E. Fredenberg, E. Roessl, T. Koehler, U. van Stevendaal, I. Schulze-Wenck, N. Wieberneit, M. Stampanoni, Z. Wang, R. A. Kubik-Huch, N. Hauser, M. Lundqvist, M. … 展开作者
E. Fredenberg, E. Roessl, T. Koehler, U. van Stevendaal, I. Schulze-Wenck, N. Wieberneit, M. Stampanoni, Z. Wang, R. A. Kubik-Huch, N. Hauser, M. Lundqvist, M. Danielsson, M. Aslund
发表信息：
Proc. SPIE 8313, Medical Imaging 2012, 83130F (2012)
Phase-contrast imaging is an emerging technology that may increase the signal-difference-to-noise ratio in medical imaging. One of the most promising phase-contrast techniques is Talbot interferometry, which, combined with energy-sensitive photon-counting detectors, enables spectral differential phase-contrast mammography. We have evaluated a realistic system based on this technique by cascaded-systems analysis and with a task-dependent ideal-observer detectability index as a figure-of-merit. Beam-propagation simulations were used for validation and illustration of the analytical framework. Differential phase contrast improved detectability compared to absorption contrast, in particular for fine tumor structures. This result was supported by images of human mastectomy samples that were acquired with a conventional detector. The optimal incident energy was higher in differential phase contrast than in absorption contrast when disregarding the setup design energy. Further, optimal weighting of the transmitted spectrum was found to have a weaker energy dependence than for absorption contrast. Taking the design energy into account yielded a superimposed maximum on both detectability as a function of incident energy, and on optimal weighting. Spectral material decomposition was not facilitated by phase contrast, but phase information may be used instead of spectral information.
Chromatic properties of the multi-prism and prism-array X-ray lenses (MPL and PAL) can potentially be utilized for efficient energy filtering and dose reduction in mammography. The line-shaped foci of the lenses are optimal for coupling to photon-counting silicon strip detectors in a scanning system. A theoretical model was developed and used to investigate the benefit of two lenses compared with an absorption-filtered reference system. The dose reduction of the MPL filter was ~15% compared with the reference system at matching scan time, and the spatial resolution was higher. The dose of the …
Purpose: Spectral imaging is a method in medical x-ray imaging to extract information about the object constituents by the material-specific energy dependence of x-ray attenuation. The authors have investigated a photon-counting spectral imaging system with two energy bins for contrast-enhanced mammography. System optimization and the potential benefit compared to conventional non-energy-resolved absorption imaging was studied. Methods: A framework for system characterization was set up that included quantum and anatomical noise and a theoretical model of the system was benchmarked to phantom …
Spectral imaging is the acquisition of multiple images of an object at different energy spectra. In mammography, dual-energy imaging (spectral imaging with two energy levels) has been investigated for several applications, in particular material decomposition, which allows for quantitative analysis of breast composition and quantitative contrast-enhanced imaging. Material decomposition with dual-energy imaging is based on the assumption that there are two dominant photon interaction effects that determine linear attenuation: the photoelectric effect and Compton scattering. This assumption limi…
A photon-counting silicon strip detector with two energy thresholds was investigated for spectral X-ray imaging in a mammography system. Preliminary studies already indicate clinical benefit of the detector, and the purpose of the present study is optimization with respect to energy resolution. Factors relevant for the energy response were measured, simulated, or gathered from previous studies, and used as input parameters to a cascaded detector model. Threshold scans over several X-ray spectra were used to calibrate threshold levels to energy, and to validate the model. The energy resolution …
We present a novel method for characterizing mammographic findings using spectral imaging without the use of contrast agent. Within a statistical framework, suspicious findings are analyzed to determine if they are likely to be benign cystic lesions or malignant tissue. To evaluate the method, we have designed a phantom where combinations of different tissue types are realized by decomposition into the material bases aluminum and polyethylene. The results indicate that the lesion size limit for reliable characterization is below 10 mm diameter, when quantum noise is the only considered source …
