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Basic technology of

FCR/FDR and DRYPIX system

Masahiro Matsushita
matsushita@fujifilm.ae

Ver. 20110306

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What is FCR system?
FUJI Computed Radiography system

 High sensitive CR system by FUJIFILM using its


proprietary Imaging Plate technology.
 FUJIFILM is the pioneer in the CR market and
developed the first digital X-ray system in the
world in 1983.

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Subjects

 Technology overview
 Imaging Plate
 Imaging Plate reader
 FUJIFILM FPD system
 Image processing
 Image printing
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Subjects

 Technology overview
 Imaging Plate
 Imaging Plate reader
 FUJIFILM FPD system
 Image processing
 Image printing
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FUJIFILM system product lineup
DRY Imagers Built-in IP FCR

Mammography Solution
CR Console

FCR View
PRIMA Console

Cassette Type FCR

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FCR/FDR and DRYPIX system configuration

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FCR/FDR history
FCR101

Performance: 45 IP readings/hour
Footprint: 6.54 m2 (8.1 m width) , 28 times of Capsula
FDR Velocity
Unity AMULET

1985 1988 1993 1999 2001 2003 2006 2008 2009

FCR201
AC-3
FCR XG-1
FCR 5000 FCR CAPSULA FCR Go FCR PRIMA
AC-1
FCR PROFECT CS
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Key technologies of FCR system

FCR system consists of the following technologies


 Imaging Plate
 Wide dynamic range, high sensitivity
 Image capturing
 High sensitive, precise and compact mechanics
 Image processing
 Part of Image Intelligence
 EDR, FNC, GPR, GP, RP, DRC, MFP, A-VR, SAR, etc

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Subjects

 Technology overview
 Imaging Plate
 Imaging Plate reader
 FUJIFILM FPD system
 Image processing
 Image printing
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What is Imaging Plate?
 “The Imaging Plate (IP) was invented at Fujifilm as the
key device for the digital X-ray imaging system named
Fuji computed radiography. Later on, IPs were found to be
effective for scientific imaging such as radioisotope
detection and electron detection.”
 “The IP is a new film-like radiation image sensor
comprised of specifically designed phosphors that trap
and store the radiation energy. The stored energy is
stable until scanned with a laser beam, which releases
the energy as luminescence. This phosphor technology,
launched in its first application to the medical X-ray
diagnostic field, portends great promise in a wide range of
newer scientific and technological applications.”
FMSU Life Science Knowledge Center
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Imaging Plate characteristics
Simultaneous occurrence of 3 phenomena
 Luminescence
 Light emission upon stimulation by radiation
 Intensifying screen for film has only this characteristic
 Energy storage
 Storing of radiated energy
 Photostimulated luminescence
 Re-emission of light upon a second stimulation
 Stored energy is released for the re-emission

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Imaging Plate in FCR system

 Valued features in each stage


Stage Exposure Scan Erasure
Stimulation source X-ray Laser White light
Filtered out
Luminescence Not collected Not collected
(Blue filter)
Filtered out
Energy storage Main target! Negligible
(Yellow filter)
Photostimulated Negligible Main target!
(if erased)
Main target!
luminescence (Not collected)

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Imaging Plate features
 Wide dynamic range (latitude)
More than 4-digits (2-digits for film)
 High sensitive
10 times or more than film
 Linear
Emission is proportional to
dosage in the entire range
 Re-usable
Removal of the trapped energy makes the IP re-usable
The built-in IP system is possible
Image quality stability, less re-takes, and less X-ray dosage
are provided in combination with the image processing.
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Imaging Plates for cassettes
ST HR HR-BD ST-BD

phosphor
phosphor
phosphor
phosphor

base base base base


(transparent) (transparent)

ST-VI HR HR-BD ST-BD


Phosphor layer Thick Thin Thin Thick
Base layer Thick Thin Thin & Transparent Thick & Transparent
Features Lower sensitivity Supports 50 um Higher sensitivity
Sharper image dual-side Reading Supports 50 um
dual-side Reading

