This application claims priority of German application No. 10 2005 028 216.4 filed Jun. 17, 2005, which is incorporated by reference herein in its entirety.
The invention relates to a device for computer tomography with:
A computer tomographic device and a method for correcting the radiation hardening is known from DE 100 51 462 A1. The known device has an x-ray source and an x-ray detector that together rotate around an object to be examined. The projection images taken by the x-ray detector are applied to an evaluation unit that corrects the radiation hardening. To do this the evaluation unit performs a post-reconstructive correction procedure. As part of the post-reconstructive correction procedure, the evaluation unit first reconstructs approximate volumetric images from the object to be examined from the uncorrected projection images. The term volumetric image in this case, and in the following, means both three-dimensional volumetric views and two-dimensional section images. A reprojection is then performed, with only those pixels being used in the volumetric image whose the image value is above a specified threshold value and that are interpreted as materials to be distinguished from soft tissue. These materials can, for example, be bones or a contrast medium. The limitation to specific pixels enables the computing expense for the reprojection to be reduced.
With conventional computer tomography, a constant voltage is used for all projection directions, except for small fluctuations due to the generator for the tube voltage. The tube voltage is in this case preferably chosen so that the radiation dose received by the detector is adequate for all projection directions and object thicknesses. If the object to be examined is a patient, the patient under certain circumstances is exposed to a dose of radiation that is greater than would be necessary to take the particular projection image.
Devices and methods have therefore been developed to reduce as far as possible the radiation dose to which the patient is exposed. A device and a method of this kind are, for example, known from U.S. Pat. No. 6,222,907 B1. With the known device and known method, the parameters of the x-ray tube are controlled corresponding to the beam path through the object being examined.
The application areas for the known device and known method are radiography and fluoroscopy.
In recent times, the C-arch device for rotational angiography has been continuously improved. In particular, the mechanical stability of the C-arch has been increased, thus enabling approximate rotation about an isocenter. Together with the use of area detectors with an increased dynamic compared with x-ray image amplifiers, this enables a computer tomography volumetric reconstruction.
Starting from this prior art, the object of the invention is to provide a device for computer tomography with an optimized radiation dose and good image quality. The object of the invention is also to provide a method for the reconstruction of volumetric images from projection images.
These objects are achieved by a device and a method with the features of the independent claims. Advantageous embodiments and developments are given in associated dependent claims.
The device is especially characterized in that the radiation source used transmits radiation with different energy distributions in various projection directions depending on the absorption characteristics of the object to be examined, by adapting at least one operating parameter. The evaluation unit supplied with the value used at a specific projection direction reads, from a data memory, a correction value allocated to the value of the operating parameter and thus corrects the radiation hardening on the relevant projection image.
Accordingly, for a method for reconstructing volumetric images, an evaluation unit is supplied with at least one operating parameter together with projection image data, that is characteristic of the energy distribution of the radiation used to take the projection images. Furthermore, correction values for radiation correction relative to the value of the operating parameters, stored in a data memory, are read by the evaluation unit and the projection images are thus corrected with respect to radiation hardening.
Because the operating parameters of the radiation source determine the energy of the emitted radiation, the energy distribution of the radiation transmitted by the radiation source at known operating parameters is also known. It is thus possible to determine in advance the correction values for various values of the operating parameter, with which the radiation hardening can be corrected. The radiation hardening can thus be corrected in real time even with large amounts of data.
With a preferred form of embodiment, the radiation source is an x-ray source and the operating parameter the tube voltage of the x-ray source. Then, by means of the value of the tube voltage, the energy distribution, for a known material composition of the anode, of the x-ray photons emitted from the anode is known.
With a further preferred form of embodiment, the evaluation unit performs what is called a water correction in that the evaluation unit determines, at a specific image value, a correction value stored in a data memory and relative to both the image value and the tube voltage. In this case it assumed for simplification that the attenuation of the radiation is caused by water-equivalent material.
Furthermore, the evaluation unit can also perform a post-reconstructive correction for radiation hardening relative to the tube voltage. To do so, the evaluation unit generates a three-dimensional object model, differentiated according to absorption characteristics, and allocates to the image values object data records derived in each case from the object model. Furthermore, the evaluation unit reads out from a data memory the correction values allocated to the object data records and the tube voltage, and thus performs the correction of the radiation hardening.
To reduce the computing expense, the evaluation unit preferably performs the correction of the radiation hardening with a spatial resolution that is less that the spatial resolution of the projection images. This is generally sufficient because the artifacts in the reconstructed volumetric images induced by the radiation hardening generally have low spatial frequencies.
