Two dimensional amorphous silicon arrays are the emerging technology for di
gital medical x-ray imaging. This paper demonstrates an improved pixel desi
gn compared with the current generation of imagers. The geometry of the pix
el sensor has been extended from a mesa isolated structure into a continuou
s layer above the readout structures of the array. This approach improves s
ensitivity to visible light, and to xray illumination when coupled with a c
onversion phosphor. Furthermore, this 3-dimensional geometry allows for the
fabrication of the finest pitch amorphous silicon array yet manufactured,
with a pixel size of 64 mu m square. A test array (512x640 pixels) has been
fabricated and tested which demonstrates the success of this approach.