Derrek Spronk

High resolution stationary digital breast tomosynthesis using distributed carbon nanotube x-ray source array

PURPOSE The purpose of this study is to investigate the feasibility of increasing the system spatial resolution and scanning speed of Hologic Selenia Dimensions digital breast tomosynthesis (DBT) scanner by replacing the rotating mammography x-ray tube with a specially designed carbon nanotube (CNT) x-ray source array, which generates all the projection images needed for tomosynthesis reconstruction by electronically activating individual x-ray sources without any mechanical motion. The stationary digital breast tomosynthesis (s-DBT) design aims to (i) increase the system spatial resolution by eliminating image blurring due to x-ray tube motion and (ii) reduce the scanning time. Low spatial resolution and long scanning time are the two main technical limitations of current DBT technology. METHODS A CNT x-ray source array was designed and evaluated against a set of targeted system performance parameters. Simulations were performed to determine the maximum anode heat load at the desired focal spot size and to design the electron focusing optics. Field emission current from CNT cathode was measured for an extended period of time to determine the stable life time of CNT cathode for an expected clinical operation scenario. The source array was manufactured, tested, and integrated with a Selenia scanner. An electronic control unit was developed to interface the source array with the detection system and to scan and regulate x-ray beams. The performance of the s-DBT system was evaluated using physical phantoms. RESULTS The spatially distributed CNT x-ray source array comprised 31 individually addressable x-ray sources covering a 30 angular span with 1 pitch and an isotropic focal spot size of 0.6 mm at full width at half-maximum. Stable operation at 28 kV(peak) anode voltage and 38 mA tube current was demonstrated with extended lifetime and good source-to-source consistency. For the standard imaging protocol of 15 views over 14, 100 mAs dose, and 2 × 2 detector binning, the projection resolution along the scanning direction increased from 4.0 cycles/mm [at 10% modulation-transfer-function (MTF)] in DBT to 5.1 cycles/mm in s-DBT at magnification factor of 1.08. The improvement is more pronounced for faster scanning speeds, wider angular coverage, and smaller detector pixel sizes. The scanning speed depends on the detector, the number of views, and the imaging dose. With 240 ms detector readout time, the s-DBT system scanning time is 6.3 s for a 15-view, 100 mAs scan regardless of the angular coverage. The scanning speed can be reduced to less than 4 s when detectors become faster. Initial phantom studies showed good quality reconstructed images. CONCLUSIONS A prototype s-DBT scanner has been developed and evaluated by retrofitting the Selenia rotating gantry DBT scanner with a spatially distributed CNT x-ray source array. Preliminary results show that it improves system spatial resolution substantially by eliminating image blur due to x-ray focal spot motion. The scanner speed of s-DBT system is independent of angular coverage and can be increased with faster detector without image degration. The accelerated lifetime measurement demonstrated the long term stability of CNT x-ray source array with typical clinical operation lifetime over 3 years.

Stationary digital breast tomosynthesis with distributed field emission X-ray tube

Tomosynthesis requires projection images from different viewing angles. Using a distributed x-ray source this can be achieved without mechanical motion of the source with the potential for faster image acquisition speed. A distributed xray tube has been designed and manufactured specifically for breast tomosynthesis. The x-ray tube consists of 31 field emission x-ray sources with an angular range of 30°. The total dose is up to 100mAs with an energy range between 27 and 45 kVp. We discuss the source geometry and results from the characterization of the first prototype. The x-ray tube uses field emission cathodes based on carbon nanotubes (CNT) as electron source. Prior to the manufacturing of the sealed x-ray tube extensive testing on the field emission cathodes has been performed to verify the requirements for commercial tomosynthesis systems in terms of emission current, focal spot size and tube lifetime.

Rectangular Fixed-Gantry CT Prototype: Combining CNT X-Ray Sources and Accelerated Compressed Sensing-Based Reconstruction

Carbon nanotube (CNT)-based multibeam X-ray tubes provide an array of individually controllable X-ray focal spots. The CNT tube allows for flexible placement and distribution of X-ray focal spots in a system. Using a CNT tube, a computed tomography (CT) system with a noncircular geometry and a nonrotating gantry can be created. The noncircular CT geometry can be optimized around a specific imaging problem, utilizing the flexibility of CNT multibeam X-ray tubes to achieve the optimal focal spot distribution for the design constraints of the problem. Iterative reconstruction algorithms provide flexible CT reconstruction to accommodate the noncircular geometry. Compressed sensing-based iterative reconstruction algorithms apply a sparsity constraint to the reconstructed images that can partially account for missing angular coverage due to the noncircular geometry. In this paper, we present a laboratory prototype CT system that uses CNT multibeam X-ray tubes; a rectangular, nonrotating imaging geometry; and an accelerated compressed sensing-based iterative reconstruction algorithm. We apply a total variation minimization as our sparsity constraint. We present the advanced CNT multibeam tubes and show the stability and flexibility of these new tubes. We also present the unique imaging geometry and discuss the design constraints that influenced the specific system design. The reconstruction method is presented along with an overview of the acceleration of the algorithm to near real-time reconstruction. We demonstrate that the prototype reconstructed images have image quality comparable with a conventional CT system. The prototype is optimized for airport checkpoint baggage screening, but the concepts developed may apply to other application-specific CT imaging systems.

