Assessment of radiographic screen-film systems: a comparison between the use of a microdensitometer and a drum film digitiser

A high-end drum film digitiser (Tango, Germany) and a calibrated linear microdensitometer developed by PTB were used to assess the modulation transfer function (MTF) and the noise power spectra (NPS) of 3 mammographic screen film systems at optical density levels of 0.8, 1.5 and 2.5. The use of a drum scanner to assess MTF and NPS data appears to be adequate but requires an appropriate characterisation of the scanner to verify its internal noise level and its MTF. It is further necessary to calibrate the scanner output in terms of visual diffuse optical densities. Processing of two-dimensional digital data of grating images need to be more strictly defined for accurate MTF measurements of screen-film systems. Nevertheless, even now it seems to be feasible to use commercially available high-end and well calibrated scanners to assess screen film systems. This is especially important for quality assurance purposes because important parameters of screen film systems such like MTF and NPS can now be determined without using sophisticated microdensitometers which are not commercially availabl

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

The alpine Swiss-French airborne gravity survey

In February 1998, a regional-scale, airborne gravity survey was carried out over the French Occidental Alps within the framework of the GéoFrance 3-D research program.The survey consisted of 18 NS and 16 EW oriented lines with a spacing of 10 and 20 km respectively, covering the whole of the Western French Alps (total area: 50 000 km2; total distance of lines flown: 10 000 km). The equipment was mounted in a medium-size aircraft (DeHavilland Twin Otter) flowing at a constant altitude of 5100 m a.s.l, and at a mean ground speed of about 280 km h−1. Gravity was measured using a LaCoste & Romberg relative, air/sea gravimeter (type SA) mounted on a laser gyro stabilized platform. Data from 5 GPS antennae located on fuselage and wings and 7 ground-based GPS reference stations were used to determine position and aircraft induced accelerations.The gravimeter passband was derived by comparing the vertical accelerations provided by the gravimeter with those estimated from the GPS positions. This comparison showed that the gravimeter is not sensitive to very short wavelength aircraft accelerations, and therefore a simplified formulation for computing airborne gravity measurements was developed. The intermediate and short wavelength, non-gravitational accelerations were eliminated by means of digital, exponential low-pass filters (cut-off wavelength: 16 km). An important issue in airborne gravimetry is the reliability of the airborne gravity surveys when compared to ground surveys. In our studied area, the differences between the airborne-acquired Bouguer anomaly and the ground upward-continued Bouguer anomaly of the Alps shows a good agreement: the rms of these differences is equal to 7.68 mGal for a spatial resolution of 8 km. However, in some areas with rugged topography, the amplitudes of those differences have a striking correlation with the topography. We then argue that the choice of an appropriate density (reduction by a factor of 10 per cent) for computing the ground topographic corrections over the highest mountains, results in significantly reducing the differences between airborne and ground upward-continued Bouguer anomalies, which shows that some of the misfit stems from errors in the ground dat

Patient doses in CT examinations in Switzerland: implementation of national diagnostic reference levels

Diagnostic reference levels (DRLs) were established for 21 indication-based CT examinations for adults in Switzerland. One hundred and seventy-nine of 225 computed tomography (CT) scanners operated in hospitals and private radiology institutes were audited on-site and patient doses were collected. For each CT scanner, a correction factor was calculated expressing the deviation of the measured weighted computed tomography dose index (CTDI) to the nominal weighted CTDI as displayed on the workstation. Patient doses were corrected by this factor providing a realistic basis for establishing national DRLs. Results showed large variations in doses between different radiology departments in Switzerland, especially for examinations of the petrous bone, pelvis, lower limbs and heart. This indicates that the concept of DRLs has not yet been correctly applied for CT examinations in clinical routine. A close collaboration of all stakeholders is mandatory to assure an effective radiation protection of patients. On-site audits will be intensified to further establish the concept of DRLs in Switzerlan

Mass detection on mammograms: signal variations and performance changes for human and model observers

