An investigation into the validity of utilising the CDraD 2.0 phantom for optimisation studies in digital radiography

objectives: To determine if a relationship exists between low contrast detail (LCD) detectability using the CDRAD 2.0 phantom, visual measures of image quality (IQ) and simulated lesion visibility (LV) when performing digital chest radiography (CXR). Methods: Using a range of acquisition parameters, a CDRAD 2.0 phantom was used to acquire a set of images with different levels of image quality. LCD detectability using the CDRAD 2.0 phantom, represented by an image quality figure inverse (IQF_inv) metric, was determined using the phantom analyser software. A Lungman chest phantom was loaded with two simulated lesions, of different sizes/placed in different locations, and was imaged using the same acquisition factors as the CDRAD 2.0 phantom. A relative visual grading analysis (VGA) was used by seven observers for IQ and LV evaluation of the Lungman images. Correlations between IQF_inv, IQ and LV were investigated. results: Pearson's correlation demonstrated a strong positive correlation (r = 0.91; p < 0.001) between the IQ and the IQF_inv. Spearman's correlation showed a good positive correlation (r = 0.79; p < 0.001) and (r = 0.68; p < 0.001) between the IQF_inv and the LV for the first lesion (left upper lobe) and the second lesion (right middle lobe), respectively. Conclusions: From results presented in this study, the automated evaluation of LCD detectability using CDRAD 2.0 phantom is likely to be a suitable option for IQ and LV evaluation in digital CXR optimisation studies.