Tutorial on X-ray photon counting detector characterization

Performance evaluation of single- and dual-contrast spectral imaging on a photon-counting-detector CT

BACKGROUND

The first commercially available photon-counting-detector CT (PCD-CT) has been introduced for clinical use. However, its spectral performance on single- and dual-contrast imaging tasks has not been comprehensively assessed.

PURPOSE

To evaluate the spectral imaging performance of a clinical PCD-CT system for single-contrast material [iodine (I) or gadolinium (Gd)] and dual-contrast materials (I and Gd) in comparison with a dual-source dual-energy CT (DS-DECT).

METHODS

Iodine (5, 10, and 15 mg/mL) and gadolinium (3.3, 6.6, and 9.9 mg/mL) samples, and their mixtures (I/Gd: 5/3.3 and 10/6.6 mg/mL) were prepared and placed in two torso-shaped water phantoms (lateral dimensions: 30 and 40 cm). These phantoms were scanned on a PCD-CT (NAEOTOM Alpha, Siemens) at 90, 120, and 140 kV. The same phantoms were scanned on a DS-DECT (SOMATOM Force, Siemens) with 70/Sn150, 80/Sn150, 90/Sn150, and 100/Sn150 kV. The radiation dose levels were matched [volume CT dose index (CTDIvol): 10 mGy for the 30 cm phantom and 20 mGy for the 40 cm phantom] across all tube voltage settings and between scanners. Two-material decomposition (I/water or Gd/water) was performed on iodine or gadolinium samples, and three-material decomposition (I/Gd/water) on both individual samples and mixtures. On each decomposed image, mean mass concentration (± standard deviation) was measured in circular region-of-interests placed on the contrast samples. Root-mean-square-error (RMSE) values of iodine and gadolinium concentrations were reported based on the measurements across all contrast samples and repeated on 10 consecutive slices.

RESULTS

For all material decomposition tasks on the DS-DECT, the kV pairs with greater spectral separation (70/Sn150 kV and 80/Sn150 kV) yielded lower RMSE values than other DS-DECT and PCD-CT alternatives. Specifically, for the optimal 70/Sn150 kV, RMSE values were 1.2 ± 0.1 mg/mL (I) for I/water material decomposition, 1.0 ± 0.1 mg/mL (Gd) for Gd/water material decomposition, and 4.5 ± 0.2 mg/mL (I) and 3.7 ± 0.2 mg/mL (Gd), respectively, for I/Gd/water material decomposition. On the PCD-CT, the optimal tube voltages were 120 or 140 kV for I/water decomposition with RMSE values of 2.0 ± 0.1 mg/mL (I). For Gd/water decomposition on PCD-CT, the optimal tube voltage was 140 kV with gadolinium RMSE values of 1.5 ± 0.1 mg/mL (Gd), with the 90 kV setting on PCD-CT generating higher RMSE values for gadolinium concentration compared to all DS-DECT and PCD-CT alternatives. For three material decomposition, both imaging modalities demonstrated substantially higher RMSE values for iodine and gadolinium, with 90 kV being the optimal tube potential for Gd/I quantitation on PCD-CT [5.4 ± 0.3 mg/mL (I) and 3.9 ± 0.2 mg/mL (Gd)], and DS-DECT at 100/Sn150 kV having larger RMSE values for both materials compared to the alternatives for either modality.

CONCLUSION

Optimal tube voltage for material decomposition on the clinical PCD-CT is task-dependent but inferior to DS-DECT using 70/Sn150 kV or 80/Sn150 kV in two-material decomposition for single-contrast imaging (iodine/water or gadolinium/water). Three material decomposition (iodine/gadolinium/water) in dual-contrast imaging yields substantially higher RMSE for both imaging platforms.

Technical principles, benefits, challenges, and applications of photon counting computed tomography in coronary imaging: a narrative review

Background and Objective

The introduction of photon-counting computed tomography (PCCT) represents the most recent groundbreaking advancement in clinical computed tomography (CT). PCCT has the potential to overcome the limitations of traditional CT and to provide new quantitative imaging information. This narrative review aims to summarize the technical principles, benefits, and challenges of PCCT and to provide a concise yet comprehensive summary of the applications of PCCT in the domain of coronary imaging.

