Publications of James T. Dobbins    :chronological  alphabetical  by type listing:

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@article{fds344877,
   Author = {Boone, JM and Becker, AE and Hernandez, AM and Dobbins, JT and Schwoebel, P},
   Title = {Multi-x-ray source array for stationary tomosynthesis or
             multi-cone angle cone beam CT},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {10948},
   Year = {2019},
   Month = {January},
   ISBN = {9781510625433},
   url = {http://dx.doi.org/10.1117/12.2512959},
   Abstract = {Field-emission x-ray source arrays have been studied for
             both tomosynthesis and CT applications, however these arrays
             tend to have limited output. We propose the use of
             multi-source x-ray arrays using thermionic cathodes,
             contained within a single vacuum housing. A prototype
             3-source x-ray array has been fabricated and tested, and the
             utility of multi-x-ray-source arrays has been demonstrated
             using physical simulations in both tomosynthesis and in cone
             beam CT. The prototype x-ray tube made use of a cylindrical
             molybdenum anode, machined to have 3 specific focal tracks.
             Grid-controlled cathode assemblies were fabricated and
             aligned to each focal tract, and the individual x-ray focal
             spots were evaluated with a star pattern at 35 kV and 40 mA.
             The 3-source assembly was used to physically simulate
             tomosynthesis imaging geometry, and tomosynthesis images of
             a lemon were obtained. Physical simulations using a cone
             beam breast CT scanner were also performed, by vertically
             moving the single x-ray source into 5 different locations -
             simulating 5 different source positions. A new geometry for
             cone beam CT imaging is proposed, where each source of a
             multi-x-ray source array is individually collimated to
             eliminate rays involving large cone angles. This geometry
             also allows three sources to be simultaneously pulsed onto a
             single flat panel detector, achieving better duty cycle and
             view sampling in cone beam CT. A reconstruction algorithm
             was written to accommodate the different source positions,
             and phantoms designed to demonstrate cone beam artifacts
             were imaged. The tomosynthesis images illustrate appropriate
             depth resolution in the test object. Analysis of the CT data
             demonstrate marked improvement compared to one source. We
             conclude that multi-source x-ray arrays using thermionic
             cathodes will have important applications in medical
             imaging, especially breast tomosynthesis and cone beam
             computed tomography.},
   Doi = {10.1117/12.2512959},
   Key = {fds344877}
}

@article{fds348487,
   Author = {Dobbins, JT and Frush, DP and Kigongo, CJN and MacFall, JR and Reiman,
             RE and Trahey, GE and Bradway, DP},
   Title = {Medical imaging safety in global health radiology},
   Pages = {85-105},
   Booktitle = {Radiology in Global Health: Strategies, Implementation, and
             Applications},
   Year = {2018},
   Month = {December},
   ISBN = {9783319984841},
   url = {http://dx.doi.org/10.1007/978-3-319-98485-8_9},
   Doi = {10.1007/978-3-319-98485-8_9},
   Key = {fds348487}
}

@article{fds327404,
   Author = {Pawlicki, T and Ayers, RG and Brock, KK and Clements, JB and Curran, BH and Dobbins, JT and Samei, E and Adams, E and Martin, MC and Schober,
             L},
   Title = {Proposed changes to the American Association of Physicists
             in Medicine governance.},
   Journal = {Journal of Applied Clinical Medical Physics},
   Volume = {18},
   Number = {4},
   Pages = {4-6},
   Year = {2017},
   Month = {July},
   url = {http://dx.doi.org/10.1002/acm2.12124},
   Doi = {10.1002/acm2.12124},
   Key = {fds327404}
}

@article{fds323140,
   Author = {Dobbins, JT and McAdams, HP and Sabol, JM and Chakraborty, DP and Kazerooni, EA and Reddy, GP and Vikgren, J and Båth,
             M},
   Title = {Multi-Institutional Evaluation of Digital Tomosynthesis,
             Dual-Energy Radiography, and Conventional Chest Radiography
             for the Detection and Management of Pulmonary
             Nodules.},
   Journal = {Radiology},
   Volume = {282},
   Number = {1},
   Pages = {236-250},
   Year = {2017},
   Month = {January},
   url = {http://dx.doi.org/10.1148/radiol.2016150497},
   Abstract = {Purpose To conduct a multi-institutional, multireader study
             to compare the performance of digital tomosynthesis,
             dual-energy (DE) imaging, and conventional chest radiography
             for pulmonary nodule detection and management. Materials and
             Methods In this binational, institutional review
             board-approved, HIPAA-compliant prospective study, 158
             subjects (43 subjects with normal findings) were enrolled at
             four institutions. Informed consent was obtained prior to
             enrollment. Subjects underwent chest computed tomography
             (CT) and imaging with conventional chest radiography
             (posteroanterior and lateral), DE imaging, and tomosynthesis
             with a flat-panel imaging device. Three experienced thoracic
             radiologists identified true locations of nodules (n = 516,
             3-20-mm diameters) with CT and recommended case management
             by using Fleischner Society guidelines. Five other
             radiologists marked nodules and indicated case management by
             using images from conventional chest radiography,
             conventional chest radiography plus DE imaging,
             tomosynthesis, and tomosynthesis plus DE imaging.
             Sensitivity, specificity, and overall accuracy were measured
             by using the free-response receiver operating characteristic
             method and the receiver operating characteristic method for
             nodule detection and case management, respectively. Results
             were further analyzed according to nodule diameter
             categories (3-4 mm, >4 mm to 6 mm, >6 mm to 8 mm, and >8 mm
             to 20 mm). Results Maximum lesion localization fraction was
             higher for tomosynthesis than for conventional chest
             radiography in all nodule size categories (3.55-fold for all
             nodules, P < .001; 95% confidence interval [CI]: 2.96,
             4.15). Case-level sensitivity was higher with tomosynthesis
             than with conventional chest radiography for all nodules
             (1.49-fold, P < .001; 95% CI: 1.25, 1.73). Case management
             decisions showed better overall accuracy with tomosynthesis
             than with conventional chest radiography, as given by the
             area under the receiver operating characteristic curve
             (1.23-fold, P < .001; 95% CI: 1.15, 1.32). There were no
             differences in any specificity measures. DE imaging did not
             significantly affect nodule detection when paired with
             either conventional chest radiography or tomosynthesis.
             Conclusion Tomosynthesis outperformed conventional chest
             radiography for lung nodule detection and determination of
             case management; DE imaging did not show significant
             differences over conventional chest radiography or
             tomosynthesis alone. These findings indicate performance
             likely achievable with a range of reader expertise. © RSNA,
             2016 Online supplemental material is available for this
             article.},
   Doi = {10.1148/radiol.2016150497},
   Key = {fds323140}
}

@article{fds337356,
   Author = {Chen, Y and Zhou, W and Dobbins, JT},
   Title = {Fourier-domain methods for optimization of tomosynthesis
             (NEQ)},
   Pages = {135-145},
   Booktitle = {Tomosynthesis Imaging},
   Year = {2016},
   Month = {April},
   ISBN = {9781138199651},
   Key = {fds337356}
}

@article{fds305761,
   Author = {Erickson, DW and Wells, JR and Sturgeon, GM and Samei, E and Dobbins,
             JT and Segars, WP and Lo, JY},
   Title = {Population of 224 realistic human subject-based
             computational breast phantoms.},
   Journal = {Med Phys},
   Volume = {43},
   Number = {1},
   Pages = {23},
   Year = {2016},
   Month = {January},
   ISSN = {0094-2405},
   url = {http://dx.doi.org/10.1118/1.4937597},
   Abstract = {PURPOSE: To create a database of highly realistic and
             anatomically variable 3D virtual breast phantoms based on
             dedicated breast computed tomography (bCT) data. METHODS: A
             tissue classification and segmentation algorithm was used to
             create realistic and detailed 3D computational breast
             phantoms based on 230 + dedicated bCT datasets from normal
             human subjects. The breast volume was identified using a
             coarse three-class fuzzy C-means segmentation algorithm
             which accounted for and removed motion blur at the breast
             periphery. Noise in the bCT data was reduced through
             application of a postreconstruction 3D bilateral filter. A
             3D adipose nonuniformity (bias field) correction was then
             applied followed by glandular segmentation using a 3D
             bias-corrected fuzzy C-means algorithm. Multiple tissue
             classes were defined including skin, adipose, and several
             fractional glandular densities. Following segmentation, a
             skin mask was produced which preserved the interdigitated
             skin, adipose, and glandular boundaries of the skin
             interior. Finally, surface modeling was used to produce
             digital phantoms with methods complementary to the XCAT
             suite of digital human phantoms. RESULTS: After rejecting
             some datasets due to artifacts, 224 virtual breast phantoms
             were created which emulate the complex breast parenchyma of
             actual human subjects. The volume breast density (with skin)
             ranged from 5.5% to 66.3% with a mean value of 25.3% ±
             13.2%. Breast volumes ranged from 25.0 to 2099.6 ml with a
             mean value of 716.3 ± 386.5 ml. Three breast phantoms were
             selected for imaging with digital compression (using finite
             element modeling) and simple ray-tracing, and the results
             show promise in their potential to produce realistic
             simulated mammograms. CONCLUSIONS: This work provides a new
             population of 224 breast phantoms based on in vivo bCT data
             for imaging research. Compared to previous studies based on
             only a few prototype cases, this dataset provides a rich
             source of new cases spanning a wide range of breast types,
             volumes, densities, and parenchymal patterns.},
   Doi = {10.1118/1.4937597},
   Key = {fds305761}
}

