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A tabletop device was constructed using a short CNT x-ray source array, operated in three positions, and a flat panel digital detector. Twenty-one x-ray projection images were acquired at incident angles from -20 to +20 degrees in various clinical orientations, with entrance doses matched to commercial in-room DTS scanners. The projection images were reconstructed with an iterative reconstruction technique in 1mm slices. Cadaveric specimen and initial participant images were reviewed by radiologists for feature conspicuity and diagnostic accuracy.
TomoE image quality was found to be superior to DR, with reconstruction slices exhibiting visual conspicuity of trabecular bone, delineation of joint space, bone erosions, fractures, and clear depiction of normal anatomical features. The scan time was fifteen seconds with mechanical translation. Skin entrance dose was verified to be 0.2mGy. TomoE device image quality has been evaluated in cadaveric specimens and dose was calibrated for a patient imaging study. Initial patient images depict a high level of anatomical detail an increase in diagnostic value compared to DR.
Method: A primary sampling device (PSD) was designed and scatter correction algorithm incorporated into an experimental stationary digital chest tomosynthesis (s-DCT) system for this study to directly compute scatter from the primary beam information. Phantom and an in-vivo porcine subject were imaged. Total scan time was measured and image quality evaluated.
Results: Comparison of reconstruction slice images from uncorrected and scatter-corrected projection images reveals improved image quality, with increased feature conspicuity. Each scan in the current setup required twelve seconds, in addition to one second for PSD retraction, for a total scan time of 25 seconds.
Conclusions: We have evaluated the prototype low-dose, patient-specific scatter correction methodology using phantom studies in preparation for a clinical trial. Incorporating only 5% of additional patient dose, the reconstruction slices exhibit increased visual conspicuity of anatomical features, with the primary drawback of increased total scan time. Though used for tomosynthesis, the technique can be easily translated to digital radiography in lieu of an anti-scattering grid.
Methods: The feasibility study was performed using a benchtop setup consisting of an x-ray source array with 45 distributed focal spots, each operating at 120kVp, and an Electronic Control System (ECS) for high speed control of the x-ray output from individual focal spots. The projection data was collected by an array of detectors configured specifically for head imaging. The basic performance of the CNT x-ray source array was characterized. By rotating the object in discrete angular steps, a potential s-HCT configuration was emulated. The collected projection images were reconstructed using an iterative reconstruction algorithm developed specifically for this configuration. Evaluation of the image quality was completed by comparing this image of the ACR CT phantom obtained with the s-HCT to that obtained by a clinical CT scanner.
Results: The CNT x-ray source array was found to have a consistent focal spot size of 1.3×1.1 mm2 for all beams (IEC 1.0). At 120 kVp the HVL was measured to be 5.8 mm Al. Axial images have been acquired with slice thickness 2.5 mm to evaluate the imaging performance of the s-HCT system. Contrast-noise-ratio was measured for the acrylic (120 HU) and water (0 HU) materials in the ACR CT 464 phantom Module 01. A value of 5.2 is reported for the benchtop setup with an entrance dose of 2.9 mGy, compared to the clinical measurement of 30.5 found at 74.5 mGy. These images demonstrate that the s-HCT system based on CNT x-ray source arrays is feasible.
Conclusion: Customized CNT x-ray sources were developed specifically for head CT imaging. The feasibility of using this source array to construct a s-HCT scanner has been demonstrated by emulating a potential CT configuration. It is shown that diagnostic quality CT images can be obtained using the proposed system geometry. These preliminary images provide confidence that a s-HCT system can be constructed for clinical evaluation.
Methods. Filled and unfilled extracted tooth roots containing artificially-induced VRFs were imaged by sIOT and standard periapical radiography. sIOT collected 7 views across a 12° angle span, providing information for an image processing chain that included reconstruction, weighting, and forward projection to generate a set a synthetic two-dimensional (2D) images. Qualitative assessments of fracture conspicuity were used for comparison.
Results. The conspicuity of VRFs changed significantly with the angle of imaging, suggesting benefit to displaying a set of synthetic images across a span of viewing angles. Although high-density in-plane and out-of-plane artifacts, which could limit the conspicuity of VRFs, were prominent in the three-dimensional (3D) stack of reconstructed image slices, these artifacts were minimal in the synthetic radiographs. As such, some fractures were displayed more clearly in the synthetic 2D images compared to the reconstructed 3D image stack. Also, in some cases, the fractures were more conspicuous in the sIOT-generated synthetic images than the standard periapical radiographs.
Conclusion. Multi-view synthetic radiography can improve the display of VRFs in images generated by sIOT. As such, this approach to dental imaging may offer a useful clinical tool, with potential application to a host of imaging tasks.
In the phantom studies the 1st generation s‐DBT system has demonstrated 30% higher spatial resolution than the corresponding continuous motion DBT systems. The system is currently being evaluated for its diagnostic performance in 100 patient clinical evaluation against FFDM. Initial results indicate that the s‐DBT system can produce increased lesion conspicuity and comparable MC visibility. However due to x‐ray flux limitations, certain large size patients have to be excluded. Recent studies have shown that increasing the angular span beyond 30° can be beneficial for enhanced depth resolution. We report the preliminary characterization of the 2nd generation s-DBT system with a new CNT x-ray source array, increased tube flux and a larger angular span. Increasing x‐ray tube flux allows for a larger patient population and dual energy imaging. Results indicate that the system delivers more than twice the flux, allowing for imaging of all size patients with acquisition time of 2‐4 seconds. A 7° increase in angular span over 1st generation decreased the ASF by 37%. Additionally, the 2nd generation s‐DBT system utilizing a specific AFVR reconstruction method resulted in a 92% increase in the in plane resolution over CM DBT system, and a 37% increase in spatial resolution over the 1st generation s-‐DBT system.
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