Tao Xi, Zhang Hua, Qin Genggeng, Ma Jianhua, Feng Qianjin, Chen Wufan
School of Biomedical Engineering, and Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou 510515, China.
School of Biomedical Engineering, and Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou 510515, China.
Med Eng Phys. 2018 Feb;52:59-68. doi: 10.1016/j.medengphy.2017.12.003. Epub 2018 Jan 12.
Chest tomosynthesis (CTS) is a newly developed imaging technique which provides pseudo-3D volume anatomical information of thorax from limited-angle projections and contains much less of superimposed anatomy than the chest X-ray radiography. One of the relatively common problems in CTS is the patient respiratory motion during image acquisition, which negatively impacts the detectability. In this work, we propose a sin-quadratic model to analyze the respiratory motion during CTS scan, which is a real time method where the respiratory signal is generated by extracting the motion of diaphragm from projection radiographs. According to the estimated respiratory signal, the CTS projections were then amplitude-based sorted into four to eight phases, and an iterative reconstruction strategy with total variation regularization was adopted to reconstruct the CTS images at each phase. Simulated digital XCAT phantom data and three sets of patient data were adopted for the experiments to validate the performance of the sin-quadratic model and its application in four dimensional (4D) CTS reconstruction. Results of the XCAT phantom simulation study show that the correlation coefficient between the extracted respiratory signal and the originally designed respiratory signal is 0.9964, which suggests that the proposed model could exactly extract the respiratory signal from CTS projections. The 4D CTS reconstructions of both the phantom data and the patient data show clear reduction of motion-induced blur.
胸部断层合成(CTS)是一种新开发的成像技术,它能从有限角度投影中提供胸部的伪三维容积解剖信息,与胸部X线摄影相比,其叠加的解剖结构要少得多。CTS中一个相对常见的问题是图像采集过程中患者的呼吸运动,这对可检测性有负面影响。在这项工作中,我们提出了一种正弦二次模型来分析CTS扫描过程中的呼吸运动,这是一种实时方法,通过从投影X光片中提取膈肌运动来生成呼吸信号。根据估计的呼吸信号,然后将CTS投影按幅度分为四到八个阶段,并采用具有总变差正则化的迭代重建策略在每个阶段重建CTS图像。实验采用模拟数字XCAT体模数据和三组患者数据来验证正弦二次模型的性能及其在四维(4D)CTS重建中的应用。XCAT体模模拟研究结果表明,提取的呼吸信号与原始设计的呼吸信号之间的相关系数为0.9964,这表明所提出的模型能够准确地从CTS投影中提取呼吸信号。体模数据和患者数据的4D CTS重建均显示运动模糊明显减少。