@article{fds268504,
   Author = {Dobbins, JT and Frush, DP and Kigongo, CJN and MacFall, JR and Reiman,
             RE and Trahey, GE},
   Title = {Medical imaging safety in the developing
             world},
   Volume = {9781461406044},
   Pages = {41-60},
   Booktitle = {Radiology in Global Health: Strategies, Implementation, and
             Applications},
   Publisher = {Springer New York},
   Year = {2014},
   Month = {October},
   ISBN = {146140603X},
   url = {http://dx.doi.org/10.1007/978-1-4614-0604-4_7},
   Abstract = {Attention to matters of safety is important in any imaging
             facility. In the context of the developing world, limited
             resources may complicate the attempt to set up and operate
             an imaging facility with the highest standards of safety,
             but it is nonetheless important to see that all applicable
             safety measures are carried out. Imaging safety involves
             several general principles, including the need to minimize
             radiation exposure consistent with answering the clinical
             question at hand. Safety considerations relevant to
             patients, staff, and the general public must be addressed.
             Safety considerations specific to individual modalities
             include appropriate limitations on exposure in X-ray and CT
             imaging, attention to hazards from the magnetic field in
             magnetic resonance imaging, proper preparation and control
             of radionuclides in nuclear medicine, and avoidance of
             excessive prenatal imaging procedures with ultrasound. An
             important general safety consideration for all imaging
             modalities is assuring proper clinical utilization; proper
             utilization includes factors such as not performing imaging
             procedures without medical referral and supervision,
             attention to image quality to ensure that procedures do not
             need to be repeated unnecessarily, and carefully considering
             the clinical appropriateness of any requested imaging
             procedure. Training and credentialing of staff is also of
             utmost importance and includes staff who design, prepare,
             and evaluate a new imaging facility as well as medical staff
             who acquire, order, or review images. Ensuring imaging
             safety requires the input of a team of experts, including
             trained and qualified medical physicists, health physicists,
             radiation safety officers, clinical safety personnel,
             installation and service personnel, radiologic
             technologists, and radiologists. With appropriate attention
             to safety, diagnostic imaging can provide a very useful
             component of healthcare services in resource-limited
             regions.},
   Doi = {10.1007/978-1-4614-0604-4_7},
   Key = {fds268504}
}

@article{fds268505,
   Author = {Kiarashi, N and Lo, JY and Lin, Y and Ikejimba, LC and Ghate, SV and Nolte,
             LW and Dobbins, JT and Segars, WP and Samei, E},
   Title = {Development and application of a suite of 4-D virtual breast
             phantoms for optimization and evaluation of breast imaging
             systems.},
   Journal = {Ieee Trans Med Imaging},
   Volume = {33},
   Number = {7},
   Pages = {1401-1409},
   Year = {2014},
   Month = {July},
   ISSN = {0278-0062},
   url = {http://dx.doi.org/10.1109/TMI.2014.2312733},
   Abstract = {Mammography is currently the most widely utilized tool for
             detection and diagnosis of breast cancer. However, in women
             with dense breast tissue, tissue overlap may obscure
             lesions. Digital breast tomosynthesis can reduce tissue
             overlap. Furthermore, imaging with contrast enhancement can
             provide additional functional information about lesions,
             such as morphology and kinetics, which in turn may improve
             lesion identification and characterization. The performance
             of these imaging techniques is strongly dependent on the
             structural composition of the breast, which varies
             significantly among patients. Therefore, imaging system and
             imaging technique optimization should take patient
             variability into consideration. Furthermore, optimization of
             imaging techniques that employ contrast agents should
             include the temporally varying breast composition with
             respect to the contrast agent uptake kinetics. To these
             ends, we have developed a suite of 4-D virtual breast
             phantoms, which are incorporated with the kinetics of
             contrast agent propagation in different tissues and can
             realistically model normal breast parenchyma as well as
             benign and malignant lesions. This development presents a
             new approach in performing simulation studies using truly
             anthropomorphic models. To demonstrate the utility of the
             proposed 4-D phantoms, we present a simplified example study
             to compare the performance of 14 imaging paradigms
             qualitatively and quantitatively.},
   Doi = {10.1109/TMI.2014.2312733},
   Key = {fds268505}
}

@article{fds268506,
   Author = {Dobbins, JT and Wells, JR and Segars, WP},
   Title = {Dose reduction in CT with correlated-polarity noise
             reduction: Context-dependent spatial resolution and noise
             properties demonstrating two-fold dose reduction with
             minimal artifacts},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {9033},
   Publisher = {SPIE},
   Year = {2014},
   Month = {January},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.2043685},
   Abstract = {Correlated-polarity noise reduction (CPNR) is a novel noise
             reduction technique that uses a statistical approach to
             reducing noise while maintaining excellent spatial
             resolution and a traditional noise appearance. It was
             demonstrated in application to CT imaging for the first time
             at SPIE 2013 and showed qualitatively excellent image
             quality at half of normal CT dose. In this current work, we
             measure quantitatively the spatial resolution and noise
             properties of CPNR in CT imaging. To measure the spatial
             resolution, we developed a metrology approach that is
             suitable for nonlinear algorithms such as CPNR. We introduce
             the formalism of Signal Modification Factor, SMF(u,v), which
             is the ratio in frequency space of the CPNR-processed image
             divided by the noise-free image, averaged over an ensemble
             of ROIs in a given anatomical context. SMF is a nonlinear
             analog to the MTF. We used XCAT computer-generated
             anthropomorphic phantom images followed by projection space
             processing with CPNR. The SMF revealed virtually no effect
             from CPNR on spatial resolution of the images (<7%
             degradation at all frequencies). Corresponding
             contextdependent NPS measurements generated with CPNR at
             half-dose were about equal to the NPS of full-dose images
             without CPNR. This result demonstrates for the first time
             the quantitative determination of a two-fold reduction in
             dose with CPNR with less than 7% reduction in spatial
             resolution. We conclude that CPNR shows strong promise as a
             method for reduction of noise (and hence, dose) in CT. CPNR
             may also be used in combination with iterative
             reconstruction techniques for yet further dose reduction,
             pending further investigation. © 2014 SPIE.},
   Doi = {10.1117/12.2043685},
   Key = {fds268506}
}

@article{fds268507,
   Author = {Segars, WP and Veress, AI and Wells, JR and Sturgeon, GM and Kiarashi,
             N and Lo, JY and Samei, E and Dobbins, JT},
   Title = {Population of 100 realistic, patient-based computerized
             breast phantoms for multi-modality imaging
             research},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {9033},
   Publisher = {SPIE},
   Year = {2014},
   Month = {January},
   ISBN = {9780819498267},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.2043868},
   Abstract = {Breast imaging is an important area of research with many
             new Techniques being investigated To further reduce The
             morbidity and mortality of breast cancer Through early
             detection. Computerized phantoms can provide an essential
             Tool To quantitatively compare new imaging systems and
             Techniques. Current phantoms, however, lack sufficient
             realism in depicting The complex 3D anatomy of The breast.
             In This work, we created one-hundred realistic and detailed
             3D computational breast phantoms based on high-resolution CT
             datasets from normal patients. We also developed a
             finiteelement application To simulate different compression
             states of The breast, making The phantoms applicable To
             multimodality imaging research. The breast phantoms and
             Tools developed in This work were packaged into
             user-friendly software applications To distribute for breast
             imaging research. © 2014 SPIE.},
   Doi = {10.1117/12.2043868},
   Key = {fds268507}
}

@article{fds268508,
   Author = {Wells, JR and Dobbins, JT},
   Title = {Frequency response and distortion properties of nonlinear
             image processing algorithms and the importance of imaging
             context.},
   Journal = {Med Phys},
   Volume = {40},
   Number = {9},
   Pages = {091906},
   Year = {2013},
   Month = {September},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/24007157},
   Abstract = {PURPOSE: The most common metrics for resolution analysis in
             medical imaging are valid only for (approximately) linear
             systems. While analogues to these metrics have been used in
             attempts to describe resolution performance in nonlinear
             systems, the analysis is incomplete since distortion effects
             are often ignored. The authors have developed a methodology
             to analyze the amplitude modulation and waveform distortion
             properties of nonlinear systems with specific application to
             medical image processing algorithms. METHODS: Using
             sinusoidal basis functions, two metrics were derived which
             distinguish amplitude modulation from nonlinear waveform
             distortion: principle frequency response and distortion
             power spectrum, respectively. Additionally, two figures of
             merit were developed to describe the relative impact of
             nonlinear distortion as a result of image processing:
             distortion index (DI) and ΣDI. Three nonlinear denoising
             algorithms, the median, bilateral, and wavelet denoising
             filters, were selected as example functions to demonstrate
             the utility of the metrics derived in this study. RESULTS:
             Each filter showed very different resolution and waveform
             distortion properties. In particular, the amplitude and
             extent of nonlinear distortion depended strongly on image
             context and the type of nonlinear mechanism employed.
             Nonlinear waveform distortion constituted up to 30% of the
             median filter output signal power in high contrast-to-noise
             ratio (CNR) scenarios. Conversely, nonlinear distortion
             never exceeded 1% of the bilateral filter output signal
             power. The wavelet denoising response contained between 1%
             and 9% distortion which varied weakly as a function of CNR.
             CONCLUSIONS: The analytical metrics described in the paper
             demonstrate the importance of considering both resolution-
             and distortion-related effects in characterizing the
             performance of nonlinear imaging systems with specific
             application to image processing algorithms. Findings with
             three common nonlinear algorithms demonstrate a range of CNR
             values over which it is important to consider the impact of
             the nonlinear nature of each algorithm. Background context
             is also shown to influence the degree to which the nonlinear
             nature of the algorithm influences resolution and
             distortion. While no single metric can yet anticipate
             observer performance in nonlinear systems, the approach
             described can demonstrate the range of imaging contexts over
             which such nonlinear effects are important to
             consider.},
   Doi = {10.1118/1.4817477},
   Key = {fds268508}
}