It has previously been shown that 2D spectral mammography can be used to discriminate between (likely benign) cystic and (potentially malignant) solid lesions in order to reduce unnecessary recalls in mammography. One limitation of the technique is, however, that the composition of overlapping tissue needs to be interpolated from a region surrounding the lesion. The purpose of this investigation was to demonstrate that lesion characterization can be done with spectral tomosynthesis, and to investigate whether the 3D information available in tomosynthesis can reduce the uncertainty from the int…
Spectral imaging is a method in medical x-ray imaging to extract information about the object constituents by the material-specific energy dependence of x-ray attenuation. Contrast-enhanced spectral imaging has been thoroughly investigated, but unenhanced imaging may be more useful because it comes as a bonus to the conventional non-energy-resolved absorption image at screening; there is no additional radiation dose and no need for contrast medium. We have used a previously developed theoretical framework and system model that include quantum and anatomical noise to characterize the performanc…
Beam quality optimization in mammography traditionally considers detection of a target obscured by quantum noise on a homogenous background. It can be argued that this scheme does not correspond well to the clinical imaging task because real mammographic images contain a complex superposition of anatomical structures, resulting in anatomical noise that may dominate over quantum noise. Using a newly developed spectral mammography system, we measured the correlation and magnitude of the anatomical noise in a set of mammograms. The results from these measurements were used as input to an observer…
Knowledge of x-ray attenuation is essential for developing and evaluating x-ray imaging technologies. For instance, techniques to better characterize cysts at mammography screening would be highly desirable to reduce recalls, but the development is hampered by the lack of attenuation data for cysts. We have developed a method to measure x-ray attenuation of tissue samples using a prototype photon-counting spectral mammography unit. The method was applied to measure the attenuation of 50 samples of breast cyst fluid and 50 samples of water. Spectral (energy-resolved) images of the samples were …
Background \& purpose: The recent emergence of neural networks models for the analysis of breast images has been a breakthrough in computer aided diagnostic. This approach was not yet developed in Contrast Enhanced Spectral Mammography (CESM) where access to large databases is complex. This work proposes a deep-learning-based Computer Aided Diagnostic development for CESM recombined images able to detect lesions and classify cases. Material \& methods: A large CESM diagnostic dataset with biopsy-proven lesions was collected from various hospitals and different acquisition systems. The annotate…
Knowledge of x-ray attenuation is essential for developing and evaluating x-ray imaging technologies. For instance, techniques to distinguish between cysts and solid tumours at mammography screening would be highly desirable to reduce recalls, but the development requires knowledge of the x-ray attenuation for cysts and tumours. We have previously measured the attenuation of cyst fluid using photon-counting spectral mammography. Data on x-ray attenuation for solid breast lesions are available in the literature, but cover a relatively wide range, likely caused by natural spread between samples,…
From Density to Biopsy Decisions and Malignancy Prediction: A Benchmark Study of Multimodal Large Language Models Against Radiologists in Digital and Contrast-Enhanced Mammography
Danube Private University（多瑙河私立大学）；Urmia University of Medical Science（乌尔米耶医科大学）；Yeditepe University（耶迪特佩大学）；Kartal Dr. LÜtfi Kırdar City Hospital（卡尔塔尔·卢特菲·克尔达尔博士市立医院）；Iran University of Medical Sciences（伊朗医科大学）；University of Padova（帕多瓦大学）；Bahçeşehir University（巴赫切谢希尔大学）；Mooney's Bay Pain Clinic（穆尼湾疼痛诊所）；Arden University（雅顿大学）；University Hospital Cologne（科隆大学医院）；University of Southern Queensland（南昆士兰大学）；Austrian Center for Medical Innovation and Technology（奥地利医学创新与技术中心）
