Recently introduced multi-layer flat panel detectors (FPDs) enable single acquisition spectral radiography. We perform an in-depth simulation study to investigate different decomposition algorithms under the influence of adipose tissue and scattered radiation using physics-based material decomposition algorithms for the task of bone removal. We examine a matrix-based material decomposition (MBMD) under assumption of monoenergetic X-ray spectra (equivalent to weighted logarithmic subtraction (WLS)), a matrix-based material decomposition with polynomial beam hardening pre-correction (MBMD-PBC) and a projection domain decomposition (PDD). The simulated setup corresponds to an intensive care unit (ICU) anterior posterior (AP) bedside chest examination (contact scan). The limitations of the three algorithms are evaluated using a high-fidelity X-ray simulator with five phantom realizations that differ in terms of added adipose tissue. For each simulated phantom realization, different amounts of scatter correction are considered, ranging from no correction at all to an ideal scatter correction. Unless quantitative imaging is required, the three algorithms are capable of removing bone structures when adipose tissue is present. Bone removal using a multi-layer FPDs in an ICU setup is feasible. However, uncorrected scatter can lead to bone structures becoming visible in the soft tissue image. This indicates the need for accurate scatter estimation and correction algorithms, especially when using quantitative algorithms such as PDD.
KEYWORDS: Medical image reconstruction, Bone, X-ray computed tomography, Sensors, X-rays, Medical imaging, Aluminum, Physics, Photons, Signal attenuation, Monte Carlo methods
We investigate the feasibility of bone marrow edema (BME) detection using a kV-switching Dual-Energy (DE) Cone-Beam CT (CBCT) protocol. This task is challenging due to unmatched X-ray paths in the low-energy (LE) and high-energy (HE) spectral channels, CBCT non-idealities such as X-ray scatter, and narrow spectral separation between fat (bone marrow) and water (BME). We propose a comprehensive DE decomposition framework consisting of projection interpolation onto matching LE and HE view angles, fast Monte Carlo scatter correction with low number of tracked photons and Gaussian denoising, and two-stage three-material decompositions involving two-material (fat-Aluminum) Projection-Domain Decomposition (PDD) followed by image-domain three-material (fat-water-bone) base-change. Performance in BME detection was evaluated in simulations and experiments emulating a kV-switching CBCT wrist imaging protocol on a robotic x-ray system with 60 kV LE beam, 120 kV HE beam, and 0.5° angular shift between the LE and HE views. Cubic B-spline interpolation was found to be adequate to resample HE and LE projections of a wrist onto common view angles required by PDD. The DE decomposition maintained acceptable BME detection specificity (⪅0.2 mL erroneously detected BME volume compared to 0.85 mL true BME volume) over +/-10% range of scatter magnitude errors, as long as the scatter shape was estimated without major distortions. Physical test bench experiments demonstrated successful discrimination of ~20% change in fat concentrations in trabecular bone-mimicking solutions of varying water and fat content.
Purpose: We investigated the feasibility of detection and quantification of bone marrow edema (BME) using dual-energy (DE) Cone-Beam CT (CBCT) with a dual-layer flat panel detector (FPD) and three-material decomposition. Methods: A realistic CBCT system simulator was applied to study the impact of detector quantization, scatter, and spectral calibration errors on the accuracy of fat-water-bone decompositions of dual-layer projections. The CBCT system featured 975 mm source-axis distance, 1,362 mm source-detector distance and a 430 × 430 mm2 dual-layer FPD (top layer: 0.20 mm CsI:Tl, bottom layer: 0.55 mm CsI:Tl; a 1 mm Cu filter between the layers to improve spectral separation). Tube settings were 120 kV (+2 mm Al, +0.2 mm Cu) and 10 mAs per exposure. The digital phantom consisted of a 160 mm water cylinder with inserts containing mixtures of water (volume fraction ranging 0.18 to 0.46) - fat (0.5 to 0.7) - Ca (0.04 to 0.12); decreasing fractions of fat indicated increasing degrees of BME. A two-stage three-material DE decomposition was applied to DE CBCT projections: first, projection-domain decomposition (PDD) into fat-aluminum basis, followed by CBCT reconstruction of intermediate base images, followed by image-domain change of basis into fat, water and bone. Sensitivity to scatter was evaluated by i) adjusting source collimation (12 to 400 mm width) and ii) subtracting various fractions of the true scatter from the projections at 400 mm collimation. The impact of spectral calibration was studied by shifting the effective beam energy (± 2 keV) when creating the PDD lookup table. We further simulated a realistic BME imaging framework, where the scatter was estimated using a fast Monte Carlo (MC) simulation from a preliminary decomposition of the object; the object was a realistic wrist phantom with an 0.85 mL BME stimulus in the radius. Results: The decomposition is sensitive to scatter: approx. <20 mm collimation width or <10% error of scatter correction in a full field-of-view setting is needed to resolve BME. A mismatch in PDD decomposition calibration of ± 1 keV results in ~25% error in fat fraction estimates. In the wrist phantom study with MC scatter corrections, we were able to achieve ~0.79 mL true positive and ~0.06 mL false positive BME detection (compared to 0.85 mL true BME volume). Conclusions: Detection of BME using DE CBCT with dual-layer FPD is feasible, but requires scatter mitigation, accurate scatter estimation, and robust spectral calibration.
