While compressed sensing (CS) based reconstructions have been developed for
low-dose CBCT, a clear understanding on the relationship between the image
quality and imaging dose at low dose levels is needed. In this paper, we
qualitatively investigate this subject in a comprehensive manner with extensive
experimental and simulation studies. The basic idea is to plot image quality
and imaging dose together as functions of number of projections and mAs per
projection over the whole clinically relevant range. A clear understanding on
the tradeoff between image quality and dose can be achieved and optimal
low-dose CBCT scan protocols can be developed for various imaging tasks in
IGRT. Main findings of this work include: 1) Under the CS framework, image
quality has little degradation over a large dose range, and the degradation
becomes evident when the dose < 100 total mAs. A dose < 40 total mAs leads to a
dramatic image degradation. Optimal low-dose CBCT scan protocols likely fall in
the dose range of 40-100 total mAs, depending on the specific IGRT
applications. 2) Among different scan protocols at a constant low-dose level,
the super sparse-view reconstruction with projection number less than 50 is the
most challenging case, even with strong regularization. Better image quality
can be acquired with other low mAs protocols. 3) The optimal scan protocol is
the combination of a medium number of projections and a medium level of
mAs/view. This is more evident when the dose is around 72.8 total mAs or below
and when the ROI is a low-contrast or high-resolution object. Based on our
results, the optimal number of projections is around 90 to 120. 4) The
clinically acceptable lowest dose level is task dependent. In our study,
72.8mAs is a safe dose level for visualizing low-contrast objects, while 12.2
total mAs is sufficient for detecting high-contrast objects of diameter greater
than 3 mm.Comment: 19 pages, 12 figures, submitted to Physics in Medicine and Biolog