Photon-counting CT (PCCT) is an emerging CT technology that uses photon-counting detectors (PCDs) to offer better spatial resolution, higher contrast, lower noise, and material-specific imaging as compared to conventional energy-integrating CT. To study the efficiency and performance of PCCT technologies in clinical use, virtual imaging trials (VITs) can be used. VITs use computational human phantoms to generate scanner-specific CT images. The integration of PCCT into VITs requires modeling the signal generation and signal processing in the detector and electronics, which includes incorporating the effects of nonidealities in PCDs such as crosstalk, charge sharing, and pulse pileup. These non-idealities adversely affect the image quality of PCCT systems, and their inclusion is important in accurate and realistic modeling of the PCDs. The existing scanner simulators model either charge sharing or pulse pileup but not their combined effects. The purpose of this study was to develop an experimentally validated modular detector response model that accounted for the combined effects of crosstalk, charge sharing, and pulse pileup in CdTe- and Si-based PCDs. It can be used to simulate variety of PCCT designs, including different detector materials and geometry, facilitating the evaluation and study of present and future PCCTs. The validation showed a close agreement with the experimental data acquired using Pixirad-1/Pixie-III PCDs. The platform was used to generate spatio-energetic covariance correlation matrices that integrated with a VIT framework called DukeSim to simulate scanner specific PCCT images.
In this work, we applied the singular value decomposition (SVD) method to a set of monochromatic images to extract the dominant physical contributions to image formation. We showed that the first two principal components can be related to an arbitrary pair of basis material in mathematically enclosed expression. The later principal components are assumed to carry mostly sub-leading image formation effects, noise, and reconstruction artifact contribution. The proof of concept is shown on numerical (linear) images and later confirmed on physical spectral CT phantom images obtained with monochromatic x-ray radiation at Elettra synchrotron in Trieste, Italy. Following material decomposition, we also performed a quantitative description of tissue-equivalent phantom materials in terms of material density and effective atomic number.
A Phase-Contrast breast CT facility based on a high-resolution CdTe photon-counting detector is under development at Elettra, the Italian Synchrotron Radiation (SR) facility in Trieste. The CT system exploits propagation-based phasecontrast imaging and phase-retrieval algorithm. The voxel size is 57×57×50 μm3 and the delivered MGDs, about 5 mGy, are comparable with clinical breast CT systems. In the present contribution, the comparisons between histological breast cancers and full breast CT images are presented from samples of breast mastectomy. The high resolution of the breast CT images and low noise due to the phase contrast allow a very fine matching between x-ray CT and histology at acceptable delivered doses.
A program devoted to performing the first in vivo synchrotron radiation (SR) breast computed tomography (BCT) is ongoing at the Elettra facility. Using the high spatial coherence of SR, phase-contrast (PhC) imaging techniques can be used. The latest high-resolution BCT acquisitions of breast specimens, obtained with the propagation-based PhC approach, are herein presented as part of the SYRMA-3D collaboration effort toward the clinical exam. Images are acquired with a 60-μm pixel dead-time-free single-photon-counting CdTe detector. The samples are imaged at 32 and 38 keV in a continuous rotating mode, delivering 5 to 20 mGy of mean glandular dose. Contrast-to-noise ratio (CNR) and spatial resolution performances are evaluated for both PhC and phase-retrieved images, showing that by applying the phase-retrieval algorithm a five-time CNR increase can be obtained with a minor loss in spatial resolution across soft tissue interfaces. It is shown that, despite having a poorer CNR, PhC images can provide a sharper visualization of microcalcifications, thus being complementary to phase-retrieved images. Furthermore, the first full-volume scan of a mastectomy sample (9 × 9 × 3 cm3) is reported. This investigation into surgical specimens indicates that SR BCT in terms of CNR, spatial resolution, scan duration, and scan volume is feasible.
A program devoted to perform the first in-vivo monochromatic breast computed tomography (BCT) is ongoing at the Elettra Synchrotron Facility. Since the synchrotron radiation provides high energy resolution and spatial coherence, phase-contrast (PhC) imaging techniques can be used. The latest high resolution BCT acquisitions of breast specimens, obtained with the propagation-based PhC approach, are herein presented as part of a wider framework, devoted to the optimization of acquisition and reconstruction parameters towards the clinical exam. Images are acquired with a state-of-the-art dead-time-free single-photon-counting CdTe detector with a 60 µm pixel size. The samples are imaged at 32 and 38 keV in continuous rotating mode, delivering 5-20 mGy of mean glandular dose (MGD). Contrast-to-noise ratio (CNR) and spatial resolution performances are evaluated for both absorption and phase-retrieved images considering tumor/adipose tissue interfaces. We discuss two different phase-retrieval approaches, showing that a remarkable CNR increase (from 0.5 to 3.6) can be obtained without a significant loss in spatial resolution. It is shown that, even if the non-phase-retrieved image has a poorer CNR, it is useful for evaluating the spiculation of a microcalcification: in this context, absorption and phase-retrieved images have to be regarded as complementary information. Furthermore, the first full volume acquisition of a mastectomy, with a 9 cm diameter and 3 cm height, is reported. This investigation on surgical specimens indicates that monochromatic BCT with synchrotron radiation in terms of CNR, spatial resolution, scan duration and scan volume is feasible.
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