Effect of bit depth and kVp of digital radiography for detection of subtle differences

ObjectivesThe purpose of this study is to investigate the effects of different bit depths and kilovoltage peak (kVp) values used in intraoral digital radiography on observer performance in detecting subtle radiographic density differences.Study designUsing an intraoral CCD sensor set at 8- or 12-bit depth, kVp set at 60 or 70, and 14 different exposure times, digital radiographs were acquired of a specially designed aluminum step-wedge phantom with small holes of different depths in each step. Ten observers examined all images.ResultsThe observers counted more holes with the 12-bit images compared with the 8-bit images, particularly at 60 kVp. Significantly more holes were also counted with images taken at 70 kVp compared with those taken at 60 kVp.ConclusionRegarding the detection of subtle radiographic density differences, 12-bit images and 70 kVp were superior to 8-bit images and 60 kVp.