Frank Sprenger

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.

Fixed gantry tomosynthesis system for radiation therapy image guidance based on a multiple source x-ray tube with carbon nanotube cathodes

The authors present the design and simulation of an imaging system that employs a compact multiple source x-ray tube to produce a tomosynthesisimage from a set of projections obtained at a single tube position. The electron sources within the tube are realized using cold cathodecarbon nanotube technology. The primary intended application is tomosynthesis-based 3D image guidance during external beam radiation therapy. The tube, which is attached to the gantry of a medicallinear accelerator(linac) immediately below the multileaf collimator, operates within the voltage range of 80 – 160 kVp and contains a total of 52 sources that are arranged in a rectilinear array. This configuration allows for the acquisition of tomographic projections from multiple angles without any need to rotate the linac gantry. The x-ray images are captured by the same amorphous silicon flat panel detector employed for portal imaging on contemporary linacs. The field of view (FOV) of the system corresponds to that part of the volume that is sampled by rays from all sources. The present tube and detector configuration provides an 8 × 8 cm 2 FOV in the plane of the linac isocenter when the 40.96 × 40.96 cm 2 imaging detector is placed 40 cm from the isocenter. Since this tomosynthesis application utilizes the extremities of the detector to record image detail relating to structures near the isocenter, simultaneous treatment and imaging is possible for most clinical cases, where the treated target is a small region close to the linac isocenter. The tomosynthesisimages are reconstructed using the simultaneous iterative reconstruction technique, which is accelerated using a graphic processing unit. The authors present details of the system design as well as simulated performance of the imaging system based on reprojections of patient CTimages.

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.

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.

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.

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.

TU-E-110-02: Multibeam X-Ray Source Array Based on Carbon Nanotube Field Emission

Purpose: We recently demonstrated the feasibility of generating high current and high energy x‐ray radiation using field emitted electrons from the carbon nanotubes(CNTs). The purpose of the present work is to develop a spatially distributed multiple beam x‐ray array technology for stationary tomographyimaging, including digital breast tomosynthesis, with the goal of increasing the spatial resolution and scanning speed. Method and Materials:CNTcathodesfabricated by patterned electrophoretic deposition were used as the field emission electron source for x‐ray generation. Computer simulations and experimental measurements were carried out to design the electrostatic lens to focus the field emitted electrons to the predetermined area on the metal anode. Finite element analysis was performed to determine the anode heat load under the desired operation conditions. Spatially distributed x‐ray source arrays with one‐ and two‐dimensionally distributed focal spots were constructed using matrix addressable multi‐pixel CNTcathode, and corresponding focusing and anode structures. By varying the extraction electrical field, x‐ray radiation with programmable waveform was readily generated which can be gated with external triggers such as physiological signals with sub‐microsecond response time. Dedicated control electronics were designed and manufactured to switch, scan, and regulate the x‐ray beams. Results: Several spatially distributed field emission x‐ray source arrays with different configurations and performance parameters have been fabricated and characterized for different imaging systems. Stable operation at anode voltage up to 160kVp has been achieved. Through improvement of the CNTcathode and electronic regulation beam‐to‐beam consistency in intensity and focal spot size has been demonstrated. A dedicated x‐ray source array has been designed and fabricated for stationary digital breast tomosynthesis. The source comprises 31 individually controllable x‐ray beams covering 30 degrees viewing angle, allowing collection of the all the projection images from different angles without any mechanical motion blur. It is operated up to 50KVp anode voltage at an effective focal size comparable to that of the traditional mammography tube. Tomosynthesisimages of a breast phantom were obtained using the new source array and a flat‐panel x‐ray detector. Conclusion: The distributed field emission x‐ray source array technology offers unique capabilities that are attractive for tomographyimaging and potentially for radiotherapy. The flexibility in source configuration opens up new possibilities in system design. Conflict of Interest: Zhou is a board director of XinRay Systems which develops and commercializes the CNT X‐Ray source technology.

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.

WE‐C‐303A‐01: Stationary‐Gantry Tomosynthesis System for On‐Line Image Guidance in Radiation Therapy Based On a 52‐Source Cold Cathode X‐Ray Tube

We present the design and simulation of an imaging system that employs a compact multiple source x-ray tube to produce a tomosynthesis image from a set of projections obtained at a single tube position. The electron sources within the tube are realized using cold cathode carbon nanotube technology. The primary intended application is tomosynthesis-based 3D image guidance during external beam radiation therapy. The tube, which is attached to the gantry of a medical linear accelerator (linac) immediately below the multileaf collimator, operates within the voltage range of 80-160 kVp and contains a total of 52 sources that are arranged in a rectilinear array. This configuration allows for the acquisition of tomographic projections from multiple angles without any need to rotate the linac gantry. The x-ray images are captured by the same amorphous silicon flat panel detector employed for portal imaging on contemportary linacs. The field-of-view (FOV) of the system corresponds to that part of the volume that is sampled by rays from all sources. The present tube and detector configuration provides an 8 cm×8 cm FOV in the plane of the linac isocenter when the 40.96 cm×40.96 cm imaging detector is placed 40 cm from the isocenter. Since this tomosynthesis application utilizes the extremities of the detector to record image detail relating to structures near the isocenter, simultaneous treatment and imaging is possible for most clinical cases, where the treated target is a small region close to the linac isocenter. The tomosynthesis images are reconstructed using the simultaneous iterative reconstruction technique (SART), which is accelerated using a graphics processing unit (GPU). We present details of the system design as well as simulated performance of the imaging system based on reprojections of patient CT images.