In this paper, the focus of technical review of the registration application data of digital Breast Tomosynthesis Mammography System was sorted out, so as to provide reference for researchers and manufacturers in China when applying for registration and preparation of such products.
Breast ; diagnostic imaging ; Breast Neoplasms ; diagnostic imaging ; China ; Humans ; Mammography ; instrumentation ; standards ; Radiographic Image Enhancement ; standards ; Risk Factors

OBJECTIVE: To explore the effect of Pareto analysis on the investigation of DR (Digital Radiography) high fault rate. METHODS: The quality control team was established to analyze the causes of DR high fault rate by using the fault statistics of eight DR in our hospital for nearly three years,and to formulate and implement countermeasures,then compare them with the data after rectification. RESULTS: After three months of implementation,the number of DR faults in our hospital decreased from 130 times/quarter to 47 times/quarter,a year-on-year drop was 63.8%.Among them,the number of console faults decreased from 105 times/quarter to 25 times/quarter,a year-on-year drop was 76.2%,close to 80%. CONCLUSIONS Pareto analysis is effective in reducing DR fault rate and is worthy of being promoted to other medical devices.
Humans ; Radiographic Image Enhancement ; instrumentation ; standards

OBJECTIVE: To establish a set of evaluation system of digital radiography clinical value and provide foundation for the maturity assessment of digital radiography. METHODS: The evaluation system of clinical value of digital radiography was established by literature survey,expert consultation,and percentage weight method. RESULTS: The expert authority coefficients were 0.81 and 0.88,respectively.After two rounds of consultation,variation coefficients of each item ranged from 0 to 0.207,and the coefficient coordination were 0.599.The index system consisted of 5 first-level indexes and 12 second-level indexes.The weights of first-level indexes such as image quality,safety,usability,economic and social indicators share of the weight are 0.298,0.294,0.199,0.121 and 0.088 respectively. CONCLUSIONS A completed and scientific evaluation system was established,which provides a scientific assessment tool for clinical value of digital radiography.
Delphi Technique ; Radiographic Image Enhancement ; standards

OBJECTIVETo establish the optimal image post-processing parameters for digital chest radiography as preliminary research for introducing digital radiography (DR) to pneumoconiosis diagnosis in China.

METHODSA total of 204 pneumoconiosis patients and 31 dust-exposed workers were enrolled as the subjects in this research. Film-screen radiography (FSR) and DR images were taken for all subjects. DR films were printed after raw images were processed and parameters were altered using DR workstation (GE Healthcare, U.S.A.). Image gradations, lung textures, and the imaging of thoracic vertebra were evaluated by pneumoconiosis experts, and the optimal post-processing parameters were selected. Optical density was measured for both DR films and FSR films.

RESULTSFor the DR machine used in this research, the contrast adjustment (CA) and brightness adjustment (BA) were the main parameters that determine the brightness and gray levels of images. The optimal ranges for CA and BA were 115%∼120% and 160%∼165%, respectively. The quality of DR chest films would be optimized when tissue contrast was adjusted to a maximum of 0.15, edge to a minimum of 1, and both noise reduction and tissue equalization to0.The failure rate of chest DR (0.4%) was significantly lower than that of chest FSR (17%) (P < 0.05).

CONCLUSIONAfter appropriate image post-processing on DR machine purchased from GE Healthcare, the DR chest films can meet all requirements for the quality of chest X-ray films in the Chinese diagnostic criteria for pneumoconiosis.

Humans ; Image Processing, Computer-Assisted ; methods ; Pneumoconiosis ; diagnostic imaging ; Radiographic Image Enhancement ; standards ; X-Ray Film

OBJECTIVE: The quality and radiation dose of different tube voltage sets for chest digital radiography (DR) were compared in a series of pediatric age groups. MATERIALS AND METHODS: Forty-five hundred children aged 0-14 years (yr) were randomly divided into four groups according to the tube voltage protocols for chest DR: lower kilovoltage potential (kVp) (A), intermediate kVp (B), and higher kVp (C) groups, and the fixed high kVp group (controls). The results were analyzed among five different age groups (0-1 yr, 1-3 yr, 3-7 yr, 7-11 yr and 11-14 yr). The dose area product (DAP) and visual grading analysis score (VGAS) were determined and compared by using one-way analysis of variance. RESULTS: The mean DAP of protocol C was significantly lower as compared with protocols A, B and controls (p < 0.05). DAP was higher in protocol A than the controls (p <0.001), but it was not statistically significantly different between B and the controls (p = 0.976). Mean VGAS was lower in the controls than all three protocols (p < 0.001 for all). Mean VGAS did not differ between protocols A and B (p = 0.334), but was lower in protocol C than A (p = 0.008) and B (p = 0.049). CONCLUSION: Protocol C (higher kVp) may help optimize the trade-off between radiation dose and image quality, and it may be acceptable for use in a pediatric age group from these results.
Adolescent ; Age Factors ; Analysis of Variance ; Child ; Child, Preschool ; Humans ; Infant ; Infant, Newborn ; Pediatrics/*standards ; Prospective Studies ; *Radiation Dosage ; Radiation Protection/standards ; Radiographic Image Enhancement/*standards ; Radiography, Thoracic/*standards

