The 10th Annual scientific Meeting of the Irish Association of physicists in medicine (IAPM ASM 2019).

The Irish Association of Physicists in Medicine (IAPM) is an association of medical physicists in Ireland. The IAPM was founded in 2010 with the merger of the Association of Physical Scientists in Medicine (APSM) and the Irish Radiotherapy Physics Group (IRPG). The 10th Annual Scientific Meeting of the IAPM was held in Dublin on 23rd March 2019. This editorial summarises the proceedings of the day including invited speakers, diagnostic imaging and radiotherapy sessions, the Young Investigator Grant, the Early Careers bursary, joint session and poster presentations. A special issue of Physica Medica was dedicated to the event featuring a number of research papers.

A novel quantitative measure of image quality in fluoroscopy.

Assessment of fluoroscopic image quality has not kept pace with technological developments in interventional imaging equipment. Access to 'for presentation' data on these systems has motivated this investigation into a novel quantitative method of measuring image quality. We have developed a statistical algorithm as an alternative to subjective assessment using threshold contrast detail detectability techniques. Using sets of uniformity exposed fluoroscopy frames, the algorithm estimates the minimum contrast necessary for conspicuity of a range of virtual target object areas A. Pixel mean value distributions in a central image region are Gaussian, with standard deviation σ Pixel binning produces background distributions with area A. For 95% confidence of conspicuity a target object must exhibit a minimum contrast of 3.29σ. A range of threshold contrasts are calculated for a range of virtual areas. Analysis on a few seconds of fluoroscopy data is performed remotely and no test object is required. In this study Threshold Index and Contrast Detail curves were calculated for different incident air kerma rates at the detector, different levels of electronic magnification and different types of image processing. A limited number of direct comparisons were made with subjective assessments using the Leeds TO.10 test object. Results obtained indicate that the statistical algorithm is not only more sensitive to changes in levels of detector dose rate and magnification, but also to levels of image processing, including edge-enhancement. Threshold Index curves thus produced could be used as an interventional system optimisation tool and to objectively compare image quality between vendor systems.

Practical radiation dosimetry across a variety of CBCT devices in Radiology.

Cone beam technology is becoming more prominent in Radiology. In our hospital we have an extremity CT, an O-arm and a number of C-arms offering 3D capabilities. Each of these modalities use cone beam CT (CBCT) technology to image the area of interest in one single rotation. Traditional CTDI metrics for radiation dosimetry in CT depend on narrow beam geometry. The relevance of the CTDI as a dose indicator for cone beam scanning is contentious due to underestimation of dose lying outside the standard 100 mm chamber length and CTDI phantoms being of insufficient length. In an attempt to better quantify dose from cone beam scanning, alternative methodologies have been developed which attempt to counter the limitations of CTDI methodologies. In this comparison study we utilised the CBCT methodologies outlined in (i) IAEA Report 5, (ii) EFOMP's protocol on QC in CBCT and (iii) conventional CTDI measurement and tested them on various CBCT systems used in Radiology. These methods were chosen as they use equipment that is typically available to a diagnostic imaging physicist. We determine that the EFOMP protocol and the conventional CTDI method produce the best estimate of the radiation output for quality control purposes. Our conclusion is that the EFOMP protocol is the fastest and easiest method to measure a CBCT metric but it is not always accessible. For the systems in our hospital we will adopt the EFOMP protocol for open systems (C-arms) and perform CTDIVol measurements using conventional techniques on enclosed systems (O-arm and extremity CT).

Perception of medical radiation risk in Ireland: Results of a public survey.

The Basic Safety Standards (BSS) directive 2013/59/EURATOM places a new emphasis on the practitioner and/or referrer to inform the patient of the benefits and risks associated with radiation dose. To communicate effectively, a prior knowledge of what a person comprehends is beneficial. The aim of this study was to evaluate the Irish public's current level of understanding of ionising radiation and its associated risks. We designed a survey consisting of ten multiple choice questions and asked members of the public to respond. There were 326 responses to the public survey. All survey data was collected anonymously using snowball sampling. Overall, the data collected from this survey indicates that the respondents do not have a clear understanding of radiation risks. In particular there was a misunderstanding in which modalities use ionising radiation and there was a perceived limit in the number of X-rays a person can have in a year, implying that the public have not been informed of the principle of justification. Patients must be presented with the benefits of an exam involving ionising radiation together with a clear explanation of the risks.

Ocular microtremor measurement using laser-speckle metrology.

We describe a novel, noninvasive measurement approach for recording a small involuntary tremor of the eye known as ocular microtremor. The method is based on measuring out-of-plane angular displacements of a target by using laser-speckle correlation of images recorded in the Fourier plane of a lens. The system has a dynamic range of 4 to 5000 µrad, resolution of 4 µrad, and a bandwidth of 250 Hz. The design and optimization of the system is presented with an in vitro validation of the system against its specification.