PURPOSE: To evaluate a digital chest radiography system that uses a se
lenium detector. MATERIALS AND METHODS: The relative amounts of scatte
red radiation in the images (scatter fractions), the effect of x-ray e
xposure levels on image appearance, the potential ''throughput'' in a
clinical environment, and the effects of image processing options were
evaluated. RESULTS: Scatter fractions in digital images acquired with
an antiscatter grid were lower in the lung region and higher in the r
etrocardiac and central mediastinal regions than in conventional image
s. Digital images acquired without an antiscatter grid had higher scat
ter fractions in all areas. Increases in exposure intensity reduced th
e appearance of noise. A new image could be acquired every 37 seconds,
and a ''preview image'' appeared on the monitor after approximately 2
3 seconds. Laser-printed images were available after at least 5 minute
s; the time required increased when many images were acquired in a sho
rt time. CONCLUSION: The selenium-based chest radiography system allow
s for rapid chest examination and excellent image quality when used wi
th an antiscatter grid.