A new approach for producing high-quality x-rays with minimal radiation exposure—particularly in children—relies on the Xbox gaming system.

Using proprietary software developed for the Microsoft Kinect system, researchers have adapted hands-free technology used for the popular Xbox system to aid radiographers when taking x-rays.

The software coupled with the Kinect system can measure thickness of body parts and check for motion, positioning, and the x-ray field of view immediately before imaging, says Steven Don, associate professor of radiology at Mallinckrodt Institute of Radiology of the Washington University School of Medicine in St. Louis.


Real-time monitoring alerts technologists to factors that could compromise image quality. For example, “movement during an x-ray requires retakes, thereby increasing radiation exposure,” Don says.

“The goal is to produce high-quality x-ray images at a low radiation dose without repeating images,” Don says. “It sounds surprising to say that the Xbox gaming system could help us to improve medical imaging, but our study suggests that this is possible.”

The technology could benefit all patients but particularly children because of their sensitivity to radiation and greater variation in body sizes, which can range from premature infants to adult-sized teenagers. Setting appropriate x-ray techniques to minimize radiation exposure depends on the thickness of the body part being imaged. High-quality x-rays are critical in determining diagnoses and treatment plans.

Traditionally steel calipers have been used to measure body-part thickness for x-rays. However, calipers are “time-consuming, intrusive, and often scary to kids, especially those who are sick or injured,” says Don, a pediatric radiologist who treats patients at St. Louis Children’s Hospital.

“To achieve the best image quality while minimizing radiation exposure, x-ray technique needs to be based on body-part thickness,” Don says. The gaming software has an infrared sensor to measure body-part thickness automatically without patient contact.

“Additionally, we use the optical camera to confirm the patient is properly positioned,” he explains.

Originally developed as a motion sensor and voice and facial recognition device for the Xbox gaming system, Microsoft Kinect software allows individuals to play games hands-free, or without a standard controller. Scientists, computer specialists, and other inventors have since adapted the Xbox technology for nongaming applications.

Don and his colleagues, for example, combined the Microsoft Kinect 1.0 technology with proprietary software to improve x-ray imaging. The team applied for a patent last year.

While further research and development are needed, the eventual goal is to apply the technology to new x-ray machines as well as retrofitting older equipment.

“Patients, technologists, and radiologists want the best quality x-rays at the lowest dose possible without repeating images,” Don says. “This technology is a tool to help achieve that goal.”

The Radiological Society of North America’s annual meeting in Chicago on December 2 featured information about the feasibility study. Don developed the technology with William Clayton, a former computer programmer at the School of Medicine, and Robert MacDougall, a clinical medical physicist at Boston Children’s Hospital.

This text is published here under a Creative Commons License.
Author: Judy Martin-Washington University in St. Louis
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