Dual energy radiography using active detector technology

A new technology has been implemented using an “active-detector” comprised of two computed radiography (CR) imaging plates in a sandwich geometry for dual-energy radiography. This detector allows excellent energy separation, short exposure time, and high signal to noise ratio (SNR) for clinically robust “bone-only” and “soft-tissue only” images with minimum patient motion. Energy separation is achieved by two separate exposures at widely different kVp´s: the high energy (120 kVp+1.5 mm Cu filter) exposure is initiated first, followed by a short burst of intense light to erase the latent image on the front plate, and then a 50 kVp (low energy) exposure. A personal computer interfaced to the x-ray generator, filter wheel, and active detector system orchestrates the acquisition sequence within a time period of 150 msec. The front and back plates are processed using a CR readout algorithm with fixed speed and wide dynamic range. “Bone-only” and “soft-tissue only” images are calculated by geometric alignment of the two images and application of dual energy decomposition algorithms on a pixel by pixel basis. Resultant images of a calibration phantom demonstrate an increase of SNR²/dose by ~73 times when compared to a single exposure “passive-detector” comprised of CR imaging plates, and an ~8 fold increase compared to a screen-film dual-energy cassette comprised of different phosphor compounds. In conclusion, dual energy imaging with “active detector” technology is clinically feasible and can provide substantial improvements over conventional methods for dual-energy radiography