Image reconstruction and imaging configuration optimization with a novel nanotechnology enabled breast tomosynthesis multi-beam X-ray system

Digital breast tomosynthesis is a new technology that provides three-dimensional information of the breast and makes it possible to distinguish the cancer from overlying breast tissues. We are dedicated to optimizing image reconstruction and imaging configuration for a new multi-beam parallel digital breast tomosynthesis prototype system. Several commonly used algorithms from the typical image reconstruction models which were used for iso-centric tomosynthesis systems were investigated for our multi-beam parallel tomosynthesis imaging system. The representative algorithms, including back-projection (BP), filtered back-projection (FBP), matrix inversion tomosynthesis reconstruction (MITS), maximum likelihood expectation maximization (MLEM), ordered-subset maximum likelihood expectation maximization (OS-MLEM), simultaneous algebraic reconstruction technique (SART), were implemented to fit our system design. An accelerated MLEM algorithm was proposed, which significantly reduced the running time but had the same image quality. Furthermore, two statistical variants of BP reconstruction were validated for our tomosynthesis prototype system. Experiments based on phantoms and computer simulations show that the prototype system combined with our algorithms is capable of providing three-dimensional information of the objects with good image quality and has great potentials to improve digital breast tomosynthesis technology. Four methodologies were employed to optimize the reconstruction algorithms and different imaging configurations for the prototype system. A linear tomosynthesis imaging analysis tool was used to investigate blurring-out reconstruction algorithms. Computer simulations of sphere and wire objects aimed at the performance of out-of-plane artifact removal. A frequency-domain-based methodology, relative NEQ(f) analysis, was investigated to evaluate the overall system performance based on the propagation of signal and noise. Conclusions were made to determine the optimal image reconstruction algorithm and imaging configuration of this new multi-beam parallel digital breast tomosynthesis prototype system for better image quality and system performance

Endorectal Digital Prostate Tomosynthesis

Several areas of prostate cancer (PCa) management, such as imaging permanent brachytherapy implants or small, aggressive lesions, benefit from high image resolution. Current PCa imaging methods can have inadequate resolution for imaging these areas. Endorectal digital prostate tomosynthesis (endoDPT), an imaging method that combines an external x-ray source and an endorectal x-ray sensor, can produce three-dimensional images of the prostate region that have high image resolution compared to typical methods. This high resolution may improve PCa management and increase positive outcomes in affected men. This dissertation presents the initial development of endoDPT, including system design, image quality assessment, and examples of possible applications to prostate imaging. Experiments using computational phantoms, physical phantoms, and canine prostate specimens were conducted. Initial system design was performed computationally and three methods of endoDPT image reconstruction were developed: shift and add (SAA), backprojection (BP), and filtered BP (FBP). A physical system was developed using an XDR intraoral x-ray sensor and a GE radiography unit. The resolution and radiation dose of endoDPT were measured and compared to a GE CT scanner. Canine prostate specimens that approximated clinical cases of PCa management were imaged and compared using endoDPT, the above CT scanner, and a GE MRI scanner. This study found that the resolution of endoDPT was significantly higher than CT. The radiation dose of endoDPT was significantly lower than CT in the regions of the phantom that were not in the endoDPT field of view (FoV). Inside the endoDPT FoV, the radiation dose ranged from significantly less than to significantly greater than CT. The endoDPT images of the canine prostate specimens demonstrated qualitative improvements in resolution compared to CT and MRI, but endoDPT had difficulty in visualizing larger structures, such as the prostate border. Overall, this study has demonstrated endoDPT has high image resolution compared to typical methods of PCa imaging. Future work will be focused on development of a prototype system that improves scanning efficiency that can be used to optimize endoDPT and perform pre-clinical studies

Kidney Tomosynthesis Image Reconstruction Algorithms and Image Quality Evaluation

