To evaluate the potential clinical usefulness of a new screen-film sys
tem (advanced screen-film system; AD system) for chest radiography, it
s fundamental imaging properties compared with a conventional screen-f
ilm system (HR-4/HR-S) were investigated. The basic imaging properties
were evaluated by measuring characteristic (H&D) curves, relative spe
eds, MTFs (modulation transfer functions), WS (Wiener spectra), and x-
ray attenuations of screens. The detail visibilities and pathological
details of various diseases in chest radiographs of patients were eval
uated subjectively. The film gradient of the AD system was slightly lo
wer at low radiographic density, and higher at high density, as compar
ed with a conventional screen-film system. The screen speed of the AD
system was 212% greater than that of the conventional system and the f
ilm speed was 53% that of the conventional film. As the result the tot
al speed of the AD system was slightly higher compared with the conven
tional system. The spatial resolution of the AD system was comparable
to or slightly lower than that of the conventional system. The noise l
evel of the AD system was considerably lower than that of the conventi
onal system at low (D=0.5) and middle (D=1.0) radiographic density lev
els. However, it was high at high radiographic density (D=1.8). The ra
diographic densities in the underpenetrated areas with the AD system w
ere greater than those of the conventional system when the lung densit
ies are matched comparable. Improvement in noise level with the AD sys
tem at low and middle density levels may be useful for detection of va
rious diseases in chest radiographs. (C) 1996 American Association of
Physicists in Medicine.