@article{fds268514,
   Author = {Hsu, CML and Palmeri, ML and Segars, WP and Veress, AI and Dobbins,
             JT},
   Title = {Generation of a suite of 3D computer-generated breast
             phantoms from a limited set of human subject
             data.},
   Journal = {Med Phys},
   Volume = {40},
   Number = {4},
   Pages = {043703},
   Year = {2013},
   Month = {April},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/23556929},
   Abstract = {PURPOSE: The authors previously reported on a
             three-dimensional computer-generated breast phantom, based
             on empirical human image data, including a realistic
             finite-element based compression model that was capable of
             simulating multimodality imaging data. The computerized
             breast phantoms are a hybrid of two phantom generation
             techniques, combining empirical breast CT (bCT) data with
             flexible computer graphics techniques. However, to date,
             these phantoms have been based on single human subjects. In
             this paper, the authors report on a new method to generate
             multiple phantoms, simulating additional subjects from the
             limited set of original dedicated breast CT data. The
             authors developed an image morphing technique to construct
             new phantoms by gradually transitioning between two human
             subject datasets, with the potential to generate hundreds of
             additional pseudoindependent phantoms from the limited bCT
             cases. The authors conducted a preliminary subjective
             assessment with a limited number of observers (n = 4) to
             illustrate how realistic the simulated images generated with
             the pseudoindependent phantoms appeared. METHODS: Several
             mesh-based geometric transformations were developed to
             generate distorted breast datasets from the original human
             subject data. Segmented bCT data from two different human
             subjects were used as the "base" and "target" for morphing.
             Several combinations of transformations were applied to
             morph between the "base' and "target" datasets such as
             changing the breast shape, rotating the glandular data, and
             changing the distribution of the glandular tissue. Following
             the morphing, regions of skin and fat were assigned to the
             morphed dataset in order to appropriately assign mechanical
             properties during the compression simulation. The resulting
             morphed breast was compressed using a finite element
             algorithm and simulated mammograms were generated using
             techniques described previously. Sixty-two simulated
             mammograms, generated from morphing three human subject
             datasets, were used in a preliminary observer evaluation
             where four board certified breast radiologists with varying
             amounts of experience ranked the level of realism (from 1 =
             "fake" to 10 = "real") of the simulated images. RESULTS: The
             morphing technique was able to successfully generate new and
             unique morphed datasets from the original human subject
             data. The radiologists evaluated the realism of simulated
             mammograms generated from the morphed and unmorphed human
             subject datasets and scored the realism with an average
             ranking of 5.87 ± 1.99, confirming that overall the phantom
             image datasets appeared more "real" than "fake." Moreover,
             there was not a significant difference (p > 0.1) between the
             realism of the unmorphed datasets (6.0 ± 1.95) compared to
             the morphed datasets (5.86 ± 1.99). Three of the four
             observers had overall average rankings of 6.89 ± 0.89, 6.9
             ± 1.24, 6.76 ± 1.22, whereas the fourth observer ranked
             them noticeably lower at 2.94 ± 0.7. CONCLUSIONS: This work
             presents a technique that can be used to generate a suite of
             realistic computerized breast phantoms from a limited number
             of human subjects. This suite of flexible breast phantoms
             can be used for multimodality imaging research to provide a
             known truth while concurrently producing realistic simulated
             imaging data.},
   Doi = {10.1118/1.4794924},
   Key = {fds268514}
}

@article{fds268515,
   Author = {Godfrey, DJ and McAdams, HP and Dobbins, JT},
   Title = {The effect of averaging adjacent planes for artifact
             reduction in matrix inversion tomosynthesis.},
   Journal = {Med Phys},
   Volume = {40},
   Number = {2},
   Pages = {021907},
   Year = {2013},
   Month = {February},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/23387755},
   Abstract = {PURPOSE: Matrix inversion tomosynthesis (MITS) uses linear
             systems theory and knowledge of the imaging geometry to
             remove tomographic blur that is present in conventional
             backprojection tomosynthesis reconstructions, leaving
             in-plane detail rendered clearly. The use of partial-pixel
             interpolation during the backprojection process introduces
             imprecision in the MITS modeling of tomographic blur, and
             creates low-contrast artifacts in some MITS planes. This
             paper examines the use of MITS slabs, created by averaging
             several adjacent MITS planes, as a method for suppressing
             partial-pixel artifacts. METHODS: Human chest tomosynthesis
             projection data, acquired as part of an IRB-approved pilot
             study, were used to generate MITS planes, three-plane MITS
             slabs (MITSa3), five-plane MITS slabs (MITSa5), and
             seven-plane MITS slabs (MITSa7). These were qualitatively
             examined for partial-pixel artifacts and the visibility of
             normal and abnormal anatomy. Additionally, small (5 mm)
             subtle pulmonary nodules were simulated and digitally
             superimposed upon human chest tomosynthesis projection
             images, and their visibility was qualitatively assessed in
             the different reconstruction techniques. Simulated images of
             a thin wire were used to generate modulation transfer
             function (MTF) and slice-sensitivity profile curves for the
             different MITS and MITS slab techniques, and these were
             examined for indications of partial-pixel artifacts and
             frequency response uniformity. Finally, mean-subtracted,
             exposure-normalized noise power spectra (ENNPS) estimates
             were computed and compared for MITS and MITS slab
             reconstructions, generated from 10 sets of tomosynthesis
             projection data of an acrylic slab. The simulated in-plane
             MTF response of each technique was also combined with the
             square root of the ENNPS estimate to yield stochastic
             signal-to-noise ratio (SNR) information about the different
             reconstruction techniques. RESULTS: For scan angles of 20°
             and 5 mm plane separation, seven MITS planes must be
             averaged to sufficiently remove partial-pixel artifacts.
             MITSa7 does appear to subtly reduce the contrast of
             high-frequency "edge" information, but the removal of
             partial-pixel artifacts makes the appearance of
             low-contrast, fine-detail anatomy even more conspicuous in
             MITSa7 slices. MITSa7 also appears to render simulated
             subtle 5 mm pulmonary nodules with greater visibility than
             MITS alone, in both the open lung and regions overlying the
             mediastinum. Finally, the MITSa7 technique reduces
             stochastic image variance, though the in-plane stochastic
             SNR (for very thin objects which do not span multiple MITS
             planes) is only improved at spatial frequencies between 0.05
             and 0.20 cycles∕mm. CONCLUSIONS: The MITSa7 method is an
             improvement over traditional single-plane MITS for thoracic
             imaging and the pulmonary nodule detection task, and thus
             the authors plan to use the MITSa7 approach for all future
             MITS research at the authors' institution.},
   Doi = {10.1118/1.4773891},
   Key = {fds268515}
}