Kidney stone disease is one of the most common diseases that faces the American population. For proper diagnosis of kidney stones medical imaging must be performed. The current gold standard for kidney stone detection is computed tomography (CT) imaging. However, CT imaging exposes the patient to large amounts of x-ray radiation. Digital tomosynthesis is a novel technique in medical diagnosis due to its ability to generate high-resolution images while limiting the radiation dosage to patients. Tomosynthesis is a three-dimensional imaging technique that allows the reconstruction of an arbitrary set of planes from limited-angle series of projection images. Tomosynthesis has well-published success in the field of breast and chest imaging but has had limited studies performed in field of kidney imaging. In this study, C-arm geometry tomosynthesis was compared to traditional tomosynthesis using the shift and add reconstruction algorithm to evaluate the effectiveness of C-arm tomosynthesis for the application of kidney imaging. A simulation was created to generate projection images of each geometry and implement the shift and add algorithm. The results showed that when the images were reconstructed there was more blurring using C-arm tomosynthesis as compared to traditional tomosynthesis. This indicates that C-arm tomosynthesis geometry has the potential to be developed with other reconstruction algorithms to make it better suited for implementation in kidney imaging. Furthermore, the simulations developed in this study lay the groundwork for future development of C-arm tomosynthesis by providing a platform to test new reconstruction algorithms and optimize system parameters for clinical applications

Improving Image Reconstruction for Digital Breast Tomosynthesis

Digital breast tomosynthesis (DBT) has been developed to reduce the issue of overlapping tissue in conventional 2-D mammography for breast cancer screening and diagnosis. In the DBT procedure, the patient’s breast is compressed with a paddle and a sequence of x-ray projections is taken within a small angular range. Tomographic reconstruction algorithms are then applied to these projections, generating tomosynthesized image slices of the breast, such that radiologists can read the breast slice by slice. Studies have shown that DBT can reduce both false-negative diagnoses of breast cancer and false-positive recalls compared to mammography alone. This dissertation focuses on improving image quality for DBT reconstruction. Chapter I briefly introduces the concept of DBT and the inspiration of my study. Chapter II covers the background of my research including the concept of image reconstruction, the geometry of our experimental DBT system and figures of merit for image quality. Chapter III introduces our study of the segmented separable footprint (SG) projector. By taking into account the finite size of detector element, the SG projector improves the accuracy of forward projections in iterative image reconstruction. Due to the more efficient access to memory, the SG projector is also faster than the traditional ray-tracing (RT) projector. We applied the SG projector to regular and subpixel reconstructions and demonstrated its effectiveness. Chapter IV introduces a new DBT reconstruction method with detector blur and correlated noise modeling, called the SQS-DBCN algorithm. The SQS-DBCN algorithm is able to significantly enhance microcalcifications (MC) in DBT while preserving the appearance of the soft tissue and mass margin. Comparisons between the SQS-DBCN algorithm and several modified versions of the SQS-DBCN algorithm indicate the importance of modeling different components of the system physics at the same time. Chapter V investigates truncated projection artifact (TPA) removal algorithms. Among the three algorithms we proposed, the pre-reconstruction-based projection view (PV) extrapolation method provides the best performance. Possible improvements of the other two TPA removal algorithms have been discussed. Chapter VI of this dissertation examines the effect of source blur on DBT reconstruction. Our analytical calculation demonstrates that the point spread function (PSF) of source blur is highly shift-variant. We used CatSim to simulate digital phantoms. Analysis on the reconstructed images demonstrates that a typical finite-sized focal spot (~ 0.3 mm) will not affect the image quality if the x-ray tube is stationary during the data acquisition. For DBT systems with continuous-motion data acquisition, the motion of the x-ray tube is the main cause of the effective source blur and will cause loss in the contrast of objects. Therefore modeling the source blur for these DBT systems could potentially improve the reconstructed image quality. The final chapter of this dissertation discusses a few future studies that are inspired by my PhD research.PHDElectrical Engineering: SystemsUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttps://deepblue.lib.umich.edu/bitstream/2027.42/144059/1/jiabei_1.pd

