The importance of monitoring, and where possible reducing, the level of radiation dose from diagnostic X-ray examinations has been recognised for many years and is becoming of increasing concern. Dose reduction is of particular concern in paediatric radiology, and there are specific problems associated with the monitoring and comparison of radiation doses to children. Any optimisation study relies on a framework of good dosimetry. Two techniques have been developed to improve the collection of patient dose data: the automation of survey techniques to increase the quantity of data collected; and a method of correcting for patient size which reduces one source of variability in the data. An optimisation strategy has been developed, consisting of theoretical simulations, experimental verification and clinical implementation. Monte Carlo techniques were used for the theoretical study, which investigated the effect of beam filtration on radiation dose and image quality for a wide range of parameters, specifically for a neonatal size phantom. Simulations included both radiography of bone in soft tissue and fluoroscopy of iodine and barium based contrast media. The results were assessed in terms of the beam spectra and the absorption and transmission characteristics of the phantom and image receptor. Experimental measurements of dose and contrast were made for a simple slab phantom corresponding to that simulated, and results showed good agreement with those predicted. A further set of experimental measurements were carried out using anthropomorphic phantoms in a clinical setting, which demonstrated how the theoretical predictions translated to clinical practice. A clinical trial of the use of a 0.1mm copper filter for fluoroscopic examinations of infants was performed, and the filter shown to give substantial dose reduction with no significant loss in image quality. Some general recommendations on dose quantities and the application of optimisation strategies to paediatric radiology have been made.

Radiobiological irradiation can be performed using appropriately collimated sealed source radioisotope machines such as Co-60 units, as well with X-ray tubes and linear accelerators. The increasing research interest in delivering organ-specific or whole body animal external irradiation has led to the introduction of dedicated X-ray units for research purposes. In this work, the proprieties of a kilovoltage X-ray biological irradiator, the Faxitron cabinet X-ray system model CP160, are investigated and dosimetrically characterized. Calculation formalisms for everyday use of the radiobiological irradiator in laboratory conditions, specifically for cell cultures and small animals total body irradiation, were developed following the AAPM TG-61 protocol. The quality of the X-ray beams generated by this irradiator was found to range between HVL 0.7 mm Cu for a 160 kVp 0.5 mm Cu filtered beam, and HVL 0.07 mm Al for a 20 kVp non-filtered beam. Our calculation formalisms for cell cultures and small animal irradiations were found to be valid within +/-5%.

This study assessed the accuracy and reliability of tooth length measurements through axial, coronal and sagittal serial slices of CBCT volumes; conventional panoramic radiographs; and CBCT panoramic reconstructions to that of a digital caliper gold standard. Samples consisted of maxillary premolars collected from patients requiring extractions for routine orthodontic treatment. Extracted teeth were measured directly with digital calipers and images were digitally measured in Dolphin 3D software. Analysis of CBCT serial slices resulted in highly accurate and reliable tooth length measurements for all slice orientations compared to the gold standard. Conventional panoramic radiographs were relatively inaccurate, overestimating tooth lengths by 29%, while CBCT panoramic reconstructions underestimated lengths by 4%. CBCT serial slice volume analysis provides clinicians with greater measurement confidence, while panoramic radiographs, produced either by conventional means or reconstructed from 3-D volumes should be considered less accurate and reliable for the detection of mild root resorption. / Medical Sciences - Orthodontics

The goal of this academic project was to study the effects of different variables on the damage progression around a central hole in carbon fiber composite coupon specimens. The tracked variables included the type of layup, stress ratio, stress levels, and damage mechanisms observed in each specimen. In-situ x-ray of the individual laminates recorded the extent of damage, mostly longitudinal splitting, as a function of the cycle count. The following lay-ups were included in the experiment: [45/90/-45/02/45/02/-45/0]s, [±5/65/(±5)2/-65/±5]s, and [±5/65/(±5)2/-65/5/65]s. More specifically, the objective of this study was to determine the stress levels at which detectable damage started to develop. The researchers chose to apply 50,000 cycles at each stress level and once damage was detected, the stress level was typically raised by 34.5 MPa (5 KSI), and then cycled another 50,000 cycles until damage exceeding 1.27 cm (0.50") in length was observed. Once the damage exceeded 1.27 cm (0.50"), cycling was continued to 1,000,000 cycles. Upon completion of the fatigue cycling, each specimen's residual strength was determined. The damage length versus stress level was plotted as a way to compare damage onset stresses and growth as a function of lay-up and stress ratio.

