The Axiom Aristos FX is a high-performance laboratory equipment designed for advanced analytical applications. It is a versatile platform that provides reliable and accurate measurements for a wide range of research and development tasks.
Posteroanterior (PA) and left-lateral (LL) images were obtained with the patient standing up and in full inspiration with three digital radiography systems (Axiom Aristos FX, Siemens Healthineers; Essenta DR, Philips and DigitalDiagnost, Philips). Acquisition parameters were as follows: 125 kV, 1.6 mAs, antiscatter grid with a 180cm focus–detector distance. Anteroposterior (AP) images were acquired with the patient either lying down or sitting up with two computed radiography systems (Practix 33 Plus, Philips and Practix 300, Philips). Acquisition parameters were as follows: 95–98 kV, 3.2 mAs, with a 120cm focus–detector distance. Images were visualized on a dedicated workstation (BARCO visualization system, Kortrijk, Belgium), and grey-scale inversion was performed through a built-in software of our PACS workstations (suite Estensa, Esaote, Genova, Italy) (Figs. 1 and 2).
Representative example of right apical pneumothorax (arrows) in standard (A) and inverted grey-scale (B) CXR images (posteroanterior projection)
Representative example of bilateral parenchymal nodules (arrows) in standard (A) and inverted grey-scale (B) CXR images (anteroposterior projection)
Ledda R.E., Silva M., McMichael N., Sartorio C., Branchi C., Milanese G., Nayak S.M, & Sverzellati N. (2022). The diagnostic value of grey-scale inversion technique in chest radiography. La Radiologia Medica, 127(3), 294-304.
The local ethics committee granted ethical approval for this retrospective study (EK 46/2020) and the ethics board waived written and informed consent because of the study's retrospective nature. All methods and procedures were performed following the relevant guidelines and regulations. Furthermore, all retrospectively assessed examinations were performed on an Axiom Aristos FX (Siemens) without a scatter grid and employing a 0.1-mm copper filter. The left hand in posterior-anterior projection was used in all cases for radiography. A total of 5612 exams of children aged between 1 and 18 (2812 females) were available on the radiological database system (dated 2011-2020). Stratified random sampling was performed to select nine patients for each year of life and sex, resulting in a study sample of 306 patients (153 females and 153 males). The exclusion criterion was poor image quality or positioning, hindering manual estimation of G&P BA. Based on the clinical relevance and the intended use of the AI software IB Lab PANDA, we assessed the sexspecific performance of a subpopulation of patients with CAs from 36 to 192 months (females) and 36 to 204 months (males).
Gräfe D., Beeskow A.B., Pfäffle R., Rosolowski M., Chung T.S, & DiFranco M.D. (2024). Automated bone age assessment in a German pediatric cohort: agreement between an artificial intelligence software and the manual Greulich and Pyle method. European radiology, 34(7).
Measurements were conducted on a clinical radiography system (Siemens Axiom Aristos FX) and a fluoroscopy system (Siemens Axiom Artis Zee MP). The radiography system uses a KAP meter from KERMAX, Scanditronix Wellhöfer GmbH and allows tube voltages between 40 and 150 kV. The fluoroscopy system uses a DIAMENTOR KAP meter (PTW Freiburg, Germany) and tube voltages between 50 and 120 kV. The radiography system was operated in clinical mode and Cu filter thicknesses of 0-0.3 mm in steps of 0.1 mm were selected manually. The fluoroscopy system was operated in service mode in order to be able to manually select the added 0.6 or 0.9 mm Cu filters. (In clinical mode the Siemens CAREfilter (10) selects the appropriate Cu filter thickness automatically that is impractical in calibration measurements). The geometry was chosen to minimise the influence of scatter and a lateral beam direction was used with the fluoroscopy unit to move the
Malusek A., Sandborg M, & Carlsson G.A. (2016). ACCURATE KAP METER CALIBRATION AS A PREREQUISITE FOR OPTIMISATION IN PROJECTION RADIOGRAPHY. Radiation protection dosimetry, 169(1-4).
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