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Developments in radiography and fluoroscopy

King's Centre for the Assessment of Radiological Equipment (KCARE), The Faraday Building, 124–126 Denmark Hill, King's College Hospital, London SE5 9RS, UK

• Digital technologies will eventually supersede film–screen radiography and image intensifier-based fluoroscopy.
  
• Software developments deliver advanced applications in digital imaging, including dual energy subtraction imaging, tomosynthesis, computer aided detection (CAD) and 3D volumetric imaging.
  
• Improved clinical detail is demonstrated in chest imaging, mammography and neuroimaging, amongst others.
  
• Clinical images are readily available and can be transferred to diverse locations via PACS (Picture Archive and Communication System) or a teleradiology system for remote diagnosis.
  
• The time commitment required for training in the use of the digital imaging equipment, workstations and extra routine quality assurance (e.g. as required for image display monitors) is a concern in the busy hospital imaging department.