@article{fds327405,
   Author = {Wells, J and Segars, P and Dobbins, J},
   Title = {TH‐A‐103‐10: Improved Segmentation of Low‐Contrast
             Fibroglandular Structures in High‐Noise Breast CT Volumes
             for XCAT Modeling},
   Journal = {Medical Physics},
   Volume = {40},
   Number = {6},
   Pages = {527},
   Publisher = {WILEY},
   Year = {2013},
   Month = {January},
   url = {http://dx.doi.org/10.1118/1.4815727},
   Abstract = {Purpose: This work improves the accuracy and realism of
             automated breast computed tomography (bCT) tissue
             segmentation by refining the detection of low‐contrast
             fibroglandular structures to produce high‐resolution
             realistic computer‐generated (XCAT) breast phantoms from
             empirical human subject data. Methods: Previous work by Hsu
             et al. [Med. Phys. 38, 5756‐5770 (2011)] produced
             high‐resolution realistic computer‐generated breast
             phantoms from empirical human subject data but challenges
             were encountered with the accurate segmentation of fine,
             low‐contrast glandular structures. The current work
             addresses those challenges. A 3‐D anisotropic diffusion
             algorithm was used to denoise fourteen bCT datasets. After
             breast masking, two adipose non‐uniformity correction
             techniques were applied. The first has been described by
             Altunbas, et al. [Med. Phys. 34, 3109‐3118 (2007)]. The
             second approach employed an original technique using
             higher‐order polynomials to correct for residual adipose
             non‐uniformity. Histogram thresholding then produced
             initial gland and skin segmentations. This was followed by a
             novel glandular linking and extension protocol based on
             skeletonization of the skin and glandular segmentations and
             a pixel gray‐level‐weighted distance transform. Skin
             mask definition and glandular density differentiation
             completed the segmentation. Results: Volumetric denoising
             reduced the standard deviation of the adipose background by
             an average of 60.4%. The Altunbas method corrected for
             radially symmetric, quadratic non‐uniformities in breasts
             with circular coronal cross sections, but performed poorly
             on high‐density breasts and breasts with asymmetric
             adipose non‐uniformity. Follow‐up correction using the
             novel method improved adipose uniformity by an average of
             24.6%. The new fibroglandular linking and extension protocol
             improved the detection of low‐contrast fibroglandular
             structures, including Cooper's ligaments. The total number
             of fibroglandular tissue islands was also reduced.
             Conclusion: The semi‐automated bCT segmentation protocol
             improved low‐contrast glandular fiber detection in
             high‐noise reconstructions. Linking of disparate
             fibroglandular tissue islands and capture of Cooper's
             ligaments will contribute to the overall accuracy and
             realism of empirically‐derived XCAT breast phantoms. This
             work was supported by NIH Grant 5R01‐CA‐134658. © 2013,
             American Association of Physicists in Medicine. All rights
             reserved.},
   Doi = {10.1118/1.4815727},
   Key = {fds327405}
}

@article{fds268510,
   Author = {Wells, JR and III, JTD},
   Title = {Preliminary investigation of the frequency response and
             distortion properties of nonlinear image processing
             algorithms},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {8668},
   Publisher = {SPIE},
   Year = {2013},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.2008549},
   Abstract = {Assessment of the resolution properties of nonlinear imaging
             systems is a useful but challenging task. While the
             modulation transfer function (MTF) fully describes contrast
             resolution as a function of spatial frequency for linear
             systems, an equivalent metric does not exist for systems
             with significant nonlinearity. Therefore, this preliminary
             investigation attempts to classify and quantify the amount
             of scaling and distortion imposed on a given image signal as
             the result of a nonlinear process (nonlinear image
             processing algorithm). As a proof-of-concept, a median
             filter is assessed in terms of its principle frequency
             response (PFR) and distortion response (DR) functions. These
             metrics are derived in frequency space using a sinusoidal
             basis function, and it is shown that, for a narrow-band
             sinusoidal input signal, the scaling and distortion
             properties of the nonlinear filter are described exactly by
             PFR and DR, respectively. The use of matched sinusoidal
             basis and input functions accurately reveals the frequency
             response to long linear structures of different scale.
             However, when more complex (multi-band) input signals are
             considered, PFR and DR fail to adequately characterize the
             frequency response due to nonlinear interaction effects
             between different frequency components during processing.
             Overall, the results reveal the context-dependent nature of
             nonlinear image processing algorithm performance, and they
             emphasize the importance of the basis function choice in
             algorithm assessment. In the future, more complex forms of
             nonlinear systems analysis may be necessary to fully
             characterize the frequency response properties of nonlinear
             algorithms in a context-dependent manner. © 2013
             SPIE.},
   Doi = {10.1117/12.2008549},
   Key = {fds268510}
}

@article{fds268511,
   Author = {Kiarashi, N and Sturgeon, GM and Nolte, LW and Lo, JY and III, JTD and Segars, WP and Samei, E},
   Title = {Development of matched virtual and physical breast phantoms
             based on patient data},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {8668},
   Publisher = {SPIE},
   Year = {2013},
   ISBN = {9780819494429},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.2008406},
   Abstract = {Physical phantoms are essential for the development,
             optimization, and clinical evaluation of x-ray systems.
             These phantoms are used for various tests such as quality
             assurance testing, system characterization, reconstruction
             evaluation, and dosimetry. They should ideally be capable of
             serving as ground truth for purposes such as virtual
             clinical trials. Currently, there is no anthropomorphic 3D
             physical phantom commercially available. We present our
             development of a new suite of physical breast phantoms based
             on real patient data. The phantoms were generated from the
             NURBS-based extended cardiac-torso (XCAT) breast phantoms,
             which were segmented from patient dedicated breast computed
             tomography data. High-resolution multi-material 3D printing
             technology was used to fabricate the physical models.
             Glandular tissue and skin were presented by the most
             radiographically dense photopolymer available to the
             printer, mimicking a 75% glandular tissue. Adipose tissue
             was presented by the least radiographically dense
             photopolymer, mimicking a 35% glandular tissue. The
             glandular equivalency was measured by comparing x-ray images
             of samples of the photopolymers available to the printer
             with those of breast tissue-equivalent materials. The
             mammographic projections and tomosynthesis reconstructed
             images of fabricated models showed great improvement over
             available phantoms, presenting a more realistic breast
             background. © 2013 SPIE.},
   Doi = {10.1117/12.2008406},
   Key = {fds268511}
}

@article{fds268512,
   Author = {III, JTD and Wells, JR and Segars, WP},
   Title = {Dose reduction in CT with correlated-polarity noise
             reduction: Comparable image quality at half the dose with
             projection space processing},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {8668},
   Publisher = {SPIE},
   Year = {2013},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.2008563},
   Abstract = {Correlated-polarity noise reduction (CPNR) is a novel noise
             reduction technique that uses a statistical approach to
             reduce noise while maintaining excellent resolution and a
             "normal" noise appearance. It is applicable to any type of
             medical imaging, and we introduced it at SPIE 2011 for
             reducing dose three-fold in radiography while maintaining
             excellent image quality. In this current work, we
             demonstrate for the first time its use in reducing the noise
             in CT images as a means of reducing the dose in CT.
             Simulated chest CT images were generated using the XCAT
             phantom and Poisson noise was added to simulate a
             conventional full-dose CT image and a half-dose CT image.
             CPNR was applied to the half-dose images in projection image
             space, and then the images were reconstructed using filtered
             backprojection with a Feldkamp methodology. The resulting
             CPNR processed half-dose images showed essentially
             equivalent relative standard deviation in the central heart
             region to the full-dose images, and about 0.7 times that in
             half-dose images that were not processed with CPNR. This
             noise reduction was consistent with a two-fold reduction in
             dose that is possible with CPNR in CT. The CPNR images
             demonstrated virtually identical sharpness of vessels and no
             apparent artifacts. We conclude that CPNR shows strong
             promise as a new noise reduction method for dose reduction
             in CT. CPNR could also be used in combination with
             model-based iterative reconstruction techniques for yet
             further dose reduction. © 2013 SPIE.},
   Doi = {10.1117/12.2008563},
   Key = {fds268512}
}

@article{fds268542,
   Author = {Lin, Y and Luo, H and Dobbins, JT and Page McAdams and H and Wang, X and Sehnert, WJ and Barski, L and Foos, DH and Samei,
             E},
   Title = {An image-based technique to assess the perceptual quality of
             clinical chest radiographs.},
   Journal = {Medical Physics},
   Volume = {39},
   Number = {11},
   Pages = {7019-7031},
   Year = {2012},
   Month = {November},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/23127093},
   Abstract = {PURPOSE: Current clinical image quality assessment
             techniques mainly analyze image quality for the imaging
             system in terms of factors such as the capture system
             modulation transfer function, noise power spectrum,
             detective quantum efficiency, and the exposure technique.
             While these elements form the basic underlying components of
             image quality, when assessing a clinical image, radiologists
             seldom refer to these factors, but rather examine several
             specific regions of the displayed patient images, further
             impacted by a particular image processing method applied, to
             see whether the image is suitable for diagnosis. In this
             paper, the authors developed a novel strategy to simulate
             radiologists' perceptual evaluation process on actual
             clinical chest images. METHODS: Ten regional based
             perceptual attributes of chest radiographs were determined
             through an observer study. Those included lung grey level,
             lung detail, lung noise, rib-lung contrast, rib sharpness,
             mediastinum detail, mediastinum noise, mediastinum
             alignment, subdiaphragm-lung contrast, and subdiaphragm
             area. Each attribute was characterized in terms of a
             physical quantity measured from the image algorithmically
             using an automated process. A pilot observer study was
             performed on 333 digital chest radiographs, which included
             179 PA images with 10:1 ratio grids (set 1) and 154 AP
             images without grids (set 2), to ascertain the correlation
             between image perceptual attributes and physical
             quantitative measurements. To determine the acceptable range
             of each perceptual attribute, a preliminary quality
             consistency range was defined based on the preferred 80% of
             images in set 1. Mean value difference (μ(1) - μ(2)) and
             variance ratio (σ(1) (2)/σ(2) (2)) were investigated to
             further quantify the differences between the selected two
             image sets. RESULTS: The pilot observer study demonstrated
             that our regional based physical quantity metrics of chest
             radiographs correlated very well with their corresponding
             perceptual attributes. The distribution comparisons, mean
             value difference estimations, and variance ratio estimations
             of each physical quantity between sets of images from two
             different techniques matched our expectation that the image
             quality of set 1 should be better than that of set 2.
             CONCLUSIONS: The measured physical quantities provide a
             robust reflection of perceptual image quality in clinical
             images. The methodology can be readily applied for automated
             evaluation of perceptual image quality in clinical chest
             radiographs.},
   Doi = {10.1118/1.4760886},
   Key = {fds268542}
}

