Radiation protection evaluations following the installations of two cardiovascular digital x-ray fluoroscopy systems

Ibrahim I. Suliman*, Abdelmoneim Sulieman, Essam Mattar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Acceptance testing and commission are essential elements of the quality assurance program for imaging equipment. We present the results of a performance evaluation of Flat Panel-Based Cardiovascular Fluoroscopy X-ray Systems as a part of acceptance testing and commissioning. Measurements were obtained using a calibrated dose rate meter, patient equivalent phantoms, and Leeds image quality test tools. The results were compared with the manufacturer and European acceptability criteria. The entrance surface air kerma (ESAK) rate ranged from 8.0 to 12.0 mGy min−1 in the continuous mode and from 0.01 to 0.04 mGy fr−1 in the pulsed mode of operation. Detector-input air kerma rates ranged from 0.29 to 0.39 mGy min−1 in continuous mode and from 0.02 to 0.07 µGy fr−1 in pulsed mode. Fluoroscopy device half-value layer (HVL) ranged from 2.5 to 3.0 mm Al, and the low resolution ranged from 0.9 to 1.3%. The spatial resolution limit was double that of the image intensifier (2.4 to 3.6) lp/mm. Flat-panel fluoroscopy demonstrated superior image quality and dose performance as compared to conventional image intensifier-based fluoroscopy. The quality assurance measurements presented are essential in the rapid evaluation of the imaging system for acceptance testing and commissioning.

Original languageEnglish
Article number9749
JournalApplied Sciences (Switzerland)
Issue number20
Publication statusPublished - Oct 1 2021
Externally publishedYes


  • Acceptance testing
  • Digital fluoroscopy
  • Flat-panel detectors
  • Image quality
  • Quality control
  • Radiation dose

ASJC Scopus subject areas

  • General Materials Science
  • Instrumentation
  • General Engineering
  • Process Chemistry and Technology
  • Computer Science Applications
  • Fluid Flow and Transfer Processes


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