Exposure Index Technical Guidebook

About Exposure Index

The Exposure Index is an index that complies with
IEC62494-1 issued in 2008 to show the exposure dose
received by the detector. Using this index means the
exposure dose received by detectors can be compared
to a common scale for different manufacturers.
CS-7 calculates and displays the Exposure Index
(hereafter, EI), Target Exposure Index (hereafter, EIT)
and Deviation Index (hereafter, DI) for each exposure,
and can send in a DICOM tag. EI is used to manage
image quality by using the exposure dose received by Calculation of Deviation Index
detectors, and is not used to manage patient exposure According to IEC62494-1, image quality should be
doses. managed by viewing the amount of deviation (DI) from
the target value (EIT), rather than the EI value itself.
Exposure Index Calculation Flow DI is calculated using the following formula if the EIT
The calculation flow stipulated by IEC62494-1 is as of each part set in advance, and the EI acquired from
follows. the actual exposed image are granted.
1) Select the Relevant Image Region for the exposure EI
image Raw Data.
DI = 10 • log( )
EIT
2) Calculate the Value of Interest from the data within
the Relevant Image Region. When there is a difference between EI and EIT (as
3) Convert the Value of Interest to a detector shown in the table below), DI=0 when EI is equal to
exposure. EIT, a negative value when it is smaller than EIT, and a
4) Calculate the EI (ensure that EI=100 in advance positive value if it is larger than EIT.
when image receptor AIR KERMA at radiation
quality RQA5 is 1μGy). Difference between EI
DI
and EIT
IEC62494-1 does not specify (1) the selection method
-3 - 50% (1/2 dose)
for Relevant Image Region, or (2) calculation method
-2 - 37%
for Value of Interest above, and these have been
-1 - 21%
specified by each individual manufacturer. As Konica
Minolta considers that the "region of image quality to 0 0% (standard dose)
be managed with EI (Relevant Image Region), and 1 26%
region to display as the ideal diagnostic image using 2 58%
image processing (Region of Interest)" should be the 3 100% (double dose)
same, the Region of Interest (hereafter, ROI) that uses
automatic grayscale processing is used as the Relevant
Image Region. The Value of Interest is also based on
the standard signal value calculated using histogram
analysis after setting ROI using the same automatic
grayscale processing.

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 Examples of EI, EIT, DI Displays
CS-7 can display EI, EIT and DI for each exposure as
follows.

Precautions

1) Please use EI, EIT and DI only as a guide for image

quality management.

2) If ROI recognition is not implemented properly, the

correct value may not be calculated. Also, if ROI
area has been changed, the value of EI and DI will
be recalculated.

3) The value of EI, EIT and DI will not change even

after changing the S value or G value. However, if
parts have been changed, the standard signal value of
the relevant parts is used to re-calculate the values.

4) Values specified by manufacturers are included with

each part for EIT, but please use these numbers only
as reference values. In addition, these values may
change depending on academic and other trends.
CS-7 can change EIT to any value.

5) EI, EIT and DI are not displayed for mammography

and linac images.

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A47FMA01EN03 20171211KM