@article{fds268541,
   Author = {Wells, JR and Dobbins, JT},
   Title = {Estimation of the two-dimensional presampled modulation
             transfer function of digital radiography devices using
             one-dimensional test objects.},
   Journal = {Medical Physics},
   Volume = {39},
   Number = {10},
   Pages = {6148-6160},
   Year = {2012},
   Month = {October},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/23039654},
   Abstract = {PURPOSE: The modulation transfer function (MTF) of medical
             imaging devices is commonly reported in the form of
             orthogonal one-dimensional (1D) measurements made near the
             vertical and horizontal axes with a slit or edge test
             device. A more complete description is found by measuring
             the two-dimensional (2D) MTF. Some 2D test devices have been
             proposed, but there are some issues associated with their
             use: (1) they are not generally available; (2) they may
             require many images; (3) the results may have diminished
             accuracy; and (4) their implementation may be particularly
             cumbersome. This current work proposes the application of
             commonly available 1D test devices for practical and
             accurate estimation of the 2D presampled MTF of digital
             imaging systems. METHODS: Theory was developed and applied
             to ensure adequate fine sampling of the system line spread
             function for 1D test devices at orientations other than
             approximately vertical and horizontal. Methods were also
             derived and tested for slit nonuniformity correction at
             arbitrary angle. Techniques were validated with experimental
             measurements at ten angles using an edge test object and
             three angles using a slit test device on an
             indirect-detection flat-panel system [GE Revolution XQ∕i
             (GE Healthcare, Waukesha, WI)]. The 2D MTF was estimated
             through a simple surface fit with interpolation based on
             Delaunay triangulation of the 1D edge-based MTF
             measurements. Validation by synthesis was also performed
             with simulated images from a hypothetical direct-detection
             flat-panel device. RESULTS: The 2D MTF derived from physical
             measurements yielded an average relative precision error of
             0.26% for frequencies below the cutoff (2.5 mm(-1)) and
             approximate circular symmetry at frequencies below 4 mm(-1).
             While slit analysis generally agreed with the results of
             edge analysis, the two showed subtle differences at
             frequencies above 4 mm(-1). Slit measurement near 45°
             revealed radial asymmetry in the MTF resulting from the
             square pixel aperture (0.2 mm × 0.2 mm), a
             characteristic which was not necessarily appreciated with
             the orthogonal 1D MTF measurements. In simulation
             experiments, both slit- and edge-based measurements resolved
             the radial asymmetries in the 2D MTF. The average absolute
             relative accuracy error in the 2D MTF between the DC and
             cutoff (2.5 mm(-1)) frequencies was 0.13% with average
             relative precision error of 0.11%. Other simulation results
             were similar to those derived from physical data.
             CONCLUSIONS: Overall, the general availability, acceptance,
             accuracy, and ease of implementation of 1D test devices for
             MTF assessment make this a valuable technique for 2D MTF
             estimation.},
   Doi = {10.1118/1.4752442},
   Key = {fds268541}
}

@article{fds268538,
   Author = {Kiarashi, N and Lin, Y and Segars, WP and Ghate, SV and Ikejimba, L and Chen, B and Lo, JY and Dobbins, JT and Nolte, LW and Samei,
             E},
   Title = {Development of a dynamic 4D anthropomorphic breast phantom
             for contrast-based breast imaging},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {8313},
   Publisher = {SPIE},
   Year = {2012},
   Month = {May},
   ISBN = {9780819489623},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.913332},
   Abstract = {Mammography is currently the most widely accepted tool for
             detection and diagnosis of breast cancer. However, the
             sensitivity of mammography is reduced in women with dense
             breast tissue due to tissue overlap, which may obscure
             lesions. Digital breast tomosynthesis with contrast
             enhancement reduces tissue overlap and provides additional
             functional information about lesions (i.e. morphology and
             kinetics), which in turn may improve lesion
             characterization. The performance of such techniques is
             highly dependent on the structural composition of the
             breast, which varies significantly across patients.
             Therefore, optimization of breast imaging systems should be
             done with respect to this patient versatility. Furthermore,
             imaging techniques that employ contrast require the
             inclusion of a temporally varying breast composition with
             respect to the contrast agent kinetics to enable the
             optimization of the system. To these ends, we have developed
             a dynamic 4D anthropomorphic breast phantom, which can be
             used for optimizing a breast imaging system by incorporating
             material characteristics. The presented dynamic phantom is
             based on two recently developed anthropomorphic breast
             phantoms, which can be representative of a whole population
             through their randomized anatomical feature generation and
             various compression levels. The 4D dynamic phantom is
             incorporated with the kinetics of contrast agent uptake in
             different tissues and can realistically model benign and
             malignant lesions. To demonstrate the utility of the
             proposed dynamic phantom, contrast-enhanced digital
             mammography and breast tomosynthesis were simulated where a
             ray-tracing algorithm emulated the projections, a filtered
             back projection algorithm was used for reconstruction, and
             dual-energy and temporal subtractions were performed and
             compared. © 2012 Copyright Society of Photo-Optical
             Instrumentation Engineers (SPIE).},
   Doi = {10.1117/12.913332},
   Key = {fds268538}
}

@article{fds268539,
   Author = {Schnell, EA and Samei, E and Dobbins, JT},
   Title = {Plate-specific gain map correction for the improvement of
             detective quantum efficiency in computed
             radiography.},
   Journal = {Medical Physics},
   Volume = {39},
   Number = {3},
   Pages = {1495-1504},
   Year = {2012},
   Month = {March},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/22380382},
   Abstract = {PURPOSE: The purpose of this work is to improve the noise
             power spectrum (NPS), and thus the detective quantum
             efficiency (DQE), of computed radiography (CR) images by
             correcting for spatial gain variations specific to
             individual imaging plates. CR devices have not traditionally
             employed gain-map corrections, unlike the case with
             flat-panel detectors, because of the multiplicity of plates
             used with each reader. The lack of gain-map correction has
             limited the DQE(f) at higher exposures with CR. This current
             work describes a feasible solution to generating
             plate-specific gain maps. METHODS: Ten high-exposure open
             field images were taken with an RQA5 spectrum, using a sixth
             generation CR plate suspended in air without a cassette.
             Image values were converted to exposure, the plates
             registered using fiducial dots on the plate, the ten images
             averaged, and then high-pass filtered to remove low
             frequency contributions from field inhomogeneity. A gain-map
             was then produced by converting all pixel values in the
             average into fractions with mean of one. The resultant
             gain-map of the plate was used to normalize subsequent
             single images to correct for spatial gain fluctuation. To
             validate performance, the normalized NPS (NNPS) for all
             images was calculated both with and without the gain-map
             correction. Variations in the quality of correction due to
             exposure levels, beam voltage/spectrum, CR reader used, and
             registration were investigated. RESULTS: The NNPS with
             plate-specific gain-map correction showed improvement over
             the noncorrected case over the range of frequencies from
             0.15 to 2.5 mm(-1). At high exposure (40 mR), NNPS was
             50%-90% better with gain-map correction than without. A
             small further improvement in NNPS was seen from carefully
             registering the gain-map with subsequent images using small
             fiducial dots, because of slight misregistration during
             scanning. Further improvement was seen in the NNPS from
             scaling the gain map about the mean to account for different
             beam spectra. CONCLUSIONS: This study demonstrates that a
             simple gain-map can be used to correct for the fixed-pattern
             noise in a given plate and thus improve the DQE of CR
             imaging. Such a method could easily be implemented by
             manufacturers because each plate has a unique bar code and
             the gain-map for all plates associated with a reader could
             be stored for future retrieval. These experiments indicated
             that an improvement in NPS (and hence, DQE) is possible,
             depending on exposure level, over a wide range of
             frequencies with this technique.},
   Doi = {10.1118/1.3685580},
   Key = {fds268539}
}