Purpose: We compare the effects of scatter on the accuracy of areal bone mineral density (BMD) measurements obtained using two flat-panel detector (FPD) dual-energy (DE) imaging configurations: a dual-kV acquisition and a dual-layer detector. Methods: Simulations of DE projection imaging were performed with realistic models of x-ray spectra, scatter, and detector response for dual-kV and dual-layer configurations. A digital body phantom with 4 cm Ca inserts in place of vertebrae (concentrations 50 - 400 mg/mL) was used. The dual-kV configuration involved an 80 kV low-energy (LE) and a 120 kV high-energy (HE) beam and a single-layer, 43x43 cm FPD with a 650 μm cesium iodide (CsI) scintillator. The dual-layer configuration involved a 120 kV beam and an FPD consisting of a 200 μm CsI layer (LE data), followed by a 1 mm Cu filter, and a 550 μm CsI layer (HE data). We investigated the effects of an anti-scatter grid (13:1 ratio) and scatter correction. For the correction, the sensitivity to scatter estimation error (varied ±10% of true scatter distribution) was evaluated. Areal BMD was estimated from projection-domain DE decomposition. Results: In the gridless dual-kV setup, the scatter-to-primary ratio (SPR) was similar for the LE and HE projections, whereas in the gridless dual layer setup, the SPR was ~26% higher in the LE channel (top CsI layer) than in the HE channel (bottom layer). Because of the resulting bias in LE measurements, the conventional projection-domain DE decomposition could not be directly applied to dual-layer data; this challenge persisted even in the presence of a grid. In contrast, DE decomposition of dual-kV data was possible both without and with the grid; the BMD error of the 400 mg/mL insert was -0.4 g/cm2 without the grid and +0.3 g/cm2 with the grid. The dual-layer FPD configuration required accurate scatter correction for DE decomposition: a -5% scatter estimation error resulted in -0.1 g/cm2 BMD error for the 50 mg/mL insert and a -0.5 g/cm2 BMD error for the 400 mg/mL with a grid, compared to <0.1 g/cm2 for all inserts in a dual-kV setup with the same scatter estimation error. Conclusion: This comparative study of quantitative performance of dual-layer and dual-kV FPD-based DE imaging indicates the need for accurate scatter correction in the dual-layer setup due to increased susceptibility to scatter errors in the LE channel.
We investigate an image-based strategy to compensate for cardiac motion-induced artifacts in Digital Chest Tomosynthesis (DCT). We apply the compensation to conventional unidirectional vertical “↕” scan DCT and to a multidirectional circular trajectory "O" providing improved depth resolution. Propagation of heart motion into the lungs was simulated as a dynamic deformation. The studies investigated a range of motion propagation distances and scan times. Projection-domain retrospective gating was used to detect heart phases. Sparsely sampled reconstructions of each phase were deformably aligned to yield a motion compensated image with reduced sampling artifacts. The proposed motion compensation mitigates artifacts and blurring in DCT images both for “↕” and "O" scan trajectories. Overall, the “O” orbit achieved the same or better nodule structural similarity index in than the conventional “↕” orbit. Increasing the scan time improved the sampling of individual phase reconstructions.
Talbot-Lau X-ray imaging (TLXI) provides information about scattering and refractive features of objects – in addition to the well-known conventional X-ray attenuation image. We investigated the potential of TLXI for the detection of hairline fractures in bones, which are often initially occult in conventional 2D X-ray images. For this purpose, hairline fractures were extrinsically provoked in a porcine trotter (post-mortem) and scanned with a TLXI system. In the examined case, hairline fractures caused dark-field and differential-phase signals, whereas they were not evident in the conventional X-ray image. These findings motivate a comprehensive and systematic investigation of the applicability of TLXI for diagnosing hairline fractures.
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