Cite this article as: Kotre CJ, Robson KJ. Phase-contrast and magnification radiography at diagnostic X-ray energies using a pseudo-microfocus X-ray source. Br J Radiol 2014;87:20130734. FULL PAPER Phase-contrast and magnification radiography at diagnostic X-ray energies using a pseudo-microfocus X-ray source 1 C J KOTRE, PhD Objective: To investigate the use of conventional diagnostic X-ray tubes for applications in which specialist microfocus sources are normally required. Methods: A conventional diagnostic X-ray tube was used in conjunction with a range of apertures to investigate improvements in spatial resolution using a line-pairs test object. Phase-contrast effects were investigated by varying source-to-object and object-to-receptor distances using a 2-French catheter as a clinically realistic test object.Results: For magnification radiography using a computed radiography receptor and conventional X-ray tube with a 1-mm nominal focus size, the limiting spatial resolution was improved from 3.55 line-pairs per millimetre, for a conventional contact image, to 5.6 line-pairs per millimetre, for a 32 magnified view with a 250-mm aperture. For inline phase-contrast radiography, phase contrast enhancement of a 2-French catheter was demonstrated, and the expected trends with variations in source-toobject and object-to-receptor distances were found.Images of a neonatal phantom demonstrated a subtle improvement in visibility of a superimposed 1-French catheter simulating a percutaneously inserted central catheter for no increase in patient radiation dose. Conclusion: Spatial resolution improvement and visible phase contrast can be produced in clinically relevant objects using a pseudo-microfocus geometry at X-ray energies in the normal diagnostic range, using conventional diagnostic X-ray tubes and image receptors. The disadvantages of the proposal are the large distances required to produce phase contrast and limitations imposed by the resulting tube loading.
Advances in knowledge:It is possible to use conventional diagnostic X-ray equipment in applications that normally require microfocus X-ray sources. This presents some possibilities for clinical applications.The rotating anode X-ray tube is by far the most common X-ray source used in diagnostic radiology. The engineering compromises inherent in the bevelled tungsten-rhenium rotating anode design deliver a relatively high radiation output with an adequate field coverage and heat dissipation for most radiology work, combined with an X-ray focus size that does not lead to visible geometric unsharpness in normal use. A common nominal X-ray focus size for general radiography is 1.0 or 1.2 mm with a switchable 0.6-mm fine focus. Although these sizes cover normal medical radiographic imaging requirements, there are specialist applications where a microfocus X-ray source is required. Commercial laboratory microfocus X-ray units commonly operate at relatively low energies and at low output, the output being restricted by the heat capacity of the typically station...