X-ray imaging detector for radiological applications adapted to the context and requirements of low- and middle-income countries

Author:

Chavarria Mario Andrés1ORCID,Huser Matthias2ORCID,Blanc Sebastien1,Monnin Pascal3,Schmid Jérôme4ORCID,Chênes Christophe4ORCID,Assassi Lazhari4,Blanchard Hubert5,Sahli Romain5,Thiran Jean Philippe6ORCID,Salathé René7ORCID,Schönenberger Klaus1ORCID

Affiliation:

1. EssentialTech Centre, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne CH-1015, Switzerland

2. Ecole Technique–Ecole des Métiers–Lausanne (ETML), Lausanne CH-1004, Switzerland

3. Institute of Radiation Physics (IRA), Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne CH-1007, Switzerland

4. Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Genève CH-1206, Switzerland

5. Pristem S.A., Lausanne CH-1007, Switzerland

6. Signal Processing Laboratory 5, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne CH-1015, Switzerland

7. School of Engineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne CH-1015, Switzerland

Abstract

This paper describes the development of a novel medical x-ray imaging system adapted to the needs and constraints of low- and middle-income countries. The developed system is based on an indirect conversion chain: a scintillator plate produces visible light when excited by the x rays, and then, a calibrated multi-camera architecture converts the visible light from the scintillator into a set of digital images. The partial images are then unwarped, enhanced, and stitched through parallel field programmable gate array processing units and specialized software. All the detector components were carefully selected focusing on optimizing the system’s image quality, robustness, cost-effectiveness, and capability to work in harsh tropical environments. With this aim, different customized and commercial components were characterized. The resulting detector can generate high quality medical diagnostic images with detective quantum efficiency levels up to 60% (@2.34 μGy), even under harsh environments, i.e., 60 °C and 98% humidity.

Funder

Innosuisse–Schweizerische Agentur für Innovationsförderung

Publisher

AIP Publishing

Subject

Instrumentation

Reference58 articles.

1. PAHO-WHO, World Radiography Day: Two-Thirds of the World’s Population has no Access to Diagnostic Imaging, 2012 (2020 September), available at https://www.paho.org/hq/index.php?option=com_content&view=article&id=7410:2012-dia-radiografia-dos-tercios-poblacion-mundial-no-tiene-acceso-diagnostico-imagen&Itemid=1926&lang=en.

2. J. Silverstein, Most of the world doesn’t have access to X-rays, The Atlantic, 2016.

3. D. J. Mollura and M. P. Lungren, Radiology in Global Health: Strategies, Implementation and Applications (Springer-Verlag, New York, 2014), p. 19, ISBN: 978-1-4614-0603-7.

4. Medical imaging in the new millennium: how has worldwide health care benefited?

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