Study of X-ray Beam Quality and Contrast-to-Noise Ratio of Lung Nodules in Chest FPD Radiography: Monte Carlo Simulation Using Chest Model Phantom

Abstract

Contrast-to-noise ratio (CNR) of four X-ray beams (90 kV with 0.15-mm Cu filter, 90 kV with 0.2-mm Cu filter, 120 kV without filter and 120 kV with 0.2-mm Cu filter) in CsI-flat panel detector (FPD) radiography for lung cancer diagnosis was investigated using Monte Carlo simulation. Two billion photons were injected to the chest phantom model (width: 300 mm, length: 300 mm, thickness: 200 mm) with imitated lung nodules (10 mm diameter, CT value: +30 Hounsfield unit (HU), -375 HU, and -620 HU). Individual primary and secondary photon's process (absorption, scattering and penetration) in the phantom and CsI-detector was recorded by Monte Carlo simulation. CNR was calculated using primary and secondary absorbed photon's number in the CsI-detector. CNR of 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters was higher to 120 kV X-ray beam because of higher primary object contrast and photon's contribution, and high photon's absorption to CsI. By Monte Carlo calculation, it was verified that 90 kV X-ray beam with 0.15 mm and 0.2 mm Cu filters yielded higher CNR to 120 kV X-ray beam.