Kyushu University Academic Staff Educational and Research Activities Database
List of Reports
Ideguchi Tadamitsu Last modified date:2021.06.25

Associate Professor / Department of Health Sciences / Faculty of Medical Sciences


Reports
1. Kozo Kumagai, Shinichi Orita, Nobuyuki Tabata, Tsukasa Sakemoto, Takumi Iseri, Hiromi Nishimoto, Tadamitsu Ideguchi, A Study of Risk Management in a Department of Radiology (1) -Receptionist, Plain Radiographic Techniques, Ward Radiographic Techniques, Contrast Radiographic Techniques and Angiography- National Hospital Coadoministrative Study Group, IRYO - Japanese Journal of National Medical Services, 10.11261/iryo1946.52.554, 1998.01, In A department of radiology, we have three fields of radiodiagnosis, nuclear medicine and radiotherapy. We use various medical equipments for patient in clinical examination. It is the truth that every material in various forms breakes certainly. Though medical equipments usually seem to be safe, suddenly they may cause an accident during clinical examination and they may do patient an injury. As medical accidents, unexpected incidents, near miss of medical accidents and complaints from patient caused by inevitability and medical malpractice may happen in daily clinical examination, we must prevent and minimize medical accidents. We sent out questionaries to 13 hospitals to get accident cases caused during clinical examination. We study risk management for prevention of patient's injury. In this paper, we discuss risk cases due to mistake of receptionist, plain radiographic techniques, ward radiographic techniques, contrast radiographic techniques and angiography..
2. Kozo Kumagai, Shinichi Orita, Nobuyuki Tabata, Tsukasa Sakemoto, Takumi Iseri, Hiromi Nishimoto, Tadamitsu Ideguchi, A Study of Risk Management in a Department of Radiology (3) -Patient'S Question and Complaint- National Hospital Coadoministrative Study Group, IRYO - Japanese Journal of National Medical Services, 10.11261/iryo1946.52.664, 1998.01, We must introduce risk management for prevention of medical accidents in clinical examination. It is a useful method for prevention of patient's harm or injury to investigate and analyze various risk cases in many facilities. Though the main cause of medical troubles depend on medical accidents, unexpected incidents, and others, it is also useful for prevention of medical trouble to respond to patient's questions and complaints. So, we investigate and analyze various risk cases in the department of radiology. In this paper, we discuss medical troubles due to patient's question and complaint..
3. Kozo Kumagai, Sinichi Orita, Nobuyuki Tabata, Tsukasa Sakemoto, Takumi Iseri, Hiromi Nishimoto, Tadamitsu Ideguchi, A Study of Risk Management in a Department of Radiology (2) -Ct, Mri, Nuclear Medicine, Radiotherapy and Ultrasonography-, IRYO - Japanese Journal of National Medical Services, 10.11261/iryo1946.52.601, 1998.01, We use many modalities of medical equipment in the department of radiology, but medical accidents, unexpected incidents, and near miss of medical accidents may be caused by inevitability and medical malpractice. We must prevent medical accidents during clinical examination. So, we investigate and analyze various risk cases in the department of radiology, and we study risk management for prevention of patient's injury. In this paper, we discuss risk cases due to computed tomography, magnetic resonance imaging, nuclear medicine, radiotherapy and ultrasonograpy..
4. Masao Matsumoto, Iori Sumida, Tadamitsu Ideguchi, Yasuyuki Kawaji, Kazuhiko Himuro, Canon's flat-panel detector, Igaku butsuri : Nihon Igaku Butsuri Gakkai kikanshi = Japanese journal of medical physics : an official journal of Japan Society of Medical Physics, 2002, We measured and evaluated digital, pre-sampling and overall imaging properties (characteristic curve, modulation transfer function (MTF), Wiener spectrum (WS), noise equivalent quanta (NEQ) ) for Cannon's flat-panel detector (FPD), Fuji computed radiography (FCR) and screen-film (S/F) systems, respectively. First, the digital and overall characteristic curves of FPD and FCR systems were more wide dynamic range than that of the S/F system. Second, the pre-sampling and overall MTF of FPD system were better than those of FCR system a little at lower spatial frequencies than 0.8 mm(-1), but the overall MTF of FPD and FCR systems were worse than that of S/F system a little at all spatial frequencies. Third, the digital and overall WS of FPD system were similar or better than those of FCR system, but the overall WS of FPD and FCR systems were worse than that of S/F system. Fourth, the pre-sampling and overall NEQ of FPD system were better than those of FCR system a little at lower spatial frequencies than 1.6 mm(-1), but the overall NEQ of FPD and FCR systems were worse than that of S/F system at all spatial frequencies. Comparison of chest phantom images showed that the FPD produced images with quality comparable to or higher than those of the FCR system. From these results, we can expect that the FPD is useful machine by using digital image processing and so on in the radiology department..
