Digital fluoroscopic radiology: evaluation of the clinical impact

The use of digital image intensifier radiography (DIIR) for examinations in projection radiography is becoming more common. Fluoroscopic controlled contrast studies (barium- or iodine-based), particularly of the gastrointestinal tract, can be performed quickly and easily with a considerable decrease in radiation exposure. A wide dynamic range permits a constant high image quality with fewer incorrect exposures. The limited spatial resolution of large image intensifier input screens is the major drawback of DIIR. Digital image acquisition enables post-processing, digital storage and transfer of images, thus allowing an integration into PACS-systems. Imaging capabilities and clinical applications are described here.