Distributed source x-ray tube technology for tomosynthesis imaging.

Tomosynthesis imaging requires projection images from different viewing angles. Conventional systems use a moving xray source to acquire the individual projections. Using a stationary distributed x-ray source with a number of sources that equals the number of required projections, this can be achieved without any mechanical motion. Advantages are a potentially faster image acquisition speed, higher spatial and temporal resolution and simple system design. We present distributed x-ray sources based on carbon nanotube (CNT) field emission cathodes. The field emission cathodes deliver the electrons required for x-ray production. CNT emitters feature a stable emission at high current density, a cold emission, excellent temporal control of the emitted electrons and good configurability. We discuss the use of stationary sources for two applications: (i) a linear tube for stationary digital breast tomosynthesis (sDBT), and (ii) a square tube for on-board tomosynthesis image-guided radiation therapy (IGRT). Results from high energy distributed sources up to 160kVp are also presented.

Rectangular computed tomography using a stationary array of CNT emitters: initial experimental results

XinRay Systems Inc has a rectangular x-ray computed tomography (CT) imaging setup using multibeam x-ray tubes. These multibeam x-ray tubes are based on cold cathodes using carbon nanotube (CNT) field emitters. Due to their unique design, a CNT x-ray tube can contain a dense array of independently controlled electron emitters which generate a linear array of x-ray focal spots. XinRay uses a set of linear CNT x-ray tubes to design and construct a stationary CT setup which achieves sufficient CT coverage from a fixed set of views. The CT system has no moving gantry, enabling it to be enclosed in a compact rectangular tunnel. The fixed locations of the x-ray focal spots were optimized through simulations. The rectangular shape creates significant variation in path length from the focal spots to the detector for different x-ray views. The shape also results in unequal x-ray coverage in the imaged space. We discuss the impact of this variation on the reconstruction. XinRay uses an iterative reconstruction algorithm to account for this unique geometry, which is implemented on a graphics processing unit (GPU). The fixed focal spots prohibit the use of an antiscatter grid. Quantitative measure of the scatter and its impact on the reconstruction will be discussed. These results represent the first known implementation of a completely stationary CT setup using CNT x-ray emitter arrays.

Optimizing configuration parameters of a stationary digital breast tomosynthesis system based on carbon nanotube X-ray sources

The stationary Digital Breast Tomosynthesis System (s-DBT) has the advantage over the conventional DBT systems as there is no motion blurring in the projection images associated with the x-ray source motion. We have developed a prototype s-DBT system by retrofitting a Hologic Selenia Dimensions rotating gantry tomosynthesis system with a distributed carbon nanotube (CNT) x-ray source array. The linear array consists of 31 x-ray generating focal spots distributed over a 30 degree angle. Each x-ray beam can be electronically activated allowing the flexibility and easy implementation of novel tomosynthesis scanning with different scanning parameters and configurations. Here we report the initial results of investigation on the imaging quality of the s-DBT system and its dependence on the acquisition parameters including the number of projections views, the total angular span of the projection views, the dose distribution between different projections, and the total dose. A mammography phantom is used to visually assess image quality. The modulation transfer function (MTF) of a line wire phantom is used to evaluate the system spatial resolution. For s-DBT the in-plan system resolution, as measured by the MTF, does not change for different configurations. This is in contrast to rotating gantry DBT systems, where the MTF degrades for increased angular span due to increased focal spot blurring associated with the x-ray source motion. The overall image quality factor, a composite measure of the signal difference to noise ratio (SdNR) for mass detection and the z-axis artifact spread function for microcalcification detection, is best for the configuration with a large angular span, an intermediate number of projection views, and an even dose distribution. These results suggest possible directions for further improvement of s-DBT systems for high quality breast cancer imaging.

A stationary digital breast tomosynthesis scanner

A prototype stationary digital breast tomosynthesis (s-DBT) system has been developed by retrofitting a Hologic Selenia Dimension rotating gantry tomosynthesis scanner with a spatially distributed carbon nanotube (CNT) x-ray source array. The goal is to improve the system spatial resolution by removing the x-ray tube motion induced focal spot blurring. The CNT x-ray source array comprises 31 individually addressable x-ray beams covering 30° angular span. Each x-ray beam has a minimum focal spot size of 0.64×0.61mm (full-width-at-half-maximum), a stationary W anode operating up to 50kVp, and 1mm thick Al filter. The flux from each beam is regulated and varied using dedicated control electronics. The maximum tube current is determined by the heat load of the stationary anode and depends on the energy, pulse width and the focal spot size used. Stable operation at 28kVp, 27mA tube current, 250msec pulse width and 38mA tube current, 183msec pulse width per exposure was achieved with extended lifetime. The standard ACR phantom was imaged and analyzed to evaluate the image quality. The actual scanning speed depends on the number of views and the readout time of the x-ray detector. With the present detector, 6 second scanning time at either 15 views or 31 views can be achieved at 100mAs total imaging dose with a detector readout time of 240msec.

