quality due to overexposure. This, combined with the experience of the radiologist, decreased of the risk of missing or misevaluating a lesion.

Bone Diseases↗

[Ocular drug films: problems and perspectives].

Fifteen such films created at two Moscow Institutes were allowed for use after clinical trials by the Pharmacologic Committee of the USSR Ministry of Health. Two principal advantages of ocular medicinal films as against ocular drops and ointments are prolonged action of the drugs and accurate dosage of the drug. Application of films may replace subconjunctival instillations in a number of cases. The film completely dissolves in the conjunctival sac, thus providing the daily dose of the drug. Therefore the film may be applied once a day and only in grave cases twice. A packed film retains its activity and sterility for 12-14 months. Unfortunately commercial films do not always meet the medicinal requirements. Noteworthy that individual intolerance of some film brands varies within 0.1 to 8.03%, and that there are certain contraindications against the use of these films. Ocular medicinal films is an intensive care dosage form that may be manipulated only by specially trained personnel. Of course the films cannot absolutely replace other forms of drug administration. Further research is necessary, aimed at improvement of the tolerance of films, creation of films for children, and commercial manufacture of the drugs that were found the most effective and were best of all tolerated, as well at training of personnel.

Adult↗

[High intensification film-screen systems in thoracic diagnosis. A clinical comparative study].

OBJECTIVE: The quality of chest images was evaluated for a conventional screen-film system, a new asymmetric screen-film system, and a new uv screen-film system. MATERIALS AND METHODS: 138 chest radiographs (69 p.a., 69 lateral) obtained with three different high intensification screen-film combinations were compared. Film density and film contrast were measured. Three readers graded the image quality according to 16 criteria. RESULTS: The asymmetric film-screen combination Insight HC showed the lowest film contrast, the best exposure range, and a elevated film density in the mediastinal area. The asymmetric screen-film system was ranked by all three observers as being substantially better in image quality. CONCLUSION: Compared to conventional screen-film systems, the new screen-film systems can improve the image quality of chest radiographs. Therefore, the new high intensification screen-film combinations can be used as a low cost alternative to the Amber technique and digital radiography.

Humans↗

Assessment of dose inhomogeneities in clinical practice by film dosimetry.

AIM: To use portal images acquired in routine circumstances for assessment of midplane dose variations in the patient. MATERIAL AND METHODS: Optical density readings are performed on routinely acquired Verification films of breast and ear-nose-throat (ENT) cancer patients and these readings are converted into relative doses with the sensitometric curve. ( 1 ) The impact of redistribution is evaluated on films taken close to the patient exit surface and at routine focus film distance. (2) Midplane doses are estimated from film readings to assess dose variations in the patient. The influence of wedges is evaluated. Film measurements doses are compared with calculated exit doses. RESULTS: (1) In regions with large variations in the distance between the patient exit surface and the film but without inhomogeneities in tissue density, the relative doses distributions read on films acquired at large focus-film-distance (FFD) are proportional to exit doses. In regions with flat exit surfaces but with inhomogeneities in tissue density, the redistribution has only a small impact. (2) Large variations in relative midplane doses were found in both breast (85-115%) and ENT (-3.6 to +15%) patients. The application of a wedge was shown to increase dose homogeneity in the midplane. A good agreement (differences < 3%) was found between exit doses obtained from film readings and exit doses calculated with the treatment planning system (TPS). CONCLUSION: Films acquired in routine circumstances at large FFD can be used to obtain information on exit doses and to assess midplane doses in breast and ENT, without the use of a TPS. Film dosimetry can also provide a quality assurance tool to check actually delivered doses in patients by comparing exit doses estimated on film to expected exit doses calculated by the TPS.

Breast Neoplasms↗

[Analysis of reject x-ray films as a quality assurance element in diagnostic radiology].

PURPOSE: Analysis of reject films from a large radiological department under the following aspects: How big is the waste of films? Where are the sources of error? What are the possible means of quality assurance? MATERIAL AND METHOD: During a total period of 9 months, separated into three quarters, 14,570 reject films were analysed and assigned to 4 categories ("positioning", "exposure", "reject films due to patients" and "others"). In addition they were classified according to the respective parts of the body. The influence of a "study effect" was quantified by the analysis before and after information of staff. RESULTS: The reject film rate in relation to all performed x-rays, was 9.0-13.2% of all the films taken during that period: of these, the failure rate (x-rays useless for diagnosis because of their bad quality) was between 54.2 and 57.5%. In this category, the main sources of error were positioning (55%) and exposure (34%). Surprisingly, the technical film waste amounted to 42.5-45.8% (not developed or preexposed films, x-rays of phantoms etc.). CONCLUSION: Wasted films due to errors occurring during taking, as well as technical film waste, are unavoidable. Their proportion in relation to the total number of films should not exceed 8%. The main approach to reducing cost must be to cut down technical film waste.

Humans↗