A theoretical approach known as quantum accounting diagram (QAD) analy
sis has been used to calculate the spatial-frequency-dependent detecti
ve quantum efficiency (DQE) of two portal imag ing systems: one based
on a video camera and another based on an amorphous silicon array. The
spatial frequency-dependent DQEs have then been used to determine ind
ices of displayed and perceived image quality. These indices are figur
es of merit that can be used to optimize the design of linear imaging
systems. We have used this approach to determine which of eight phosph
or screen thicknesses (ranging between 67 and 947 mg/cm(2)) is optimal
for the two designs of portal imaging systems, The physical character
istics (i.e., detection efficiencies, gains, and MTFs) of each of the
eight x-ray detectors have been measured and combined with the physica
l characteristics of the remaining components to calculate the theoret
ical DQEs. In turn, the DQEs have been used to calculate theoretical i
ndices of displayed and perceived image quality for two types of objec
ts: a pelvis object and a pointlike object. The maximal indices of dis
played and perceived image quality were obtained with screen thickness
es ranging between 358 and 947 mg/cm(2), depending upon the imaging sy
stem design and the object being imaged. Importantly, the results show
ed that there is no single optimal screen thickness. The optimal thick
ness depended upon imaging task (e.g., detecting large, low-contrast s
tructures, or detecting edges and small structures). Nevertheless, the
results showed that there were only modest improvements in the indice
s of image quality for phosphor screens thicker than 350-400 mg/cm(2).
(C) 1997 American Association of Physicists in Medicine.