Skip to main content

Evidence to Improve Care

Single-Exposure, Dual-Energy Subtraction Flat Panel X-Ray Detectors

 

Final Recommendation

  • Ontario Health, based on guidance from the Ontario Health Technology Advisory Committee, concludes there is currently insufficient evidence to make a recommendation for or against publicly funding single-exposure, dual-energy subtraction flat panel x-ray detectors.

Read the final recommendation report


Conventional radiography (x-ray) is used to generate images of tissues and structures inside the body and can be used to detect pneumonia, pulmonary nodules, and pneumothorax (all of these conditions affect the lungs), as well as to see lines and tubes that may have been placed there during medical procedures. In some clinical situations, the overlap of body structures can obscure certain radiographic findings, making it difficult to detect abnormalities in the x-ray. Single-exposure, dual-energy subtraction (DES) flat panel x-ray detectors produce a conventional x-ray image plus a DES soft tissue x-ray image (an image that removes the bone) and a DES bone x-ray image (an image that removes the soft tissue) to minimize the limitations presented by anatomical overlap.

This health technology assessment looked at the accuracy of single-exposure, DES flat panel x-ray detectors for conditions such as pneumonia, pneumothorax, pulmonary nodules, and for seeing any lines and tubes inside the body. It also evaluated the impact of the use of the device on patient management and clinical outcomes, and on the radiologist’s confidence in the diagnosis. Additionally, this assessment looked at the budget impact of publicly funding single-exposure, DES x-ray detectors and the experiences, preferences, and values of health care providers.

Read the full health technology assessment report for more information.

Single-Exposure, Dual-Energy Subtraction Flat Panel X-Ray Detectors: A Health Technology Assessment
November 2024

  • PDF

  • XML (accessible version to come)

Use of this site, and the interpretation of the information contained here, is subject to important terms and conditions. Use of this site and information except in accordance with these terms and conditions is expressly prohibited.


The Ministry of Health is currently reviewing this recommendation.

The Ministry of Health has provided the following response: The Ministry has a standardized process in place to review health technology assessments and funding recommendations. This takes into consideration Ministry priorities, implementation options, the need for consultation with impacted stakeholders, and funding considerations.



Let’s make our health system healthier

Join Our Patient, Family and Public Advisors Program

Patients, families and the public are central to improving health quality.


Man smiling

Sign up for our newsletter

Are you passionate about quality health care for all Ontarians? Stay in-the-know about our newest programs, reports and news.

Health Quality Connect - Health Quality Ontario's newsletter - on an iPad and a cell phone