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Imaging Plates for built-in system
 HS100 – RIP
 Powder type
 FPP200 – New type, VIP
 Focused Phosphor Plate
Phosphor layer with a columnar crystal structure
Vapor-deposited IP
 More sensitivity
More X-ray absorption and photostimulated luminescence
 More expense

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Imaging Plates for built-in system
Laser light Laser light PSL*

PSL Protective layer


Phosphor
layer
Support

Powder-type IP (RIP) Focused Phosphor Plate (VIP)

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Imaging Plate lifetime
 Causes of damage
 Physical – conveyance in reader unit
 Sensitivity reduction – damage by X-ray

 Warranty condition
Defined by number of scanning times and years of usage that comes first
 For Cassette series (Capsula, XG-1 and Profect CS/One)
 ST-VI(VN) – 12,000, ST-BD – 8,000, HR-V/HR-BD – 4,000
 2 years
 For VELOCITY series (VELOCITY -U / -T / Unity)
 Upright – 100,000, Table – 50,000, Unity – 75,000
 3 years

 Detailed information
Described in the circular letter No. 2X-E06-06 (Feb. 15, 2006)

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Subjects

 Technology overview
 Imaging Plate
 Imaging Plate reader – Reader Unit
 FUJIFILM FPD system
 Image processing
 Image printing
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Reader Unit features
5 Major features
 IP recognition
Barcode No., IP type, IP size, etc.
 IP scanning with laser
Scanning condition is transferred from CR Console
 IP erasure time estimation
 Transferring image data
 Interface: FRUP (Fuji Reader Unit Protocol)
 Erasing remaining energy on IP

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Key technology of Reader Unit
 Laser scanning
 Point beam for cassette system
 Line beam for newer built-in system (HD Line Scanner)
 Luminescence(Light) collection optical system
 Photomultiplier and optical guide for cassette system
 Wide View CCD for built-in system
 Precise reading
 50um, 100um, 200um
 Precision motor (Fuji Film Motor)
 Dual-side reading
 Auto dosage detection
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Key parts of the Reader Unit
Polygon Photomultiplier
LD ( laser diode )

Light collection Amplifier


Laser Beam guide

A/D converter

Image Processing

Precision motor
The precision motor is also named as “FFM”, Fuji Film Motor.
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IP reading operation
Scanning Unit

Laser beam Photomultiplier


Light collection mirror
Light collection guide

Sub scanning
motor

Reading modes: FR, SR, GR


- Sub scanning motor speed
- High Voltage for Photomultiplier

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Photomultiplier (PMT)
 Photo detection sensor
 The most important component of a reader unit
 Converts light to electric current under high voltage
 Highly sensitive to light and to be used in dim light
 Even room light is too bright
 High voltage must be turned off before disassembling a
reader unit
 Performance varies among individual unit
 Performance adjusted before shipping from the factory
 Periodical maintenance and adjustment recommended
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Auto dosage detection
Erasure does not remove stored energy completely
 Maximum X-ray dosage detected while reading
 XE value
 Larger maximum dosage, longer erasure time
 Erasure performance of Capsula
 S value represents the amount of image signal from the IP
 Remaining image is same as S = 12,000 or more
 S = 800 reading is possible after the normal erasure
 “Switched depending on Menu” mode of Velocity
Erasure time adjusted based on the next exposure menu
Larger dosage in the subsequent exposure, shorter erasure time for the current job

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Dual-side image reading
 One set of laser beam and polygon mirror
 Two sets of photomultiplier and light
collection guide
 Introduced in Profect CS/One system
 Higher image quality with same dosage
 For mammography examinations
 Reduced dosage with same image quality
 For infants and neonates examinations
 Supports 50 micron resolution
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Dual-side image reading

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Subjects

 Technology overview
 Imaging Plate
 Imaging Plate reader
 FUJIFILM FPD system
 Image processing
 Image printing
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Flat panel detector (FPD) types
X-ray → (Photon) → Electric signal Signal collection
Direct conversion panel
X-ray Photoconductor TFT
Amorphous selenium : a-Se
AcSelerate
FPD
(DR) Indirect conversion panel
Scintillator Photodiode TFT
Gadolinium oxysulfide : Gd2O2S:Tb (GOS) D-EVO
Cesium iodide : CsI

