High Fidelity System Modeling for High Quality Image Reconstruction in Clinical CT

Today, while many researchers focus on the improvement of the regularization term in IR algorithms, they pay less concern to the improvement of the fidelity term. In this paper, we hypothesize that improving the fidelity term will further improve IR image quality in low-dose scanning, which typically causes more noise. The purpose of this paper is to systematically test and examine the role of high-fidelity system models using raw data in the performance of iterative image reconstruction approach minimizing energy functional. We first isolated the fidelity term and analyzed the importance of using focal spot area modeling, flying focal spot location modeling, and active detector area modeling as opposed to just flying focal spot motion. We then compared images using different permutations of all three factors. Next, we tested the ability of the fidelity terms to retain signals upon application of the regularization term with all three factors. We then compared the differences between images generated by the proposed method and Filtered-Back-Projection. Lastly, we compared images of low-dose in vivo data using Filtered-Back-Projection, Iterative Reconstruction in Image Space, and the proposed method using raw data. The initial comparison of difference maps of images constructed showed that the focal spot area model and the active detector area model also have significant impacts on the quality of images produced. Upon application of the regularization term, images generated using all three factors were able to substantially decrease model mismatch error, artifacts, and noise. When the images generated by the proposed method were tested, conspicuity greatly increased, noise standard deviation decreased by 90% in homogeneous regions, and resolution also greatly improved. In conclusion, the improvement of the fidelity term to model clinical scanners is essential to generating higher quality images in low-dose imaging

Architecture-Aware Optimization Targeting Multithreaded Stream Computing

Optimizing program execution targeted for Graphics Processing Units (GPUs) can be very challenging. Our ability to efficiently map serial code to a GPU or stream processing platform is a time consuming task and is greatly hampered by a lack of detail about the underlying hardware. Programmers are left to attempt trial and error to produce optimized codes. Recent publication of the underlying instruction set architecture (ISA) of the AMD/ATI GPU has allowed researchers to begin to propose aggressive optimizations. In this work, we present an optimization methodology that utilizes this information to accelerate programs on AMD/ATI GPUs. We start by defining optimization spaces that guide our work. We begin with disassembled machine code and collect progra

Multi GPU Implementation of Iterative Tomographic Reconstruction Algorithms

Although iterative reconstruction techniques (IRTs) have been shown to produce images of superior quality over conventional filtered back projection (FBP) based algorithms, the use of IRT in a clinical setting has been hampered by the significant computational demands of these algorithms. In this paper we present results of our efforts to overcome this hurdle by exploiting the combined computational power of multiple graphical processing units (GPUs). We have implemented forward and backward projection steps of reconstruction on an NVIDIA Tesla S870 hardware using CUDA. We have been able to accelerate forward projection by 71x and backward projection by 137x. We generate these results with no perceptible difference in image quality between the GPU and serial CPU implementations. This work illustrates the power of using commercial off-the-shelf relatively low-cost GPUs, potentially allowing IRT tomographic image reconstruction to be run in near real time, lowering the barrier to entry of IRT, and enabling deployment in the clinic

Automated Quantification of Pneumothorax in CT

An automated, computer-aided diagnosis (CAD) algorithm for the quantification of pneumothoraces from Multidetector Computed Tomography (MDCT) images has been developed. Algorithm performance was evaluated through comparison to manual segmentation by expert radiologists. A combination of two-dimensional and three-dimensional processing techniques was incorporated to reduce required processing time by two-thirds (as compared to similar techniques). Volumetric measurements on relative pneumothorax size were obtained and the overall performance of the automated method shows an average error of just below 1%

ANALYSIS AND MITIGATION OF CALCIUM ARTIFACTS IN CARDIAC MULTIDETECTOR CT

Multi-detector Computed Tomography offers the promise of a non-invasive alternative to invasive coronary angiography for the evaluation of coronary artery disease. An impediment preventing its widespread adoption is the presence of image ”blooming ” artifacts due to the presence vascular calcium. This blooming has been linked to cardiac motion, beam hardening, and resolution effects. In this paper we study the contribution of these elements to blooming in a controlled way and conclude that the strongest effect for current systems is due to resolution. We then present a multicomponent algebraic-type reconstruction approach to mitigate such blooming artifacts, motivated by recent results in image inpainting. The reconstruction approach decomposes the image into a collection of spatially localized components, each with a set of homogeneous properties. The local nature of the decomposition and constraints prevents artifacts from contaminating other image regions. Index Terms — Cardiac CT, MDCT, calcium blooming 1

Fully Automated Deep Learning System for Bone Age Assessment

Skeletal maturity progresses through discrete phases, a fact that is used routinely in pediatrics where bone age assessments (BAAs) are compared to chronological age in the evaluation of endocrine and metabolic disorders. While central to many disease evaluations, little has changed to improve the tedious process since its introduction in 1950. In this study, we propose a fully automated deep learning pipeline to segment a region of interest, standardize and preprocess input radiographs, and perform BAA. Our models use an ImageNet pretrained, fine-tuned convolutional neural network (CNN) to achieve 57.32 and 61.40% accuracies for the female and male cohorts on our held-out test images. Female test radiographs were assigned a BAA within 1 year 90.39% and within 2 years 98.11% of the time. Male test radiographs were assigned 94.18% within 1 year and 99.00% within 2 years. Using the input occlusion method, attention maps were created which reveal what features the trained model uses to perform BAA. These correspond to what human experts look at when manually performing BAA. Finally, the fully automated BAA system was deployed in the clinical environment as a decision supporting system for more accurate and efficient BAAs at much faster interpretation time (<2 s) than the conventional method

Coronary artery plaques: cardiac CT with model-based and adaptive-statistical iterative reconstruction technique

OBJECTIVES: To compare image quality of coronary artery plaque visualization at CT angiography with images reconstructed with filtered back projection (FBP), adaptive statistical iterative reconstruction (ASIR), and model based iterative reconstruction (MBIR) techniques. METHODS: The coronary arteries of three ex vivo human hearts were imaged by CT and reconstructed with FBP, ASIR and MBIR. Coronary cross-sectional images were co-registered between the different reconstruction techniques and assessed for qualitative and quantitative image quality parameters. Readers were blinded to the reconstruction algorithm. RESULTS: A total of 375 triplets of coronary cross-sectional images were co-registered. Using MBIR, 26% of the images were rated as having excellent overall image quality, which was significantly better as compared to ASIR and FBP (4% and 13%, respectively, all p<0.001). Qualitative assessment of image noise demonstrated a noise reduction by using ASIR as compared to FBP (p<0.01) and further noise reduction by using MBIR (p<0.001). The contrast-to-noise-ratio (CNR) using MBIR was better as compared to ASIR and FBP (44±19, 29±15, 26±9, respectively; all p<0.001). CONCLUSIONS: Using MBIR improved image quality, reduced image noise and increased CNR as compared to the other available reconstruction techniques. This may further improve the visualization of coronary artery plaque and allow radiation reduction