Includes bibliographical references (18 leaves). / 2 v. : ill., maps ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Examines the factors that predict attendence to mammography screening by comparing various groups of attenders and non-attenders. / Thesis (Ph.D.)--University of Adelaide, Dept. of Public Health, 1999

Doctor of Philosophy / Radiographic film/screen (F/S) images have a narrow latitude or dynamic range. The film’s ability to record and view all the anatomy within the x-ray field is limited by this narrow dynamic range. The advent of digital radiographic means of storing and displaying radiographic images has improved the ability to record and visualise all of the anatomy. The problem still exists in digital radiography (DR) when radiographic examinations of certain anatomical regions are undertaken. In this work, the value of anatomically shaped radiographic contrast-enhancement masks (RCMs) in improving image contrast and reducing the dynamic range of images in DR was examined. Radiographic contrast-enhancement masks are digital masks that alter the radiographic contrast in DR images. The shape of these masks can be altered by the user. Anatomically shaped RCMs have been modelled on tissue compensation filters (TCFs) commonly used in F/S radiographic examinations. The prime purpose of a TCF is to reduce the dynamic range of photons reaching the image receptor and hence improve radiographic contrast in the resultant image. RCMs affect the dynamic range of the image rather than the energy source of the image, that of the x-ray photons. The research consisted of three distinct phases. The first phase was to examine physical TCFs and their effects on F/S radiographic images. Physical TCFs are used in radiographic F/S examinations to attenuate the x-ray beam to compensate for varying patient tissue thicknesses and/or densities. The effect of the TCF is to reduce resultant radiographic optical density variations in the image, allowing the viewer to observe a range of densities within the image which would otherwise not be visualised. Physical TCFs are commonly aluminium- or lead-based materials that attenuate the x-ray beam. A TCF has varying physical thickness to differentially attenuate the iii beam and is shaped for specific anatomical situations. During this project, various commonly used physical TCFs were examined. Measurements of size and thickness were made. Characteristics of linear attenuation coefficients and half-value thicknesses were delineated for various TCF materials and at various energies. The second phase of the research was to model the physical TCFs in a digital environment and apply the RCMs to DR images. The digital RCMs were created with similar characteristics to mimic the shapes to the physical TCFs. The RCM characteristics can be adjusted by the viewer of the image to suit the anatomy being imaged. Anatomically shaped RCMs were designed to assist in overcoming a limitation when viewing digital radiographic images, that of the dynamic range of the image. Anatomically shaped RCMs differ from other means of controlling the dynamic range of a digital radiographic image. It has been shown that RCMs can reduce the range of optical densities within images with a large dynamic range, to facilitate visualisation of all anatomy within the image. Physical TCFs are used within a specific range of radiographic F/S examinations. Digital radiographic images from this range of examinations were collected from various clinical radiological centres. Anatomically shaped RCMs were applied to the images to improve radiographic contrast of the images. The third phase of the research was to ascertain the benefits of the use of RCMs. Various other methods are currently in use to reduce the dynamic range of digital radiographic images. It is generally accepted that these methods also introduce noise into the image and hence reduce image quality. Quantitative comparisons of noise within the image were undertaken. The anatomically shaped RCMs introduced less noise than current methods designed to reduce the dynamic range of digital radiographic images. It was shown that RCM methods do not affect image quality. Radiographers make subjective assessment of digital radiographic image quality as part of their professional practice. To assess the subjective quality of images enhanced with anatomically shaped RCMs, a survey of radiographers and other iv qualified people was undertaken to ascertain any improvement in RCM-modified images compared to the original images. Participants were provided with eight pairs of image to compare. Questions were asked in the survey as to which image had the better range of optical densities; in which image the anatomy was easiest to visualise; which image had the simplest contrast and density manipulation for optimal visualisation; and which image had the overall highest image quality. Responses from 123 participants were received and analysed. The statistical analysis showed a higher preference by radiographers for the digital radiographic images in which the RCMs had been applied. Comparisons were made between anatomical regions and between patient-related factors of size, age and whether pathology was present in the image or not. The conclusion was drawn that digital RCMs correctly applied to digital radiographic images decrease the dynamic range of the image, allowing the entire anatomy to be visualised in one image. Radiographic contrast in the image can be maximised whilst maintaining image quality. Using RCMs in some digital radiographic examinations, radiographers will be able to present optimised images to referring clinicians. It is envisaged that correctly applied RCMs in certain radiographic examinations will enhance radiographic image quality and possibly lead to improved diagnosis from these images.

Diss. (sammanfattning). Uppsala : Sveriges lantbruksuniv., 2003. / Härtill 4 uppsatser.

Diss. (sammanfattning) Linköping : Univ., 2001. / Härtill 5 uppsatser.

Diss. (sammanfattning) Uppsala : Sveriges lantbruksuniv. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 6 uppsatser.