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PubMed2006

Dose area product evaluations with Gafchromic XR-R films and a flat-bed scanner.

Gafchromic XR-R films are a useful tool to evaluate entrance skin dose in interventional radiology. Another dosimetric quantity of interest in diagnostic and interventional radiology is the dose area product (DAP). In this study, a method to evaluate DAP using Gafchromic XR-R films and a flat-bed scanner was developed and tested. Film samples were exposed to an x-ray beam of 80 kVp over a dose range of 0-10 Gy. DAP measurements with films were obtained from the digitalization of a film sample positioned over the x-ray beam window during the exposure. DAP values obtained with this method were compared for 23 cardiological interventional procedures with DAP values displayed by the equipment. The overall one-sigma dose measurement uncertainty depended on the absorbed dose, with values below 6% for doses above 1 Gy. A maximum discrepancy of 16% was found, which is of the order of the differences in the DAP measurements that may occur with different calibration procedures. Based on the results presented, after an accurate calibration procedure and a thorough inspection of the relationship between the actual dose and the direct measured quantity (net optical density or net pixel value variation), Gafchromic XR-R films can be used to assess the DAP.

Biophysical Phenomena↗
PubMed2004

Film dosimetry in the peripheral region using multiple sensitometric curves.

We present a method for applying film dosimetry to the peripheral region utilizing multiple sensitometric curves. There are many instances when the dose to the peripheral region outside the field edges is of clinical and/or research interest. Published peripheral dose data may be insufficient if detailed dose modeling is required, and in those cases measurements must be performed. Film dosimetry is an attractive approach for dose measurement in the peripheral region because it integrates dose, overcoming the low-dose-rate problem, and is time efficient, as it acquires an entire plan of data in a single exposure. However, film response increases at energies below approximately 300 keV. As the scattered photon spectrum changes with distance from the field edge, this increased film sensitivity causes changes in the film response along profiles perpendicular to the field edge. A single sensitometric curve is therefore no longer sufficient for accurate conversion of the optical density to dose. Our new method uses multiple sensitometric curves defined at increasing distances from the field edge. To convert an optical density profile, the dose at each point in the profile is defined as a linear combination of the doses calculated using the two sensitometric curves that bracket the point of interest. A single set of sensitometric curves derived at one field size and source-to-surface distance (SSD) can be applied to density profiles for other field sizes and SSDs. We verified our new method by comparison to ion chamber measurements using three different types of film. Agreement with chamber measurements was within 7%, or less than 2 mm in regions of high gradient, over a wide range of field sizes and SSDs.

Dose-Response Relationship, Radiation↗
PubMed1998

Use of a new type of radiochromic film, a new parallel-plate micro-chamber, MOSFETs, and TLD 800 microcubes in the dosimetry of small beams.

The dosimetry of the fields usually employed in radiosurgery requires the use of small detectors to measure Total Scatter Factor (Sc,p), Tissue Maximum Ratio (TMR), Percentage Depth Dose (PDD), and Off Axis Ratio (OAR). In this paper new dosimeters are investigated: a new type of radiochromic film, a micro parallel-plate chamber (filled with both air and tetramethylsilane, TMS), MOSFETs, and TLD-800 microcubes. Their behavior has been compared with the response of radiographic film and with the values obtained with BEAM Monte Carlo simulation. The experimental data confirm that dosimetry with radiochromic films and TLDs gives consistent results for all beam diameters. The parallel-plate micro chamber underestimates the Sc,p for the smallest field diameters (4.4 mm and 6.7 mm); MOSFETs show an over-estimation for the Sc,p of the 4.4 mm, 6.7 mm, and 10.5 mm field diameters. BEAM Monte Carlo simulation employing a parallel beam and a standard 6 MV x-ray spectrum has been used to obtain a correction factor as a function of the field size for both the parallel-plate micro chamber and MOSFETs. High accuracy measurements of PDD and TMR have been made in a water phantom both with radiochromic film and with the micro parallel-plate chamber and have been compared with the data computed by BEAM Monte Carlo simulation. The latter dosimeter is preferred because of the quicker and simpler use and because it gives immediate readout. Measurements of OAR made with radiochromic films and with radiographic films give differences in the 80%-20% penumbra width within 0.6 mm for field diameters ranging from 4.4 mm to 19 mm.