Methods

A review of PubMed, Scopus, and Google Scholar was performed until October 2023 by using relevant keywords. Articles in English were considered.

Key Content and Findings

The main advantages of PCCT over traditional CT are enhanced spatial resolution, improved signal and contrast characteristics, diminished electronic noise and image artifacts, lower radiation exposure, and multi-energy capability with enhanced material discrimination. These key characteristics have made room for improved assessment of plaque volume and severity of stenosis, more precise assessment of coronary artery calcifications, also preserved in the case of a reduced radiation dose, improved assessment of plaque composition, possibility to provide details regarding the biological processes occurring within the plaque, enhanced quality and accuracy of coronary stent imaging, and improved radiomic analyses.

Conclusions

PCCT can significantly impact diagnostic and clinical pathways and improve the management of patients with coronary artery diseases (CADs).

Evaluating spectral performance for quantitative contrast-enhanced breast CT with a GaAs based photon counting detector: a simulation approach

Quantitative contrast-enhanced breast computed tomography (CT) has the potential to improve the diagnosis and management of breast cancer. Traditional CT methods using energy-integrated detectors and dual-exposure images with different incident spectra for material discrimination can increase patient radiation dose and be susceptible to motion artifacts and spectral resolution loss. Photon Counting Detectors (PCDs) offer a promising alternative approach, enabling acquisition of multiple energy levels in a single exposure and potentially better energy resolution. Gallium arsenide (GaAs) is particularly promising for breast PCD-CT due to its high quantum efficiency and reduction of fluorescence x-rays escaping the pixel within the breast imaging energy range. In this study, the spectral performance of a GaAs PCD for quantitative iodine contrast-enhanced breast CT was evaluated. A GaAs detector with a pixel size of 100μm, a thickness of 500μm was simulated. Simulations were performed using cylindrical phantoms of varying diameters (10 cm, 12 cm, and 16 cm) with different concentrations and locations of iodine inserts, using incident spectra of 50, 55, and 60 kVp with 2 mm of added aluminum filtration and and a mean glandular dose of 10 mGy. We accounted for the effects of beam hardening and energy detector response using TIGRE CT open-source software and the publicly available Photon Counting Toolkit (PcTK). Material-specific images of the breast phantom were produced using both projection and image-based material decomposition methods, and iodine component images were used to estimate iodine intake. Accuracy and precision of the proposed methods for estimating iodine concentration in breast CT images were assessed for different material decomposition methods, incident spectra, and breast phantom thicknesses. The results showed that both the beam hardening effect and imperfection in the detector response had a significant impact on performance in terms of Root Mean Squared Error (RMSE), precision, and accuracy of estimating iodine intake in the breast. Furthermore, the study demonstrated the effectiveness of both material decomposition methods in making accurate and precise iodine concentration predictions using a GaAs-based photon counting breast CT system, with better performance when applying the projection-based material decomposition approach. The study highlights the potential of GaAs-based photon counting breast CT systems as viable alternatives to traditional imaging methods in terms of material decomposition and iodine concentration estimation, and proposes phantoms and figures of merit to assess their performance.

Evaluation of a Large Area, 83 μm Pixel Pitch Amorphous Selenium Indirect Flat Panel Detector

Dual-layer detectors provide a low-cost solution to improved material decomposition and lesion differentiation in X-ray imaging, while eliminating motion artifacts from multiple exposures. Most designs utilize two indirect detectors with scintillators designed for low-energy and higher-energy detection and separated by a copper filter to harden the beam for high energy detection. To improve the performance of the bottom detector and lower dose requirements, we have previously proposed an alloyed amorphous selenium photodetector to achieve improved resolution and absorption at green wavelengths, better suited to high-performance scintillators such as CsI:Tl. In this work, we demonstrate a baseline prototype for the bottom layer-a continuous, large area 83 μm pixel pitch flat panel indirect detector with well-established amorphous selenium as the photodetector-and verify the architecture's performance and detector design. We characterize lag, noise-power spectrum, detective quantum efficiency, and modular transfer function of the detector, and show resolution up to 6 lp/mm when operated at an applied bias of 150 V. This provides a starting point for evaluating the alloyed selenium materials, and shows promise for this detector in the future dual-layer design.

