scholarly journals Improving Image Quality of Medical Low-Dose X-ray Image Sequences Using a Neural Filter

1999 ◽  
Vol 119 (11) ◽  
pp. 1383-1391
Author(s):  
Kenji Suzuki ◽  
Tatsuya Hayashi ◽  
Shigeyuki Ikeda ◽  
Isao Horiba ◽  
Noboru Sugie ◽  
...  
2020 ◽  
Vol 13 (1) ◽  
pp. 47-59
Author(s):  
I. G. Kamyshanskaya ◽  
V. M. Cheremisin ◽  
A. V. Vodovatov ◽  
A. N. Boriskina

High levels of tuberculosis morbidity in the Russian Federation lead to the extensive use of X-ray diagnostics for the tuberculosis screening and assessment of the effectiveness of treatment. Digital radiography and computed tomography are traditionally used for the diagnostics of tuberculosis. These methods are associated with significant drawbacks: low specificity for radiography, high costs per examination, significant patient doses, and limited availability for computed tomography. As an additional method for the assessment of the effectiveness of the tuberculosis treatment it is possible to use linear tomography performed on the digital X-ray units. The aim of the current study was to evaluate the possibility of utilization of the digital linear tomography for the control of the effectiveness of tuberculosis treatment in a dedicated antitubercular medical facility. The study was divided in two stages. The first stage was aimed at the assessment of the diagnostic image quality of the digital linear tomograms obtained using the previously developed low-dose imaging protocols. Image quality assessment was performed using an anthropomorphic chest phantom and dedicated imitators of the lung lesions. Image quality was assessed by the experts (radiologists) based on the developed image quality criteria. Results of the first stage of the study indicate that all low-dose protocols allow obtaining images with at least acceptable image quality. Hence it was possible to propose low-dose protocols for clinical evaluations. The second stage of the study was performed as a prospective cohort survey aimed at the evaluation of the structure of X-ray examinations, patient doses and clinical image quality of the digital linear tomograms in antitubercular early treatment center. The cohort survey included two patient samples, uniform by age and gender composition, anthropometric characteristics and structure of diagnosis. One of the samples was imaged using standard (vendor) digital linear protocols, other – using the proposed low-dose protocols. Dose data collection (measurement of dose-area product and subsequent calculation of effective dose) and expert image quality assessment was performed for each patient. The results of the second stage of the study indicate that the use of the low-dose protocols allow reducing the patient effective doses per examination up to a factor of 6–8 (0.56 – 5.9 mSv for standard protocols; 0.2 – 1.15 mSv for low-dose protocols) due to the reduction in tube current-time product (126 mean mAs and 11 mean mAs, respectively). The dose reduction is accompanied by the reduction in the image quality of the linear tomograms (from “excellent” or “good” for standard protocols to “acceptable” for low-dose protocols). However, that dose not hinder the conclusion decision and identification of pathologies. Results of the study indicate that digital linear tomography can be used for the evaluation of the dynamics of the pathological process in the lungs with the previously defined localization of the pathology. The presented low-dose protocols were implemented into radiological practice of the antitubercular early treatment center. Currently, the proposed low-dose protocols are under evaluation for the large-scale study on the base of general practice hospitals


2000 ◽  
Author(s):  
Tom J. C. Bruijns ◽  
Thijs Adriaansz ◽  
Arnold R. Cowen ◽  
Andrew G. Davies ◽  
Stephen M. Kengyelics ◽  
...  
Keyword(s):  
Low Dose ◽  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Karsten Sebastian Luetkens ◽  
Süleyman Ergün ◽  
Henner Huflage ◽  
Andreas Steven Kunz ◽  
Carsten Herbert Gietzen ◽  
...  

AbstractCone-beam computed tomography is a powerful tool for 3D imaging of the appendicular skeleton, facilitating detailed visualization of bone microarchitecture. This study evaluated various combinations of acquisition and reconstruction parameters for the cone-beam CT mode of a twin robotic x-ray system in cadaveric wrist and elbow scans, aiming to define the best possible trade-off between image quality and radiation dose. Images were acquired with different combinations of tube voltage and tube current–time product, resulting in five scan protocols with varying volume CT dose indices: full-dose (FD; 17.4 mGy), low-dose (LD; 4.5 mGy), ultra-low-dose (ULD; 1.15 mGy), modulated low-dose (mLD; 0.6 mGy) and modulated ultra-low-dose (mULD; 0.29 mGy). Each set of projection data was reconstructed with three convolution kernels (very sharp [Ur77], sharp [Br69], intermediate [Br62]). Five radiologists subjectively assessed the image quality of cortical bone, cancellous bone and soft tissue using seven-point scales. Irrespective of the reconstruction kernel, overall image quality of every FD, LD and ULD scan was deemed suitable for diagnostic use in contrast to mLD (very sharp/sharp/intermediate: 60/55/70%) and mULD (0/3/5%). Superior depiction of cortical and cancellous bone was achieved in FDUr77 and LDUr77 examinations (p < 0.001) with LDUr77 scans also providing favorable bone visualization compared to FDBr69 and FDBr62 (p < 0.001). Fleiss’ kappa was 0.618 (0.594–0.641; p < 0.001), indicating substantial interrater reliability. In this study, we demonstrate that considerable dose reduction can be realized while maintaining diagnostic image quality in upper extremity joint scans with the cone-beam CT mode of a twin robotic x-ray system. Application of sharper convolution kernels for image reconstruction facilitates superior display of bone microarchitecture.


