A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Spectral CT with a Sparsely Sampled Silicon Strip Photon Counting Detector A. Sisniega1 W. J. W. Stayman1 J. Xu1, K. Taguchi2 E. Fredenberg3, M. Lundqvist3 J. H. Siewerdsen1,2 Zbijewski1, 1Dept .of Biomedical Engineering, Johns Hopkins University 2Dept. of Radiology, Johns Hopkins University 3Philips Women’s Healthcare, Solna, Sweden Acknowledgments The I-STAR Lab Imaging for Surgery, Therapy, and Radiology http://istar.jhu.edu Philips Healthcare Erik Fredenberg, Karl Berggren Funding Support NIH-AR-R21-062293 NIH-CA-2R01-112163 I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Sparse Sampling in CT Motivations for sparse sampling Dose or time reduction: repeat scans, near-real-time imaging Technical limitations: detector design, mechanical constraints Types of sparse sampling Sparse view sampling*: IGRT, C-arm Short scan protocols*: C-arm, application-specific scanners Detector gaps: Tiled and sparse detectors (CMOS, PCDs) Reconstruction gaps / Sparse angular sampling Conjugate rays Sinogram in-painting Consistency conditions Model-based reconstruction (MBR) Compressive sensing and related approaches Advanced regularization XI-Europe *J. Bian et al., PMB, 2010 Medpix2 Si-Strip Photon Counting CBCT Silicon strip PCD Philips MicroDose Si-strip PCD Mature technology High-quality - fast charge transport Low absorption – edge-on For example: MicroDose (Philips) Characterization 70 kVp (+ 2 mm Al + 0.2 mm Cu) 0.025 mGy/mAs (in-air) Modest energy resolution No pulse pileup within the exposure range I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) Philips Threshold=100 70 kVp, coincidence det. OFF Counts # Scanning-slot mammography Pre-collimator matched to PCD array (not shown) Two thresholds (DE) Coincidence detection in adjacent pixels pairs Minimizes charge sharing effects Edge-on creates large gaps in projection 70 kVp, coincidence det. ON 0 0.015 0.03 0.045 0.06 0.075 0.09 0.105 mAs/frame A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Sparse Sampling in CBCT Philips MicroDose Very sparse sampling in the projection domain Array of Si-strip detectors: 6 – 7 arrays per row Gap between detectors / rows: 2 – 5 mm Pixel size: 0.05 mm x 0.5 mm Detector size: 250 mm x 50 mm Overall fill factor: ~25 % Precollimator matched to detector matrix minimizes unnecessary patient dose vFOV = 5 cm Philips Microdose Continuous detector uFOV = 25 cm uFOV = 25 cm Scanning Trajectories Simulation Study Soft-tissue phantom with low contrast spherical inserts Inserts positioned randomly without overlap Insert diameter: 1 – 5 mm Scanning Trajectories Axial Scanning Helical Scanning Axial Scanning Pitch 1 – 10 Stacked circular trajectories Helical scanning 2 helical rotations Pitch range 0.065 (2.5 mm) – 0.65 (25.2 mm) Dz Dz Evaluation metrics Sampling density Number of samples per voxel Sampling uniformity Image fidelity Structural similarity index matrix: 𝑆𝑆𝐼𝑀 𝑥, 𝑦 = I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) (2𝜇𝑥𝜇𝑦 𝐶1)(2𝜎𝑥𝑦 +𝐶2) + 2 + 𝐶 )(𝜎 2 + 𝜎 2 + 𝐶 ) + 𝜇𝑦 𝑥 𝑦 1 2 (𝜇𝑥2 A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Image Reconstruction in Sparse Sampling Penalized likelihood (PL) 𝜇 = argmax 𝐿 𝜇; 𝑦 − 𝛽 ∙ 𝑅(𝜇) 𝜇 System Model (Likelihood) Smoothness Penalty (Regularization) Projection noise model Geometry + gaps “Optimal” use of projection samples Accommodates complex sampling patterns Sensors Assumptions on image smoothness Huber penalty Dominates in projection gaps Penalty map Penalty Strength (1) Constant across volume (2) Spatially varying Certainty-based* *Fessler & Rogers, TIP, 1996 Experimental Setup Data acquisition 40 kVp / 70 kVp + 1.6 mm Al, 5 mA Axial scanning: 360 projections / rotation Helical scanning: 720 projections (720o) Silicon-strip detector X-ray source u SDD = 65 cm v Evaluation of image quality Soft-tissue simulating phantom Gelatin background Spherical tissue-equivalent inserts Anthropomorphic phantom Natural skeleton (hand / wrist) Soft-tissue equivalent plastic Tissue equivalent inserts Bone, blood, adipose 1.5 – 12 mm I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) Helical stage Lateral stage Gelatin Background Polyethylene inserts Random positions 2 – 12 