Further details and advantages of the invention are given in the following description, in which exemplary embodiments of the invention are explained in detail using the accompanying drawings. These are as follows:
The x-ray tube 3 and detector 4 are mounted on a C-arch 5 that is secured by a mounting 6. The C-arch 5 is supported in the mounting 6 in such a way that it can move in a circumferential direction 7. The mounting 6 is fitted to a stand 8 so that it can rotate about a rotary axis 9. The stand 8 is secured to a floor mounting 10 that enables the stand 8 to move.
When the x-ray system 1 is operating, the C-arch 5 rotates about the rotary axis 9 and thus passes around a patient couch 11, on which the patient 2 is supported.
The detector 4 is connected to an evaluation unit 12 that calculates a volumetric image of the inner structure of the patient 2 from the projection images taken by the detector. The volumetric image can, for example, be displayed on a monitor 13. Connected to the evaluation unit 12 are mainly input devices 14 by means of which the x-ray system 1 can be controlled.
In the case of conventional devices for high-speed computer tomography, the x-ray detector and the x-ray radiation source rotate around the object to be examined at high speed in a fixed frame. Compared with this, the x-ray tube 3 and detector 4 on the x-ray system 1 move relatively slowly. Control of the tube voltage U matched to the dimensions of the object to be examined therefore appears relatively easy to accomplish.
Voltage-Dependent Radiation Hardening
The radiation of x-ray tube 3 is also polychromatic. The energy spectrum of the photons emitted as braking radiation at the anode depends mainly on the applied tube voltage U, with which the electrons can be accelerated from the cathode to the anode. At a tube voltage U, it is usually a high voltage in the kV range. The maximum photon energy is then
Emax(U)=U(keV/kV)=eU,
with kilo electron volts (keV) usually being used as the unit of energy. Some typical emission spectra QU(E) for various voltages are shown in
However, the emission spectrum alone does not determine the imaging, but also the transparency of the spectral filters used
W(E)=exp(−μ(E)T)
with energy-dependent attenuation coefficient μ(E) and thickness T The spectral response sensitivity ηD(E) of the detector is also determinant for the imaging.
The resulting effective standard spectral distributions SU(E) are therefore defined by:
SU(E)=QU(E)W(E)ηD(E)/cU (#1)
with the standard factor:
Examples of effective spectral distributions SU(E) are shown in
Furthermore, during the penetration through matter the number of low-energy photons is reduced more severely by absorption or scatter than the number of high-energy photons, which leads to a radiation hardening depending on the material and path length. For example, the dominance of photons of higher energies in the resulting spectral distribution SUR(E) can be seen in
This phenomenon of radiation hardening occurs with objects made of homogenous material. With a cylindrical cross-section of water, for example, with a radiation passage transverse to the longitudinal axis the radiation hardening at the edge is less than in the area of the center of the cylinder where the radiation has to cover a long path through the cylinder.
However, the theory of reconstruction of volumetric images presumes monochromatic radiation. Ignoring polychromacity leads, for example, to something called the cupping effect after the reconstruction, i.e. the reconstructed attenuation coefficient (gray value) reduces continuously from the edge inwards. This effect can be relatively easily corrected for materials of a lower atomic number, that are similar to water, such as soft tissue, fat and many plastics. The expression water correction or first order hardening correction is used.
Furthermore, the radiation hardening is intensified by the presence of materials with high atomic numbers, particularly by bones, contrast media or metal implants. Local density distortions occur after the reconstruction even after water correction, particularly bar or shadow-type artifacts, for example between heavily absorbent bone structures. Such second order hardening artifacts 2 can reach an intensity of 10 to approx 100 HU (Hounsfield unit, corresponding to 0.1 percent of the attenuation coefficient of water). The cause is ultimately the energy dependency of the attenuation coefficients for materials with a higher atomic number that deviates strongly from water. The correction of this effect is referred to in the following as second order hardening correction.
The dependency of the attenuation coefficient on the photon energy is shown in
Multispectral Water Correction: Preconstructive First Order Radiation Hardening Correction
For simplicity, when considering water correction or first order hardening correction the attenuation of an x-ray photon beam in the object to be examined, that is usually a patient 2, is caused solely by water-equivalent material. In this case water equivalence means that it is assumed that the energy dependency of the mass attenuation coefficient (μ/ρ)(E) is identical to water and differences are due only to local differences in density. Accordingly, muscle tissue, blood or also bony tissue is treated as water with a higher density (ρ>1 g/cm3))
We now consider a measuring beam that penetrates the object to be examined. Let the coordinate along its path be x and the local (linear) energy-dependent attenuation co-efficient
μ(x,E)=ρ(x)α)(x,E),
with the mass attenuation coefficient being shortened with α:
α(x,E)=μ(x,E)/ρ(x).
