The modulation transfer function (MTF) is a commonly used metric for d
efining the spatial resolution characteristics of imaging systems. Whi
le the MTF is defined in terms of how an imaging system demodulates th
e amplitude of a sinusoidal input, this approach has not been in gener
al use to measure MTFs in the medical imaging community because produc
ing sinusoidal x-ray patterns is technically difficult. However, for o
ptical systems such as charge coupled devices (CCD), which are rapidly
becoming a part of many medical digital imaging systems, the direct m
easurement of modulation at discrete spatial frequencies using a sinus
oidal test pattern is practical. A commercially available optical test
pattern containing spatial frequencies ranging from 0.375 cycles/mm t
o 80 cycles/mm was used to determine the MTF of a CCD-based optical sy
stem. These results were compared with the angulated slit method of Fu
jita [H. Fujita, D. Tsia, T. Itoh, K Doi, J. Morishita, K. Ueda, and A
Ohtsuka, ''A simple method for determining the modulation transfer fu
nction in digital radiography,'' IEEE Trans. Medical Imaging 11, 34-39
(1992)]. The use of a semiautomated profile iterated reconstruction t
echnique (PIRT) is introduced, where the shift factor between successi
ve pixel rows (due to angulation) is optimized iteratively by least-sq
uares error analysis rather than by hand measurement of the slit angle
. PIRT was used to find the slit angle for the Fujita technique and to
find the sine-pattern angle for the sine-pattern technique. Computer
simulation of PIRT for the case of the slit image (a line spread funct
ion) demonstrated that it produced a more accurate angle determination
than ''hand'' measurement, and there is a significant difference betw
een the errors in the two techniques (Wilcoxon Signed Rank Test, p < 0
.001). The sine-pattern method and the Fujita slit method produced com
parable MTF curves for the CCD camera evaluated. (C) 1996 American Ass
ociation of Physicists in Medicine.