Using a NPWE model observer to assess suitable image quality for a digital mammography quality assurance programme

A method of objectively determining imaging performance for a mammography quality assurance programme for digital systems was developed. The method is based on the assessment of the visibility of a spherical microcalcification of 0.2 mm using a quasi-ideal observer model. It requires the assessment of the spatial resolution (modulation transfer function) and the noise power spectra of the systems. The contrast is measured using a 0.2-mm thick Al sheet and Polymethylmethacrylate (PMMA) blocks. The minimal image quality was defined as that giving a target contrast-to-noise ratio (CNR) of 5.4. Several evaluations of this objective method for evaluating image quality in mammography quality assurance programmes have been considered on computed radiography (CR) and digital radiography (DR) mammography systems. The measurement gives a threshold CNR necessary to reach the minimum standard image quality required with regards to the visibility of a 0.2-mm microcalcification. This method may replace the CDMAM image evaluation and simplify the threshold contrast visibility test used in mammography qualit

Individual monitoring of internal exposure for nuclear medicine workers in Switzerland

Monitoring of internal exposure for nuclear medicine workers requires frequent measurements due to the short physical half-lives of most radionuclides used in this field. The aim of this study was to develop screening measurements performed at the workplace by local staff using standard laboratory instrumentation, to detect whether potential intake has occurred. Such measurements do not enable to determine the committed effective dose, but are adequate to verify that a given threshold is not exceeded. For radioiodine, i.e. 123I, 124I, 125I and 131I, a calibrated surface contamination monitor is placed in front of the thyroid to detect whether the activity threshold has been exceeded. For radionuclides with very short physical half-lives (≤6 h), such as 99mTc and those used in positron emission tomography imaging, i.e. 11C, 15O, 18F and 68Ga, screening procedures consist in performing daily measurements of the ambient dose rate in front of the abdomen. Other gamma emitters used for imaging, i.e. 67Ga, 111In and 201Tl, are measured with a scintillation detector located in front of the thorax. For pure beta emitters, i.e. 90Y and 169Er, as well as beta emitters with low-intensity gamma rays, i.e. 153Sm, 177Lu, 186Re and 188Re, the procedure consists in measuring hand contamination immediately after use. In Switzerland, screening procedures have been adopted by most nuclear medicine services since such measurements enable an acceptable monitoring while taking into account practical and economic consideration

Determining the activity of 241Pu by liquid scintillation counting

Liquid scintillation counting (LSC) is one of the most widely used methods for determining the activity of 241Pu. One of the main challenges of this counting method is the efficiency calibration of the system for the low beta energies of 241Pu (E max=20.8 keV). In this paper we compare the two most frequently used methods, the CIEMAT/NIST efficiency tracing (CNET) method and the experimental quench correction curve method. Both methods proved to be reliable, and agree within their uncertainties, for the expected quenching conditions of the source

Neutron measurements around storage casks containing spent fuel and vitrified high-level radioactive waste at ZWILAG

Spectrometric and dosimetric measurements were made around a cask containing spent fuel and a cask containing high-level radioactive waste at the Swiss intermediate waste and spent fuel storage facility. A Bonner sphere spectrometer, an LB 6411 neutron monitor and an Automess Szintomat 6134A were used to characterise the n-γ fields at several locations around the two casks. The results of these measurements show that the neutron fluence spectra around the cask containing radioactive waste are harder and higher in intensity than those measured in the vicinity of the spent fuel cask. The ambient dose equivalents measured with the LB 6411 neutron monitor are in good agreement with those obtained using the Bonner spheres, except for locations with soft neutron spectra where the monitor overestimates the neutron ambient dose equivalent by almost 50

Number of X-ray examinations performed on paediatric and geriatric patients compared with adult patients

The age of the patient is of prime importance when assessing the radiological risk to patients due to medical X-ray exposures and the total detriment to the population due to radiodiagnostics. In order to take into account the age-specific radiosensitivity, three age groups are considered: children, adults and the elderly. In this work, the relative number of examinations carried out on paediatric and geriatric patients is established, compared with adult patients, for radiodiagnostics as a whole, for dental and medical radiology, for 8 radiological modalities as well as for 40 types of X-ray examinations. The relative numbers of X-ray examinations are determined based on the corresponding age distributions of patients and that of the general population. Two broad groups of X-ray examinations may be defined. Group A comprises conventional radiography, fluoroscopy and computed tomography; for this group a paediatric patient undergoes half the number of examinations as that of an adult, and a geriatric patient undergoes 2.5 times more. Group B comprises angiography and interventional procedures; for this group a paediatric patient undergoes a one-fourth of the number of examinations carried out on an adult, and a geriatric patient undergoes five times mor

Fluoroscopy-guided procedures in cardiology: is patient exposure being reduced over time?

