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Several studies have shown that heavy metal filters with K edges in a diagnostic energy range reduced patientradiation dose without degrading image quality.However, increased exposure time was a problem to apply heavy metal filters in screen-film system or computed radiography.Due to the higher sensitivity of cesium iodine (CsI) based flat panel detectors (FPD), we assumed that FPD systems had a potential to suppress the exposure time as an acceptable level in clinical use.The purpose of this study was to investigate the feasibility of heavy metal filters in CsI based FPD systems by measuring the image contrast and patient radiation dose in a phantom study.