The polychromatic logarithmic CT projection value for the measuring beam under consideration is then
with the measuring beam belonging to a projection number j, recorded at a tube voltage U=Uj.
For this purpose, an equivalent water density bU=bU({tilde over (p)}) is determined in the following manner: let αW(E) be the energy-dependent mass attenuation coefficient of water, then the polychromatic logarithmic projection value for a measuring beam with a voltage-dependent spectral distribution SU(E), that is attenuated along a path length (coverage density) b in water (ρ=1 g/cm3) is determined as:
This function can be calculated in advance for every voltage U or also experimentally determined. In
For each measured value {tilde over (p)} in accordance with equation (#2) an equivalent water density bU=bU({tilde over (p)})=b can be determined so that {tilde over (p)}=fU(b) applies in accordance with equation (#3), i.e. by inversion of equation (#3):
bU=fU−1({tilde over (p)}) (#4)
with bU it is then possible to convert to the corresponding projection value, that ideally would have been measured at a monochromatic spectrum with photons with only a single reference energy E0. With bU according to equation (#4) the corrected water-equivalent monochromatic logarithmic project value results
pkorr(0)=αW(E0)bU=αW(E0)fU−1({tilde over (p)})=FU({tilde over (p)}) #5)
In
The water correction can be illustrated using
It should be noted that in fact the conversion {tilde over (p)}→pkorr(0) depends on the voltage U. With the homogenous material, water, and the fixed specified path b, a constant path length bU=b is, however, obtained from the inversion of the equation (#4) and a constant monochromatic projection value pkorr(0) from the equation (#5), that in each case is independent of U.
It should also be noted that the right-hand sides of equations (#2) and (#3) are identical if the measuring beam penetrates a thickness b in water. Then in the equation (#2) we get b=∫ρ(x)dx and α(x,E)=αW(E)
Multispectral, Material-Selective Post-Reconstructive Hardening Correction: Second Order Hardening Correction
Following the illustration of the first order hardening correction, that is used directly on the projection data, a description of a multispectral, material-selective, second order hardening correction is now described using
From the reprojection after the segmentation we then get, for each individual measuring beam 38, a value tuple for the coverage thickness with a density*path length unit in g/cm2 of the various segmented material along the measuring beam 38 through the object volume.
The following explanations are, without restricting the generality, limited for simplicity to two materials with coverage thicknesses bW and bk. By access to tables, generally followed by interpolation, a correction factor is then allocated to the value pair (bW, bK) for conversion of polychromatic projection data, disturbed by the hardening effect, into monochromatic projection data.
The multiparameter correction Table C, that is broken down into fine discreet steps relative to bW and bK and still depends on the tube voltage U, can then be calculated in advance as follows before taking an image using the x-ray system 1, or if necessary also determined by measurements or adapted:
CU(bW,bK)=g(0)(bW,bK,E0)/gU(bW,bK,) (#6)
In this case, g(0) and gU are the logarithmic mono- and polychromatic projection values, defined by
The comparison with equation (#3) shows that the following applies:
fU(b)=gU(b,0) (#9)
The hardening correction of the polychromatic measured projection data {tilde over (p)} then takes place by multiplication with a correction factor CU
pkorr=CU(bW,bK){tilde over (p)} (#10)
or by addition
pkorr={tilde over (p)}+δp(1) (#11)
with the correction projection data
δp(1)=(CU(bW,bK)−1){tilde over (p)} (#12)
It is noted that the corrections depend on the voltage U=Uj used in the particular projection No. j. The corrected projection data or the correction projection data is used for a new volumetric image reconstruction. The correction cycle can then be iteratively repeated with a new segmentation, with a new determination of material-specific coverages bW′,bK′ by segmented reprojection, new correction in accordance with equations (#10) and (#11)-(# 12) and with a new reconstruction.
Two-Stage Correction: Multispectral First and Second Order Hardening Correction
It is pointed out that for the actual implementation in the x-ray system 1 the correction (#11), {tilde over (p)}→pkorr, is not performed in one step, but instead the water correction is carried out first. This operates directly on the projection data and requires no reprojection. Only then is the deviation from the water correction, as a second order correction, corrected. The segmented reprojection is then required for this:
First order correction: {tilde over (p)}→pkorr(0) according to (#5)
Second order correction: pkorr(0)→pkorr=pkorr(0)+δp(2) (#13)
The corrections depend, as mentioned, on the voltage U=Uj used in the particular projection No. j. The correction procedure can be iteratively continued.