The number of fluoroscopy-guided procedures in cardiology is increasing over time and it is appropriate to wonder whether technological progress or change of techniques is influencing patient exposure. The aim of this study is to examine whether patient dose has been decreasing over the years. Patient dose data of more than 7700 procedures were collected from two cardiology centres. A steady increase in the patient dose over the years was observed in both the centres for the two cardiological procedures included in this study. Significant increase in dose was also observed after the installation of a flat-panel detector. The increasing use of radial access may lead to an increase in the patient exposure. The monitoring of dose data over time showed a considerable increase in the patient exposure over time. Actions have to be taken towards dose reduction in both the centre

Calibration of an HPGe detector and self-attenuation correction for Pb-210: Verification by alpha spectrometry of Po-210 in environmental samples

In this work the calibration of an HPGe detector for Pb-210 measurement is realised by a liquid standard source and the determination of this radionuclide in solid environmental samples by gamma spectrometry takes into account a correction factor for self-attenuation of its 46.5 keV line. Experimental, theoretical and Monte Carlo investigations are undertaken to evaluate self-attenuation for cylindrical sample geometry. To validate this correction factor (at equilibrium with Po-210 Pb-210) alpha spectrometry procedure using microwave acid digestion under pressure is developed and proposed. The different self-attenuation correction methods are in coherence, and corrected Pb-210 activities are in good agreement with the results of Po-210. Finally, self-attenuation corrections are proposed for environmental solid samples whose density ranges between 0.8 and 1.4 g/cm(3) and whose mass attenuation coefficient is around 0.4 cm(2)/g. (C) 2007 Elsevier B.V. All rights reserved

Derivation of an observer model adapted to irregular signals based on convolution channels.

Anthropomorphic model observers are mathe- matical algorithms which are applied to images with the ultimate goal of predicting human signal detection and classification accuracy across varieties of backgrounds, image acquisitions and display conditions. A limitation of current channelized model observers is their inability to handle irregularly-shaped signals, which are common in clinical images, without a high number of directional channels. Here, we derive a new linear model observer based on convolution channels which we refer to as the "Filtered Channel observer" (FCO), as an extension of the channelized Hotelling observer (CHO) and the nonprewhitening with an eye filter (NPWE) observer. In analogy to the CHO, this linear model observer can take the form of a single template with an external noise term. To compare with human observers, we tested signals with irregular and asymmetrical shapes spanning the size of lesions down to those of microcalfications in 4-AFC breast tomosynthesis detection tasks, with three different contrasts for each case. Whereas humans uniformly outperformed conventional CHOs, the FCO observer outperformed humans for every signal with only one exception. Additive internal noise in the models allowed us to degrade model performance and match human performance. We could not match all the human performances with a model with a single internal noise component for all signal shape, size and contrast conditions. This suggests that either the internal noise might vary across signals or that the model cannot entirely capture the human detection strategy. However, the FCO model offers an efficient way to apprehend human observer performance for a non-symmetric signal

Calibration of surface contamination monitors for the detection of iodine incorporation in the thyroid gland

In Switzerland, individuals exposed to the risk of activity intake are required to perform regular monitoring. Monitoring consists in a screening measurement and is meant to be performed using commonly available laboratory instruments. More particularly, iodine intake is measured using a surface contamination monitor. The goal of the present paper is to report the calibration method developed for thyroid screening instruments. It consists of measuring the instrument response to a known activity located in the thyroid gland of a standard neck phantom. One issue of this procedure remains that the iodine radioisotopes have a short half-life. Therefore, the adequacy and limitations to simulate the short-lived radionuclides with so-called mock radionuclides of longer half-life were also evaluated. In light of the results, it has been decided to use only the appropriate iodine sources to perform the calibratio

Variability of radioiodine measurements in the thyroid

Monte Carlo simulations were carried out to study the response of a thyroid monitor for measuring intake activities of 125I and 131I. The aim of the study was 3-fold: to cross-validate the Monte Carlo simulation programs, to study the response of the detector using different phantoms and to study the effects of anatomical variations. Simulations were performed using the Swiss reference phantom and several voxelised phantoms. Determining the position of the thyroid is crucial for an accurate determination of radiological risks. The detector response using the Swiss reference phantom was in fairly good agreement with the response obtained using adult voxelised phantoms for 131I, but should be revised for a better calibration for 125I and for any measurements taken on paediatric patient