Management of pediatric radiation dose using GE fluoroscopic equipment.

In this article, we present GE Healthcare's design philosophy and implementation of X-ray imaging systems with dose management for pediatric patients, as embodied in its current radiography and fluoroscopy and interventional cardiovascular X-ray product offerings. First, we present a basic framework of image quality and dose in the context of a cost-benefit trade-off, with the development of the concept of imaging dose efficiency. A set of key metrics of image quality and dose efficiency is presented, including X-ray source efficiency, detector quantum efficiency (DQE), detector dynamic range, and temporal response, with an explanation of the clinical relevance of each.

[Seasonal variations of blood pressure in normal subjects and patients with chronic disease].

The characteristics and determining factors of seasonal variations of the blood pressure (BP) were studied in 20 normal subjects and 219 chronic stable chronically all patients, most of whom were ambulatory. The BP was measured repetitively over twelve months and measurements in the lying position repeated after one minute of orthostatism were performed in Winter and in Summer. In normal subjects, the BP decreased from June to reach its lowest value in August to return to the Winter values from October.

Empirical and theoretical investigation of the noise performance of indirect detection, active matrix flat-panel imagers (AMFPIs) for diagnostic radiology.

Noise properties of active matrix, flat-panel imagers under conditions relevant to diagnostic radiology are investigated. These studies focus on imagers based upon arrays with pixels incorporating a discrete photodiode coupled to a thin-film transistor, both fabricated from hydrogenated amorphous silicon. These optically sensitive arrays are operated with an overlying x-ray converter to allow indirect detection of incident x rays.

Radiation damage of amorphous silicon, thin-film, field-effect transistors.

The effect of 60Co radiation on the noise and drain-source current characteristics of hydrogenated amorphous silicon (alpha-Si:H) field-effect transistors (FETs) was examined as a function of dose to cumulative doses as high as approximately 2 x 10(4) Gy. Following these measurements, room-temperature and elevated-temperature annealing of induced radiation damage was examined. The FETs examined are representative of those incorporated in alpha-Si:H arrays under development for various x-ray medical imaging applications.

A real-time, flat-panel, amorphous silicon, digital x-ray imager.

As part of the development necessary for implementing a fully digital radiology department, the authors have investigated thin-film photodiodes and transistors for use in new photoelectronic imaging devices. One such device, a large-area, flat-panel, amorphous silicon imaging array, has been developed and is currently being tested. The array has a format of 512 x 560 pixels, a pixel-to-pixel pitch of 450 microns, and an area of 230 x 252 mm2, making it the largest self-scanning, solid-state imaging array developed to date.

Thin-film, flat-panel, composite imagers for projection and tomographic imaging.

The recent development of large-area, flat-panel a-Si:H imaging arrays is generally expected to lead to real-time diagnostic and megavoltage X-ray projection imagers with film-cassette-like profiles. While such flat-panel imagers offer numerous advantages over existing fluoroscopic and radiographic imaging devices, the unique properties of the arrays also offer the prospect of detector configurations not previously possible with other real-time technologies. The thin, highly uniform profile of the arrays allows the creation of composite imaging devices in which a flat-panel detector overlies a second imaging detector.

[Seasonal variations in arterial pressure in hypertensive patients].

Blood pressure (BP) was measured once every month during one year in 80 hypertensive outpatients. An orthostatic test was performed in winter and another during summer. The collective was aged 65 +/- 13 years (m +/- SD) and presented an elevated prevalence of diabetes mellitus, cardiac failure, and coronary, cerebral and arterial insufficiency.

Demonstration of megavoltage and diagnostic x-ray imaging with hydrogenated amorphous silicon arrays.

Flat-panel imagers consisting of the first large area, self-scanning, pixelated, solid-state arrays made with hydrogenated amorphous silicon (a-Si:H) are under development by the authors for applications in diagnostic x-ray and megavoltage radiotherapy imaging. The arrays, designated by the acronym MASDA for multi-element amorphous silicon detector array, consist of a two-dimensional array of a-Si:H photodiodes and thin-film transistors and are used in conjunction with scintillating materials. Imagers utilizing MASDA arrays offer a variety of advantages over existing technologies.

Effect of acid lumen pH on potassium transport in renal cortical collecting tubules.

In order to determine the effect of acid lumen pH on renal tubular potassium transport, cortical collecting tubules were dissected from rabbit kidneys and perfused in vitro. When the pH of the perfusate was lowered from 7.4 to 6.