Micro-CT imaging of multiple K-edge elements using GaAs and CdTe photon counting detectors

Objective.To evaluate the performance of two photon-counting (PC) detectors based on different detector materials, gallium arsenide (GaAs) and cadmium telluride (CdTe), for PC micro-CT imaging of phantoms with multiple contrast materials. Another objective is to determine if combining these two detectors in the same micro-CT system can offer higher spectral performance and significant artifact reduction compared to a single detector system.Approach. We have constructed a dual-detector, micro-CT system equipped with two PCDs based on different detector materials: gallium arsenide (GaAs) and cadmium telluride (CdTe). We demonstrate the performance of these detectors for PC micro-CT imaging of phantoms with up to 5 contrast materials with K-edges spread across the x-ray spectrum ranging from iodine with a K-edge at 33.2 keV to bismuth with a K-edge at 90.5 keV. We also demonstrate the use of our system to image a mouse prepared with both iodine and bismuth contrast agents to target different biological systems.Main results.When using the same dose and scan parameters, GaAs shows increased low energy (<50 keV) spectral sensitivity and specificity compared to CdTe. However, GaAs performance at high energies suffers from spectral artifacts and has comparatively low photon counts indicating wasted radiation dose. We demonstrate that combining a GaAs-based and a CdTe-based PC detector in the same micro-CT system offers higher spectral performance and significant artifact reduction compared to a single detector system.Significance.More accurate PC micro-CT using a GaAs PCD alone or in combination with a CdTe PCD could serve for developing new contrast agents such as nanoparticles that show promise in the developing field of theranostics (therapy and diagnostics).

A novel multi-view X-ray digital imaging stitching algorithm

BACKGROUND

In fan beam X-ray imaging applications, several X-ray images sometimes need to be stitched together into a panoramic image because of the size limitations of the detector.

OBJECTIVE

This study aims to propose a novel multi-view X-ray digital imaging stitching algorithm (MVS) based on the CdZnTe photon counting linear array detectors to solve the problem of fan beam X-ray stitching deformation.

METHODS

The panoramic image is generated in four steps including (1) multi-view projection data acquisition, (2) overlapping positioning, (3) weighted fusion and (4) projected pixel value calculation. Images of a globe and foot are scanned by fan beam X-rays and a CdZnTe detector. The proposed method is applied to stitch together the scanned images of the globe. Three other methods are also used for comparison. Finally, this MVS algorithm is also used in the stitching of scanned images of the foot.

RESULTS

Compared with the 50% stitching accuracy of other methods, the new MVS algorithm reached a stitching accuracy of 94.4%. Image distortion on the globe and feet is also eliminated and thus image quality is significantly improved.

CONCLUSIONS

This study proposes a new multi-view X-ray digital imaging stitching algorithm. Study results demonstrate the superiority of this new algorithm and its feasibility in practical applications.

[A Method to Obtain a Sheet-like X-ray Phantom Made from Iodine Contrast Agent]

PURPOSE

A sheet-like X-ray phantom on which thin Iodine is uniformly coated was developed to facilitate the handling of iodined objects used in any X-ray imaging studies.

METHODS

The most recommendable protocol as follows: (1) prepare undiluted 240 mg/ml Iohexol-based contrast agent and drop around 1.6 g on a horizontal surface. (2) infiltrate the agent into a membrane filter (47 mm in diameter) from the secondary side. (3) one minute later, the excess liquid components should be removed by a softy absorbent paper, and the infiltrated membrane filter should be left until substantially dried.

RESULT

The dried membrane filter can be utilized as a sheet-like X-ray phantom on which the iodine of around 2.45 mg is almost uniformly distributed per 1 cm². However, since the iodine density is slightly higher on the periphery part of the sheet, less than 80% area of the entire sheet is recommended to be used from a viewpoint of the spatial uniformity.

CONCLUSION

In the practical experiments, the X-ray attenuation factor can be controlled by changing the stacking number of the sheet, and the spatial size and form can also be designed by cutting the sheet. This capability is expected to improve the efficiency of any X-ray experiments and quality control works that requires iodined materials.

Simultaneous dual-contrast imaging using energy-integrating-detector multi-energy CT: An in vivo feasibility study

PURPOSE

To demonstrate the feasibility of simultaneous dual-contrast imaging in a large animal using a newly developed dual-source energy-integrating-detector (EID) based multi-energy computed tomography (MECT) system.

