What Does a Flat Panel Detector Do?

Jun 26, 2024 3:50:36 AM / by Chad Hutchison

A flat panel detector captures X-rays and transforms them into digital signals for precise, high-quality medical imaging in your healthcare practice.

What Is a Flat Panel Detector?

A flat panel detector (FPD) is essential in digital radiography, capturing X-rays and transforming them into digital signals. These signals create high-resolution images, vital for pinpointing diagnoses. FPDs are at the heart of many imaging systems, revolutionizing healthcare practices with superior image quality.

What Are The Different Types of Flat Panel Detectors?

Direct Conversion Flat Panel Detectors

Direct conversion FPDs are known for their ability to directly convert X-rays into an electric charge. This happens via a layer of amorphous selenium (a-Se), stimulated by X-rays. The resulting charge forms the image pixel by pixel. This type of FPD provides high spatial resolution, making it ideal for mammography and bone radiography, where fine detail is crucial.

Indirect Conversion Flat Panel Detectors

Indirect conversion FPDs use a two-step process to create digital images. Initially, X-rays are transformed into light through a scintillator material, including cesium iodide (CsI) or gadolinium oxysulfide (GOS). Then, this light converts into an electric charge via a photodiode. These detectors are extensively used in general radiography and fluoroscopy because they provide a good compromise between spatial resolution and detection efficiency.

CMOS Flat Panel Detectors

Complementary Metal-Oxide-Semiconductor (CMOS) detectors represent a newer generation of FPDs. They function similarly to indirect conversion detectors but with the added advantage of each pixel having its own amplification - leading to less signal noise and higher image quality. CMOS detectors are often used in dental radiography, small animal imaging, and in applications requiring high frame rates, like angiography.

CCD Flat Panel Detectors

Charge-Coupled Device (CCD) detectors operate similarly to indirect conversion detectors. However, in CCDs, light is converted to an electric charge that is transferred and read out at the edge of the chip. Although not as common in medical imaging due to their smaller size and high cost, CCDs are frequently used in high-resolution applications such as breast tomosynthesis and digital microscopy.

Each type of flat panel detector has its strengths and is suited for different medical imaging applications. Understanding these differences can aid in selecting the appropriate FPD for your specific practice needs.

What Are Flat Panel Detectors Made Of?

Flat panel detectors are made up of several essential components:

  • Scintillator Layer: Typically made of cesium iodide (CsI) or gadolinium oxysulfide (GOS), and functions to convert X-rays into other wavelengths of light.
  • Photodiode Layer: Transforms the light into electric charge, often constructed from amorphous silicon.
  • TFT Array: A thin-film transistor (TFT) array reads and amplifies the electric charges, and is made from materials like hydrogenated amorphous silicon.
  • Glass Substrate: Provides structural integrity to the FPD.
  • Electronics: Includes analog-to-digital converters, multiplexers, and other components for image processing.
  • Housing: Protects the components and ensures durability, typically crafted from aluminum or plastic.

How a Flat Panel Detector Works

Flat panel detectors operate through a series of systematic steps:

  1. X-Ray Exposure: X-rays penetrate the patient's body, with different tissues absorbing varying amounts. This leaves an X-ray "shadow" as the image contrasts which continues on to the detector.
  2. Conversion to Light or Charge: If the FPD is indirect, the remaining X-rays strike a scintillator material in the detector, converting them into visible light. In a direct conversion FPD, the X-rays are directly converted into an electrical charge.
  3. Transformation of Light to Charge: If the detector is an indirect type, the light generated in the previous step hits a layer of photodiodes, converting the light into an electrical charge.
  4. Generation of Image: The electric charges are then captured by a thin-film transistor (TFT) array. This array reads and amplifies the charges, translating them into a digital signal.
  5. Image Processing: This digital signal is sent to a computer, where it's processed into a digital image. This image is then available for viewing and diagnosis.
  6. Image Optimization: Finally, the image undergoes post-processing operations such as contrast adjustment, filtering, and other corrections for optimal viewing.
  7. Through these steps, flat panel detectors facilitate the creation of high-resolution digital images necessary for accurate medical diagnosis and patient care.

How Much Better Are Flat Panel Detectors Than Image Intensifiers?

Some significant differences between newer FPDs and older image intensifier technology make this newer equipment better and safer to use. As a result, most manufacturers are switching to FPD technology. However, which one you choose will depend on your unique radiography needs now and in the future. 

One major difference is that the quality of radiographs an image intensifier produces always degrades over time. Also, its technology can create distortions in the peripheral field of view even when it’s still brand new. FPDs, on the other hand, show minimal degradation over time, and the technology behind them is not subject to peripheral distortion. This means they’ll produce higher-quality radiographic images now and in the future. 

FPDs and image intensifiers also vary significantly in their radiation dose. It concerns their use while in magnification mode since an image intensifier requires larger radiation doses to magnify the view. On the other hand, an FPD can magnify that same view without increasing the dose, so it generally uses less radiation to produce the same or better-quality images. This makes flat panel detectors safer in the long term for both patients and the technicians or doctors working with them.

Another difference is in size. FPDs are newer technology, so it's no surprise they’re more compact than the older technology. This allows for more working space for the doctors and technicians, allowing for more precise control, especially when working with larger patients. They also have ergonomic benefits because they are easier to move around, improving functionality while relieving long-term stress on the technicians using them daily. 

Cost is often an important consideration. Since flat panel detectors are new technology, they generally cost more than older technology that has been around for decades. While the initial cost savings may seem appealing if you are on an especially tight budget, it’s critical to consider the long-term costs. 

Remember that image intensifiers are much more prone to degradation over time and have a much shorter lifespan. They also generally cost more to repair. This means that you may have to repair and replace your image intensifier several times before replacing your FPD just once. 

It would eliminate all those upfront savings and could make image intensifiers more expensive in the long run. 

Frequently Asked Questions

What Is a Flat-Panel Detector in Radiology?

A flat-panel detector (FPD) in radiology is a device that converts X-rays into digital images. Used in various medical imaging techniques, FPDs deliver superior image quality, lower radiation doses, and faster image processing times compared to traditional film-based systems.

What Are the 2 Types of Flat Panel Detectors?

The two main types of flat panel detectors are direct and indirect conversion detectors. Direct conversion FPDs transform X-rays directly into an electric charge, while indirect conversion FPDs first convert X-rays into light and then into an electric charge. Each type has specific strengths, dictating their use in different radiography applications.

Does Your Office Need A Flat Panel? Get In Touch!

Considering an upgrade to a flat panel detector? It could be the key to unlocking faster and more reliable imaging in your practice. At Patient Image, we offer flexible, in-house financing options. With terms up to 84 months, our affordable monthly payments can accommodate all credit types, start-ups, and even non-MD-owned businesses. Don't let finances stand in the way of superior patient care. Get in touch with us at Patient Image today.

Tags: DR Panels

Chad Hutchison
Written by Chad Hutchison

Founder and CEO of Maven Imaging, Chad Hutchison has been in the medical imaging equipment market since 2003. As his business grew, he pioneered buying and selling medical equipment online and eventually began offering leasing and financing to meet market demands and help customers. His market expertise goes beyond traditional medical imaging and finance support, as he’s spearheading cloud-based lending solutions for vendors across the sector.