Clinical Technology Jpn J Radiol Technol 2000 ;
Evaluation of the Clinical Usefulness of the Dual-energy Subtraction Method
for High-grade Image Processing in Chest Radiography

TAKESHI KOBAYASHI, HITOSHI ABO, SHIGERU SANADA, and RYOUICHI KAMIMURA1)
Department of Radiology, Kanazawa University School of Medicine
1)School of Health Sciences, Kanazawa University
2)Department of Radiology, Takaoka City Hospital
Received Nov. 4, 1999; Revision accepted Jan. 6, 2000; Code No. 250

Summary
The purposes of this study were to evaluate the clinical usefulness of dual-energy subtraction images in chest radiography and to throw light on the way of integrating high-grade image processing with clinical diagnosis. Among 221 clinical cases to which this method was applied, its clinical usefulness was detected in 41 cases(18.6%). Soft tissue images facilitated nodule detection in 11 cases. Detection of the nodule on the CR image was not possible in 2 of these 11 cases. The bone image was also useful in 8 cases, because of the detection of benign patterns of calcification. Considering the role of chest radiography as a method of screening in chest imaging diagnosis, support such as the prevention of missing lung nodules and the suggestion of unnecessary further examinations seemed extremely important. Because the dual-energy subtraction method provided such support, it was clinically evaluated as a useful high-grade image processing technique that is expected to be of even further benefit following technological improvements.

Key words: Radiography, Computed radiography (CR), Energy subtraction image, Lung nodule