METHODS

Two imaging tasks that may have potential clinical applications were investigated: head/neck (HN) CT angiography (CTA)/CT venography (CTV) with iodine and gadolinium, and small bowel imaging with iodine and bismuth in domestic swine. Dual-source x-ray beam configurations of 70 kV+Au120/Sn120 kV and 70 kV+Au140/Sn140 kV were used for the HN-CTA/CTV and small bowel imaging studies, respectively. A test bolus scan was performed for each study. The ROIs in the carotid artery and jugular vein for HN-CTA/CTV imaging and abdominal aorta for small bowel imaging were used to determine the time-attenuation curves, based on which the timing for contrast injection and the CT scan was determined. In the HN-CTA/CTV study, a MECT scan was performed at the time point corresponding to the optimal arterial enhancement by iodine and the optimal venous enhancement by gadolinium. In the small bowel imaging study, A MECT scan was performed at the optimal time point to simultaneously capture the mesenteric arterial enhancement of iodine and the enteric enhancement of bismuth. Image-based material decomposition was performed to decompose different materials for each study. To quantitatively characterize contrast material separation and misclassification, two ROIs on left common carotid artery and left internal jugular vein in HN-CTA/CTV imaging and three ROIs on superior mesenteric artery, ileal lumen, and collapsed ileum (ileal wall) in small bowel imaging were placed to measure the mean concentration values and the standard deviations.

RESULTS

In the HN-CTA/CTV study, common carotid arteries containing iodine and internal/external jugular veins containing gadolinium were clearly delineated from each other. Fine vessels such as cephalic veins and branches of external jugular veins were noticeable but clear visualization was hindered by image noise in gadolinium-specific (CTV) images, as reviewed by a neuro radiologist. In the small bowel imaging study, the mesenteric arteries and collapsed bowel wall containing iodine and the small bowel loops containing bismuth were clearly distinctive from each other in the iodine- and bismuth-specific images after material decomposition, as reviewed by an abdominal radiologist. Quantitative analyses showed that the misclassifications between the two contrast materials were less than 1.7 mg/mL and 0.1 mg/mL for CTA/CTV and small bowel imaging studies, respectively.

CONCLUSIONS

Feasibility of simultaneous CTA/CTV imaging in head and neck with iodine and gadolinium and simultaneous imaging of arterial and enteric phases of small bowel with iodine and bismuth, using a dual-source EID-MECT system, was demonstrated in a swine study. Compared to iodine and gadolinium in CTA/CTV, better delineation and classification of iodine and bismuth in small bowel imaging were achieved mainly due to wider separation between the corresponding two K-edge energies. This article is protected by copyright. All rights reserved.

Evaluation and comparison of a CdTe based photon counting detector with an energy integrating detector for X-ray phase sensitive imaging of breast cancer

PURPOSE

To compare imaging performance of a cadmium telluride (CdTe) based photon counting detector (PCD) with a CMOS based energy integrating detector (EID) for potential phase sensitive imaging of breast cancer.

METHODS

A high energy inline phase sensitive imaging prototype consisting of a microfocus X-ray source with geometric magnification of 2 was employed. The pixel pitch of the PCD was 55μm, while 50μm for EID. The spatial resolution was quantitatively and qualitatively assessed through modulation transfer function (MTF) and bar pattern images. The edge enhancement visibility was assessed by measuring edge enhancement index (EEI) using the acrylic edge acquired images. A contrast detail (CD) phantom was utilized to compare detectability of simulated tumors, while an American College of Radiology (ACR) accredited phantom for mammography was used to compare detection of simulated calcification clusters. A custom-built phantom was employed to compare detection of fibrous structures. The PCD images were acquired at equal, and 30% less mean glandular dose (MGD) levels as of EID images. Observer studies along with contrast to noise ratio (CNR) and signal to noise ratio (SNR) analyses were performed for comparison of two detection systems.

RESULTS

MTF curves and bar pattern images revealed an improvement of about 40% in the cutoff resolution with the PCD. The excellent spatial resolution offered by PCD system complemented superior detection of the diffraction fringes at boundaries of the acrylic edge and resulted in an EEI value of 3.64 as compared to 1.44 produced with EID image. At equal MGD levels (standard dose), observer studies along with CNR and SNR analyses revealed a substantial improvement of PCD acquired images in detection of simulated tumors, calcification clusters, and fibrous structures. At 30% less MGD, PCD images preserved image quality to yield equivalent (slightly better) detection as compared to the standard dose EID images.

