TITLE:
Performance comparison between three intraoral image receptors of different technology at a variety of tube potential, tube current and exposure time settings using a stepwedge phantom
AUTHORS:
Elli Katsoni, Ioannis A. Tsalafoutas, Panagiotis Gritzalis, Evripidis Stefanou, Evangelos Georgiou, Emmanuel Yakoumakis
KEYWORDS:
Radiography; Dental; Digital; Dosage
JOURNAL NAME:
Health,
Vol.3 No.1,
January
30,
2011
ABSTRACT: Purpose: To comparatively evaluate the per-formance of three intraoral image receptors of different technology when exposed to different X-ray beam spectra, dose and dose rate levels using a stepwedge phantom. Materials and methods: The intraoral radiographic receptors evaluated were: the Kodak Insight F speed class film, the Kodak RVG 6000, and the Duerr Vis-tascan Combi PSP system. A dental quality control phantom made of Plexiglas, containing an aluminium stepwedge with 12 steps and 7 holes drilled in each step was radiographed using a dental X-ray unit offering a wide range of tube potential, tube current and exposure time settings. The visibility of the holes in the images produced with each one of the three receptors was assessed by three independent observers. For each image the total image quality score (TS) was derived from the summation of the number of visible holes in each step. The numbers of perceptible holes in each experimental condition (TSs) were statistically analyzed through use of analysis of variance. Intraobserver and interobserver agree-ment was also measured. Results: Vistascan ex-hibited the most extended useful exposure range, followed by RVG 6000 and Insight. RVG 6000 exhibited the largest TS values in all tube potential settings except 70 kV where the Vistascan performed better. Insight performed better than Vistascan only at 60 and 63 kV. Vistascan performed better at 66 and 70 kV, Insight at 60 and 66 kV, whereas RVG performed equally well at all tube potential settings, except than at 52 and 70 kV. For the Insight the largest TS values were obtained with the smallest ESAK values whereas with the Vistascan the largest TS were obtained with ESAK values that where the largest observed. Conclusions: The performance of all receptors tested was greatly dependent on the exposure parameters and mainly on the kV settings. Overall, the RVG 6000 offered the best image quality at doses somewhere in between those required by the Insight and the Vistascan.