The Siberian digital radiographic device (SDRD) is in clinical use in
Novosibirsk and Moscow where it produces images of high diagnostic val
ue at considerably lower dose levels than conventional film-screen com
binations. We have made contrast-detail measurements to compare its im
aging performance with film-screen systems used in clinical practice i
n the UK. We have also compared clinical doses for Russian SDRD examin
ations with doses for the equivalent examinations in die UK. The SDRD
performs better than the UK film-screen systems for large low-contrast
objects at all exposure levels, and requires lower doses, by up to tw
o orders of magnitude, when compared for a range of common examination
s.