A Monte Carlo computer program has been developed to model diagnostic
radiological examinations, and has been used to study and optimise the
design of antiscatter grids. This is important because the use of an
inappropriate or poorly designed grid can lead to increased patient do
se. Optimal grid parameters may be different for large and small scatt
ering volumes. The program treats the patient as a rectangular block o
f tissue and takes account of the grid and image receptor. Image quali
ty is measured in terms of contrast and signal-to-noise ratio and pati
ent risk in terms of mean absorbed dose. Test objects of appropriate s
ize and composition are used in the calculation of these image quality
parameters. A new performance comparison and optimisation procedure h
as been developed, and the program has been used to study grid design
in screen-film and digital radiology for small, medium and large scatt
ering volumes.