The use of digital image intensifier radiography (DIIR) for examinatio
ns in projection radiography is becoming more common. Fluoroscopic con
trolled contrast studies (barium- or iodine-based), particularly of th
e gastrointestinal tract, can be performed quickly and easily with a c
onsiderable decrease in radiation exposure. A wide dynamic range permi
ts a constant high image quality with fewer incorrect exposures. The l
imited spatial resolution of large image intensifier input screens is
the major drawback of DIIR. Digital image acquisition enables post-pro
cessing, digital storage and transfer of images, thus allowing an inte
gration into PACS-systems. Imaging capabilities and clinical applicati
ons are described here.