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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="data-paper" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Digital Diagnostics</journal-id><journal-title-group><journal-title xml:lang="en">Digital Diagnostics</journal-title><trans-title-group xml:lang="ru"><trans-title>Digital Diagnostics</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>Digital Diagnostics</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2712-8490</issn><issn publication-format="electronic">2712-8962</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">687472</article-id><article-id pub-id-type="doi">10.17816/DD687472</article-id><article-id pub-id-type="edn">DKWJWX</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Technical Reports</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Технические отчеты</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>技术说明</subject></subj-group><subj-group subj-group-type="article-type"><subject>Scientific Report</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Development and testing of an anthropomorphic aluminum phantom for digital chest radiography: a technical report</article-title><trans-title-group xml:lang="ru"><trans-title>Разработка и апробация антропоморфного алюминиевого фантома для цифровой рентгенографии органов грудной клетки: технический отчёт</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>胸部器官数字化X线摄影用拟人化铝制体模的开发与验证： 技术报告</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-0157-7762</contrib-id><contrib-id contrib-id-type="spin">1613-6378</contrib-id><name-alternatives><name xml:lang="en"><surname>Klassen</surname><given-names>Victor I.</given-names></name><name xml:lang="ru"><surname>Классен</surname><given-names>Виктор Иванович</given-names></name><name xml:lang="zh"><surname>Klassen</surname><given-names>Victor I.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Dr. Sci. (Engineering), Professor</p></bio><bio xml:lang="ru"><p>д-р техн. наук, профессор</p></bio><bio xml:lang="zh"><p>Dr. Sci. (Engineering), Professor</p></bio><email>kvi@vector.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-2391-3714</contrib-id><contrib-id contrib-id-type="spin">3049-7017</contrib-id><name-alternatives><name xml:lang="en"><surname>Prosvirkin</surname><given-names>Ilya A.</given-names></name><name xml:lang="ru"><surname>Просвиркин</surname><given-names>Илья Александрович</given-names></name><name xml:lang="zh"><surname>Prosvirkin</surname><given-names>Ilya A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. Sci. (Engineering)</p></bio><bio xml:lang="ru"><p>канд. техн. наук</p></bio><bio xml:lang="zh"><p>Cand. Sci. (Engineering)</p></bio><email>pia@vector.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-3790-3919</contrib-id><name-alternatives><name xml:lang="en"><surname>Noskov</surname><given-names>Ilya S.</given-names></name><name xml:lang="ru"><surname>Носков</surname><given-names>Илья Сергеевич</given-names></name><name xml:lang="zh"><surname>Noskov</surname><given-names>Ilya S.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nis@vector.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-4879-1521</contrib-id><contrib-id contrib-id-type="spin">5810-6961</contrib-id><name-alternatives><name xml:lang="en"><surname>Gogoberidze</surname><given-names>Yury T.</given-names></name><name xml:lang="ru"><surname>Гогоберидзе</surname><given-names>Юрий Тенгизович</given-names></name><name xml:lang="zh"><surname>Gogoberidze</surname><given-names>Yury T.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>gut@vector.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1694-4682</contrib-id><contrib-id contrib-id-type="spin">6193-1656</contrib-id><name-alternatives><name xml:lang="en"><surname>Petryaikin</surname><given-names>Alexey V.</given-names></name><name xml:lang="ru"><surname>Петряйкин</surname><given-names>Алексей Владимирович</given-names></name><name xml:lang="zh"><surname>Petryaikin</surname><given-names>Alexey V.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Assistant Professor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, доцент</p></bio><bio xml:lang="zh"><p>
</p><p>MD, Dr. Sci. (Medicine), Assistant Professor</p>
</bio><email>PetryajkinAV@zdrav.mos.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0245-4431</contrib-id><contrib-id contrib-id-type="spin">8948-6152</contrib-id><name-alternatives><name xml:lang="en"><surname>Omelyanskaya</surname><given-names>Olga V.</given-names></name><name xml:lang="ru"><surname>Омелянская</surname><given-names>Ольга Васильевна</given-names></name><name xml:lang="zh"><surname>Omelyanskaya</surname><given-names>Olga V.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>o.omelyanskaya@npcmr.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-3636-2889</contrib-id><contrib-id contrib-id-type="spin">2274-6428</contrib-id><name-alternatives><name xml:lang="en"><surname>Erizhokov</surname><given-names>Rustam A.