Photo-stimulable Laser scanner


(CR) phosphor + PMT/CCD readout
Barium fluorohalide compounds : BaFX FCR
Flat panel detector (FPD) types
Direct conversion panel TFT

X-ray Photoconductor
AcSelerate
Optical Switching
Amorphous selenium : a-Se
AMULET
FPD
(DR) Indirect conversion panel
Scintillator Photodiode TFT
Gadolinium oxysulfide : Gd2O2S:Tb (GOS) D-EVO
Cesium iodide : CsI

Photo-stimulable Laser scanner


(CR) phosphor + PMT/CCD readout
Barium fluorohalide compounds : BaFX FCR
Direct vs. Indirect conversion FPDs
Direct conversion panel Indirect conversion panel

High Voltage
X-ray photoelectric X-ray phosphor
Electrons
conversion layer (scintillator) layer

- Charge collection electrode Photodiode and


+ TFT substrate TFT substrate

Convert X-ray into electric signal Convert X-ray into light first,
directly then into electric signal
Outstanding sharpness Natural image
without blur due to light scattering due to reasonable light scattering
Principle of Direct and Indirect Conversion FPD
Direct conversion FPD
X-ray Electric Signal = Image Pixels

No light diffusion brings higher DQE, superior MTF over competing methods
Indirect conversion FPD
X-ray Light Electric Signal = Image Pixels
FUJIFILM Direct conversion panel
AcSelerate
Achieved performance
 Excellent DQE (Detective Quantum Efficiency)
 45 % @ 1 lp/mm
 20 % higher than regular indirect FPDs*

 Outstanding MTF (Modulated Transfer Function)


 68 % @ 2 lp/mm
 Twice the value of regular indirect FPDs*
* Nippon Medical School, 2008,
Japanese Society of Radiological Technology (JSRT)
presentation # 300 and 301, April 5, 2008

 Improved lifetime of the panel**


** SPIE premier conference presentation – Feb.,2010, USA
Composition of indirect conversion FPD
Glass substrate Photodiode – TFT array
Form photodiode for light receiving and
TFT for an electric charge read-out into grid pattern

Photodiode
TFT
Gate line
(Connected to Gate driver)
Data line
(connected to readout)

Adhesive layer
Scintillator (GoS)
Convert X-ray to Visible light
Base support for Scintillator
Gate Driver Circuit
Readout Circuit Control TFT switching to read out
FUJIFILM ISS Technology for D-EVO
Conventional indirect conversion New indirect conversion
panel with PSS technology panel with ISS technology
→ PSS (Penetration Side Sampling) panel → ISS (Irradiation Side Sampling) panel
X-ray Scintillator X-ray Scintillator

ISS technology brings


both the sharper image
and the dose reduction

Optics images after scintillator transmission of PSS and ISS panel


Subjects

 Technology overview
 Imaging Plate
 Imaging Plate reader
 FUJIFILM FPD system
 Image processing
 Image printing
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Abbreviations / Names
 EDR: Exposure Data Recognizer
 FNC: Flexible Noise Control
 GPR: Grid Pattern Removal
 PEM: Pattern Enhancement processing for Mammography
 GP: Gradation Processing (Tonal Conversion Processing)
 RP: Response Processing (Spatial Frequency Processing)
 DRC: Dynamic Range Control
 MFP: Multi-Frequency Processing

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Abbreviations / Names
 EDR: Exposure Data Recognizer
 FNC: Flexible Noise Control
 GPR: Grid Pattern Removal
 PEM: Pattern Enhancement processing for Mammography
 GP: Gradation Processing (Tonal Conversion Processing)
 RP: Response Processing (Spatial Frequency Processing)
 DRC: Dynamic Range Control
 MFP: Multi-Frequency Processing