Performance of a carbon nanotube field emission X-ray source array for stationary digital breast tomosynthesis

This work describes the performance of a stationary digital breast tomosynthesis (s-DBT) X-ray tube based on carbon nanotube (CNT) cathodes, and the imaging system developed around it. The s-DBT system has the potential to improve the detection and diagnosis of breast cancer over commercially available digital breast tomosynthesis (DBT) systems. DBT is growing in popularity in the United States, and around the world, as a potential replacement for traditional 2D mammography. The main advantage of DBT over 2D mammography lies in the pseudo-3D nature of the technique allowing the removal of overlapping breast tissue within the image. s-DBT builds on this advantage by removing blur from focal spot motion. Introductions to breast imaging techniques and the DBT modality are given, followed by an introduction to carbon nanotube field emission, the foundation of the s-DBT technology. Details of the s-DBT X-ray tube design and system integration are discussed including specific design parameters, system requirements, and the development process. Also included are summaries of the X-ray tube and system performance over time, and results from characterization measurements. Specific focus is given to the development and completion of a fabrication procedure for tungsten gate mesh, characterization of the CNT cathodes, and improving the system's spatial resolution with use of the focusing electrodes. The tungsten gate mesh is an essential component for extracting electrons from CNTs. A successful deep reactive ion etching fabrication procedure was developed, and the improved gate mesh allowed for higher cathode current and longer pulse widths to be employed in the s-DBT system. Characterization of the CNT cathodes revealed their high-current capacity and the ability to produce relatively long pulse widths, mimicking a 2D imaging modality. This work confirmed that the cathodes are well suited for the task of breast imaging, and explored possible improvements. Lastly, it was shown that by employing and optimizing the focusing electrodes, spatial resolution of the s-DBT system improved, with a tradeoff in loss of transmission rate. This work has contributed to the development and evaluation of the s-DBT technology from the laboratory research stage through clinical trials on human tissue and patients.Doctor of Philosoph

Geometrical Calibration and Filter Optimization for Cone-Beam Computed Tomography

This thesis will discuss the requirements of a software library for tomography and will derive a framework which can be used to realize various applications in cone-beam computed tomography (CBCT). The presented framework is self-contained and is realized using the MATLAB environment in combination with native low-level technologies (C/C++ and CUDA) to improve its computational performance, while providing accessibility and extendability through to use of a scripting language environment. On top of this framework, the realization of Katsevich’s algorithm on multicore hardware will be explained and the resulting implementation will be compared to the Feldkamp, Davis and Kress (FDK) algorithm. It will also be shown that this helical reconstruction method has the potential to reduce the measurement uncertainty. However, misalignment artifacts appear more severe in the helical reconstructions from real data than in the circular ones. Especially for helical CBCT (H-CBCT), this fact suggests that a precise calibration of the computed tomography (CT) system is inevitable. As a consequence, a self-calibration method will be designed that is able to estimate the misalignment parameters from the cone-beam projection data without the need of any additional measurements. The presented method employs a multi-resolution 2D-3D registration technique and a novel volume update scheme in combination with a stochastic reprojection strategy to achieve a reasonable runtime performance. The presented results will show that this method reaches sub-voxel accuracy and can compete with current state-of-the-art online- and offline-calibration approaches. Additionally, for the construction of filters in the area of limited-angle tomography a general scheme which uses the Approximate Inverse (AI) to compute an optimized set of 2D angle-dependent projection filters will be derived. Optimal sets of filters are then precomputed for two angular range setups and will be reused to perform various evaluations on multiple datasets with a filtered backprojection (FBP)-type method. This approach will be compared to the standard FDK algorithm and to the simultaneous iterative reconstruction technique (SIRT). The results of the study show that the introduced filter optimization produces results comparable to those of SIRT with respect to the reduction of reconstruction artifacts, whereby its runtime is comparable to that of the FDK algorithm