What is inverse-geometry CT?

X-ray source arrays for volumetric imaging during radiotherapy treatment

This work presents a novel hardware configuration for radiotherapy systems to enable fast 3D X-ray imaging before and during treatment delivery. Standard external beam radiotherapy linear accelerators (linacs) have a single X-ray source and detector located at ± 90° from the treatment beam respectively. The entire system can be rotated around the patient acquiring multiple 2D X-ray images to create a 3D cone-beam Computed Tomography (CBCT) image before treatment delivery to ensure the tumour and surrounding organs align with the treatment plan. Scanning with a single source is slow relative to patient respiration or breath holds and cannot be performed during treatment delivery, limiting treatment delivery accuracy in the presence of patient motion and excluding some patients from concentrated treatment plans that would be otherwise expected to have improved outcomes. This simulation study investigated whether recent advances in carbon nanotube (CNT) field emission source arrays, high frame rate (60 Hz) flat panel detectors and compressed sensing reconstruction algorithms could circumvent imaging limitations of current linacs. We investigated a novel hardware configuration incorporating source arrays and high frame rate detectors into an otherwise standard linac. We investigated four potential pre-treatment scan protocols that could be achieved in a 17 s breath hold or 2-10 1 s breath holds. Finally, we demonstrated for the first time volumetric X-ray imaging during treatment delivery by using source arrays, high frame rate detectors and compressed sensing. Image quality was assessed quantitatively over the CBCT geometric field of view as well as across each axis through the tumour centroid. Our results demonstrate that source array imaging enables larger volumes to be imaged with acquisitions as short as 1 s albeit with reduced image quality arising from lower photon flux and shorter imaging arcs.

Stationary computed tomography with source and detector in linear symmetric geometry: Direct filtered backprojection reconstruction

PURPOSE

Inverse-geometry computed tomography (IGCT) could have great potential in medical applications and security inspections, and has been actively investigated in recent years. In this work, we explore a special architecture of IGCT in a stationary configuration: symmetric-geometry computed tomography (SGCT), where the x-ray source and detector are linearly distributed in a symmetric design. A direct filtered backprojection (FBP)-type algorithm is developed to analytically reconstruct images from the SGCT projections.

METHODS

In our proposed SGCT system, a big number of x-ray source points equally distributed along a straight-line trajectory will sequentially fire in an ultra-fast manner in one side, and an equispaced detector whose total length is comparable to that of the source will continuously collect data in the opposite side, as the object to be scanned moves into the imaging plane. We firstly present the overall design of SGCT. An FBP-type reconstruction algorithm is then derived for this unique imaging configuration. With finite length of x-ray source and detector arrays, projection data from one segment of SGCT scan are insufficient for an exact reconstruction. As a result, in practical applications, dual-SGCT scan whose detector segments are placed perpendicular to each other, is of particular interest and is proposed. Two segments of SGCT together can make sure that the passing rays cover at least 180 degrees for each and every point if carefully designed. In general, however, there exists a data redundancy problem for a dual-SGCT. So a weighting strategy is developed to maximize the use of projection data collected while avoid image artifacts. In addition, we further extend the fan-beam SGCT to cone beam and obtain a Feldkamp-Davis-Kress (FDK)-type reconstruction algorithm. Finally, we conduct a set of experimental studies both in simulation and on a prototype SGCT system and validate our proposed methods.

RESULTS

A simulation study using the Shepp-Logan head phantom confirms that CT images can be exactly reconstructed from dual-SGCT scan and that our proposed weighting strategy is able to handle the data redundancy properly. Compared with the rebinning-to-parallel-beam method using the forward projection of an abdominal CT dataset, our proposed method is seen to be less sensitive to data truncation. Our algorithm can achieve 10.64 lp/cm of spatial resolution at 50% modulation transfer functions point, higher than that of the rebinning method which can only reach at 9.42 lp/cm even with extremely fine interpolation. Real experiments of a cylindrical object on a prototype SGCT further prove the effectiveness and practicability of the direct FBP method proposed, with similar level of noise performance to rebinning algorithm.

CONCLUSIONS

A new concept of SGCT with linearly distributed source and detector is investigated in this work, in which spinning of sources and detectors is no longer needed during data acquisition, simplifying its system design, development, and manufacturing. A direct FBP-type algorithm is developed for analytical reconstruction from SGCT projection data. Numerical and real experiments validate our method and show that exact CT image can be reconstructed from dual-SGCT scan, where data redundancy problem can be solved by our proposed weighting function.

Approaches to enhancing radiation safety in cardiovascular imaging: a scientific statement from the American Heart Association

Education, justification, and optimization are the cornerstones to enhancing the radiation safety of medical imaging. Education regarding the benefits and risks of imaging and the principles of radiation safety is required for all clinicians in order for them to be able to use imaging optimally. Empowering patients with knowledge of the benefits and risks of imaging will facilitate their meaningful participation in decisions related to their health care, which is necessary to achieve patient-centered care. Limiting the use of imaging to appropriate clinical indications can ensure that the benefits of imaging outweigh any potential risks. Finally, the continually expanding repertoire of techniques that allow high-quality imaging with lower radiation exposure should be used when available to achieve safer imaging. The implementation of these strategies in practice is necessary to achieve high-quality, patient-centered imaging and will require a shared effort and investment by all stakeholders, including physicians, patients, national scientific and educational organizations, politicians, and industry.

State-of-the-art in CT hardware and scan modes for cardiovascular CT

Multidetector row computed tomography (CT) allows noninvasive anatomic and functional imaging of the heart, great vessels, and coronary arteries. In recent years, there have been several advances in CT hardware, which have expanded the clinical utility of CT for cardiovascular imaging; such advances are ongoing. This review article from the Society of Cardiovascular Computed Tomography Basic and Emerging Sciences and Technology Working Group summarizes the technical aspects of current state-of-the-art CT hardware and describes the scan modes this hardware supports for cardiovascular CT imaging.