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Contrast-enhanced dual-energy subtraction imaging using electronic spectrum-splitting and multi-prism x-ray lenses

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 Added by Erik Fredenberg
 Publication date 2021
  fields Physics
and research's language is English




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Dual-energy subtraction imaging (DES) is a method to improve the detectability of contrast agents over a lumpy background. Two images, acquired at x-ray energies above and below an absorption edge of the agent material, are logarithmically subtracted, resulting in suppression of the signal from the tissue background and a relative enhancement of the signal from the agent. Although promising, DES is still not widely used in clinical practice. One reason may be the need for two distinctly separated x-ray spectra that are still close to the absorption edge, realized through dual exposures which may introduce motion unsharpness. In this study, electronic spectrum-splitting with a silicon-strip detector is theoretically and experimentally investigated for a mammography model with iodinated contrast agent. Comparisons are made to absorption imaging and a near-ideal detector using a signal-to-noise ratio that includes both statistical and structural noise. Similar to previous studies, heavy absorption filtration was needed to narrow the spectra at the expense of a large reduction in x-ray flux. Therefore, potential improvements using a chromatic multi-prism x-ray lens (MPL) for filtering were evaluated theoretically. The MPL offers a narrow tunable spectrum, and we show that the image quality can be improved compared to conventional filtering methods.



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Conventional energy filters for x-ray imaging are based on absorbing materials which attenuate low energy photons, sometimes combined with an absorption edge, thus also discriminating towards photons of higher energies. These filters are fairly inefficient, in particular for photons of higher energies, and other methods for achieving a narrower bandwidth have been proposed. Such methods include various types of monochromators, based on for instance mosaic crystals or refractive multi-prism x-ray lenses (MPLs). Prism-array lenses (PALs) are similar to MPLs, but are shorter, have larger apertures, and higher transmission. A PAL consists of a number of small prisms arranged in columns perpendicular to the optical axis. The column height decreases along the optical axis so that the projection of lens material is approximately linear with a Fresnel phase-plate pattern superimposed on it. The focusing effect is one dimensional, and the lens is chromatic. Hence, unwanted energies can be blocked by placing a slit in the image plane of a desired energy. We present the first experimental and theoretical results on an energy filter based on a silicon PAL. The study includes an evaluation of the spectral shaping properties of the filter as well as a quantification of the achievable increase in dose efficiency compared to standard methods. Previously, PALs have been investigated with synchrotron radiation, but in this study a medical imaging setup, based on a regular x-ray tube, is considered.
Currently, dual-energy X-ray phase contrast imaging is usually conducted with an X-ray Talbot-Lau interferometer. However, in this system, the two adopted energy spectra have to be chosen carefully in order to match well with the phase grating. For example, the accelerating voltages of the X-ray tube are supposed to be respectively set as 40 kV and 70 kV, with other energy spectra being practically unusable for dual energy imaging. This system thus has low flexibility and maneuverability in practical applications. In this work, dual energy X-ray phase-contrast imaging is performed in a grating-based non-interferometric imaging system rather than in a Talbot-Lau interferometer. The advantage of this system is that, theoretically speaking, any two separated energy spectra can be utilized to perform dual energy X-ray phase-contrast imaging. The preliminary experimental results show that dual-energy X-ray phase contrast imaging is successfully performed when the accelerating voltages of the X-ray tube are successively set as 40 kV and 50 kV. Our work increases the flexibility and maneuverability when employing dual-energy X-ray phase-contrast imaging in medical diagnoses and nondestructive tests.
The susceptibility-based positive contrast MR technique was applied to estimate arbitrary magnetic susceptibility distributions of the metallic devices using a kernel deconvolution algorithm with a regularized L-1 minimization.Previously, the first-order primal-dual (PD) algorithm could provide a faster reconstruction time to solve the L-1 minimization, compared with other methods. Here, we propose to accelerate the PD algorithm of the positive contrast image using the multi-core multi-thread feature of graphics processor units (GPUs). The some experimental results showed that the GPU-based PD algorithm could achieve comparable accuracy of the metallic interventional devices in positive contrast imaging with less computational time. And the GPU-based PD approach was 4~15 times faster than the previous CPU-based scheme.
Two-dimensional Talbot array illuminators (TAIs) were designed, fabricated, and evaluated for high-resolution high-contrast x-ray phase imaging of soft tissue at 10-20keV. The TAIs create intensity modulations with a high compression ratio on the micrometer scale at short propagation distances. Their performance was compared with various other wavefront markers in terms of period, visibility, flux efficiency and flexibility to be adapted for limited beam coherence and detector resolution. Differential x-ray phase contrast and dark-field imaging were demonstrated with a one-dimensional, linear phase stepping approach yielding two-dimensional phase sensitivity using Unified Modulated Pattern Analysis (UMPA) for phase retrieval. The method was employed for x-ray phase computed tomography reaching a resolution of 3$mu$m on an unstained murine artery. It opens new possibilities for three-dimensional, non-destructive, and quantitative imaging of soft matter such as virtual histology. The phase modulators can also be used for various other x-ray applications such as dynamic phase imaging, super-resolution structured illumination microscopy, or wavefront sensing.
X-ray phase-contrast imaging has experienced rapid development over the last few decades, and in this technology, the phase modulation strategy of phase-stepping is used most widely to measure the samples phase signal. However, because of its discontinuous nature, phase-stepping has the defects of worse mechanical stability and high exposure dose, which greatly hinder its wide application in dynamic phase measurement and potential clinical applications. In this manuscript, we demonstrate preliminary research on the use of integrating-bucket phase modulation method to retrieve the phase information in grating-based X-ray phase-contrast imaging. Experimental results showed that our proposed method can be well employed to extract the differential phase-contrast image, compared with the current mostly used phase-stepping strategy, advantage of integrating-bucket phase modulation technique is that fast measurement and low dose are promising.
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