Calibration↗
PubMed1990

Isn't it time to abandon cine film?

Cine has served our needs well since the early 1950s. For the first time, it allowed recording of motion studies of the cardiac structures on film. The cine technique has been standardized over the years, both the camera and the display. Cine filming techniques, however, have not advanced, except for new film products with faster emulsions and better-quality films. Video electronic imaging has made rapid advancements. These were prompted by the broadcast industry when the requirements for color were developed in the 1960s and by the advent of new recording techniques that provided a very stable video time base from analog tape recorders. The medical field has been able to capitalize on these developments and to produce some of our own that have not been applied in the broadcast world. These include pulsed progressive 525-line video acquisition of cardiac images in the cardiac catheterization laboratory. We also have been able to capitalize on the improved detector technology that the broadcast world has developed, such as the plumbicon pickup tubes, which produce images with very little lag and so provide images with improved resolution. These developments also have enabled us to reduce radiation to both the patient and the laboratory personnel, especially with implementation of the pulsed progressive acquisition, with which the dose has been reduced 50%. With the advent of interventional procedures in the cardiac catheterization laboratory, the need to assess images immediately cannot be fulfilled by cine filming because of the requirement for the processing of the film with its inherent delays. Quantification of cardiac structures is required to assess the outcome of interventional techniques.(ABSTRACT TRUNCATED AT 250 WORDS)

Cineangiography↗
PubMed2005

Verification dosimetry during treatment for helical tomotherapy using radiographic film.

Helical tomotherapy (HT) is a novel radiotherapy treatment modality that allows the delivery of intensity modulated radiation in a rotational fashion. Due to the complexity of the treatment approach, it is desirable to have a simple tool for treatment delivery verification. Radiographic film placed under the patient is exposed to dose from most of the possible beam projections and therefore constitutes a useful in vivo dosimetry record of the whole treatment. Measurements were performed during the initial clinical implementation of HT at the London Regional Cancer Centre on all patients during the first treatment fraction. It was possible to predict the optical density of the film using a dose calculation on a phantom of similar size to the patient. The comparison of expected and delivered dose allows the verification of dose delivery patterns which was found to be particularly useful in the case of treatment interruptions. The absolute dose measured with film differed in general by less than 10% from the expected one despite the fact that no build-up was used on the film. The agreement improved with proximity of the primary target to the location of the film on the treatment couch. Due to the rotational delivery mode, radiographic film was shown to be a useful, cheap and convenient method to verify dose delivery in helical tomotherapy.

Algorithms↗
PubMed2006

Portal verification using the KODAK ACR 2000 RT storage phosphor plate system and EC films. A semiquantitative comparison.

BACKGROUND AND PURPOSE: The suitability of the storage phosphor plate system ACR 2000 RT (Eastman Kodak Corp., Rochester, MN, USA), that is destined for portal verification as well as for portal simulation imaging in radiotherapy, had to be proven by the comparison with a highly sensitive verification film. MATERIAL AND METHODS: The comparison included portal verification images of different regions (head and neck, thorax, abdomen, and pelvis) irradiated with 6- and 15-MV photons and electrons. Each portal verification image was done at the storage screen and the EC film as well, using the EC-L cassettes (both: Eastman Kodak Corp., Rochester, MN, USA) for both systems. The soft-tissue and bony contrast and the brightness were evaluated and compared in a ranking of the two compared images. Different phantoms were irradiated to investigate the high- and low-contrast resolution. To account for quality assurance application, the short-time exposure of the unpacked and irradiated storage screen by green and red room lasers was also investigated. RESULTS: In general, the quality of the processed ACR images was slightly higher than that of the films, mostly due to cases of an insufficient exposure to the film. The storage screen was able to verify electron portals even for low electron energies with only minor photon contamination. The laser lines were sharply and clearly visible on the ACR images. CONCLUSION: The ACR system may replace the film without any noticeable decrease in image quality thereby reducing processing time and saving the costs of films and avoiding incorrect exposures.