</given-names></name><name xml:lang="ru"><surname>Ерижоков</surname><given-names>Рустам Арсеньевич</given-names></name><name xml:lang="zh"><surname>Erizhokov</surname><given-names>Rustam A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD</p></bio><bio xml:lang="zh"><p>MD</p></bio><email>ErizhokovRA@zdrav.mos.ru</email><xref ref-type="aff" rid="aff3"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Kazan National Research Technical University named after A.N. Tupolev-KAI</institution></aff><aff><institution xml:lang="ru">Казанский национальный исследовательский технический университет имени А.Н. Туполева-КАИ</institution></aff><aff><institution xml:lang="zh">Kazan National Research Technical University named after A.N. Tupolev-KAI</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">PhthisisBioMed</institution></aff><aff><institution xml:lang="ru">ФтизисБиоМед</institution></aff><aff><institution xml:lang="zh">PhthisisBioMed</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies</institution></aff><aff><institution xml:lang="ru">Научно-практический клинический центр диагностики и телемедицинских технологий</institution></aff><aff><institution xml:lang="zh">Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2026-02-26" publication-format="electronic"><day>26</day><month>02</month><year>2026</year></pub-date><pub-date date-type="pub" iso-8601-date="2026-04-30" publication-format="electronic"><day>30</day><month>04</month><year>2026</year></pub-date><volume>7</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>55</fpage><lpage>66</lpage><history><date date-type="received" iso-8601-date="2025-07-14"><day>14</day><month>07</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2026-01-20"><day>20</day><month>01</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Эко-вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2026, Eco-Vector</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-вектор</copyright-holder><copyright-holder xml:lang="zh">Eco-Vector</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://jdigitaldiagnostics.com/DD/article/view/687472">https://jdigitaldiagnostics.com/DD/article/view/687472</self-uri><abstract xml:lang="en"><p><bold>BACKGROUND: </bold>The regulated quality control procedure for radiography involves the analysis of test objects without simulating anatomical features. However, subsequent assessment of radiologists’ performance or artificial intelligence-based decision support systems requires anonymized data samples from real patients annotated by multiple specialists. Collecting such datasets is a labor-intensive and time-consuming process, especially when we need a sample containing actual pathologies. Therefore, it is advisable to use anthropomorphic test objects (phantoms) which simulate pathological findings, so that the X-ray image will be as close as possible to the analyzed images of patients.</p> <p><bold>AIM: </bold>To develop and test an anthropomorphic aluminum phantom for digital radiography.</p> <p><bold>METHODS: </bold>A digital radiograph of the chest of a healthy person was used as a reference standard during phantom design. A sample of the designed phantom was made using layer-by-layer milling of an aluminum blank. Validation was carried out by comparing phantom images and the reference image. In addition, the effect of the phantom sample on the spatial resolution and contrast sensitivity was assessed for different acquisition modes of the X-ray unit. The applicability of the phantom for simulating focal lung lesions was studied, with the results evaluated by experts.</p> <p><bold>RESULTS: </bold>The phantom was found to reproduce the reference image with a high fidelity and allows simulation of pathological changes in chest X-rays by placing flexible pads in the required positions. The ratios of attenuation coefficients for different anatomical areas were identified during X-ray imaging of the phantom and three patients.</p> <p><bold>CONCLUSION: </bold>This work presents a method for developing a high-fidelity anthropomorphic phantom made of D16T aluminum alloy, designed for calibrating X-ray systems and testing radiologists. The phantom imitates the anatomical structures of the chest organs and pathological changes, such as focal lesions. The main advantages of this solution include reduced production costs, compact design, and high accuracy of reproduction of radiographic characteristics.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Обоснование. </bold>Регламентированная процедура контроля качества выполнения рентгенографии предполагает анализ тест-объектов без имитации анатомических особенностей. Тем не менее для последующей оценки качества работы врачей-рентгенологов или систем поддержки принятия решений с применением искусственного интеллекта предполагают использование размеченных несколькими специалистами выборок данных анонимизированных исследований реальных пациентов. Сбор таких датасетов трудоёмкий и длительный процесс, особенно если стоит задача сформировать выборку с реальными случаями патологий. Именно поэтому целесообразно использовать антропоморфные тест-объекты (фантомы) с возможностью имитации патологических признаков, рентгеновское изображение которых будет максимально приближено к анализируемым изображениям пациентов.