Purpose: Photon-counting computed tomography (PCCT) shows promise for medical imaging in regards to material separation and imaging of multiple contrast agents. However, many PCCT setups are under development and are not optimized for specific contrast agents or use cases. Here, we demonstrate how experimental system parameters may be varied in order to enhance performance and we propose a set of recommendations to achieve this based on contrast agent. Approach: A table-top PCCT system with a cadmium zinc telluride (CZT) detector capable of separating six energy bins was used to image multiple…
Measurements of breast density have the potential to improve the efficiency and reduce the cost of screening mammography through personalized screening. Breast density has traditionally been evaluated from the dense area in a mammogram, but volumetric assessment methods, which measure the volumetric fraction of fibro-glandular tissue in the breast, are potentially more consistent and physically sound. The purpose of the present study is to evaluate a method for measuring the volumetric breast density using photon-counting spectral tomosynthesis. The performance of the method was evaluated usin…
As photon counting detectors are being explored for medical and industrial imaging applications, there is a critical need to understand spectral characteristics of scattered x-ray photons. Scattered radiation is detrimental to x-ray imaging by reducing image quality and quantitative accuracy. While various scatter correction techniques have been proposed for x-ray imaging with conventional energy-integrating detectors, additional efforts are required to develop approaches for spectral x-ray imaging with energy-resolving PCDs. We show the benefits of accurate scatter estimation and correction f…
X-ray Imaging Using a Hybrid Photon Counting GaAs Pixel Detector
在室温下研究了混合GaAs像素探测器作为X射线成像传感器的性能。这些混合电路包括300 μ m厚的GaAs像素探测器，倒装芯片键合到CMOS单光子计数芯片（PCC）。该芯片由64 x 64个相同的方形像素（170 μ m x 170 μ m）组成，总面积为1.2 cm**2。每个单元中的电子器件包括一个ADC、一个具有3位阈值调整的ADC和一个15位计数器。该探测器是由一个肖特基二极管的半绝缘LEC-GaAs体材料上处理的阵列。IV-characteristic和检测器偏置电压扫描表明，检测器可以在200 V左右的电压下工作。通过使用用于牙科诊断的标准X射线管拍摄各种对象的图像。还测定了信噪比（SNR）。这些成像系统的应用范围从医疗应用（如数字乳房X射线照相术或牙科X射线诊断）到非破坏性材料测试（NDT）。由于探测器和读出芯片分离，可以研究和比较不同的材料。
Dual-energy subtraction imaging (DES) is a method to improve the detectability of contrast agents over a lumpy background. Two images, acquired at x-ray energies above and below an absorption edge of the agent material, are logarithmically subtracted, resulting in suppression of the signal from the tissue background and a relative enhancement of the signal from the agent. Although promising, DES is still not widely used in clinical practice. One reason may be the need for two distinctly separated x-ray spectra that are still close to the absorption edge, realized through dual exposures which m…
Photon-counting spectral computed tomography is now clinically available. These new detectors come with the promise of higher contrast-to-noise ratio and spatial resolution and improved low-dose imaging. However, one important design consideration is to build detector elements that are sufficiently homogeneous. In practice, there will always be a degree of inhomogeneity in the detector elements, which will materialize as variations in the energy bin thresholds. Without proper detector calibration, this will lead to streak artifacts in the sinograms and corresponding ring artifacts in the recon…
Towards order of magnitude X-ray dose reduction in breast cancer imaging using phase contrast and deep denoising
The University of Melbourne（墨尔本大学）；The University of Sydney（悉尼大学）；Eastern Health（东部健康）；Monash Health（莫纳什健康）；Monash University（莫纳什大学）；Australian Synchrotron, ANSTO（澳大利亚同步辐射中心，ANSTO）；Commonwealth Scientific and Industrial Research Organisation（澳大利亚联邦科学与工业研究组织）
KTH Royal Institute of Technology（瑞典皇家理工学院）；GE Healthcare（GE医疗）
Photon-counting CT (PCCT) offers improved diagnostic performance through better spatial and energy resolution, but developing high-quality image reconstruction methods that can deal with these large datasets is challenging. Model-based solutions incorporate models of the physical acquisition in order to reconstruct more accurate images, but are dependent on an accurate forward operator and present difficulties with finding good regularization. Another approach is deep-learning reconstruction, which has shown great promise in CT. However, fully data-driven solutions typically need large amounts…