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Abbreviations / Names
 EDR: Exposure Data Recognizer
 FNC: Flexible Noise Control
 GPR: Grid Pattern Removal
 PEM: Pattern Enhancement processing for Mammography
 GP: Gradation Processing (Tonal Conversion Processing)
 RP: Response Processing (Spatial Frequency Processing)
 DRC: Dynamic Range Control
 MFP: Multi-Frequency Processing

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Image processing overview
 Part of Image Intelligence
 Advantage of FUJIFILM image processing
 Advanced algorithm
 High performance
 Long history and accumulated know-how in collaboration
with doctors and radiologists
 Major features
 EDR
 FNC, GPR, TAS, PEM, GP, RP, DRC, MFP
 Performed in CR Console software

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Image process in CR Console

1. Receive image data


2. Create image related files
3. Calculate S and L values by EDR
4. Process image for display
(FNC, GPR, TAS, PEM, GP, RP, DRC, MFP)
5. Display image
6. Adjust image quality if desired (GP, RP, DRC, MFP)
7. Compose image for imagers, Non-Fuji devices

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Image process in CR Console

Exposure CR Console
condition
RoutineNNNN.inf
Image processing
Image files FNC GP
RoutineNNNN.hq Image
RoutineNNNN.std
Reader Unit RoutineNNNN.thm RP Display
RoutineNNNN.edr
GPR
EDR Parameters
(RoutineNNNN.M.std) DRC
(RoutineNNNN.M.thm)
TAS
(RoutineNNNN.M.edr)
PEM MFP
Shutter Process

Imager Storage

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Image related files
 Image related files
- RoutineNNNN.hq - Compressed image from reader (12-bit image)
- RoutineNNNN.std- Standard density original image (12-bit image)
- RoutineNNNN.thm- Thumbnail image (12-bit image)
- RoutineNNNN.edr- Reduced image data for EDR (8-bit image)
- RoutineNNNN.edk- EDR result data
- RoutineNNNN.inf- Exposure and patient information
- RoutineNNNN.M.std - Shutter processed standard image*
- RoutineNNNN.M.thm - Shutter processed thumbnail image*
- RoutineNNNN.M.edr - Shutter processed image for EDR*
* Shutter processed images are optional
 Default image location in CR Console
C:\Program Files\FujiFilm\IIP\Data\Image

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EDR overview
 Exposure Data Recognizer
 Automatic extraction of the meaningful signal range
 Calculate S and L values for optimum image display

 INPUT = “.edr” image file (8 bit, 256 x 256)


 OUTPUT = S value and L value (“.edk” file)
 Algorithm
 Make “Pixel value – Number of pixels” histogram
 Compare the graphical pattern of the histogram with the
pre-set pattern for the exposure menu
 Calculate S value and L value
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What is histogram?
 Distribution of pixel values
Histogram
Pixel values of an image
(5 x 5 pixels)

1 4 4 4 1
4 2 2 2 4
4 2 3 2 4
4 2 2 2 4
1 4 4 4 1

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Histogram samples
 Image and histogram relationship

Higher pixel values


Acquired image Histogram
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Histogram variation

Factors affecting the histogram


 Exposure region
 X-ray tube voltage
 mAs value
 Patient’s body
 Other exposure conditions

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Histogram variation – Exposure region

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Histogram variation – Voltage and mAs value
Voltage difference mAs value difference

High voltage Larger mAs value


Low voltage
Radiation quality depends on the X-ray tube voltage
Higher voltage, more penetrating power
For bones: Lower voltage
For soft tissue: Higher voltage
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Frequency
Exposure Data Recognition

Automatic extraction of
meaningful signal range
= EDR

0 1 2 3 4
Intensity of IP photo-stimulated light
= Pixel value = Density level
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S value and L value
Digital value density
L value 1023
Frequency

Qmax

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Histogram
Qmin

0
0 1Smin Sk 2 Smax 3 4
20000 2000 200 20 2
S value
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S value and L value
Digital value density
L value 1023
Frequency

Qmax (1.6)

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Histogram
Qmin (0.5)

0
0 1Smin Sk 2 Smax 3 4
20000 2000 200 20 2
S value
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L value definition