5. Hirotoshi Maruyama, Tadamitsu Ideguchi, Hiroki Ohura, Toshiya Azuma, Shinichi Orita, Kazuhiro Amano, Yoshiharu Higashida, Usefulness of the opposite direction for Stenvers' method, Nippon Hoshasen Gijutsu Gakkai zasshi, 10.6009/jjrt.KJ00003174217, 2003.07, In otorthinolaryngology, Stenvers' method is employed in radiography of the pyramid (internal acoustic meatus and semicircular canals). However, in cases of dizziness, where the prone position is difficult to achieve, we occasionally use the opposite Stenvers' method instead of the conventional one. This makes it possible to perform radiography with the patient in the supine position. Compared with the conventional Stenvers' method, the problems of this method were increases not only in the rate of magnification but also in lens dose. In this study, we evaluated these problems by employing computed tomography (CT) and a glass dosimeter with phantom as well as by clinical evaluation. The results showed no statistically significant difference between Stenvers' method and the opposite Stenvers' method in both the rate of magnification and the clinical evaluation. The increase in lens dose with the opposite Stenvers' method was not significant. We concluded that the opposite Stenvers' method was useful..
6. Higashida Yoshiharu, Ideguchi Tadamitsu, Muranaka Toru, Tabata Nobuyuki, Miyajima Ryuichi, Akazawa Fumio, Ikeda Hirotaka, Morimoto Ken, Masafumi Ohki, Toyofuku Fukai, Doi Kunio, ROC analysis of detection of interval changes in interstitial lung diseases on digital chest radiographs using the temporal subtraction technique, Nippon Acta Radiologica, 2004.01, Purpose: To demonstrate the clinical usefulness of a temporal subtraction technique for the detection of interval changes in various interstitial lung diseases on digital chest radiographs. Materials and Methods: One hundred pairs of chest radiographs in 34 patients (63 with and 37 without interval changes) with various interstitial lung diseases were selected. All cases were confirmed by serial chest computed tomography (CT) and ascertained by radiologists. All chest radiographs were obtained with a computed radiography (CR) system, and temporal subtraction images were produced with an iterative image-warping technique. Four radiologists and two thoracic physicians provided confidence levels for interval changes in interstitial lung diseases with and without temporal subtraction. Their performances with and without temporal subtraction were evaluated by means of receiver operating characteristic (ROC) analysis using a sequential test. Results: The area under the ROC curve (Az) values of six observers obtained with and without temporal subtraction were 0.90 and 0.78, respectively. Results showed that the detection of interval changes in interstitial lung diseases was significantly improved by the use of temporal subtraction images compared with CR images alone (P=0.002), Furthermore, the high detection rate was achieved with temporal subtraction images regardless of the subtlety and location of interval changes. Conclusion: Temporal subtraction improved the diagnostic accuracy of radiologists in detecting interval changes in interstitial lung diseases on chest radiographs. It was also useful for cases of multiple interval changes..
7. Tadamitsu Ideguchi, Yoshiharu Higashida, Yasuyuki Kawaji, Mitsuo Sasaki, Makoto Zaizen, Rei Shibayama, Yumiko Nakamura, Kimihiko Koyanagi, Hirotaka Ikeda, Masafumi Ohki, Fukai Toyofuku, Toru Muranaka, New CR system with pixel size of 50μm for digital mammography
Physical imaging properties and detection of subtle microcalcifications
, Radiation Medicine - Medical Imaging and Radiation Oncology, 2004.01, Purpose: To investigate the physical imaging properties and detection of simulated microcalcifications of a new computed radiography (CR) system with a pixel size of 50μm for digital mammography. Materials and Methods: New and conventional CR were employed in this study. The new CR system included a high-resolution imaging plate coupled with the FCR5000MA (50μm pixel pitch) including transparent support and a dual-sided reader. The conventional CR system was coupled with the FCR9000 (100μm pixel pitch). Modulation transfer functions (MTFs) and Wiener spectra (WS) of the new and conventional CR systems were measured. Observer performance tests were conducted to compare the effects of pixel size (50μm vs. 100μm) on the diagnostic accuracy of CR systems in the detection of simulated microcalcifications. Results: The presampling MTF of the new CR system was higher at high frequencies than the conventional CR system. The WS of the new CR system was comparable to that of the conventional CR system at all frequencies. The area under the receiver operating characteristic (ROC) curve (Az) obtained with the new CR and the conventional CR systems were 0.84 and 0.79, respectively. Results showed that the detection of simulated clustered microcalcifications was significantly improved by use of the new CR system compared with the conventional CR system (p<0.05). Conclusion: The new CR mammography system improved physical imaging properties and detection of simulated microcalcifications over conventional CR mammography..