@article{fds268540,
   Author = {Wang, J and Dobbins, JT and Li, Q},
   Title = {Automated lung segmentation in digital chest
             tomosynthesis.},
   Journal = {Medical Physics},
   Volume = {39},
   Number = {2},
   Pages = {732-741},
   Year = {2012},
   Month = {February},
   ISSN = {0094-2405},
   url = {http://dx.doi.org/10.1118/1.3671939},
   Abstract = {PURPOSE: The purpose of this study was to develop an
             automated lung segmentation method for computerized
             detection of lung nodules in digital chest tomosynthesis.
             METHODS: The authors collected 45 digital tomosynthesis
             scans and manually segmented reference lung regions in each
             scan to assess the performance of the method. The authors
             automated the technique by calculating the edge gradient in
             an original image for enhancing lung outline and
             transforming the edge gradient image to polar coordinate
             space. The authors then employed a dynamic programming
             technique to delineate outlines of the unobscured lungs in
             the transformed edge gradient image. The lung outlines were
             converted back to the original image to provide the final
             segmentation result. The above lung segmentation algorithm
             was first applied to the central reconstructed tomosynthesis
             slice because of the absence of ribs overlapping lung
             structures. The segmented lung in the central slice was then
             used to guide lung segmentation in noncentral slices. The
             authors evaluated the segmentation method by using (1) an
             overlap rate of lung regions, (2) a mean absolute distance
             (MAD) of lung borders, (3) a Hausdorff distance of lung
             borders between the automatically segmented lungs and
             manually segmented reference lungs, and (4) the fraction of
             nodules included in the automatically segmented lungs.
             RESULTS: The segmentation method achieved mean overlap rates
             of 85.7%, 88.3%, and 87.0% for left lungs, right lungs, and
             entire lungs, respectively; mean MAD of 4.8, 3.9, and 4.4 mm
             for left lungs, right lungs, and entire lungs, respectively;
             and mean Hausdorrf distance of 25.0 mm, 25.5 mm, and 30.1 mm
             for left lungs, right lungs, and entire lungs, respectively.
             All of the nodules inside the reference lungs were correctly
             included in the segmented lungs obtained with the lung
             segmentation method. CONCLUSIONS: The method achieved
             relatively high accuracy for lung segmentation and will be
             useful for computer-aided detection of lung nodules in
             digital tomosynthesis.},
   Doi = {10.1118/1.3671939},
   Key = {fds268540}
}

@article{fds268545,
   Author = {Samei, E and Majdi-Nasab, N and Dobbins, JT and McAdams,
             HP},
   Title = {Biplane correlation imaging: a feasibility study based on
             phantom and human data.},
   Journal = {J Digit Imaging},
   Volume = {25},
   Number = {1},
   Pages = {137-147},
   Year = {2012},
   Month = {February},
   ISSN = {1618-727X},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/21618054},
   Keywords = {Adult • Aged • Algorithms* • Artifacts •
             False Positive Reactions • Feasibility Studies •
             Humans • Lung Neoplasms • Middle Aged •
             Pattern Recognition, Automated • Phantoms, Imaging*
             • ROC Curve • Radiographic Image Enhancement
             • Radiographic Image Interpretation, Computer-Assisted
             • Radiography, Thoracic • Sampling Studies •
             Solitary Pulmonary Nodule • methods • methods*
             • radiography • radiography*},
   Abstract = {The objective of this study was to implement and evaluate
             the performance of a biplane correlation imaging (BCI)
             technique aimed to reduce the effect of anatomic noise and
             improve the detection of lung nodules in chest radiographs.
             Seventy-one low-dose posterior-anterior images were acquired
             from an anthropomorphic chest phantom with 0.28° angular
             separations over a range of ±10° along the vertical axis
             within an 11 s interval. Similar data were acquired from 19
             human subjects with institutional review board approval and
             informed consent. The data were incorporated into a
             computer-aided detection (CAD) algorithm in which suspect
             lesions were identified by examining the geometrical
             correlation of the detected signals that remained relatively
             constant against variable anatomic backgrounds. The data
             were analyzed to determine the effect of angular separation,
             and the overall sensitivity and false-positives for lung
             nodule detection. The best performance was achieved for
             angular separations of the projection pairs greater than
             5°. Within that range, the technique provided an order of
             magnitude decrease in the number of false-positive reports
             when compared with CAD analysis of single-view images.
             Overall, the technique yielded ~1.1 false-positive per
             patient with an average sensitivity of 75%. The results
             indicated that the incorporation of angular information can
             offer a reduction in the number of false-positives without a
             notable reduction in sensitivity. The findings suggest that
             the BCI technique has the potential for clinical
             implementation as a cost-effective technique to improve the
             detection of subtle lung nodules with lowered rate of
             false-positives.},
   Language = {eng},
   Doi = {10.1007/s10278-011-9392-z},
   Key = {fds268545}
}

@article{fds327406,
   Author = {Dobbins, J and Chakrabarti, K},
   Title = {WE‐E‐217BCD‐01: Digital Breast Tomosynthesis: Basic
             Principles and the QMP's Role},
   Journal = {Medical Physics},
   Volume = {39},
   Number = {6},
   Pages = {3954},
   Publisher = {WILEY},
   Year = {2012},
   Month = {January},
   url = {http://dx.doi.org/10.1118/1.4736138},
   Abstract = {Digital breast tomosynthesis is a form of limited angle
             tomography, in which section (slice) images are produced
             from a series of discrete projection images acquired at
             different angles. Tomosynthesis can be useful in breast
             imaging by providing potentially better visibility of
             lesions over conventional mammography, especially in
             patients with dense breasts. This talk will cover the
             various physics aspects of DBT, including reconstruction
             algorithms, the importance of deblurring, and optimizing
             image acquisition parameters. Remaining important research
             questions in DBT will be presented and discussed. The
             presentation will also discuss MQSA Certificate extension
             process for currently approved digital breast tomosynthesis
             (DBT) systems. Training requirements, manufacturer required
             tests for Mammography Equipment Evaluation (MEE) as
             acceptance tests, and phantom imaging for the purpose of
             approval of certificate extension will be described. The
             talk will emphasize the specific tests where special
             attention must be given and will discuss how the techs
             should be advised to perform these tests. Learning
             Objectives: 1. To understand the fundamentals of
             tomosynthesis reconstruction, including deblurring,
             algorithm choice, and optimization 2. To understand FDA's
             certificate extension process for DBT 3. To understand the
             requirements for MEE 4. To understand the required AEC
             tracking data Research sponsored in part by NIH, Siemens,
             and GE Healthcare. © 2012, American Association of
             Physicists in Medicine. All rights reserved.},
   Doi = {10.1118/1.4736138},
   Key = {fds327406}
}

@article{fds327407,
   Author = {Wells, J and Dobbins, J},
   Title = {TU‐A‐218‐01: Estimation of the 2‐D Presampled MTF of
             a Digital Flat Panel Detector Using an Edge Test
             Device},
   Journal = {Medical Physics},
   Volume = {39},
   Number = {6},
   Pages = {3894},
   Publisher = {WILEY},
   Year = {2012},
   Month = {January},
   url = {http://dx.doi.org/10.1118/1.4735895},
   Abstract = {Purpose: In this work, we report on the novel application of
             an opaque edge test device for practical estimation of the
             2‐D modulation transfer function (MTF) of a digital flat
             panel (DFP) detector. Methods: We estimated the 2‐ D MTF
             of a prototype GE Revolution XQ/i DFP detector (GE
             Healthcare, Waukesha, WI) using an opaque edge test device.
             The original work by Samei et al. [Med. Phys. 25, 102–113
             (1998)] served as the basis of our methodology to which we
             also contributed further theoretical analysis regarding
             sub‐pixel precision of 1 ‐D MTF measurements at
             arbitrary angle. The edge was imaged five times at each of
             ten angles relative to the sampling lattice: 1.33, 7.59,
             20.22, 30.29, 37.90, 48.07, 58.85, 69.78, 78.13, and 88.02
             degrees. The 1‐D MTF was computed from edge data at each
             angle using Fourier analysis. The 2‐D MTF was estimated
             through a simple surface fit and linear interpolation scheme
             based on Delaunay triangulation of the collection of 1‐D
             MTF data. Results: All angles yielded nearly identical 1‐D
             MTFs with relative standard deviations of 0.39%, 1.3%, 4.2%,
             and 5.6% at 1, 2, 3, and 4 cycles/mm, respectively. These
             measurements exhibited no discernible patterns with respect
             to acquisition angle indicating that the 2‐D MTF has
             approximate circular symmetry at frequencies below 4
             cycles/mm. Although this assertion agrees with the
             conclusions of other authors, blur due to the finite
             rectangular pixel aperture may merit further investigation
             at the highest spatial frequencies where the MTF may not
             behave in a circularly symmetric manner. Conclusions: We
             present for the first time the practical estimation of the
             2‐D MTF of a DFP detector using an edge test device. The
             general availability, acceptance, and ease of implementation
             of edge‐based MTF assessments make this a valuable
             technique for 2‐D MTF measurement in academic, industrial,
             and clinical settings. © 2012, American Association of
             Physicists in Medicine. All rights reserved.},
   Doi = {10.1118/1.4735895},
   Key = {fds327407}
}

@article{fds327408,
   Author = {Dobbins, J},
   Title = {TU‐A‐217A‐02: Radiographic Tomosynthesis:
             Reconstruction Algorithms},
   Journal = {Medical Physics},
   Volume = {39},
   Number = {6},
   Pages = {3893},
   Publisher = {WILEY},
   Year = {2012},
   Month = {January},
   url = {http://dx.doi.org/10.1118/1.4735892},
   Abstract = {Digital tomosynthesis is a form of limited angle tomography,
             in which section (slice) images are produced from a series
             of discrete projection images acquired at different angles.
             The simplest form of tomosynthesis reconstruction is the
             shift‐and‐add technique, whereby the projection images
             are shifted with respect to one another and then summed to
             render a particular section of the patient. While this
             technique is efficient, it also leaves blurry artifacts from
             structures that are outside of the plane of interest. High
             quality tomosynthesis reconstruction therefore requires some
             means of reducing these blurry artifacts. Three approaches
             have been widely reported for tomosynthesis reconstruction
             with blur removal: (1) filtered backprojection, (2) matrix
             inversion tomosynthesis, and (3) various iterative
             reconstruction schemes. Fundamentals of these three
             approaches will be discussed, along with the advantages and
             limitations of each. Learning Objectives: 1. To understand
             the basics of tomosynthesis reconstruction 2. To understand
             the mathematical background and implementation strategies
             for filtered backprojection, matrix inversion tomosynthesis,
             and iterative reconstruction schemes 3. To understand the
             relative advantages and disadvantages of the three
             reconstruction algorithmsResearch sponsored in part by NIH
             and GE Healthcare. © 2012, American Association of
             Physicists in Medicine. All rights reserved.},
   Doi = {10.1118/1.4735892},
   Key = {fds327408}
}

