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The effect of optical coupling efficiency on the spatial‐frequency‐dependent propagation of signal and noise is considered for x‐ray image detectors for digital mammography in which a phosphor screen is optically coupled to a charge‐coupled device (CCD) image array. For experimental purposes, optical coupling between a Gd 2 O 2 S:Tb phosphor screen and a CCD image array was provided by relay lenses. Neutral density filters were inserted between the lenses to vary the optical coupling efficiency without altering the inherent spatial resolution. The total coupling efficiency, defined as the number of electrons ( e − ) recorded in the CCD per x‐ray interaction in the phosphor, was calculated in each case. The modulation transfer function, and the contributions to the total noise power spectrum (NPS) of x‐ray quantum noise, secondary quantum noise, and inherent detector noise were measured as a function of coupling efficiency. These data were used to calculate the spatial‐frequency‐dependent detective quantum efficiency DQE( f ). The NPS due to x‐ray quantum noise had a significant spatial‐frequency dependence for coupling efficiencies of more than 9 e − per x‐ray interaction, but little spatial‐frequency dependence for coupling efficiencies of less than 2 e − per x‐ray interaction. These results indicate that to preserve high spatial‐frequency values of DQE( f ), and to ensure that images are x‐ray quantum‐noise limited at high spatial frequencies, a coupling efficiency on the order of 10 e − per x‐ray interaction is required. This is contrary to the common belief, based on zero spatial‐frequency analysis, that a coupling efficiency on the order of 1 e − per x‐ray interaction is sufficient to acquire x‐ray quantum‐noise‐limited images.
Maidment et al. (Wed,) studied this question.