 Width of the extracted range in logarithm


 The range is divided into 4,096 (12 bits)
to form an image to be displayed on CR Console
 Larger L value indicates lower contrast
and smaller L value indicates higher contrast

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S value definition
 Center of the extracted signal range
 Representation of “relative X-ray dosage”
of the image
Dosage (mR) S Value
 Definition in FCR system 0.1 2,000

S = 4 × 10(4-Sk) 1
10
200
20
Sk = Center of the pixel range 100 2
( S becomes 200 when Sk is 2.30 ) - Above values are for ST type IP
(1.8m, 80kV, 50mA, 0.013s)
- “TEST SENSITIVITY” menu is used

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“EDR” by hand
Demonstration
 Range extraction by hand
 Curve selection and adjustment by hand

 MultiGauge Software
 Developed for FUJIFILM Life Science system
 Analysis of images from Imaging Plate and others
 Image observation
 Quantification of ROIs (Region Of Interest)
 More information
http://www.fujifilm.com/products/life_science/si_software/multigauge.html

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“EDR” by hand
EDR performs these procedures automatically
using professionally designed “pre-sets”
Pre-sets = MPM Codes (Menu Position Method Codes)

MPM Codes and their parameters in


Standard Image Processing Parameters
Operation Manual / 3rd Edition: December 2006
Document No. 897N0743B

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More EDR features

 Division recognition
 Recognition of image division
 EDR for each division if two or more division found

 Irradiation field recognition


 Recognition of irradiation area
 Introduction of pre-defined exposure region

 Histogram analysis modes


 Auto, Semi-Auto, Fix, Semi-X, and Manual modes

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What is good image quality?
 Contrast and density are well balanced
 Density: Mixture level of blackness and whiteness
 Contrast: Density difference between white and black areas

 Sharpness and granularity are moderate


 Sharpness: Reproduction of clarity of detail
 Granularity: Reproduction of smoothness

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FCR image design
 Design concept of FUJI CR systems
Initial image quality right after the IP reading is designed to
be compatible with conventional film image quality
 Image processing features in CR Console
Digital image quality is possible by adjusting the image
processing parameters
 FCR image processing parameters
 For contrast and density – GP, DRC and MFP
 For sharpness and granularity – RP and MFP
MFP is optional
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FCR image quality
Image processing parameters can be adjusted, but
 The images that come up first are mostly satisfied
 The parameters have already been best tuned based on the
years of collaboration with doctors and experience
 Causes of image problems are, in most cases, not in the
parameters
 Check if the exposure conditions and positioning are
correct, and IP and the reader unit are in good condition
 Customers are to take the initiative to adjust the
values of image processing parameters
 Service engineers should support the customers to
understand the meanings of parameters
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Understanding FCR image
 Important characteristics of FCR system
 Stability in sharpness over the whole dosage range
 Degrade in granularity under lower dosage
 Comparison to high sensitive S/F system highlights this
characteristic in lower dosage area (bone, etc.)
 Possible adjustment for better granularity
 Reduction of enhancement level in sharpness control
 MRE parameter in MFP
Knowledge  of clinical diagnosis
RE parameter in RP (if MFP is not installed)
Increase of mAs values

and
image 
processing parameters
20% to 50% dosage increase reported in Japan
400 to 600 in S value is possible in Japan

Use or change of grid

required toinstead
12:1 or 14:1
 choose
of 10:1 the best solution
 Use of FNC processing (if it is not used)
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FUJI FPD system image design
 AMULET, AcSelerate, and D-EVO systems
 FUJIFILM original Flat Panel Detectors are implemented
 Design concept of FUJI FPD systems
Image quality takes advantage of the native features of the
panels, and is different type of quality from FCR.
 More sharpness
 Image processing in Console Advance
The parameters and their values are the same as CR Console.
 “CR Filter” is provided for AcSelerate
 PEM for AMULET is provide, but is off
 Application support has become more important
The exposure techniques and the image quality are the major
concerns of the customers
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Subjects

