Effects of scintillator on the detective quantum efficiency (DQE) of a digital imaging system.

OBJECTIVE: To compare the effects of scintillator on the detective quantum efficiency (DQE) of a charge-coupled device (CCD) digital intraoral radiographic system. STUDY DESIGN: Three screens composed of 3 different scintillator materials, namely europium-doped lutetium oxide (Lu2(O3):Eu3+), transparent optical ceramic (TOC), thallium-doped cesium iodide (CsI:Tl; CsI), and terbium-doped gadolinium oxysulfide (Gd2(O2)S:Tb; GOS) were compared, in turn, in combination with a CCD detector having square pixels with height and width dimensions of 19.5 microm. DQE was investigated using the slanted-slit-derived MTF and surrogate signal-to-noise ratio (SNR) measurements derived from calculations of the mean and standard deviations from the mean pixel values of multiple random patches from various uniform exposures. An Irix x-ray generator operated at 70 kVp and 8 mA, with a nominal focal spot size of 0.7 mm and 2.5 mm Al equivalent filtration, was used in making all exposures. RESULTS: Using TOC, the peak DQE was 62% at 5 cycles/mm. For CsI, the peak DQE was 22% at 2 cycles/mm. With GOS, the peak DQE was 10% at 1 cycle/mm. CONCLUSION: Under identical experimental settings, TOC consistently resulted in higher DQE than CsI and commercially available GOS scintillators combined with the same high-resolution solid-state detector.

Effects of scintillator on the modulation transfer function (MTF) of a digital imaging system.

OBJECTIVE: To investigate the effects of 2 components (scintillator and x-ray generator) in the imaging chain on the modulation transfer function (MTF) of a charge-coupled device (CCD) digital intraoral radiographic system. STUDY DESIGN: Three screens composed of 3 different scintillator materials, namely europium-doped lutetium oxide transparent optical ceramic (TOC), thallium-doped cesium iodide (CsI), and terbium-doped gadolinium oxysulfide (GOS), were compared. Each was used, in turn, in conjunction with a CCD detector having a pixel dimension of 19.5 mum. Two different x-ray generators were also used to evaluate this variable. MTF was investigated using the slanted slit method. RESULTS: The TOC provided a good modulation response for low and middle frequencies, reducing to 0 only at a high cutoff frequency. With CsI and GOS, the system MTF dropped to 0 at a lower cutoff frequency than was the case with TOC. Hence, TOC provided higher spatial resolution than the other 2 scintillators tested under the experimental conditions applied. The differences in MTF attributed to the scintillator type were proportional and consistent. CONCLUSIONS: Despite constant pixel dimensions, MTF was affected to a considerable degree by the scintillator applied and the x-ray generator used in conjunction with the same CCD imaging device. TOC shows potential as a possible replacement for CsI and GOS as a scintillator screen material for intraoral digital x-ray imaging using a solid-state detector, providing higher spatial resolution under the given experimental conditions.