No Arabic abstract
Photon-counting computed tomography (PCCT) with energy discrimination capabilities hold great potentials to improve the limitations of the conventional CT, including better signal-to-noise ratio (SNR), improved contrast-to-noise ratio (CNR), lower radiation dose, and most importantly, simultaneous multiple material identification. One potential way of material identification is via calculation of effective atomic number and effective electron density from PCCT image data. However, the current methods for calculating effective atomic number and effective electron density from PCCT image data are mostly based on semi-empirical models and accordingly are not sufficiently accurate. Here, we present a physics-based model to calculate the effective atomic number and effective electron density of various matters, including single element substances, molecular compounds, and multi-material mixtures as well. The model was validated over several materials under various combinations of energy bins. A PCCT system was simulated to generate the PCCT image data, and the proposed model was applied to the PCCT image data. Our model yielded a relative standard deviations for effective atomic numbers and effective electron densities at less than 1%. Our results further showed that five different materials can be simultaneously identified and well separated in a effective atomic number - effective electron density map. The model could serve as a basis for simultaneous material identification from PCCT.
Increased noise is a general concern for dual-energy material decomposition. Here, we develop an image-domain material decomposition algorithm for dual-energy CT (DECT) by incorporating an edge-preserving filter into the Local HighlY constrained backPRojection Reconstruction (HYPR-LR) framework. With effective use of the non-local mean, the proposed algorithm, which is referred to as HYPR-NLM, reduces the noise in dual energy decomposition while preserving the accuracy of quantitative measurement and spatial resolution of the material-specific dual energy images. We demonstrate the noise reduction and resolution preservation of the algorithm with iodine concentrate numerical phantom by comparing the HYPR-NLM algorithm to the direct matrix inversion, HYPR-LR and iterative image-domain material decomposition (Iter-DECT). We also show the superior performance of the HYPR-NLM over the existing methods by using two sets of cardiac perfusing imaging data. The reference drawn from the comparison study includes: (1) HYPR-NLM significantly reduces the DECT material decomposition noise while preserving quantitative measurements and high-frequency edge information, and (2) HYPR-NLM is robust with respect to parameter selection.
It has previously been shown that 2D spectral mammography can be used to discriminate between (likely benign) cystic and (potentially malignant) solid lesions in order to reduce unnecessary recalls in mammography. One limitation of the technique is, however, that the composition of overlapping tissue needs to be interpolated from a region surrounding the lesion. The purpose of this investigation was to demonstrate that lesion characterization can be done with spectral tomosynthesis, and to investigate whether the 3D information available in tomosynthesis can reduce the uncertainty from the interpolation of surrounding tissue. A phantom experiment was designed to simulate a cyst and a tumor, where the tumor was overlaid with a structure that made it mimic a cyst. In 2D, the two targets appeared similar in composition, whereas spectral tomosynthesis revealed the exact compositional difference. However, the loss of discrimination signal due to spread from the plane of interest was of the same strength as the reduction of anatomical noise. Results from a preliminary investigation on clinical tomosynthesis images of solid lesions yielded results that were consistent with the phantom experiments, but were still to some extent inconclusive. We conclude that lesion characterization is feasible in spectral tomosynthesis, but more data, as well as refinement of the calibration and discrimination algorithms, are needed to draw final conclusions about the benefit compared to 2D.
We present the first evaluation of a recently developed silicon-strip detector for photon-counting dual-energy breast tomosynthesis. The detector is well suited for tomosynthesis with high dose efficiency and intrinsic scatter rejection. A method was developed for measuring the spatial resolution of a system based on the detector in terms of the three-dimensional modulation transfer function (MTF). The measurements agreed well with theoretical expectations, and it was seen that depth resolution was won at the cost of a slightly decreased lateral resolution. This may be a justifiable trade-off as clinical images acquired with the system indicate improved conspicuity of breast lesions. The photon-counting detector enables dual-energy subtraction imaging with electronic spectrumsplitting. This improved the detectability of iodine in phantom measurements, and the detector was found to be stable over typical clinical acquisition times. A model of the energy resolution showed that further improvements are within reach by optimization of the detector.
Phase-contrast imaging is an emerging technology that may increase the signal-difference-to-noise ratio in medical imaging. One of the most promising phase-contrast techniques is Talbot interferometry, which, combined with energy-sensitive photon-counting detectors, enables spectral differential phase-contrast mammography. We have evaluated a realistic system based on this technique by cascaded-systems analysis and with a task-dependent ideal-observer detectability index as a figure-of-merit. Beam-propagation simulations were used for validation and illustration of the analytical framework. Differential phase contrast improved detectability compared to absorption contrast, in particular for fine tumor structures. This result was supported by images of human mastectomy samples that were acquired with a conventional detector. The optimal incident energy was higher in differential phase contrast than in absorption contrast when disregarding the setup design energy. Further, optimal weighting of the transmitted spectrum was found to have a weaker energy dependence than for absorption contrast. Taking the design energy into account yielded a superimposed maximum on both detectability as a function of incident energy, and on optimal weighting. Spectral material decomposition was not facilitated by phase contrast, but phase information may be used instead of spectral information.
A fundamental problem in X-ray Computed Tomography (CT) is the scatter due to interaction of photons with the imaged object. Unless corrected, scatter manifests itself as degradations in the reconstructions in the form of various artifacts. Scatter correction is therefore critical for reconstruction quality. Scatter correction methods can be divided into two categories: hardware-based; and software-based. Despite success in specific settings, hardware-based methods require modification in the hardware, or increase in the scan time or dose. This makes software-based methods attractive. In this context, Monte-Carlo based scatter estimation, analytical-numerical, and kernel-based methods were developed. Furthermore, data-driven approaches to tackle this problem were recently demonstrated. In this work, two novel physics-inspired deep-learning-based methods, PhILSCAT and OV-PhILSCAT, are proposed. The methods estimate and correct for the scatter in the acquired projection measurements. They incorporate both an initial reconstruction of the object of interest and the scatter-corrupted measurements related to it. They use a common deep neural network architecture and cost function, both tailored to the problem. Numerical experiments with data obtained by Monte-Carlo simulations of the imaging of phantoms reveal significant improvement over a recent purely projection-domain deep neural network scatter correction method.