CONCLUSION

CdTe-based PCDs are technically feasible to image breast abnormalities (low/high contrast structures) at low radiation dose levels using the high energy inline phase sensitive imaging technique.

Energy-integrating-detector multi-energy CT: Implementation and a phantom study

PURPOSE

Multi-energy computed tomography (MECT) has a great potential to enable many novel clinical applications such as simultaneous multi-contrast imaging. The purpose of this study was to implement triple-beam MECT on a traditional energy-integrating-detector (EID) CT platform (EID-MECT).

METHODS

This was accomplished by mounting a z-axis split-filter (0.05 mm Au, 0.6 mm Sn) on Tube A of a dual-source EID CT scanner. With the two split x-ray beams from Tube A and the third beam from Tube B, three beams with different x-ray spectra can be simultaneously acquired. With Tube B operated at 70 or 80 kV and Tube A at 120 or 140 kV, four different triple-beam configurations were calibrated for MECT measurements: 70/Au120/Sn120, 80/Au120/Sn120, 70/Au140/Sn140, and 80/Au140/Sn140 kV. Iodine (I), gadolinium (Gd), bismuth (Bi) samples, and their mixtures were prepared for 2 three-material-decomposition tasks and 1 four-material-decomposition task. For each task, samples were placed in a water phantom and scanned using each of the four triple-beam configurations. For comparison, the same phantom was also scanned using three other dual-energy CT (DECT) or MECT technologies: twin-beam DECT (TB-DECT), dual-source DECT (DS-DECT), and photon-counting-detector CT (PCD-CT), all with optimal x-ray spectrum settings and at equal volume CT dose index (CTDIvol). The phantom for four-material decomposition (I/Gd/Bi/Water imaging) was scanned using the PCD-CT only (140 kV with 25, 50, 75, and 90 keV). Image-based material decomposition was performed to acquire material-specific images, on which the mean basis material concentrations and noise levels were measured and compared across all triple-beam configurations in EID-MECT and various DECT/MECT systems.

RESULTS

The optimal triple-beam configuration was task-dependent with 70/Au120/Sn120, 70/Au140/Sn140, and 70/Au120/Sn120 kV for I/Gd/Water, I/Bi/Water, and I/Gd/Bi/Water material decomposition tasks, respectively. At equal radiation dose level, EID-MECT provided comparable or better quantification accuracy in material-specific images for all three material decomposition tasks, compared to EID-based DECT and PCD-CT systems. In terms of noise level comparison, EID-MECT-derived material-specific images showed lower noise levels than TB-DECT and DS-DECT, but slightly higher than that from PCD-CT in I/Gd/Water imaging. For I/Bi/Water imaging, EID-MECT showed a comparable noise level to DS-DECT, and a much lower noise level than TB-DECT and PCD-CT in all material-specific images. For the four-material decomposition task involving I/Gd/Bi/Water, the bismuth-specific image derived from EID-MECT was slightly noisier, but both iodine- and gadolinium-specific images showed much lower noise levels in comparison to PCD-CT.

CONCLUSIONS

For the first time, an EID-based MECT system that can simultaneously acquire three x-ray spectra measurements was implemented on a clinical scanner, which demonstrated comparable or better imaging performance than existing DECT and MECT systems.

Dual-energy phase retrieval algorithm for inline phase sensitive x-ray imaging system

Phase retrieval is vital for quantitative x-ray phase contrast imaging. This work presents an iterative method to simultaneously retrieve the x-ray absorption and phase images from a single x-ray exposure. The proposed approach uses the photon-counting detectors' energy-resolving capability in providing multiple spectrally resolved phase contrast images from a single x-ray exposure. The retrieval method is derived, presented, and experimentally tested with a multi-material phantom in an inline phase contrast imaging setup. By separating the contributions of photoelectric absorption and Compton scattering to the attenuation, the authors divide the phase contrast image into two portions, the attenuation map arises from photoelectric absorption and a pseudo phase contrast image generated by electron density. This way one can apply the Phase Attenuation Dualiby (PAD) algorithm and Fresnel propagation for the iteration. The retrieval results from the experimental images show that this iterative method is fast, accurate, robust against noise, and thus yields noticeable enhancement in contrast to noise ratios.

