To evaluate the potential utility of an asymmetric screen-film system
for chest radiography, its image quality and detail visibility compare
d with a conventional screen-film system are investigated. The basic i
maging properties were evaluated by measuring Hurter and Driffield cur
ves, resolution properties, and noise Wiener spectra. The visibility o
f simulated anatomical and pathological derails in radiographs of a ch
est phantom and normal anatomy in chest radiographs of patients were e
valuated subjectively. The dynamic range of each system is comparable,
though the asymmetric screen-film system can provide an advantage ove
r the conventional System due to a relative dose reduction of approxim
ately 35% and higher resolution properties at high optical densities.
The noise level of the asymmetric screen-film system is slightly great
er at low optical densities and much greater at high optical densities
. However, the visibility of lung details with the asymmetric screen-f
ilm system is slightly superior to the conventional screen-film system
despite the increase in noise. Mediastinal and retrodiaphragmatic det
ails are similar, though marginally superior with the asymmetric scree
n-film system. It is concluded that the asymmetric screen-film system
provided slightly superior image quality to the conventional screen-fi
lm system for chest radiography, provided the average lung density is
maintained at a higher level than is customary with conventional syste
ms.