Vaegler Sven, Stsepankou Dzmitry, Hesser Jürgen, Sauer Otto
Department of Radiation Oncology, University of Würzburg, Josef-Schneider-Str. 11, 97080 Würzburg, Germany.
Department of Experimental Radiation Oncology, University Medical Center Mannheim, Theodor Kutzer Ufer 1-3, 68167 Mannheim, Germany.
Z Med Phys. 2015 Dec;25(4):375-390. doi: 10.1016/j.zemedi.2015.09.002. Epub 2015 Oct 1.
The reduction of dose in cone beam computer tomography (CBCT) arises from the decrease of the tube current for each projection as well as from the reduction of the number of projections. In order to maintain good image quality, sophisticated image reconstruction techniques are required. The Prior Image Constrained Compressed Sensing (PICCS) incorporates prior images into the reconstruction algorithm and outperforms the widespread used Feldkamp-Davis-Kress-algorithm (FDK) when the number of projections is reduced. However, prior images that contain major variations are not appropriately considered so far in PICCS. We therefore propose the partial-PICCS (pPICCS) algorithm. This framework is a problem-specific extension of PICCS and enables the incorporation of the reliability of the prior images additionally.
We assumed that the prior images are composed of areas with large and small deviations. Accordingly, a weighting matrix considered the assigned areas in the objective function. We applied our algorithm to the problem of image reconstruction from few views by simulations with a computer phantom as well as on clinical CBCT projections from a head-and-neck case. All prior images contained large local variations. The reconstructed images were compared to the reconstruction results by the FDK-algorithm, by Compressed Sensing (CS) and by PICCS. To show the gain of image quality we compared image details with the reference image and used quantitative metrics (root-mean-square error (RMSE), contrast-to-noise-ratio (CNR)).
The pPICCS reconstruction framework yield images with substantially improved quality even when the number of projections was very small. The images contained less streaking, blurring and inaccurately reconstructed structures compared to the images reconstructed by FDK, CS and conventional PICCS. The increased image quality is also reflected in large RMSE differences.
We proposed a modification of the original PICCS algorithm. The pPICCS algorithm incorporates prior images as well as information about location dependent uncertainties of the prior images into the algorithm. The computer phantom and experimental data studies indicate the potential to lowering the radiation dose to the patient due to imaging while maintaining good image quality.
锥束计算机断层扫描(CBCT)中剂量的降低源于每次投影时管电流的减少以及投影数量的减少。为了保持良好的图像质量,需要复杂的图像重建技术。先验图像约束压缩感知(PICCS)将先验图像纳入重建算法,并且在投影数量减少时,其性能优于广泛使用的费尔德坎普-戴维斯-克雷斯算法(FDK)。然而,到目前为止,PICCS尚未适当考虑包含较大变化的先验图像。因此,我们提出了部分PICCS(pPICCS)算法。该框架是PICCS针对特定问题的扩展,并且能够额外纳入先验图像的可靠性。
我们假设先验图像由偏差大小不同的区域组成。相应地,一个加权矩阵在目标函数中考虑了这些指定区域。我们通过使用计算机体模进行模拟以及对头颈病例的临床CBCT投影,将我们的算法应用于少视图图像重建问题。所有先验图像都包含较大的局部变化。将重建图像与FDK算法、压缩感知(CS)和PICCS的重建结果进行比较。为了展示图像质量的提升,我们将图像细节与参考图像进行比较,并使用定量指标(均方根误差(RMSE)、对比度噪声比(CNR))。
即使投影数量非常少,pPICCS重建框架也能生成质量大幅提高的图像。与FDK、CS和传统PICCS重建的图像相比,这些图像的条纹、模糊和重建不准确的结构更少。图像质量的提高也体现在较大的RMSE差异上。
我们提出了对原始PICCS算法的一种改进。pPICCS算法将先验图像以及关于先验图像位置相关不确定性的信息纳入算法。计算机体模和实验数据研究表明,在保持良好图像质量的同时,该算法有降低患者成像辐射剂量的潜力。