Electronic medical records (EMR) is the clinical diagnosis, guiding intervention and digital medical service record of outpatient, hospital patients (or care object) in medical institution. And it is the complete, detailed clinical information resource which has produced and recorded in all previous medical treatments. Radiotherapy electronic medical records contain texts, images and graphics, therefore the information is more complicated. This paper proposes an EMR information system based on DICOM-RT standard, through the use of seven objects of DICOM-RT to achieve the information exchange and sharing between different systems, equipments, convenient radiotherapy treatment data management, improve the efficiency of radiation treatment.
Computer Communication Networks ; Humans ; Medical Records Systems, Computerized ; standards ; Radiographic Image Enhancement ; methods ; Radiology Information Systems ; organization & administration ; Radiotherapy, Computer-Assisted ; methods ; User-Computer Interface

This paper aims to discuss the issues needed to be considered during the process of defining the registered product standards and industry standards of digital mammographic X-ray camera system. Meanwhile, for the future reference of establishment of standards, it adds the additional technical requirements not only from the features of device's structure, but also from the risk of clinical use.
Mammography ; instrumentation ; standards ; Radiographic Image Enhancement ; instrumentation

We developed the standard digital images (SDIs) to be used in the classification and recognition of pneumoconiosis. From July 3, 2006 through August 31, 2007, 531 retired male workers exposed to inorganic dust were examined by digital (DR) and analog radiography (AR) on the same day, after being approved by our institutional review board and obtaining informed consent from all participants. All images were twice classified according to the International Labour Office (ILO) 2000 guidelines with reference to ILO standard analog radiographs (SARs) by four chest radiologists. After consensus reading on 349 digital images matched with the first selected analog images, 120 digital images were selected as the SDIs that considered the distribution of pneumoconiosis findings. Images with profusion category 0/1, 1, 2, and 3 were 12, 50, 40, and 15, respectively, and a large opacity were in 43 images (A = 20, B = 22, C = 1). Among pleural abnormality, costophrenic angle obliteration, pleural plaque and thickening were in 11 (9.2%), 31 (25.8%), and 9 (7.5%) images, respectively. Twenty-one of 29 symbols were present except cp, ef, ho, id, me, pa, ra, and rp. A set of 120 SDIs had more various pneumoconiosis findings than ILO SARs that were developed from adequate methods. It can be used as digital reference images for the recognition and classification of pneumoconiosis.
Adult ; Aged ; Aged, 80 and over ; Dust ; Humans ; Lung/*pathology/*radiography ; Male ; Middle Aged ; Occupational Exposure ; Pleura/radiography ; Pneumoconiosis/*radiography ; Radiographic Image Enhancement/*standards

This paper is aimed to research into the information model of the Digital Imaging and Communication in Medicine (DICOM) Structured Reporting (SR), and to introduce DICOM information object definitions (IODs) and services used for the storage and transmission of SR. The DICOM services are concerned with storage, query, retrieval, and transfer of data, and give a brief introduction to DICOM DIR. DICOM DIR is a file based on medical information. According to the DICOM DIR definition in the DICOM part ten, it may be found that the composite objects referenced in the DICOM SR. So putting forward the management of DICOM files by DICOM DIR sets, It effectively improves the efficiency of the object referenced by SR. This can increase the ability to access the data. For scientific research, medical data mining and applications, DICOM SR can profit the communication of medical information in different hospitals, and this can be useful for the analysis, research, summary, classification and extraction of a large quantity of medical information.
Computer Communication Networks ; Humans ; Information Storage and Retrieval ; methods ; standards ; Medical Records Systems, Computerized ; standards ; Radiographic Image Enhancement ; methods ; Radiology Information Systems ; organization & administration ; User-Computer Interface

OBJECTIVETo investigate the value of CT scanning in preoperative diagnosis of early cervical carcinoma.

METHODSAbdominal and pelvic CT scans (MPR pictures for 50 patients) in 102 cervical carcinoma patients proven by biopsy pathology were retrospectively analyzed and compared with surgical pathologic findings. The pathological stages included > or = Ia in 39 patients, Ib 1 in 35, Ib 2 in 21, IIa in 6, IIb in 1. The tumor detection ability, thickness of cervical tumor invasion, T stage and lymph node stage showed by CT scan were evaluated.

RESULTSCT was not able to detect < or = Ia cervical carcinoma, however, CT was able to detect tumors in 71.4% of > or = Ib 1 stage (45/63) and 71.4% > or = Ib 2 (20/28), it also showed the depth of tumor invasion in 39.7% > or = Ib 1 (25/63). The overall accuracy of CT staging for tumor was 69.6% and the rate of metastatic lymph node detection 63.6% (7/11). With additional MPR pictures of spiral CT, the detection ability, vaginal involvement and objective shape of cervical tumor was improved. The cervical carcinoma in CT scan was found to be as homogeneous in 54.9% of patients (56/102), hypodense or heterogeneous in 42.2% (43/102), lower density nodual in 41.9% (18/43); occasionally as heterogeneous or hyperdensity noduals or irregular border of the cervix. The features of metastatic lymph nodes in CT scan were rounded or spheroid shape of soft tissue noduals with heterogeneous density caused by central necrosis and rim enhancement.

CONCLUSIONCT scanning may be valuable in detection of > or = Ib 1 rather than < Ib 1 stage early cervical carcinoma. The additional MPR pictures of spiral CT is not only helpful in detecting tumor but also in determining the extension of cervical carcinoma.

Adenocarcinoma ; diagnostic imaging ; secondary ; Adult ; Aged ; Carcinoma, Squamous Cell ; diagnostic imaging ; secondary ; Cervix Uteri ; diagnostic imaging ; Female ; Humans ; Imaging, Three-Dimensional ; methods ; Lymph Nodes ; pathology ; Lymphatic Metastasis ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Radiographic Image Enhancement ; Retrospective Studies ; Tomography, Spiral Computed ; methods ; standards ; Uterine Cervical Neoplasms ; diagnostic imaging ; pathology