8. Tadamitsu Ideguchi, Yoshiharu Higashida, Kazuhiko Himuro, Masafumi Ohki, Satoru Nakamura, Akira Yoshida, Rie Takagi, Hirohide Hatano, Rie Kuwahara, Makiko Toyonaga, Isamu Tanaka, Fukai Toyofuku, Full-field digital mammography with amorphous silicon-based flat- panel detector
physical imaging characteristics and signal detection
, Nippon Hoshasen Gijutsu Gakkai zasshi, 10.6009/jjrt.KJ00000922344, 2004.01, The physical characteristics of a clinical amorphous silicon-based flat-panel imager for full-field digital mammography were investigated. Pre-sampled modulation transfer functions (MTF) were measured by using a slit method. Noise power spectra were determined for different input exposures by fast Fourier transform. The MTFs of full-field digital mammography systems showed significantly higher values than those of the computed radiography (CR) system. The full-field digital mammography system showed a lower noise level than that of the CR system under the same exposure conditions. Contrast detail analysis has been performed to compare the detectability of the full-field digital mammography system with that of the screen-film (Min-R 2000/Min-R 2000) system. The average contrast-detail curves of digital and film images were obtained from the results of observation. Image quality figures (IQF) were also calculated from the individual observer performance tests. The results indicated that the digital contrast-detail curves and IQF, on average, are superior to those of the screen-film system..
9. Masao Matsumoto, Tatsuya Yamazaki, Makoto Nokita, Shinsuke Hayashida, Akira Yoshida, Tadamitsu Ideguchi, Kazuhiko Himuro, Masafumi Ohki, Seiji Kumazawa, Yoshiharu Higashida, Physical imaging properties and low-contrast performance of a newly developed flat-panel digital radiographic system., Nippon Hoshasen Gijutsu Gakkai zasshi, 10.6009/jjrt.KJ00004017357, 2005.01, We investigated the clinical usefulness of a newly developed flat-panel detector (FPD) system by comparing its physical imaging properties and low-contrast detectability with those of a current FPD system. The newly developed CsI-based indirect FPD (Canon, CXDI-40C) and current Gd(2)O(2)S-based FPD (Canon CXDI-11) systems were used. Characteristic curves, resolution properties, radiographic noise, detective quantum efficiencies (DQEs) and low-contrast detectability for both systems were measured. The new FPD system showed considerably lower noise levels than those of the current FPD system. DQE (0) s of the new and current FPD systems were 75% and 35%, respectively. Observer performance tests of the contrast-detail (C-D) phantom indicated that the new FPD system can significantly improve low-contrast performance over that obtainable with the current FPD system under the same conditions of exposure. The new FPD system provided approximately 50% reduction in exposure while providing comparable detectability. The newly developed FPD system provides radiographic images with excellent inherent physical image quality and low-contrast performance..
10. Tadamitsu Ideguchi, Yoshiharu Higashida, Fumio Akazawa, Yasuyuki Kawaji, Makoto Zaizen, Mitsuo Sasaki, Yumiko Nakamura, Masafumi Ohki, Fukai Toyofuku, Hirotaka Ikeda, CR-mammography with pixel size of 50 microm and dual-sided reading system
effect of the oblique incident of the X-ray beam on imaging properties and detection
, Nippon Hoshasen Gijutsu Gakkai zasshi, 10.6009/jjrt.KJ00003326844, 2005.06, In mammography units, the X-ray tube focal spot is located directly above the chest wall edge of the detector. Therefore, the X-ray beam is incident at a different angle along the cathode-anode axis. When the X-ray beam is incident on the imaging plate (IP) at a relatively large angle, the resolution property of a new imaging plate with dual-sided reading system would be degraded compared with the conventional imaging plate because of the parallax effect, which produces a shift in the image on two sides of the imaging plate. To evaluate the oblique incidence effect of the X-ray beam on the degradation of resolution properties and detection of simulated microcalcifications of a new CR system with a pixel size of 50 microm, its basic imaging properties and observer performance tests were compared with those of a conventional CR system. The resolution properties were evaluated by measuring modulation transfer functions (MTFs). Observer performance tests were conducted to compare the detectability of simulated microcalcifications of CR systems. Degradation of presampling MTFs for the new system is greater than that of the conventional CR system when the X-ray beam was incident at the same angle on the imaging plate. We found that the degradation of the area under the ROC curve (Az) for the new CR system was greater than that of the conventional CR system when the X-ray beam was incident at the same angle on the imaging plate..
