Computed Radiography (CR)
Computed Radiography (CR) is a digital imaging technology that bridges the gap between traditional
film-based radiography and fully digital systems like DR. CR uses a cassette-based system, where
images are stored on reusable imaging plates instead of film.
Components of CR:
1. X-ray Tube and Generator
2. Imaging Plates (Photostimulable Phosphor Plates)
3. CR Reader (Image Plate Scanner)
4. Computer System for Image Processing
5. Display Monitor
6. PACS (Picture Archiving and Communication System)
7. Dry Laser Imagers (Optional)
Working Process:
1. X-rays expose the PSP plate in the CR cassette.
2. The latent image is read by the CR reader.
3. The image is processed and displayed digitally.
4. The PSP plate is erased and reused.
Advantages of CR:
- Cost-effective and reusable plates.
- Digital image processing allows adjustments.
- Lower radiation dose compared to film.
Disadvantages of CR:
- Slower workflow compared to DR.
- Requires manual cassette handling.
- Higher radiation dose compared to DR.
Digital Radiography (DR)
Digital Radiography (DR) is a fully digital imaging technology that captures images directly using
flat-panel detectors (FPDs). It eliminates the need for cassettes, offering faster workflow and
superior image quality compared to CR.
Components of DR:
1. Flat-Panel Detectors (FPD) or CCD
2. X-ray Tube and Generator
3. Direct Digital Image Capture
4. Computer for Image Processing
5. High-Resolution Display Monitors
6. PACS for Image Storage
Working Process:
1. X-rays are captured by the FPD.
2. Digital signals are instantly converted to an image.
3. The image is processed and displayed immediately.
Advantages of DR:
- Instantaneous image availability.
- Superior image quality.
- Lower radiation dose.
- Streamlined workflow, ideal for high-volume settings.
Disadvantages of DR:
- Higher initial cost.
- Requires specific DR-compatible equipment.
Comparison Between CR and DR
1. Image Capture and Workflow:
CR: Requires cassettes and scanning for image acquisition.
DR: Direct digital capture, no cassettes.
2. Speed of Image Acquisition:
CR: Slower, with multiple steps.
DR: Instantaneous, with images available in seconds.
3. Image Quality:
CR: Good, but DR provides higher resolution and contrast.
DR: Superior image quality.
4. Radiation Dose:
CR: Higher dose compared to DR.
DR: Lower dose due to more efficient technology.
5. Equipment and Cost:
CR: Lower initial cost, but requires more manual work.
DR: Higher upfront cost, but more efficient and cost-effective
long-term.
6. Workflow Efficiency:
CR: Slower, labor-intensive workflow.
DR: Highly efficient and faster workflow.
7. Maintenance and Durability:
CR: Requires maintenance of plates and cassettes.
DR: Less maintenance, durable flat-panel detectors.
8. Portability:
CR: More portable, suitable for mobile X-ray units.
DR: Modern DR systems are also portable.
9. Image Storage and Integration:
CR: Digital images stored in PACS, DICOM format.
DR: Fully integrated with PACS, seamless workflow.
10. Clinical Applications:
CR: Common in general radiography and cost-effective transitions.
DR: Preferred for high-resolution needs, emergency, trauma
settings.