Electrons↗
PubMed1988

Quantitative evaluation by computer-based video densitometry of film response to different isotopes and fluorographic treatments.

Previous investigations of fluorographic methods have generally reported the minimum level of radioactivity that can be detected for a given length of exposure or the amount of radioactivity needed to reach a given optical density value. Even when the full characteristic curve is given, comparisons with other published values are difficult or, if different lengths of exposures are used, impossible. Computer-based video densitometry was used to evaluate different fluorographic methods. Sections of polyacrylamide gels with uniform distributions of either 35S or 125I radioactivity were embedded with different fluors and used to expose X-ray film for various lengths of time. Due to its compatibility with algorithms used in densitometry, the effectiveness of various treatments was evaluated by fitting relevant parameters to a modified Hill-type equation. The two parameters that were affected by treatments were the amount of radioactivity needed to half-saturate the film (ED50, or the midpoint) and the slope at the midpoint. The relationship between length of exposure and film density was investigated. Since the ED50 values for both 35S and 125I were found to vary in a linear fashion with respect to 1/time, one can determine the ED50 for lengths of exposure not reported. A unique feature of this method of evaluating effectiveness of different treatments, therefore, is that it is possible to compare films that were exposed for different lengths of time. The method of presenting data used here overcomes many of the difficulties in comparing different fluorographic and film treatments, is compatible with the needs of computer-based densitometry, and is suggested as a useful way in which to present the relationship among isotopes, fluors, and films.

Autoradiography↗
PubMed1984

Densitometric evaluation of intraoral x-ray films: Ektaspeed versus Ultraspeed.

Recently a new speed E intraoral dental x-ray film was introduced by the Eastman Kodak Company in order to reduce the radiation dose to the patient. In the present study the new higher-speed EP21 film was compared with the speed D DF58 film with regard to speed and quality (fog plus base, sharpness, resolution, and contrast) of the resulting images. Results showed no deterioration in the image with 50% dose reduction when the EP21 film was used as compared to the DF58 film. Therefore, this new type of film is highly recommended for routine radiographic examinations.

Absorptiometry, Photon↗
PubMed1984

A clinical comparison of speed group D and E dental x-ray films.

This study was conducted to determine the clinical diagnostic quality of the new higher-speed Ektaspeed E x-ray films when compared with the diagnostic quality of the lower-speed Ultraspeed D x-ray films. The study also attempted to determine the advantages of 70 versus 90 kVp. The results indicated that the E film at 90 kVp was slightly better than the E film at 70 kVp and the D films at either 70 or 90 kVp. Although the differences were statistically significant, average rating for all films fell within the range of acceptability.

Evaluation Studies as Topic↗
PubMed1987

Mechanically induced images on dental x-ray film.

The appearance on processed x-ray film of images due to mechanical manipulation (bending, pressure, biting, etc.), as well as the influence of a number of other factors (degree and direction of bending, protective effect of film packet, etc.), was studied. A variety of very dissimilar images was produced. Some appeared as plus density artifacts, others as minus density artifacts. A critical influence on the nature of the image was observed with manipulation of film that was unexposed or was exposed before or after manipulation. The emulsions on the two sides of the film base responded differently to different types of manipulation. Forces exerted on the unprotected film (in the darkroom) induced images different than corresponding forces exerted through the film packet.

Pressure↗
PubMed1993

Microbiologic contamination during dental radiographic film processing.

This study investigated microbiologic contamination of an automatic dental radiograph processor and daylight loader during a week of simulated clinical use. Pure cultures of Candida albicans, Streptococcus pneumoniae, Staphylococcus aureus, or Klebsiella pneumoniae were used to contaminate 320 vinyl intraoral radiograph packets. Each end of the films was deliberately contaminated during opening. These films and 24 uncontaminated control films were processed. Daylight loader ports, inlet and outlet rollers, fixer and developer samples, and 12 processed films were cultured daily. To simulate a weekend, the processor sites were cultured during 72 hours of inactivity after the contaminated runs. The results showed that contamination of the processor and daylight loader occurred and remained even after 48 hours of inactivity. Films remained contaminated after processing. In addition, cross-contamination of films occurred in the processor.