Characterization of a GaAs photon-counting detector for mammography

Purpose: The purpose of this study was to evaluate the potential of a prototype gallium arsenide (GaAs) photon-counting detector (PCD) for imaging of the breast. Approach: First, the contrast-to-noise ratio (CNR) using different aluminum/poly(methyl methacrylate) (PMMA) phantoms of different thicknesses were measured. Second, microcalcification detection accuracy using a receiver operating characteristic study with three observers reading an ensemble of images was measured. Finally, the feasibility of using a GaAs system with two energy bins for contrast-enhanced mammography was investigated. Results: For the first two studies, the GaAs detector was compared with a commercial mammography system. The CNR was estimated by imaging 18-, 36-, and 110 - μ m -thick aluminum targets placed on top of 6 cm of PMMA plates and was found to be similar or better over a range of exposures. We observed a similar performance of detecting microcalcifications with the GaAs detector over a range of clinically applicable dose levels with a small increase at lower dose levels. The results also showed that contrast-enhanced spectral mammography using a GaAs PCD is feasible and beneficial. Conclusions: Results from this study suggest that performance with this new detector seems either slightly improved or equivalent to a commercial mammography system that used an energy-integrated detector. No attempt at optimizing exposure techniques for the GaAs detector was performed. Further research is needed to determine optimal acquisition parameters for the GaAs detector and to develop more sophisticated material decomposition algorithms that promise to provide improved quantitative estimates of iodine uptake.

Accurate contrast determination for X-ray speckle visibility spectroscopy

X-ray speckle visibility spectroscopy using X-ray free-electron lasers has long been proposed as a probe of fast dynamics in noncrystalline materials. In this paper, numerical modeling is presented to show how the data interpretation of visibility spectroscopy can be impacted by the nonidealities of real-life X-ray detectors. Using simulated detector data, this work provides a detailed analysis of the systematic errors of several contrast extraction algorithms in the context of low-count-rate X-ray speckle visibility spectroscopy and their origins are discussed. Here, it was found that the finite detector charge cloud and pixel size lead to an unavoidable `degeneracy' in photon position determination, and that the contrasts extracted using different algorithms can all be corrected by a simple linear model. The results suggest that experimental calibration of the correction coefficient at the count rate of interest is possible and essential. This allows computationally lightweight algorithms to be implemented for on-the-fly analysis.

Radiation dose efficiency of multi-energy photon-counting-detector CT for dual-contrast imaging

Compared to traditional multi-scan single-energy CT (SECT), one potential advantage of single-scan multi-energy CT (MECT) proposed for simultaneous imaging of multiple contrast agents is the radiation dose reduction. This phantom study aims to rigorously evaluate whether the radiation dose can truly be reduced in a single-scan MECT protocol (MECT_1s) in biphasic liver imaging with iodine and gadolinium, and small bowel imaging with iodine and bismuth, compared to traditional two-scan SECT protocols (SECT_2s). For MECT_1s, mixed iodine/gadolinium samples were prepared corresponding to late arterial/portal-venous phase for biphasic liver imaging. Mixed iodine/bismuth samples were prepared representing the arterial/enteric enhancement for small bowel imaging. For SECT_2s, separate contrast samples were prepared to mimic separate scans in arterial/venous phase and arterial/enteric enhancement. Samples were placed in a 35 cm wide water phantom and scanned by a research whole-body photon-counting-detector-CT (PCD-CT) system ('chess' mode). MECT images were acquired with optimized kV/threshold settings for each imaging task, and SECT images were acquired at 120 kV. Total CTDIvol was matched for the two protocols. Image-based three-material decomposition was employed in MECT_1s to determine the basis material concentration values, which were converted to CT numbers at 120 kV (i.e. virtual SECT images) to compare with the SECT images directly acquired with SECT_2s. The noise difference between the SECT and the virtual SECT images was compared to evaluate the dose efficiency of MECT_1s. Compared to SECT_2s, MECT_1s was not dose efficient for both imaging tasks. The amount of noise increase is highly task dependent, with noise increased by 203%/278% and 110%/82% in virtual SECT images for iodine/gadolinium and iodine/bismuth quantifications, respectively, corresponding to dose increase by 819%/1328% and 340%/230% in MECT_1s to achieve the same image noise level. MECT with the current PCD-CT technique requires higher radiation dose than SECT to achieve the same image quality.