Reduction of the Computing Expense of the Post-Reconstructive Corrections
There are various methods of keeping the computing expense low. In DE 100 51 462 the fact that the non-water-similar hardening materials with a higher atomic number, for example, bones, contrast media or metal usually have only a fraction of pixels 37 or voxels 36 is utilized by clever data organization.
Furthermore, it is possible to subject only correction projection data, corresponding to δp(1) or δp(2), to a new volumetric image reconstruction, in order to calculate a correction volumetric image and only then superimpose it by addition to the uncorrected volumetric image. This essentially uses the linearity of the image reconstruction because the linearity enables the sequence of addition and reconstruction to be switched.
Both methods of expense reduction can be combined.
In the following, a detailed description of the performance of the hardening correction is described with the aid of
Multispectral Water Correction
First, a data acquisition 39, that leads to projection image data 40, is performed with the aid of the detector 4. The projection image data 40 also contains the particular tube voltage U used of the x-ray tube 3. Using the correction table 41 applicable for the tube voltage U in which the corrected projection values are entered relative to the measured projection values, a multispectral correction 42 of the beam revaluation is carried out. The correction 42 depends on the actual tube voltage U of the x-ray tube 3. Using the corrected projection image data, an image reconstruction 43 is then carried out, leading to a volumetric image 44 with the radiation hardening due to water or body parts of the patient 2, that have similar absorption properties to water, being corrected.
In the following, the process of water correction is described again by pseudocode.
When doing so, it is assumed that the (two-parameter) water correction family of tables FU(p) for the voltage range Umin≦U≦Umax, used for system control and calculated in advance with suitable discretization U=Un=Umin+(n−1)ΔU, n=1,2, . . . , is available (for example ΔU=5 kV).
The pseudocode is then:
for each projection direction j=1,N
with a projection angle φj=φ0+(j−1)Δφ and tube voltage Uj:
It is pointed out that the image reconstruction is not limited to the Feldkamp algorithm, under certain circumstances with Parker weighting, at projection angles of less than 360 degrees. There are generalizations that are still back projections filtered from the type. Furthermore, every suitable reconstruction algorithm can, in principle, be used, for example also a reconstruction method of the algebraic iterative reconstruction type.
Iterative, Multispectral, Second Order Hardening Correction
As for the water correction described using
By means of a succeeding refinement 50 of the correction volume image supplied from the correction 49, a correction volumetric image 51 is generated that is added to the uncorrected volumetric image 46 and a corrected volumetric image 52 thus results. As part of the refinement 50, the spatial resolution of the correction volumetric image is increased by interpolation corresponding to the spatial resolution of the uncorrected volumetric image 43.
In principle, the coarsening 47 and 48 and refining 50 steps can be omitted. This does, however, lead to a higher computing cost.
If the correction image 62 has not substantially changed, the refining 50 is carried out, leading to the correction volumetric image 51 with the original spatial resolution.
The process of a second order hardening correction again using pseudocode is described in the following.
It is again assumed that the (three or more parameter) family of hardening correction tables CU( ) according to equation (#6) is available, calculated in advance with suitable discretizing, for the voltage range Umin≦U≦Umax used for the system control.
The pseudocode is then:
Simulation Calculations
The method described here was tested in the simulation calculations. During the simulation calculations, a heavily simplified femur phantom with low contrast inserts was used.
The method described here and the x-ray system 1 described here has a number of advantages.
With the x-ray system 1, the dose of the x-ray radiation can be minimized. By correcting the voltage dependent multispectral radiation hardening, the image quality is improved at the same time. This substantially increases the quantitative accuracy of the reconstructed volumetric images. Hardening artifacts are largely eliminated.
This means that it is then possible to consider the use of the method described here also in conjunction with conventional computer tomography devices that have a fixed frame in which the x-ray source and the x-ray detector rotate.
It is pointed out that the method described here can be realized using software or with the aid of hardware. It is also pointed out that the term evaluation unit is to be understood as being functional. The evaluation unit does not necessarily have to be formed by a physical unit but instead the function of an evaluation unit can also be performed by several physical units.
It should finally be pointed out that with the exemplary embodiment described here the tube voltage of the x-ray tube has been used to vary the energy distribution of the x-ray radiation. It is also conceivable to vary other operating parameters of the x-ray system 1. For example, the energy distribution of the x-ray radiation can also be varied by using filters. In this case, the multiparameter correction table C must also be calculated relative to the additional operating parameters. Other operating parameters that influence the energy distribution of the x-ray radiation can be taken into account for other x-ray sources that are used instead of the x-ray tube.
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