Dr. Dance et al., THE USE OF CARBON-FIBER MATERIAL IN RADIOGRAPHIC CASSETTES - ESTIMATION OF THE DOSE AND CONTRAST ADVANTAGES, British journal of radiology, 70(832), 1997, pp. 383-390
A Monte Carlo simulation has been used to estimate the dose and contra
st advantages of replacing radiographic cassette fronts fabricated fro
m aluminium with cassette fronts fabricated from low atomic number mat
erial (carbon fibre). The simulation used a realistic imaging geometry
and calculations were made both with and without an anti-scatter grid
. Account was taken of the scatter generated in the cassette front and
the effect of beam hardening on primary contrast. Dose and contrast w
ere evaluated for a range of cassette front thicknesses and tube poten
tials (60-150 kV) as well as for four examinations representative of s
ituations with varying amounts of scatter. The results with an anti-sc
atter grid show a clear dose and contrast advantage in all cases when
an aluminium cassette front is replaced with a low attenuation cassett
e front. The contrast advantage is dependent upon the examination and
is generally greater for imaging bony structures than for imaging soft
tissue. If a 1.74 mm aluminium cassette front is compared with a 1.1
mm carbon fibre cassette front, then the dose advantages are 16%, 9%,
8% and 6% and the contrast advantages are 10%, 7%, 4% and 5% for the A
P paediatric pelvis examination at 60 kV, the anteroposterior (AP) lum
bar spine examination at 80 kV, the lateral lumbar spine examination a
t 100 kV and the posteroanterior (PA) chest examination at 150 kV, res
pectively. The results without an anti-scatter grid show an increased
dose advantage when a low attenuation cassette front is used, but the
contrast advantage is small and in some situations negative.