@article{fds268547,
   Author = {Hsu, CML and Palmeri, ML and Segars, WP and Veress, AI and Dobbins,
             JT},
   Title = {An analysis of the mechanical parameters used for finite
             element compression of a high-resolution 3D breast
             phantom.},
   Journal = {Medical Physics},
   Volume = {38},
   Number = {10},
   Pages = {5756-5770},
   Year = {2011},
   Month = {October},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/21992390},
   Keywords = {Algorithms • Biomechanics • Breast • Computer
             Simulation • Data Compression • Female •
             Finite Element Analysis • Humans • Imaging,
             Three-Dimensional • Mammography • Models, Anatomic
             • Phantoms, Imaging • Stress, Mechanical •
             Tomography, X-Ray Computed • methods • methods*
             • pathology*},
   Abstract = {PURPOSE: The authors previously introduced a methodology to
             generate a realistic three-dimensional (3D),
             high-resolution, computer-simulated breast phantom based on
             empirical data. One of the key components of such a phantom
             is that it provides a means to produce a realistic
             simulation of clinical breast compression. In the current
             study, they have evaluated a finite element (FE) model of
             compression and have demonstrated the effect of a variety of
             mechanical properties on the model using a dense mesh
             generated from empirical breast data. While several groups
             have demonstrated an effective compression simulation with
             lower density finite element meshes, the presented study
             offers a mesh density that is able to model the morphology
             of the inner breast structures more realistically than lower
             density meshes. This approach may prove beneficial for
             multimodality breast imaging research, since it provides a
             high level of anatomical detail throughout the simulation
             study. METHODS: In this paper, the authors describe methods
             to improve the high-resolution performance of a FE
             compression model. In order to create the compressible
             breast phantom, dedicated breast CT data was segmented and a
             mesh was generated with 4-noded tetrahedral elements. Using
             an explicit FE solver to simulate breast compression,
             several properties were analyzed to evaluate their effect on
             the compression model including: mesh density, element type,
             density, and stiffness of various tissue types, friction
             between the skin and the compression plates, and breast
             density. Following compression, a simulated projection was
             generated to demonstrate the ability of the compressible
             breast phantom to produce realistic simulated mammographic
             images. RESULTS: Small alterations in the properties of the
             breast model can change the final distribution of the tissue
             under compression by more than 1 cm; which ultimately
             results in different representations of the breast model in
             the simulated images. The model properties that impact
             displacement the most are mesh density, friction between the
             skin and the plates, and the relative stiffness of the
             different tissue types. CONCLUSIONS: The authors have
             developed a 3D, FE breast model that can yield high spatial
             resolution breast deformations under uniaxial compression
             for imaging research purposes and demonstrated that small
             changes in the mechanical properties can affect images
             generated using the phantom.},
   Language = {eng},
   Doi = {10.1118/1.3637500},
   Key = {fds268547}
}

@article{fds268546,
   Author = {Samei, E and Ranger, NT and Dobbins, JT and Ravin,
             CE},
   Title = {Effective dose efficiency: an application-specific metric of
             quality and dose for digital radiography.},
   Journal = {Phys Med Biol},
   Volume = {56},
   Number = {16},
   Pages = {5099-5118},
   Year = {2011},
   Month = {August},
   ISSN = {1361-6560},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/21775791},
   Keywords = {Adult • Humans • Infant • Male •
             Phantoms, Imaging • Quality Control • Radiation
             Dosage* • Radiographic Image Enhancement •
             Radiography, Thoracic • methods* •
             standards*},
   Abstract = {The detective quantum efficiency (DQE) and the effective DQE
             (eDQE) are relevant metrics of image quality for digital
             radiography detectors and systems, respectively. The current
             study further extends the eDQE methodology to technique
             optimization using a new metric of the effective dose
             efficiency (eDE), reflecting both the image quality as well
             as the effective dose (ED) attributes of the imaging system.
             Using phantoms representing pediatric, adult and large adult
             body habitus, image quality measurements were made at 80,
             100, 120 and 140 kVp using the standard eDQE protocol and
             exposures. ED was computed using Monte Carlo methods. The
             eDE was then computed as a ratio of image quality to ED for
             each of the phantom/spectral conditions. The eDQE and eDE
             results showed the same trends across tube potential with 80
             kVp yielding the highest values and 120 kVp yielding the
             lowest. The eDE results for the pediatric phantom were
             markedly lower than the results for the adult phantom at
             spatial frequencies lower than 1.2-1.7 mm(-1), primarily due
             to a correspondingly higher value of ED per entrance
             exposure. The relative performance for the adult and large
             adult phantoms was generally comparable but affected by
             kVps. The eDE results for the large adult configuration were
             lower than the eDE results for the adult phantom, across all
             spatial frequencies (120 and 140 kVp) and at spatial
             frequencies greater than 1.0 mm(-1) (80 and 100 kVp).
             Demonstrated for chest radiography, the eDE shows promise as
             an application-specific metric of imaging performance,
             reflective of body habitus and radiographic technique, with
             utility for radiography protocol assessment and
             optimization.},
   Language = {eng},
   Doi = {10.1088/0031-9155/56/16/002},
   Key = {fds268546}
}

@article{fds268535,
   Author = {Lin, Y and Samei, E and Luo, H and Dobbins, JT and McAdams, HP and Wang, X and Sehnert, WJ and Barski, L and Foos, DH},
   Title = {A patient image-based technique to assess the image quality
             of clinical chest radiographs},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {7961},
   Publisher = {SPIE},
   Year = {2011},
   Month = {May},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.878765},
   Abstract = {Current clinical image quality assessment techniques mainly
             analyze image quality for the imaging system in terms of
             factors such as the capture system DQE and MTF, the exposure
             technique, and the particular image processing method and
             processing parameters. However, when assessing a clinical
             image, radiologists seldom refer to these factors, but
             rather examine several specific regions of the image to see
             whether the image is suitable for diagnosis. In this work,
             we developed a new strategy to learn and simulate
             radiologists' evaluation process on actual clinical chest
             images. Based on this strategy, a preliminary study was
             conducted on 254 digital chest radiographs (38 AP without
             grids, 35 AP with 6:1 ratio grids and 151 PA with 10:1 ratio
             grids). First, ten regional based perceptual qualities were
             summarized through an observer study. Each quality was
             characterized in terms of a physical quantity measured from
             the image, and as a first step, the three physical
             quantities in lung region were then implemented
             algorithmically. A pilot observer study was performed to
             verify the correlation between image perceptual qualities
             and physical quantitative qualities. The results
             demonstrated that our regional based metrics have promising
             performance for grading perceptual properties of chest
             radiographs. © 2011 SPIE.},
   Doi = {10.1117/12.878765},
   Key = {fds268535}
}

@article{fds268536,
   Author = {Wells, JR and Segars, WP and Kigongo, CJN and Dobbins,
             JT},
   Title = {Refinement of motion correction strategies for lower-cost CT
             for under-resourced regions of the world},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {7961},
   Publisher = {SPIE},
   Year = {2011},
   Month = {May},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.878697},
   Abstract = {This paper describes a recently developed post-acquisition
             motion correction strategy for application to lower-cost
             computed tomography (LCCT) for under-resourced regions of
             the world. Increased awareness regarding global health and
             its challenges has encouraged the development of more
             affordable healthcare options for underserved people
             worldwide. In regions such as sub-Saharan Africa,
             intermediate level medical facilities may serve millions
             with inadequate or antiquated equipment due to financial
             limitations. In response, the authors have proposed a LCCT
             design which utilizes a standard chest x-ray examination
             room with a digital flat panel detector (FPD). The patient
             rotates on a motorized stage between the fixed cone-beam
             source and FPD, and images are reconstructed using a
             Feldkamp algorithm for cone-beam scanning. One of the most
             important proofs-of-concept in determining the feasibility
             of this system is the successful correction of undesirable
             motion. A 3D motion correction algorithm was developed in
             order to correct for potential patient motion, stage
             instabilities and detector misalignments which can all lead
             to motion artifacts in reconstructed images. Motion will be
             monitored by the radiographic position of fiducial markers
             to correct for rigid body motion in three dimensions. Based
             on simulation studies, projection images corrupted by motion
             were re-registered with average errors of 0.080 mm, 0.32 mm
             and 0.050 mm in the horizontal, vertical and depth
             dimensions, respectively. The overall absence of motion
             artifacts in motion-corrected reconstructions indicates that
             reasonable amounts of motion may be corrected using this
             novel technique without significant loss of image quality.
             © 2011 SPIE.},
   Doi = {10.1117/12.878697},
   Key = {fds268536}
}

