Publications by authors named "Tsutomu Nakano"

Article Synopsis
  • - The study explored how different X-ray beam conditions affect the subject contrast of pulmonary tissues, using Monte Carlo simulations with two model phantoms.
  • - A total of 72 million photons were analyzed to see how they were absorbed, scattered, and penetrated by both the lung and mediastinum phantoms, particularly focusing on measurements taken with a CsI detector.
  • - Results indicated that subject contrast improved with lower energy X-ray beams, but soft tissue and soft tissue overlying bone showed minimal contrast differences with varying beam qualities, highlighting the disparity between absorbed and entered photons.
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Objectives: Contrast-to-noise ratio (CNR) of four X-ray beams (90 kV with 0.15-mm Cu filter, 90 kV with 0.2-mm Cu filter, 120 kV without filter and 120 kV with 0.

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Objectives: Optimal beam quality for detection of pulmonary nodules in digital chest radiography using CsI-flat panel detector (FPD) was investigated in consideration of image quality and patient dose.

Methods: The human chest phantom with inserted imitated nodules (diameter: 10 mm, CT value: +30 Hounsfield unit (HU), -375 HU, -620 HU) was used for the measurement of contrast-to-noise ratio (CNR) of imitated nodules by twenty beams arranged by five tube voltages and four filters.

Results: The CNR varies with X-ray tube voltage and added filter.

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Purpose: To compare the visibility of anatomic structure in chest radiography acquired with different beam quality (120 kV beam and 90 kV beam with 0.15 mmCu) using CsI-flat panel detector.

Method: Pair image obtained by different beam quality of 100 person's chest radiographies which were taken periodical health examination were compared with the visibility of normal structures (pulmonary vessels) and abnormal opacities by two pulmonologists and four radiological technologists.

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In radiography with anti-scatter grid, it is important to make sure that the X-ray beam direct exactly perpendicular to the grid plane. However, it is so difficult to ensure in mobile radiography. An optical sight to ensure X-ray alignment in mobile radiography with anti-scatter grid was devised.

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In radiography with focused grid, it is important to agree the X-ray center on the grid center. Actually, radiography is often put the off-center alignment which disagrees the X-ray center to the grid center. This misalignment decreases radiographic contrast because of cutoff the primary X-rays.

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Portable radiography is available for the patient who is postoperative, severe condition and old. As they have weak immunity, it is important to prevent from hospital infection. Wrapping of 14×14 inch or 14×17 inch X-ray cassette by a plastic (polyethylene) bag a little bit bigger than the cassette was proposed for infection prevention in portable radiography.

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To investigate the optimal beam quality for chest computed radiography (CR), we measured the radiographic contrast and evaluated the image quality of chest CR using various X-ray tube voltages. The contrast between lung and rib or heart increased on CR images obtained by lowering the tube voltage from 140 to 60 kV, but the degree of increase was less. Scattered radiation was reduced on CR images with a lower tube voltage.

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Chest radiography is a widely used X-ray inspection. The numbers of patients who use wheelchairs in everyday life has increased in Japan, and their need for radiography has also increased. A unique supporting pad that enables chest radiography for patients in wheelchairs has been developed.

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HIS (hospital information system) and PACS (picture archiving and communication system) have become widely popular in clinical offices, and use of RIS (radiology information system) in the department of radiology has spread, creating networking between HIS, PACS, and diagnostic systems. RIS receives patient data and order data from HIS and sends them to the diagnostic systems. On the other hand, the RIS sends the implementation record and accounting data to HIS.

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In non-vascular interventional radiology (IVR) such as percutaneous transhepatic cholangio-drainage (PTCD) and nerve block, the operator's hands are irradiated in primary x-ray field. In Over-table tube fluoroscopy system, operator's hands inevitably are exposed excessively to intensive primary radiation, whereas in the Under-table tube fluoroscopy system, they are irradiated weakly by attenuated radiation through the patient's body. For this reason, the dose to the operator's hands in Under-table tube fluoroscopy is less than in Over-table tube fluoroscopy.

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