</p> <p><bold>Цель работы. </bold>Разработка и апробация антропоморфного алюминиевого фантома для цифровой рентгенографии.</p> <p><bold>Методы. </bold>В качестве эталона при проектировании фантома использовали цифровую рентгенограмму органов грудной клетки здорового человека. Образец спроектированного фантома изготовили методом послойного фрезерования алюминиевой заготовки. Валидация проведена посредством сравнения снимков фантома и эталонного изображения. Кроме того, оценивали влияние образца фантома на пространственное разрешение и контрастную чувствительность для различных режимов съёмки рентгеновского аппарата. Изучали применимость фантома для моделирования очагового поражения лёгких с оценкой результатов экспертами.</p> <p><bold>Результаты. </bold>Установлено, что фантом с высокой степенью достоверности воспроизводит эталонное изображение и позволяет имитировать патологические изменения на рентгенограммах органов грудной клетки путём размещения в необходимой позиции пластичных накладок. Кроме того, выявлены отношения коэффициентов ослабления для разных анатомических областей при рентгенографии фантома и трёх пациентов.</p> <p><bold>Заключение. </bold>В работе представлен метод разработки антропоморфного фантома из алюминиевого сплава Д16Т, предназначенного для создания объёмного образца, воспроизводящего рентгеновское изображениепрототип с высокой степенью достоверности и имитирующего соответствующие анатомические структуры при проведении рентгенографического исследования. Разработанный фантом моделирует анатомию органов грудной клетки, включая патологические изменения, в частности очаговые образования. К основным преимуществам предложенного решения относят снижение производственных затрат, компактность конструкции и высокую точность воспроизведения рентгенографических характеристик.</p></trans-abstract><trans-abstract xml:lang="zh"><p>论证：规范的X线摄影质量控制程序要求分析不模拟解剖特征的测试对象。然而，为后续评估放射科医师工作质量或应用人工智能的决策支持系统，建议使用多位专家标注的匿名化真实患者研究数据集。收集此类数据集耗时且过程漫长，特别是在需要形成包含真实病理病例的样本时。因此，合理使用能够模拟病理特征、其X线图像与患者分析图像最大限度接近的拟人化测试对象（体模）是明智之举。</p> <p>目的：开发与验证用于数字化X线摄影的拟人化铝制体模。</p> <p>方法：设计体模时以健康人胸部器官的数字X线片作为标准。采用分层铣削铝坯的方法制作设计体模的样本。通过比较体模图像与标准图像进行验证。此外，还评估了体模样本对不同X光机拍摄模式的空间分辨率和对比度敏感性的影响。研究了体模在模拟肺部局灶性病变以及专家评估结果方面的适用性。</p> <p>结果：经证实，具有高可信度的模型能够复制标准图像，并通过在必要位置放置塑料贴片来模拟胸部器官X光片上的病理变化。此外，还揭示了在模型和三名患者进行X光摄影时不同解剖区域的衰减系数之间的关系。</p> <p>结论：研究中提出了一种开发铝合金Д16Т拟人化体模的方法，该模型专为创建体积样本而设计，能够以高可信度再现X射线图像原型，并在进行X射线摄影研究时模拟相应的解剖结构。开发的模型模拟了胸部器官的解剖结构，包括病理变化，特别是灶性病变。所提出解决方案的主要优势包括降低生产成本、结构紧凑性以及再现X射线特性的高精度。</p></trans-abstract><kwd-group xml:lang="en"><kwd>radiologic phantom</kwd><kwd>medical imaging</kwd><kwd>equipment design</kwd><kwd>technical report</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>антропоморфный фантом</kwd><kwd>цифровая рентгенография</kwd><kwd>имитационное моделирование</kwd><kwd>технический отчёт</kwd></kwd-group><kwd-group xml:lang="zh"><kwd>拟人化体模</kwd><kwd>数字X射线摄影</kwd><kwd>模拟建模</kwd><kwd>技术报告</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">ООО «ФтизисБиоМед»</institution></institution-wrap><institution-wrap><institution xml:lang="en">PhthisisBioMed</institution></institution-wrap><institution-wrap><institution xml:lang="zh">PhthisisBioMed</institution></institution-wrap></funding-source></award-group><funding-statement xml:lang="en">The development, manufacture, and transportation of the experimental phantom prototype were carried out using the internal funds and equipment of PhthisisBioMed. Funding for an independent expert evaluation of the product by employees of the Scientific and Practical Center for Pediatric and Adolescent Health of the Moscow Department of Health was not provided by the developer.</funding-statement><funding-statement xml:lang="ru">Разработку, изготовление и транспортировку экспериментального образца фантома выполняли за счёт собственных средств ООО «ФтизисБиоМед» с использованием оборудования ООО «ФтизисБиоМед». Финансирование независимой экспертной оценки изделия сотрудниками ГБУЗ «НПКЦ ДиТ ДЗМ» со стороны разработчика не проводилось.</funding-statement><funding-statement xml:lang="zh">The development, manufacture, and transportation of the experimental phantom prototype were carried out using the internal funds and equipment of PhthisisBioMed. Funding for an independent expert evaluation of the product by employees of the Scientific and Practical Center for Pediatric and Adolescent Health of the Moscow Department of Health was not provided by the developer.</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Vasilev YuA, Son IM, Vladzymyrskyy AV, et al. Effectiveness of imaging-based chest screening: outcomes of stage one adult health screening effort in the Russian Federation. Public Health and Life Environment. 2024;32(9):71–82. doi: 10.35627/2219-5238/2024-32-9-71-82 EDN: JXWAWJ</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Vasilev YuA, Kudryavtsev ND, Mukhortova AN, et al. Operation results of radiology departments of the Moscow Health Care Department in 2016–2022. 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