Quantitative accuracy and dose efficiency of dual-contrast imaging using dual-energy CT: a phantom study

PURPOSE

To evaluate the quantitative accuracy and dose efficiency of simultaneous imaging of two contrast agents using dual-energy computed tomography (DECT), two imaging tasks each representing one potential clinical application were investigated in a phantom study: biphasic liver imaging with iodine and gadolinium, and small bowel imaging with iodine and bismuth.

METHODS

To separate and quantify mixtures of two contrast agents using a single DECT scan, mixed iodine and gadolinium samples were prepared with the contrast enhancement values corresponding to the late arterial (iodine) and the portal-venous (gadolinium) phase for biphasic liver imaging. Mixed iodine and bismuth samples were prepared mimicking the arterial (iodine) and the enteric (bismuth) enhancement for small bowel imaging. For comparison to the reference condition of performing two single-energy CT (SECT) scans, contrast samples were prepared separately to mimic separate scans in the arterial/venous phase and arterial/enteric enhancement. Samples were placed in a 35 cm wide water tank and scanned using a third-generation dual-source DECT scanner with three tube potential pairs: 80/Sn150, 90/Sn150, and 100/Sn150 kV, all with default dose partitioning between two x-ray beams to acquire DECT data. The same scanner operated in a single-energy mode acquired SECT data (120 kV). Total radiation dose (CTDIvol) was matched for the single-scan DECT and the two-scan SECT protocols. The DECT protocol was followed by a generic image-based three-material decomposition method to determine the material-specific images, based on which concentrations of each basis material were quantified and noise levels were measured. To compare with the SECT images directly acquired with the SECT protocol, the concentration values in each contrast-specific image were converted to CT numbers at 120 kV (i.e., virtual SECT (vSECT) images). The noise level and noise power spectra differences between the SECT and vSECT images were compared to evaluate the dose efficiency of the single-scan DECT protocol. The impact of dose partitioning in the DECT protocol on quantitative dual-contrast imaging performance was also studied.

RESULTS

For each imaging task, contrast materials were accurately quantified against the nominal concentrations using the DECT data with strong correlation (R²  ≥ 0.98 for both imaging tasks). Compared to the SECT protocol, the DECT protocol was not dose efficient. With the optimal x-ray tube potential pair 80/Sn150 kV, the noise level in vSECT images increased by 401%/488% (arterial/portal-venous) for the biphasic liver imaging task and by 10%/41% (arterial/enteric) for the small bowel imaging task compared to that in SECT images. The corresponding radiation dose increase is 2410%/3357% for the biphasic liver imaging task and 21%/99% for the small bowel imaging task, respectively, to achieve the same noise as that in SECT images. This could be improved by adjusting the dose partitioning in DECT.

CONCLUSIONS

DECT can be used to simultaneously separate and quantify two contrast materials. However, compared to a two-scan SECT protocol, much higher radiation dose is needed in a single-scan DECT protocol to achieve the same image noise, especially for tasks involving the dual contrast of iodine and gadolinium.

Image quality assessment of a photon counting detector in x-ray projection imaging

The recent advancements in the photon counting detection have created a significant growing research interest in the x-ray imaging. It is essential to objectively understand the image quality parameters of a photon counting detector before developing imaging applications. In this work, we have assessed the imaging quality of a cadmium telluride (CdTe) based PCD in projection imaging mode. The detector is 70.4 mm × 6.6 mm dimensions. The detector has a pixel array of 64×4 with a pixel pitch of 1.1 mm×1.65 mm. With each pixel having 4 channels in its corresponding ASIC, this PCD can create three bin images from a single projection. With a microfocus x-ray source, the imaging quality in each bin image was measured in terms of the spatial resolution, noise, and contrast to noise ratio (CNR). We used 70 kV, 50μA, 10 s (0.5mAs) with 0.5mm thick aluminum (Al) filter for the acquisition of each image. The MTF curves indicated that the spatial resolution for the bin-1, bin-2, and bin-3 was almost identical. The NNPS curves indicated that the noise in bin 1 and bin 2 images was almost the same for all frequencies while bin 3 image had relatively less noise. The CNR analyses showed that the bin-1 image had the highest CNR. As the flux was increased from 0.5 to 1 mAs, the number of detected counts also increased that resulted in the CNR increase. Beyond this flux, the pulse pileup occurred due to which multiple counts were read as single that resulted in few detected counts and lower CNR. The knowledge of the spatial resolution, noise, and CNR in terms of energy binning allows the determination and optimization of imaging techniques necessary for various applications.

