PURPOSE: To develop and test a chest phantom for routine quality contr
ol testing of digital radiography systems. MATERIALS AND METHODS: The
phantom was constructed from sheets of copper, aluminum, and acrylic,
which were cut and arranged to yield a radiographic projection resembl
ing that of a human thorax. Regional test objects allowed quantitative
assessment of optical density, contrast detail, and spatial resolutio
n. Validation tests were performed to assess image stability in a stab
le imaging environment and sensitivity to changes in image quality whe
n they occur. RESULTS: The phantom yielded consistent pseudoclinical i
mages when used in a routine quality control program and facilitated d
etection of simulated problems that were induced in imaging system per
formance. CONCLUSION: The chest phantom enables quantitative, full-sys
tem testing of digital radiography systems as they are used clinically
for chest radiography.