Quality improvement of general anteroposterior radiographic image of vertebral body according to optimum angle of incidence

Autor:	Gyeong Rip Kim, Soon Ki Sung, Hynu Chul Sung, Young Ha Kim, Sang Weon Lee, Jin Sung Kwak, Dong Wuk Son, Geun Sung Song, Chi Hyung Lee, Jong Hyeok Kwak
Rok vydání:	2021
Předmět:	Diagnostic information Vertebral Body Radiography Lumbar vertebrae Imaging phantom 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Electrical and Electronic Engineering Instrumentation Lumbar Vertebrae Radiation business.industry Incidence Intervertebral disc Angle of incidence Condensed Matter Physics Quality Improvement Vertebral body medicine.anatomical_structure 030220 oncology & carcinogenesis Lordosis Lumbar lordosis Nuclear medicine business 030217 neurology & neurosurgery
Zdroj:	Journal of X-Ray Science and Technology. 29:297-306
ISSN:	1095-9114 0895-3996
DOI:	10.3233/xst-200786
Popis:	OBJECTIVE: In this study, we present an appropriate angle of incidence to reduce the distortions in images of L4 and L5 during a general anteroposterior radiograph examination. METHOD: We selected 170 patients who had normal radiological findings among those who underwent anteroposterior and lateral examination for lumbar vertebrae. An optimum angle of incidence wa suggested through the statistical analysis by measuring the lumbar lordosis angle and the intervertebral disc angle in these 170 patients. RESULT: We suggested the incident angle (10.28°) of L4 and the incident angle (23.49°) of L5. We compared the distorted area ratios when the incident angle was 0°, 10°, and 23.5° using the ATOM® phantom. The ratio for the L4 decreased from 14.90% to 12.11% and that of the L5 decreased from 15.25% to 13.72% after applying the angle of incidence. We determined the incident angle (9.34°) of L4 and (21.26°) of L5 below 30° of LLA. Thus, we determined the incident angle (11.21°) of L4 and (25.73°) of L5 above 30° of LLA. CONCLUSION: When you apply the optimum angle of incidence, the distortion of image was minimized and an image between the joints adjacent to the anteroposterior vertebral image with an accurate structure was obtained. As a result, we were able to improve the quality of the image and enhance diagnostic information.
Databáze:	OpenAIRE
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