A digital chest imaging system based on a selenium detector has been i
nstalled in a large teaching hospital. Up to 1 May 1994, 7000 patients
have been studied by this new technique. Hard copies are printed on a
laser imager. Image quality of the digital system was analysed by day
-to-day comparison with a conventional chest system. In a pilot study
of 40 patients conventional and digital images were compared by analys
ing six different anatomical regions. Two readers judged the image qua
lity of the digital system to be better than that of a conventional ch
est system, all regions being better visualised on the digital images
(P < 0.01). Acceptance of the digital chest system by radiographers, r
adiologists and other medical specialists is good. More than half of t
he normal patient load is routinely dealt with using the new system. R
etakes were hardly necessary. Post-processing is possible, but was sel
dom used, These preliminary overall results of a digital chest imaging
system based on a selenium detector in routine clinical practice are
promising and further phantom studies and clinical studies using recei
ver operating characteristic (ROC) analysis are currently being perfor
med.