 Technology overview
 Imaging Plate
 Imaging Plate reader
 FUJIFILM FPD system
 Image processing
 Image printing – Imager
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What is imager?
 Printer to form medical images on film
 Print images from modalities
 FCR, DR, CT, MRI, PET, Ultrasound, etc.
 Two types
 Wet imager
 Chemical liquid required to process
 Place of installation limited

 Dry imager
 No liquid required to process
 Place of installation flexible
 Laser system and thermal system

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Imager features
4 Major features
 Image data reception
 Interface: DICOM
 Protocol converter available (Non-DICOM to DICOM)
 Image processing
 A-VR
 SAR
 Image forming on film
 Laser system – photo-sensitive film
 Thermal system – heat sensitive film
 Automatic self-calibration
 Automatic calibration upon loading of new film box
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Laser imager features
 Laser exposure and thermal development
 Laser exposed dots become dark on film
Stronger laser light makes more density
 Ultra-precise control of laser beam
High resolution – 50 / 100 micron pixel size (508 / 254 dpi)
 DRYPIX PRIMA supports only 100 micron (254 dpi)
 14-bit gradation level
10-bit CR Console images converted to 14 bits
 High speed film transportation and process
 Use shutter to close tray before opening the covers
 DRYPIX4000, DRYPIX7000, DRYPIX PRIMA
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Thermal imager features
 Thermo-sensitive recording
 Heated dots become dark on film
Higher temperature makes more density
 DURATHERMTM thermal head (for DRYPIX2000)
 Long thermal head life
 3-year or 50,000 prints that comes first
 Stable image quality
 High resolution – 84.7 micron pixel size (300 dpi)
 12-bit gradation level
10-bit CR Console images converted to 12 bits
 DRYPIX2000, DRYPIX1000, DRYPIX3000 – No more from FUJIFILM
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Imager image processing
 A-VR
 Advanced Variable Response Spline Interpolation
 Automatic detection of characters in image
 Automatic independent sharpness control of image area
and characters
 SAR
Gamma Curve

 Smooth curve ARranging 3.5


3
 Selectable gamma curve 2.5
forCT
forMRI

(LUT – Look Up Table) forDSA

Density
2
forNM
1.5 forDR
for the best image quality 1 linear
DICOM P14
for each modality 0.5
0

174
261
348
435
522
609
697
784
871
958
87
0

 New gamma curve definable Digital Value

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A-VR

Original A-VR

Smooth

Sharp

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Film technology
 ECO-DRY
 No uncomfortable smell
 Minimum use of chemical solvents
 Storage stability
 Superior storage stability before and after image forming
 Expiration date is 2 years after manufacturing
 Micro-isolation technology (DI-HT)
 No-compatibility between the film for laser system
and the film for thermal system
 DI-HL for Laser, DI-ML for
for Mammography
Mammography and
and Laser
Laser
 DI-HT and DI-AT
DI-AT for
for Thermal
Thermal
 Keep film in cool and dark place to prevent deterioration
before and after printing
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Automatic self-calibration
 Automatic Film Density Correction (F.D.C.)
 24-step grayscale pattern for calibration
 Laser system
 Barcode reader detects the change of film box
 Calibration when a new film box from a different lot is
detected
 Each film box contains an extra sheet for dust protection
 Thermal system
 No barcode reader installed
 Calibration whenever a film box is changed
 Each film box contains an extra sheet for calibration

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References
 FCR system
 http://www.fujifilm.com/products/medical/solution/basic.html
 http://www.fujifilm.com/products/medical/solution/advanced.html

 Imaging Plate and Image reading


 http://www.fujifilm.com/products/life_science/si_imgplate/whatis02.html
 http://fujifilmlifescienceusa.com/imaging.htm

 Image Processing and other FUJIFILM technologies


 http://www.fujifilm.com/products/medical/technology/index.html
 http://www.fujifilm.com/products/medical/technologies
 FCR (Fuji Computed Radiography) General Description of Image Processing

 Image Intelligence
 http://www.fujifilm.com/image_intelligence/top.html

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