11. Tadamitsu Ideguchi, Katsuhiko Matsuda, Kazuhiko Himuro, Rie Kuwahara, Hidetsune Miyazaki, Hiroyuki Hazeyama, Seiji Kumazawa, Yasuyuki Kawaji, Akira Yoshida, Masao Matsumoto, Yoshiharu Higashida, Image quality and detection performance of a direct digital radiography system, Nippon Hoshasen Gijutsu Gakkai zasshi, 10.6009/jjrt.62.425, 2006.03, The physical characteristics of a direct amorphous Selenium (a-Se) digital fluoroscopy and radiography system were investigated. Pre-sampled modulation transfer functions (MTF) were measured using a slit method. Noise power spectra were determined for different input exposures by fast Fourier transform of uniformly exposed samples. The MTFs of direct digital radiography systems showed significantly higher values than those of indirect digital radiography and screen-film systems. The direct digital radiography systems showed higher noise levels compared with those of indirect systems under roughly the same exposure conditions. Contrast-detail analysis was performed to compare detection by direct digital radiography systems with that of the screen-film (FUJI HG-M2/UR2) systems. The average contrast-detail curves of digital and film images were obtained from the results of observation. Image quality figures (IQF) were also calculated from the individual observer performance tests. The results indicated that digital contrast-detail curves and IQF are, on average, are equal those of the screen-film system..
12. Tadamitsu Ideguchi, Shizunari Yamamoto, Yoshiharu Higashida, Akiko Naruzaki, Toru Muranaka, Motonari Saku, The current state of digital mammography, IRYO - Japanese Journal of National Medical Services, 2006.12, In the last several years most diagnostic imaging systems which were screen-film systems have been replaced with digital systems. However, mammography has not advanced as much toward digitization. The most important factor against digitization of mammography is detectability of micro-calcifications, which are essential in diagnosing breast cancer. Digital images have low special resolution relative to screen-film for the limited pixel sizes. Recently, with the aim of improving this situation, high resolution CR systems with a pixel size of 50μm (half the pixel size of conventional CR systems) and full field digital mammography systems with a flat-panel-detector (FPD) pixel size of 100μm have been developed and made commercially available. In this report, we describe the current state of digital imaging system development for mammography. The purpose of this report is to survey the future of digital mammography from comparisons of the results of the physical imaging properties and contrast-detail characteristics between digital mammography (FPD and high resolution CR) and screen-film (Min-R2000/Min-R2000) systems..
13. Y. Yamaguchi, S. Kawaguchi, H. Arimura, J. Morishita, M. Ohki, Y. Uno, T. Ideguchi, K. Tokumori, Y. Higashida, F. Toyofuku, SU‐FF‐I‐65
Relative Contributions of Rayleigh Scattering for PMMA in the Mammography Energy Range
, Medical physics, 10.1118/1.3181185, 2009.06, Purpose: The method of obtaining the primary x‐ray spectrum by the Compton scattering correction has been established for relatively high x‐ray tube voltages. However, the influence of Rayleigh scattering can not be neglected in the mammography energy range. Besides, accurate data of Rayleigh and Compton cross sections for the scatterer material are required for obtaining the primary x‐ray spectrum by correcting the scattered x‐ray spectrum in mammography. The purpose of this study is to investigate theoretically and experimentally the relative contributions of Rayleigh scattering for PMMA (polymethyl methacrylate) in the mammography energy range. Method and Materials: Fluorescent x‐rays in the energy range of 10 to 25 keV were generated by exciting four metal targets including molybdenum by synchrotron radiation. The fluorescent x‐rays were incident on a sphere of PMMA, and the scattered x‐rays were measured with a CdTe detector at scattering angles of 90, 120, 150, 165 degrees. The scattered fluorescent x‐ray spectrum was separated into the Rayleigh and Compton scattering peaks by using a curve fitting technique with two Gaussian functions. We compared the measured cross section data to those obtained from theoretical values. We also calculated the scattered fluorescent x‐ray spectra using the Monte Carlo simulation and compared them to the measured spectra. Results: The measured ratio of Rayleigh to total scattering cross section was about 30% at 10 keV. The maximum discrepancy of the measured and theoretically calculated values of the ratio was about 30% for the scattering angles of 90 to 165 degrees. However, at the angle of 120 degrees where the overall error might be minimum, the theoretical and experimental values agreed within 2%. Conclusion: Rayleigh and Compton scattering cross sections should be measured more precisely in order to improve the calculation of the primary mammography x‐ray spectrum from the scattered x‐ray spectrum..
