The influence of large x-ray scatter components in projection images remains a problem for digital breast tomosynthesis,
especially when anti-scatter grids may not be used because of dose limitation and possible source/detector
geometric limitations. Monte-Carlo simulation of scatter fits better in this situation, but the heavy computational
cost hinders its clinical application. To simplify scatter estimation, scatter is often assumed to be smooth.
However, scatter is not spatial invariant across a projection image, and where and to what degree the smoothness
could be claimed and utilized is unclear. In this study, we investigated this question via multi-resolution
analysis based on two experiments: one with direct measurements of scatter profiles in the projection images
of an anthropomorphic breast phantom; the other with scatter map obtained from Monte-Carlo simulation that
used a voxelized breast model as input. We applied 1D and 2D wavelet-based multi-resolution analyses to the
scatter profiles and maps. The first experiment indicated that a reduced number of scatter data points that
matches the true data can be extracted from densely sampled but noisy scatter profiles: a data reduction rate
of 64-128 was achieved at the inner region of the phantom, suggesting that the slowly changing scatter may be
obtained at lower sampling distances of 9.0-17.9 mm. Near the edge of the phantom a data reduction rate of 8
was achieved, corresponding to a sampling distance of 2.2 mm. Similar observations were made from the second
experiment.
Since the introduction of ASiR, its potential in noise reduction has been reported in various clinical applications.
However, the influence of different scan and reconstruction parameters on the trade off between ASiR's blurring
effect and noise reduction in low contrast imaging has not been fully studied. Simple measurements on low
contrast images, such as CNR or phantom scores could not explore the nuance nature of this problem. We
tackled this topic using a method which compares the performance of ASiR in low contrast helical imaging
based on an assumed filter layer on top of the FBP reconstruction. Transfer functions of this filter layer were
obtained from the noise power spectra (NPS) of corresponding FBP and ASiR images that share the same scan
and reconstruction parameters. 2D transfer functions were calculated as sqrt[NPSASiR(u, v)/NPSFBP(u, v)].
Synthesized ACR phantom images were generated by filtering the FBP images with the transfer functions of
specific (FBP, ASiR) pairs, and were compared with the ASiR images. It is shown that the transfer functions
could predict the deterministic blurring effect of ASiR on low contrast objects, as well as the degree of noise
reductions. Using this method, the influence of dose, scan field of view (SFOV), display field of view (DFOV),
ASiR level, and Recon Mode on the behavior of ASiR in low contrast imaging was studied. It was found that
ASiR level, dose level, and DFOV play more important roles in determining the behavior of ASiR than the other
two parameters.
Volumetric breast density was evaluated using a simulated cone beam breast CT with 80 kVp. The
breast was modeled as a cylinder with background tissue composition of 20% glandular and 80%
adipose. Various objects with different sizes and tissue compositions were embedded. Ray-tracing
algorithm was utilized to obtain projection images in a full rotation without considering scatter,
beam hardening and imaging noise. Filtered backprojection was adopted for image reconstruction with high quality. Reconstructed images had flat profiles except at large cone angle of 8.6° to 10°. They were calibrated using known linear attenuation coefficients of two image contrast objects. A 3D mapping of tissue densities could be directly computed within 5% error. Tissue volumes were obtained by counting voxels in appropriate attenuation coefficient ranges. Results of contrast objects were consistent with true volumes within 10% error. However, cone angle artifact decreased pixel values, and a reduction algorithm was required for accurate tissue assessment at large cone angles. This study indicates the possibility of excellent quantitative breast density measurements and volume assessments with cone-beam breast CT.
We evaluated the effects of scatter radiation on the reconstructed images in digital breast
tomosynthesis. Projection images of a 6 cm anthropomorphic breast phantom were acquired
using a Hologic prototype digital breast tomosynthesis system. Scatter intensities in projection
images were sampled with a beam stop method. The scatter intensity at any pixel was obtained
by two dimensional fitting. Primary-only projection images were generated by subtracting the
scatter contributions from the original projection images. The 3-dimensional breast was
reconstructed first based on original projection images which contained the contributions from
both primary rays and scattered radiation using three different reconstruction algorithms. The
same breast volume was reconstructed again using the same algorithms but based on primaryonly
projection images. The image artifacts, pixel value difference to noise ratio (PDNR), and
detected image features in these two sets of reconstructed slices were compared to evaluate the
effects of scatter radiation. It was found that the scatter radiation caused inaccurate
reconstruction of the x-ray attenuation property of the tissue. X-ray attenuation coefficients
could be significantly underestimated in the region where scatter intensity is high. This
phenomenon is similar to the cupping artifacts found in computed tomography. The scatter
correction is important if accurate x-ray attenuation of the tissues is needed. No significant
improvement in terms of numbers of detected image features was observed after scatter
correction. More sophisticated phantom dedicated to digital breast tomosynthesis may be needed
for further evaluation.
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