Author(s):  
Michael Esser ◽  
Sabine Hess ◽  
Matthias Teufel ◽  
Mareen Kraus ◽  
Sven Schneeweiß ◽  
...  

Purpose To analyze possible influencing factors on radiation exposure in pediatric chest CT using different approaches for radiation dose optimization and to determine major indicators for dose development. Materials and Methods In this retrospective study at a clinic with maximum care facilities including pediatric radiology, 1695 chest CT examinations in 768 patients (median age: 10 years; range: 2 days to 17.9 years) were analyzed. Volume CT dose indices, effective dose, size-specific dose estimate, automatic dose modulation (AEC), and high-pitch protocols (pitch ≥ 3.0) were evaluated by univariate analysis. The image quality of low-dose examinations was compared to higher dose protocols by non-inferiority testing. Results Median dose-specific values annually decreased by an average of 12 %. High-pitch mode (n = 414) resulted in lower dose parameters (p < 0.001). In unenhanced CT, AEC delivered higher dose values compared to scans with fixed parameters (p < 0.001). In contrast-enhanced CT, the use of AEC yielded a significantly lower radiation dose only in patients older than 16 years (p = 0.04). In the age group 6 to 15 years, the values were higher (p < 0.001). The diagnostic image quality of low-dose scans was non-inferior to high-dose scans (2.18 vs. 2.14). Conclusion Radiation dose of chest CT was reduced without loss of image quality in the last decade. High-pitch scanning was an independent factor in this context. Dose reduction by AEC was limited and only relevant for patients over 16 years. Key Points Citation Format


1979 ◽  
Vol 18 (10) ◽  
pp. 1951-1957 ◽  
Author(s):  
Suguru Uchida ◽  
Yoshie Kodera ◽  
Hiroshi Inatsu
Keyword(s):  

1993 ◽  
Vol 306 ◽  
Author(s):  
F. Cerrina ◽  
G.M. Wells

AbstractIn proximity X-ray lithography there is no imaging system in the traditional sense of the word. There are no mirrors, lenses or other means of manipulating the radiation to form an image from that of a pattern (mask). Rather, in proximity X-ray lithography, mask and imaging systems are one and the same. The radiation that illuminates the mask carries the pattern information in the region of the wavefronts that have been attenuated. The detector (photoresist) is placed so close to the mask itself that the image is formed in the region where diffraction has not yet been able to deteriorate the pattern itself. The quality of the image formation then is controlled directly by the interaction between the mask and the radiation field. In turn, this means that both the illumination field and the mask are critical. The properties of the materials used in making the mask thus play a central role in determining the quality of the image. For instance, edge roughness and slope can strongly influence the image by providing the equivalent of a blur in the diffraction process. This blur is beneficial in reducing the high frequency components in the aerial image but it needs to be controlled and be repeatable. The plating (or other physical deposition) process may create variation in density (and thickness) in the deposited film, that will show up as linewidth variation in the image because of local changes in the contrast; the same applies to variations in the carrier membrane. In the case of subtractive process, variations in edge profile across the mask must be minimized.The variations in material composition, thickness and density may all affect the finale image quality; in the case of the resist, local variations in acid concentration may have strong effect in linewidth control (this effect is of course common to all lithographies).Another place where materials will affect the final image quality is in the condensing system. Mirrors will exhibit some degree of surface roughness, leading to a scattered radiation away from the central (coherent) beam. For scanning systems, this is not harmful since no power is lost in the scattering process and a blur is actually created that reduces the degree of spatial coherence. Filters may also exhibit the same roughness; typically it will not affect the image formation. The presence of surface (changes of reflectivity) or bulk (impurities) defects may however strongly alter the uniformity of the transmitted beam. This is particularly true of rolled Be filters and windows, which may include contaminants of high-Z materials. Hence, the grain structure of the window plays a very important role in determining image uniformity.Finally, a seemingly minor but important area is that of the gas used in the exposure area, typically helium. The gas fulfills several needs: heat exchange medium, to thermally clamp the mask to the wafer; low-loss X-ray transmission medium; protection from reactive oxygen radicals and ozone formation. Small amounts of impurities (air) may have a very strong effect on the transmission, and non-uniform distributions are particularly deleterious.All these factors need to be controlled so that the final image is within the required tolerances. Unfortunately, some of these are difficult to characterize in the visible (e.g., reflectivity variations) and testing at X-ray wavelengths is necessary. Although these obstacles are by no means unsurmountable, foresight is necessary in order to deliver a functional X-ray lithography process.This work was supported by various agencies, including ARPA/ONR/NRL and the National Science Foundation.


Sign in / Sign up

Export Citation Format

Share Document