Optimal phosphor thickness for portal imaging.

A theoretical approach known as quantum accounting diagram (QAD) analysis has been used to calculate the spatial-frequency-dependent detective quantum efficiency (DQE) of two portal imaging 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 indices of displayed and perceived image quality. These indices are figures of merit that can be used to optimize the design of linear imaging systems. We have used this approach to determine which of eight phosphor screen thicknesses (ranging between 67 and 947 mg/cm2) is optimal for the two designs of portal imaging systems. The physical characteristics (i.e., detection efficiencies, gains, and MTFs) of each of the eight x-ray detectors have been measured and combined with the physical characteristics of the remaining components to calculate the theoretical DQEs. In turn, the DQEs have been used to calculate theoretical indices of displayed and perceived image quality for two types of objects: a pelvis object and a pointlike object. The maximal indices of displayed and perceived image quality were obtained with screen thickness ranging between 358 and 947 mg/cm2, depending upon the imaging system design and the object being imaged. Importantly, the results showed that there is no single optimal screen thickness. The optimal thickness depended upon imaging task (e.g., detecting large, low-contrast structures, or detecting edges and small structures). Nevertheless, the results showed that there were only modest improvements in the indices of image quality for phosphor screens thicker than 350-400 mg/cm2.