Second generation stationary digital breast tomosynthesis system with faster scan time and wider angular span

Purpose The aim of this study was to characterize a new generation stationary digital breast tomosynthesis system with higher tube flux and increased angular span over a first generation system. Methods The linear CNT x‐ray source was designed, built, and evaluated to determine its performance parameters. The second generation system was then constructed using the CNT x‐ray source and a Hologic gantry. Upon construction, test objects and phantoms were used to characterize system resolution as measured by the modulation transfer function (MTF), and artifact spread function (ASF). Results The results indicated that the linear CNT x‐ray source was capable of stable operation at a tube potential of 49 kVp, and measured focal spot sizes showed source‐to‐source consistency with a nominal focal spot size of 1.1 mm. After construction, the second generation (Gen 2) system exhibited entrance surface air kerma rates two times greater the previous s‐DBT system. System in‐plane resolution as measured by the MTF is 7.7 cycles/mm, compared to 6.7 cycles/mm for the Gen 1 system. As expected, an increase in the z‐axis depth resolution was observed, with a decrease in the ASF from 4.30 mm to 2.35 mm moving from the Gen 1 system to the Gen 2 system as result of an increased angular span. Conclusions The results indicate that the Gen 2 stationary digital breast tomosynthesis system, which has a larger angular span, increased entrance surface air kerma, and faster image acquisition time over the Gen 1 s‐DBT system, results in higher resolution images. With the detector operating at full resolution, the Gen 2 s‐DBT system can achieve an in‐plane resolution of 7.7 cycles per mm, which is better than the current commercial DBT systems today, and may potentially result in better patient diagnosis.

A new generation of stationary digital breast tomosynthesis system with wider angular span and faster scanning time

We have developed a clinically ready first generation stationary breast tomosynthesis system (s-DBT). In the s-DBT system, focal spot blur associated with x-ray source motion is completely eliminated, allowing for rapid acquisition of projection images over a larger angular span without changing the acquisition time. In the phantom studies the 1st generation s‐DBT system has demonstrated 30% higher spatial resolution than the corresponding continuous motion DBT systems. The system is currently being evaluated for its diagnostic performance in 100 patient clinical evaluation against FFDM. Initial results indicate that the s‐DBT system can produce increased lesion conspicuity and comparable MC visibility. However due to x‐ray flux limitations, certain large size patients have to be excluded. Recent studies have shown that increasing the angular span beyond 30° can be beneficial for enhanced depth resolution. We report the preliminary characterization of the 2nd generation s-DBT system with a new CNT x-ray source array, increased tube flux and a larger angular span. Increasing x‐ray tube flux allows for a larger patient population and dual energy imaging. Results indicate that the system delivers more than twice the flux, allowing for imaging of all size patients with acquisition time of 2‐4 seconds. A 7° increase in angular span over 1st generation decreased the ASF by 37%. Additionally, the 2nd generation s‐DBT system utilizing a specific AFVR reconstruction method resulted in a 92% increase in the in plane resolution over CM DBT system, and a 37% increase in spatial resolution over the 1st generation s-‐DBT system.

TU‐E‐217BCD‐11: Evaluating the Performance of a Stationary Digital Breast Tomosynthesis System

PURPOSE In conventional Digital Breast Tomosynthesis (DBT) systems a single x-ray source moves over a limited angle arc. This leads to motion blurring in the projection images associated with x-ray source motion and total scan times. We have developed a stationary DBT (s-DBT) system which forgoes a rotating source for an array of carbon nanotube (CNT) based x-ray sources. Here we report the results of evaluating the performance and the optimization of image acquisition parameters of the s-DBT system. METHODS The s-DBT system consists of a linear source array with 31 x-ray generating focal spots distributed over a 30 degree angular span. The source array has been retrofitted onto a Hologic Selenia Dimensions DBT system. An American College of Radiology accreditation phantom was imaged to assess the quality of the reconstruction images in different configurations. A line wire phantom is used to measure the modulation transfer function (MTF). RESULTS For the standard imaging protocol, the system resolution along the scanning direction is increased from 3.0 cycles/mm in DBT to 4.2 cycles/mm in s-DBT at a magnification factor of 1.08. The MTF did not have a noticeable change between different configurations, whereas in DBT the MTF can be degraded for larger angular spans due to faster x-ray source motion. The overall image quality factor is found to be best for the configuration with a large angular span and intermittent number of projection views. CONCLUSIONS We demonstrated successful construction and operation of the s-DBT system integrating a CNT x-ray source array with a Hologic DBT system. The spatial resolution of the s-DBT system is demonstrated to be substantially increased over the corresponding DBT system. It was found that a configuration with a large angular span, an intermittent number of projection views, and an even dose distribution resulted in the best overall image quality. Hologic INC has provided the Hologic Selenia Dimensions used in the research. The project is supported by the National Cancer Institute under grant number U54CA119343 and R01CA134598 and the UNC University Cancer Research Fund. Dr. Xin Qian is supported by a fellowship from the Department of Defense under grant number BC087505.