Candida albicans↗
PubMed1994

Sterilization of Fuji pressure-sensitive film.

Fuji Prescale film is a pressure-sensitive medium which produces a characteristic pink stain on the application of pressure. Up to a saturation level, increases in pressure will produce a denser stain, thereby providing a method of determining pressures within the interface between two articulating surfaces. The relationship between the magnitude of applied pressure and the optical density of the resulting stain is non-linear; this relationship also varies with ambient temperature and humidity, in addition to load rate, and therefore requires a calibration procedure prior to use. The use of Fuji prescale film for recording interface pressures within the joint space in vivo has been widely reported; however, the object of this study was to assess the effects of sterilizing this medium, with a view to future in vivo applications. Samples of Fuji film were sterilized using a standard ethylene oxide (ETO) gas process and their subsequent pressure-recording properties were compared to a control group of samples. The 'optical-density vs pressure' relationship for the sterilized group was significantly different from that of the control group (paired Student's t-test, P < = 0.001); however, both groups provided reliable data across the same pressure-range and both exhibited an excellent degree of repeatability (coefficient of variation < 2.5%). It was concluded that Fuji film will continue to produce pressure-stains following ETO sterilization; however, the calibration of this film will only be valid if it is conducted using film from the sterilized group.

Calibration↗
PubMed2005

Verification films: a study of the daily and weekly reproducibility of breast patient set-up in the START trial.

AIMS: Verification of patient position in radiotherapy by the use of portal images is a current practice in most radiotherapy departments. All patients within the Standardisation of Breast Radiotherapy Trial (START) were required to have on-treatment verification images. Measurements of maximum lung and breast depth from these were used to provide details for the case-report forms. This study was undertaken to validate these measurements, assess the reproducibility of patients' set-up within the START trial and to compare reproducibility on a day-to-day basis with reproducibility over a longer period. Analysis also included a subjective assessment of image quality. MATERIALS AND METHODS: Fifty-three patients from 29 departments were studied. Some centres used electronic portal imaging and others used film. Where film verification was the method of choice, information was collected about the type of film and cassette used. RESULTS: The correlation coefficients for inter- and intra-observer variability of breast and lung depth were 0.99. Comparing maximum breast depth on weekly and daily images, the median per cent standard deviation of breast depth was 4% and 3%, respectively. The mean standard deviation of breast depth for all patients, which gives an indication of the individual patient variability, was 5.5 +/- 2.2 mm for weekly and 3.9 +/- 1.5 mm for daily measurements. For lung depth, mean standard deviation was 6.8 +/- 2.5 mm for weekly and 6.8 +/- 2.8 mm for daily measurements. Images taken using Kodak X-omat V film were inferior to those taken with films in corresponding cassettes. CONCLUSION: Differences between lung depth measured in simulator and on the treatment unit were evident for many patients. There was little difference in the standard deviations of breast and lung depth for daily and weekly verification films on the treatment machine.

Breast Neoplasms↗
PubMed2000

Optimizing techniques in screen-film mammography.

This article provides a practical approach to the steps needed to optimize mammography techniques. Those steps consist of a series of activities that begin with the choice of mammography film, then choosing the optimum film processing for that film type, selecting the appropriate technique factors for exposure, and the proper viewing of processed mammography films. In each area, the basic physics underlying film and film processing, mammography equipment performance, image contrast, and image display, are used to determine optimized mammography techniques.

Data Display↗
PubMed2000

Assessment of large single-fraction, low-energy X-ray dose with radiochromic film.