mm diameter A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Volumetric Spectral Photon Counting CT Iodine Three material decomposition (5 mg/mL) Water – Bone – Iodine 𝝁𝑳𝑬 𝒘𝒂𝒕𝒆𝒓 𝝁𝑯𝑬 𝒘𝒂𝒕𝒆𝒓 𝟏 𝝁𝑳𝑬 𝑰𝒐𝒅𝒊𝒏𝒆 𝝁𝑯𝑬 𝑰𝒐𝒅𝒊𝒏𝒆 𝟏 𝝁𝑳𝑬 𝒃𝒐𝒏𝒆 𝝁𝑯𝑬 𝒃𝒐𝒏𝒆 𝟏 𝒇𝒘𝒂𝒕𝒆𝒓 𝝁𝑳𝑬 𝒇𝑰𝒐𝒅𝒊𝒏𝒆 = 𝝁𝑯𝑬 𝒇𝒃𝒐𝒏𝒆 𝟏 Bone (100 mg/mL) PMMA Iodine (10 mg/mL) Calibration and evaluation Bone Evaluation of threshold position valid range Inter-pixel threshold position calibration Selection of optimal threshold position Maximum separation between materials (50 mg/mL) Evaluation Accuracy of concentration (RMSE) Material classification Iodine (5 mg/mL) Water Results: Axial Scanning 3 Rotations 1 Rotation Sampling Sampling Reconstruction I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) Reconstruction 6 Rotations Sampling Reconstruction A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Results: Helical Scanning Pitch 0.05 / 2.5 mm Pitch 0.22 / 10.8 mm Sampling Sampling Reconstruction Pitch 0.5 / 25.2 mm Sampling Reconstruction Reconstruction Scanning Trajectories: Axial vs Helical Sampling density Helical Normalized voxel samples Normalized voxel samples Axial Number of stacked rotations Helical Pitch I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Scanning Trajectories: Axial vs Helical Sampling density Axial Normalized voxel samples Normalized voxel samples Helical Number of stacked rotations Helical Pitch Scanning Trajectories: Axial vs Helical Sampling density Axial Normalized voxel samples Deviation from uniform sampling Helical Number of stacked rotations I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) Helical Pitch A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Effect of Penalty on Image Fidelity Constant b Spatially varying penalty Sagittal b=3 Coronal Sagittal b = 30 Coronal Sagittal b = 30 Sagittal Sagittal b = 60 Coronal Sagittal b = 60 Coronal SSIM Sagittal b = 120 Coronal Effect of Penalty on Image Fidelity Constant b Spatially varying penalty Sagittal b=3 b = 30 Coronal SSIM SSIM Coronal Sagittal Sagittal b = 30 Sagittal Sagittal b = 60 Sagittal b = 60 Coronal b b Coronal I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) Sagittal b = 120 Coronal SSIM A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Volumetric Photon Counting CT Gelatin phantom - Helical pitch = 0.28 (10.8 mm) Spatially varying penalty b = 100 b = 175 b = 500 b = 1000 mm-1 Volumetric Photon Counting CT Gelatin phantom - Helical pitch = 0.28 (10.8 mm) Spatially varying penalty b = 100 b = 175 I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) b = 500 b = 1000 mm-1 A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Volumetric Photon Counting CT Wrist - Helical pitch = 0.28 (10.8 mm) Axial Sagittal Coronal Spectral CT Calibration Material separation as a function of threshold position Iodine a Bone Soft tissue m low bin (mm-1) I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) Low Threshold = 60 a (deg) m high bin (mm-1) ROIs Low Threshold = 100 High Energy threshold mm-1 A. Sisniega et al. (presented at SPIE Medical Imaging 2015) Volumetric Spectral Photon Counting CT Material decomposition Calibration b = 100 0.62 0.03 b = 50 b = 100 b = 500 0.0 0.93 0.001 0.01 0.5 0.002 0.0 1.0 0.001 0.006 0.20 0.001 0.0 0.20 0.003 0.03 0.0 0.001 0.96 0.02 0.49 0.002 0.99 0.008 g/mL 0 0.12 0 0.01 Bone Iodine 0.0 0.04 0.48 0.002 Bone Iodine 0.48 0.001 1.0 0.006 0.0 0.05 1.0 0.006 0.61 0.001 0.73 0.001 Bone Iodine 1.0 0.008 Bone Iodine Conclusions Acquisition trajectories Sparse detector matrix Multi-axial and helical trajectories investigated to improve sampling Helical trajectories yielded superior sampling density (for equal # projections) Image reconstruction Model based reconstruction successfully compensated for sparse sampling Regularization strength affects image fidelity Spatially varying penalty strength further improved fidelity and helped to overcome irregularity in sampling density Dual-energy decomposition Three-material decomposition achieved for water, bone, and iodine Careful selection of PCD threshold parameter is required for proper material separation I-ISTAR Lab, Johns Hopkins University (www.jhu.edu/istar) 1.0 0.003 0.71 0.001
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