We studied the influence of signal variability on human and model observer performances for a detection task with mammographic backgrounds and computer generated clustered lumpy backgrounds (CLB). We used synthetic yet realistic masses and backgrounds that have been validated by radiologists during previous studies, ensuring conditions close to the clinical situation. Four trained non-physician observers participated in two-alternative forced-choice (2-AFC) experiments. They were asked to detect synthetic masses superimposed on real mammographic backgrounds or CLB. Separate experiments were conducted with sets of benign and malignant masses. Results under the signal-known-exactly (SKE) paradigm were compared with signal-known-statistically (SKS) experiments. In the latter case, the signal was chosen randomly for each of the 1,400 2-AFC trials (image pairs) among a set of 50 masses with similar dimensions, and the observers did not know which signal was present. Human observers' results were then compared with model observers (channelized Hotelling with Difference-of-Gaussian and Gabor channels) in the same experimental conditions. Results show that the performance of the human observers does not differ significantly when benign masses are superimposed on real images or on CLB with locally matched gray level mean and standard deviation. For both benign and malignant masses, the performance does not differ significantly between SKE and SKS experiments, when the signals' dimensions do not vary throughout the experiment. However, there is a performance drop when the SKS signals' dimensions vary from 5.5 to 9.5 mm in the same experiment. Noise level in the model observers can be adjusted to reproduce human observers' proportion of correct answers in the 2-AFC task within 5% accuracy for most condition

An audit of diagnostic reference levels in interventional cardiology and radiology: are there differences between academic and non-academic centres?

A wide variation in patient exposure has been observed in interventional radiology and cardiology. The purpose of this study was to investigate the patient dose from fluoroscopy-guided procedures performed in non-academic centres when compared with academic centres. Four procedures (coronary angiography, percutaneous coronary intervention, angiography of the lower limbs and percutaneous transluminal angioplasty of the lower limbs) were evaluated. Data on the dose-area product, fluoroscopy time and number of images for 1000 procedures were obtained from 23 non-academic centres and compared with data from 5 academic centres. No differences were found for cardiology procedures performed in non-academic centres versus academic ones. However, significantly lower doses were delivered to patients for procedures of the lower limbs when they were performed in non-academic centres. This may be due to more complex procedures performed in the academic centres. Comparison between the centres showed a great variation in the patient dose for these lower limb procedure

Framing the eurozone crisis: a case of limited ambition

The eurozone crisis provided a new opportunity for obtaining supranational fiscal integration within the European single currency area. This study applies a framing analysis to the crisis discourse that emerged from within the European Union’s intergovernmental forums involved in fiscal policy coordination. As well as linking policy frames to two different integration scenarios for the Economic and Monetary Union, the broader influence of macroeconomic ideology is also emphasised. It is found that the response to the intensification of the crisis in Europe was to employ framing devices supporting intergovernmental fiscal discipline. While there were emergent supranational discourses over the longer term, these were reflective of a limited reform ambition. A key constraining factor here were the sovereignty concerns and issues of moral hazard circulating amongst member states, which together have ensured that a supranational fiscal policy is unlikely to be obtained in Europe

The Political De-Determination of Legal Rules and the Contested Meaning of the ‘No Bailout’ Clause

Traditional debates on legal theory have devoted a great deal of attention to the question of the determinacy of legal rules. With the aid of social sciences and linguistics, this article suggests a way out of the ‘determinate-indeterminate’ dichotomy that has dominated the academic debate on the topic so far. Instead, a dynamic approach is proposed, in which rules are deemed to undergo processes of political ‘de-determination’ and ‘re-determination’. To illustrate this, the article uses the example of Art. 125 of the Treaty on the Functioning of the European Union, the ‘no bailout’ provision, which played a major role in the management of the Euro-crisis. As will be shown, with the start of the crisis, this provision, whose meaning was once scarcely controversial, became the object of intense interpretative disagreement. As it became politically relevant, the rule also became the site of interpretative competitions, until the intervention of the European Court of Justice disambiguated and redefined its meaning