scholarly journals Investigation of the need for an x-ray scatter-reduction grid during neurointerventional procedures

Author(s):  
Swetadri Vasan Setlur Nagesh ◽  
Daniel R. Bednarek ◽  
Stephen Rudin
2021 ◽  
pp. 1-14
Author(s):  
Ignacio O. Romero ◽  
Changqing Li

BACKGROUND: The time of flight (TOF) cone beam computed tomography (CBCT) was recently shown to reduce the X-ray scattering effects by 95%and improve the image CNR by 110%for large volume objects. The advancements in X-ray sources like in compact Free Electron Lasers (FEL) and advancements in detector technology show potential for the TOF method to be feasible in CBCT when imaging large objects. OBJECTIVE: To investigate feasibility and efficacy of TOF CBCT in imaging smaller objects with different targets such as bones and tumors embedded inside the background. METHODS: The TOF method used in this work was verified using a 24cm phantom. Then, the GATE software was used to simulate the CBCT imaging of an 8 cm diameter cylindrical water phantom with two bone targets using a modeled 20 keV quasi-energetic FEL source and various TOF resolutions ranging from 1 to 1000 ps. An inhomogeneous breast phantom of similar size with tumor targets was also imaged using the same system setup. RESULTS: The same results were obtained in the 24cm phantom, which validated the applied CBCT simulation approach. For the case of 8cm cylindrical phantom and bone target, a TOF resolution of 10 ps improved the image contrast-to-noise ratio (CNR) by 57%and reduced the scatter-to-primary ratio (SPR) by 8.63. For the case of breast phantom and tumor target, image CNR was enhanced by 12%and SPR was reduced by 1.35 at 5 ps temporal resolution. CONCLUSIONS: This study indicates that a TOF resolution below 10 ps is required to observe notable enhancements in the image quality and scatter reduction for small objects around 8cm in diameter. The strong scattering targets such as bone can result in substantial improvements by using TOF CBCT.


Electronics ◽  
2019 ◽  
Vol 8 (9) ◽  
pp. 944 ◽  
Author(s):  
Heesin Lee ◽  
Joonwhoan Lee

X-ray scattering significantly limits image quality. Conventional strategies for scatter reduction based on physical equipment or measurements inevitably increase the dose to improve the image quality. In addition, scatter reduction based on a computational algorithm could take a large amount of time. We propose a deep learning-based scatter correction method, which adopts a convolutional neural network (CNN) for restoration of degraded images. Because it is hard to obtain real data from an X-ray imaging system for training the network, Monte Carlo (MC) simulation was performed to generate the training data. For simulating X-ray images of a human chest, a cone beam CT (CBCT) was designed and modeled as an example. Then, pairs of simulated images, which correspond to scattered and scatter-free images, respectively, were obtained from the model with different doses. The scatter components, calculated by taking the differences of the pairs, were used as targets to train the weight parameters of the CNN. Compared with the MC-based iterative method, the proposed one shows better results in projected images, with as much as 58.5% reduction in root-mean-square error (RMSE), and 18.1% and 3.4% increases in peak signal-to-noise ratio (PSNR) and structural similarity index measure (SSIM), on average, respectively.


2020 ◽  
Vol 188 (3) ◽  
pp. 322-331
Author(s):  
Ljubisa Borota ◽  
Andreas Patz

Abstract Aim of the study: The aim of this study was to describe a new functionality aimed at X-ray dose reduction, referred to as spot region of interest (Spot ROI) and to compare it with existing dose-saving functionalities, spot fluoroscopy (Spot F), and conventional collimation (CC). Material and methods: Dose area product, air kerma, and peak skin dose were measured for Spot ROI, Spot F, and CC in three different fields of view (FOVs) 20 × 20 cm, 15 × 15 cm, and 11 × 11 cm using an anthropomorphic head phantom RS-230T. The exposure sequence was 5 min of pulsed fluoroscopy (7.5 pulses per s) followed by 7× digital subtraction angiography (DSA) runs with 30 frames per DSA acquisition (3 fps × 10 s). The collimation in Spot F and CC was adjusted such that the size of the anatomical area exposed was as large as the Spot ROI area in each FOV. Results: The results for all FOVs were the following: for the fluoroscopy, all measured parameters for Spot ROI and Spot F were lower than corresponding values for CC. For DSA and DSA plus fluoroscopy, all measured parameters for Spot ROI were lower than corresponding parameters for Spot F and CC. Conclusion: Spot ROI is a promising dose-saving technology that can be applied in fluoroscopy and acquisition. The biggest benefit of Spot ROI is its ability to keep the entire FOV information always visible.


2008 ◽  
Vol 35 (6Part4) ◽  
pp. 2663-2663
Author(s):  
I Sechopoulos ◽  
A Schmitz ◽  
J Eberhard
Keyword(s):  
X Ray ◽  

2009 ◽  
Vol 36 (6Part3) ◽  
pp. 2445-2446
Author(s):  
I Sechopoulos ◽  
S Feng
Keyword(s):  
X Ray ◽  

2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 25-31 ◽  
Author(s):  
K. Okamoto ◽  
J. Ito ◽  
K. Sakai ◽  
S. Yoshimura

Recent improvements in x-ray technology have greatly contributed to the advancement of diagnostic imaging. Fluoroscopically guided neurointerventional procedures with digital subtraction angiography (DSA) are being performed with increasing frequency as the treatment of choice for a variety of neurovascular diseases. Radiation-induced skin injuries can occur after extended fluoroscopic exposure times, and the injuries have recently been reported. In this article, measured radiation doses at the surface of Rando Phantom with Skin Dose Monitor, and estimated and measured entrance skin doses in patients underwent neurointerventional procedures are reported as well as means of reducing radiation doses absorbed by patients and personnel to avoid occurrence of radiation-induced injuries.


2018 ◽  
Vol 2018 ◽  
pp. 1-15 ◽  
Author(s):  
Chalinee Thanasupsombat ◽  
Saowapak S. Thongvigitmanee ◽  
Sorapong Aootaphao ◽  
Pairash Thajchayapong

The quality of images obtained from cone-beam computed tomography (CBCT) is important in diagnosis and treatment planning for dental and maxillofacial applications. However, X-ray scattering inside a human head is one of the main factors that cause a drop in image quality, especially in the CBCT system with a wide-angle cone-beam X-ray source and a large area detector. In this study, the X-ray scattering distribution within a standard head phantom was estimated using the Monte Carlo method based on Geant4. Due to small variation of low-frequency scattering signals, the scattering signals from the head phantom can be represented as the simple predetermined scattering signals from a patient’s head and subtracted the projection data for scatter reduction. The results showed higher contrast and less cupping artifacts on the reconstructed images of the head phantom and real patients. Furthermore, the same simulated scattering signals can also be applied to process with higher-resolution projection data.


2018 ◽  
Vol 45 (8) ◽  
pp. 3741-3748 ◽  
Author(s):  
Don Vernekohl ◽  
Stratis Tzoumas ◽  
Wei Zhao ◽  
Lei Xing

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