PURPOSE: To investigate the accuracy of in vivo dosimetry using radiochromic film for large single-fraction, low-energy irradiations. METHODS AND MATERIALS: Gafchromic MD-55-2 radiochromic film and LiF thermoluminescent dosimeters (TLDs) were placed in vivo on 25 patients to ascertain their effectiveness for assessment of dose. All patients received 10 Gy single fractions at energies ranging from 100 kVp (half-value layer [HVL] = 3.5 mm Al) up to 250 kVp (HVL = 2.3 mm Cu). Effects of small air gaps were also investigated using LiF TLDs and radiochromic film. RESULTS: Radiochromic film adequately measured applied dose for 25 patients in vivo with a standard deviation of 5.5% from prescribed dose. LiF TLDs recorded a standard deviation of 4.1% from measured to applied dose. Small air gaps which can be created under the film or TLDs during in vivo dosimetry were shown to have a measurable but minimal effect on results for gaps less than 5 mm. CONCLUSIONS: Gafchromic film has adequately measured applied dose in vivo at low energy for large 10 Gy single-fraction irradiation.

Fluorides↗
PubMed2000

A pilot study on the quality control of film processing in medical radiology laboratories in Greece.

The results of a pilot study on the quality of film processing in 80 medical diagnostic radiology laboratories all over Greece are presented. The sensitometric technique for the evaluation of processing has been used to calculate film's base + fog, maximum optical density, speed and contrast, parameters which describe the performance characteristics of automatic film processors and films. The mean values of the base + fog and the maximum optical density were well within the acceptance limits. The film speed was almost constant while the film contrast showed significant variation.

Equipment Design↗
PubMed1997

Evaluation of XD/A Plus and ST8G films for cephalometric radiography with Grenex G8 and BH-III screens.

OBJECTIVES: Sensitometric properties, clinical image quality, and patient dose requirements are important considerations when selecting film for cephalometrics. Two recently released films, XD/A Plus and ST 8G green sensitive films, were studied. METHODS: The films were each combined with Grenex G8 (Fuji Medical) green-fluorescing matched and BH-III (Kasei Optonix) blue-fluorescing mismatched intensifying screens. The density response and resolution for each screen-film combination were evaluated by use of the characteristic curve and modulation transfer function. The kilovoltage settings providing clinically acceptable images were assessed individually by 12 observers. Clinically acceptable images for each combination were also compared, and the skin entrance doses in the temporomandibular joint region were determined. RESULTS: The average contrast at the most effective density range was found to be slightly higher for the BH-III group than for the G8 group. The modulation transfer function for the BH-III group was inferior to that for the G8 screens. There were no significant differences in diagnostically acceptable image quality among the four combinations; nevertheless the BH-III screen group required two to three times more exposure than the G8 screen group. CONCLUSIONS: XD/A Plus and ST8G films provide acceptable image detail for cephalometrics. To minimize the patient dose they should be used with green-emitting screens.

Analysis of Variance↗
PubMed1998

A perceptibility curve comparison of Ultra-speed and Ektaspeed Plus films.

OBJECTIVE: The purpose of this study was to evaluate the subjectively assessed contrast difference between Kodak's Ultra-speed and Ektaspeed Plus dental radiography films (Eastman Kodak, Rochester, N.Y.) through the use of perceptibility curves. DESIGN: Four series of 22 radiographs were exposed at 70 and 90 kVp with each film type by means of a Gendex 1000 dental radiography unit (Gendex Corp., Milwaukee, Wis.) for times ranging from 0.05 to 5 seconds at 10 ma. The test object consisted of a 7-mm-thick rectangular aluminum block with 10 circular depth cuts, each 2 mm in diameter, which created wells varying in depth from 50 to 500 microns. The corresponding films were processed concurrently (for 4.5 minutes) in total darkness with fresh Kodak Readymatic solutions (Eastman Kodak) held at a constant temperature of 28 degrees C. The resulting radiographs were viewed in a predetermined random order under ideal conditions by 10 dentists. The evaluators recorded the maximum number of perceptible images on each film. A pair of perceptibility curves were generated at 70 and 90 kVp by plotting the log relative exposure versus the mean number of perceptible images. RESULTS: There was no statistical difference between the two film types with respect to the mean number of perceptible images, as analyzed by Wilcoxon's signed rank test (p = 0.22; p = 0.44). CONCLUSIONS: There is no subjectively assessed contrast difference between Kodak s Ultra-speed and Ektaspeed Plus films at 70 and 90 kVp.

Absorptiometry, Photon↗