14. S. Kawaguchi, Y. Yamaguchi, H. Arimura, J. Morishita, M. Ohki, Y. Uno, T. Ideguchi, Y. Higashida, F. Toyofuku, SU‐FF‐I‐55
Reconstruction of Mammography X‐Ray Spectrum Using Rayleigh and Compton Scattering Corrections
, Medical physics, 10.1118/1.3181174, 2009.06, Purpose: An analysis of the x‐ray spectrum is important for quality assurance (QA) and quality control (QC) of a radiographic system. In the case of mammography, the direct measurement of the primary x‐ray spectra under clinical conditions is very difficult and time‐consuming. The method of obtaining the primary x‐ray spectrum by the Compton scattering correction has been established for relatively high x‐ray tube voltages. However, the influence of Rayleigh scattering can not be neglected for mammography. We have developed a new method of reconstructing the primary x‐ray spectrum from the scattered x‐ray spectrum taking into account both Rayleigh and Compton scattering. Method and Materials: The primary x‐ray beam from a 28 kV mammography x‐ray unit was incident on a PMMA (polymethyl methacrylate) sphere scatterer with a diameter of 6 mm. The 90‐degree scattered x‐ray spectrum was measured by using a CdTe semiconductor detector. The measured x‐ray spectrum was separated into three energy regions, and the characteristic x‐ray peaks and bremsstrahlung x‐rays were fitted by Gaussian and quadratic functions. The energy shift corrections of the Compton and Rayleigh components were made at each photon energy channel by splitting the number of photons at each channel into the two scattering components according to the corresponding cross sections. The Monte Carlo simulation of the 90‐degree scattered x‐ray spectra were also performed using the EGS5 code. Results: The reconstructed spectrum agreed fairly well with a directly measured primary x‐ray spectrum. In the Monte Carlo simulation, the scattered x‐ray spectrum calculated for the incidence of the reconstructed x‐ray spectrum showed a very good agreement to the measured scattered x‐ray spectrum. Conclusions: The Rayleigh and Compton scattering correction method could be suitable for measuring the mammography x‐ray spectra under clinical conditions and useful for QA and QC of the mammography x‐ray units..
15. Tadamitsu Ideguchi, The evaluation of physical imaging properties for digital radiography - the resolution property(the slit method), Nippon Hoshasen Gijutsu Gakkai zasshi, 10.6009/jjrt.65.1109, 2009.08.
16. Yasuyuki Kawaji, Tadamitsu Ideguchi, Fukai Toyofuku, Yoshiharu Higashida, Influence of readout process on presampled modulation transfer function in computed radiography system, Optical Engineering, 10.1117/1.OE.51.11.113202, 2012.11, In a computed radiography (CR) system, there are a number of different mechanisms that cause blurring. The aim of this study was to analyze intrinsic system factors of CR systems that could affect the modulation transfer function (MTF), such as afterglow during readout and the anti-alias filter before analog to digital converter. Methods and Materials: Mathematical slit and edge images were generated from analytical functions. These images were arranged perpendicularly to the laser scan and the plate scan directions, respectively. The influence of afterglow and the anti-alias filter was simulated by using Microsoft Excel. The MTF values calculated from those simulation images were compared with the theoretical MTF values obtained analytically. Results: MTF values in the laser scan direction measured with the slit and edge methods were significantly lower than MTF values in the plate scan direction. The degree of influence on MTF with respect to afterglow and the anti-alias filters was different depending on the measurement method and the scan directions of CR systems. The influence of the anti-alias filters mainly contributed to the differences between MTF values with the slit and edge methods in the laser scan direction..