Impact of prior information on material decomposition in dual- and multienergy computed tomography

Prior information is often included in the basis material decomposition to solve the quantification problem of three-material mixtures in dual-energy computed tomography (DECT). Multienergy computed tomography (MECT) with more than two energy bins can provide a sufficient solution to this problem without invoking additional prior information. However, a question remains as to whether the prior information should still be included in the material decomposition process using MECT to improve the quantification accuracy and control noise amplification. This study aims to evaluate the impact of the prior information on noise and quantification bias in both DECT and MECT. The material decomposition tasks we used in this study are to quantify water/iodine, water/iodine/gadolinium, and water/ iodine/calcium in two- and three-material decompositions, under the assumption that the object to be decomposed consists of the basis materials and their mixtures. We performed phantom simulation and experimental studies using a clinical DECT system and a research photon-counting-detector-based MECT system. Results in the current phantom studies show that the prior information can still improve the noise performance without substantially affecting the basis material quantitative accuracy during the material decomposition process, even when the number of x-ray energy beams/bins is equal or greater than the number of basis materials.

Three-Material Decomposition in Multi-energy CT: Impact of Prior Information on Noise and Bias

In order to perform material decomposition for a three-material mixture, dual-energy CT (DECT) has to incorporate an additional condition, typically the prior information related to certain physical constraints such as volume or mass conservation. With the introduction of photon-counting CT and other multi-energy CT (MECT) platform, more than 2 energy bins can be simultaneously acquired, which in principle can solve a three-material problem without the need of additional prior information. The purpose of this work was to investigate the impact of prior information on noise and bias properties of three-material decomposition in both DECT and MECT, and to evaluate if the prior information is still needed in MECT. Computer simulation studies were performed to compare basis image noise and quantification accuracy among DECT with prior information, and MECT with/without prior information. For given spectral configurations, the simulation results showed that significant noise reductions can be achieved in all the basis material images when prior information was included in the material decomposition process. Compared to DECT with prior information, MECT (N=3) with prior information had slightly better noise performance due to additional beam measurement and well preserved spectral separation. In addition, when wrong prior information ([-2.0%, 2.0%]) was intentionally introduced, the quantification accuracy evaluated by root-mean-square-error (RMSR) using MECT with prior information was less than 1.5mg/cc for gadolinium quantification and 1.2mg/cc for iodine quantification.

Investigation of maximum a posteriori probability expectation-maximization for image-based weighting spectral X-ray CT image reconstruction

Development of spectral X-ray computer tomography (CT) equipped with photon counting detector has been recently attracting great research interest. This work aims to improve the quality of spectral X-ray CT image. Maximum a posteriori (MAP) expectation-maximization (EM) algorithm is applied for reconstructing image-based weighting spectral X-ray CT images. A spectral X-ray CT system based on the cadmium zinc telluride photon counting detector and a fat cylinder phantom were simulated. Comparing with the commonly used filtered back projection (FBP) method, the proposed method reduced noise in the final weighting images at 2, 4, 6 and 9 energy bins up to 85.2%, 87.5%, 86.7% and 85%, respectively. CNR improvement ranged from 6.53 to 7.77. Compared with the prior image constrained compressed sensing (PICCS) method, the proposed method could reduce noise in the final weighting images by 36.5%, 44.6%, 27.3% and 18% at 2, 4, 6 and 9 energy bins, respectively, and improve the contrast-to-noise ratio (CNR) by 1.17 to 1.81. The simulation study also showed that comparing with the FBP and PICCS algorithms, image-based weighting imaging using MAP-EM statistical algorithm yielded significant improvement of the CNR and reduced the noise of the final weighting image.