@article{fds268537,
   Author = {Dobbins, JT and Wells, JR},
   Title = {Correlated-polarity noise reduction: Feasibility of a new
             statistical approach to reduce image noise},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {7961},
   Publisher = {SPIE},
   Year = {2011},
   Month = {May},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.879076},
   Abstract = {Reduction of image noise is an important goal in producing
             the highest quality medical images. A very important benefit
             of reducing image noise is the ability to reduce patient
             exposure while maintaining adequate image quality. Various
             methods have been described in the literature for reducing
             image noise by means of image processing, both deterministic
             and statistical. Deterministic methods tend to degrade image
             resolution or lead to artifacts or non-uniform noise texture
             that does not look "natural" to the observer. Statistical
             methods, including Bayesian estimation, have been
             successfully applied to image processing, but may require
             more time-consuming steps of computing priors. The approach
             described in this paper uses a new statistical method we
             have developed in our laboratory to reduce image noise. This
             approach, Correlated-Polarity Noise Reduction (CPNR), makes
             an estimate of the polarity of noise at a given pixel, and
             then subtracts a random value from a normal distribution
             having a sign that matches the estimated polarity of the
             noise in the pixel. For example, if the noise is estimated
             to be positive in a given pixel, then a random number that
             is also positive will be subtracted from that pixel. The
             CPNR method reduces the noise in an image by about 20% per
             iteration, with little negative impact on image resolution,
             few artifacts, and final image noise characteristics that
             appears "normal." Examples of the feasibility of this
             approach are presented in application to radiography and CT,
             but it also has potential utility in tomosynthesis and
             fluoroscopy. © 2011 SPIE.},
   Doi = {10.1117/12.879076},
   Key = {fds268537}
}

@article{fds268520,
   Author = {Dobbins, JT and Wells, JR and Segars, WP and Li, CM and Kigongo,
             CJN},
   Title = {Initial investigation into lower-cost CT for resource
             limited regions of the world},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {7622},
   Number = {PART 2},
   Publisher = {SPIE},
   Year = {2010},
   Month = {December},
   ISBN = {9780819480231},
   ISSN = {0277-786X},
   url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000285047200114&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92},
   Abstract = {This paper describes an initial investigation into means for
             producing lower-cost CT scanners for resource limited
             regions of the world. In regions such as sub-Saharan Africa,
             intermediate level medical facilities serving millions have
             no CT machines, and lack the imaging resources necessary to
             determine whether certain patients would benefit from being
             transferred to a hospital in a larger city for further
             diagnostic workup or treatment. Low-cost CT scanners would
             potentially be of immense help to the healthcare system in
             such regions. Such scanners would not produce
             state-of-the-art image quality, but rather would be intended
             primarily for triaging purposes to determine the patients
             who would benefit from transfer to larger hospitals. The
             lower-cost scanner investigated here consists of a fixed
             digital radiography system and a rotating patient stage.
             This paper describes initial experiments to determine if
             such a configuration is feasible. Experiments were conducted
             using (1) x-ray image acquisition, a physical
             anthropomorphic chest phantom, and a flat-panel detector
             system, and (2) a computer-simulated XCAT chest phantom.
             Both the physical phantom and simulated phantom produced
             excellent image quality reconstructions when the phantom was
             perfectly aligned during acquisition, but artifacts were
             noted when the phantom was displaced to simulate patient
             motion. An algorithm was developed to correct for motion of
             the phantom and demonstrated success in correcting for 5-mm
             motion during 360-degrce acquisition of images. These
             experiments demonstrated feasibility for this approach, but
             additional work is required to determine the exact
             limitations produced by patient motion. © 2010
             SPIE.},
   Doi = {10.1117/12.844293},
   Key = {fds268520}
}

@article{fds327409,
   Author = {Schnell, E and Dobbins, J},
   Title = {WE‐E‐201C‐03: Plate‐Specific Gain Map Correction for
             the Improvement of DQE in Computed Radiography},
   Journal = {Medical Physics},
   Volume = {37},
   Number = {6},
   Pages = {3439-3440},
   Publisher = {WILEY},
   Year = {2010},
   Month = {January},
   url = {http://dx.doi.org/10.1118/1.3469440},
   Abstract = {Purpose: To improve the NPS, and thus DQE, of CR images by
             correcting for pixel‐to‐pixel gain variations specific
             to each plate. Method and Materials: Ten high‐exposure,
             open field images were taken with an RQA5 spectrum, with a
             sixth generation CR plate suspended in air without a
             cassette. Image values were converted to exposure, the
             plates registered using fiducial dots on the plate, ten
             images averaged, and then high‐pass filtered to remove low
             frequency contributions from field inhomogeneity. A
             gain‐map was then produced by converting all pixel values
             in the average into fractions with mean of one. The
             resultant gain‐map of the plate was used to normalize
             subsequent single images to correct for pixel‐to‐pixel
             gain fluctuation. The normalized NPS (NNPS) for all images
             was calculated both with and without the gain‐map
             correction. Results: The NNPS with correction showed
             improvement over the non‐corrected case over the range of
             frequencies from 0.15 – 2.5 mm−1. At high exposure (40
             mR), NNPS was 50–90% better with gain‐map correction
             than without. A small further improvement in NNPS was seen
             from careful registering of the gain‐map with subsequent
             images using small fiducial dots, because of slight
             misregistration during scanning. Conclusion: CR devices have
             not traditionally employed gain‐map corrections common
             with DR detectors because of the multiplicity of plates used
             with each reader. This study demonstrates that a simple
             gain‐map can be used to correct for the fixed‐pattern
             noise and thus improve the DQE of CR imaging. Such a method
             could easily be implemented by manufacturers because each
             plate has a unique bar code and the gain‐map could be
             stored for retrieval after plate reading. These experiments
             indicated that an improvement in NPS (and hence, DQE) is
             possible, depending on exposure level, over all frequencies
             with this technique. © 2010, American Association of
             Physicists in Medicine. All rights reserved.},
   Doi = {10.1118/1.3469440},
   Key = {fds327409}
}

@article{fds172346,
   Author = {J.T. Dobbins},
   Title = {Dobbins JT 3rd, McAdams HP. Digital tomosynthesis. In
             Advances in Medical Physics 2010. Wolbarst AB, Mossman KL,
             Hendee WR (eds). Medical Physics Publishing, Madison,
             Wisconsin, 2010 (in press)},
   Year = {2010},
   Key = {fds172346}
}

@article{fds268556,
   Author = {Dobbins, JT and McAdams, HP},
   Title = {Chest tomosynthesis: technical principles and clinical
             update.},
   Journal = {Eur J Radiol},
   Volume = {72},
   Number = {2},
   Pages = {244-251},
   Year = {2009},
   Month = {November},
   ISSN = {1872-7727},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/19616909},
   Keywords = {Europe • Humans • Radiographic Image Enhancement
             • Radiographic Image Interpretation, Computer-Assisted
             • Radiography, Thoracic • Tomography, X-Ray
             Computed • methods* • trends*},
   Abstract = {Digital tomosynthesis is a radiographic technique that can
             produce an arbitrary number of section images of a patient
             from a single pass of the X-ray tube. It utilizes a
             conventional X-ray tube, a flat-panel detector, a
             computer-controlled tube mover, and special reconstruction
             algorithms to produce section images. While it does not have
             the depth resolution of computed tomography (CT),
             tomosynthesis provides some of the tomographic benefits of
             CT but at lower cost and radiation dose than CT. Compared to
             conventional chest radiography, chest tomosynthesis results
             in improved visibility of normal structures such as vessels,
             airway and spine. By reducing visual clutter from overlying
             normal anatomy, it also enhances detection of small lung
             nodules. This review article outlines the components of a
             tomosynthesis system, discusses results regarding improved
             lung nodule detection from the recent literature, and
             presents examples of nodule detection from a clinical trial
             in human subjects. Possible implementation strategies for
             use in clinical chest imaging are discussed.},
   Language = {eng},
   Doi = {10.1016/j.ejrad.2009.05.054},
   Key = {fds268556}
}

@article{fds268557,
   Author = {Samei, E and Ranger, NT and MacKenzie, A and Honey, ID and Dobbins, JT and Ravin, CE},
   Title = {Effective DQE (eDQE) and speed of digital radiographic
             systems: an experimental methodology.},
   Journal = {Medical Physics},
   Volume = {36},
   Number = {8},
   Pages = {3806-3817},
   Year = {2009},
   Month = {August},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/19746814},
   Keywords = {Humans • Mammography • Phantoms, Imaging •
             Radiographic Image Enhancement • Scattering, Radiation
             • Time Factors • methods*},
   Abstract = {Prior studies on performance evaluation of digital
             radiographic systems have primarily focused on the
             assessment of the detector performance alone. However, the
             clinical performance of such systems is also substantially
             impacted by magnification, focal spot blur, the presence of
             scattered radiation, and the presence of an antiscatter
             grid. The purpose of this study is to evaluate an
             experimental methodology to assess the performance of a
             digital radiographic system, including those attributes, and
             to propose a new metric, effective detective quantum
             efficiency (eDQE), a candidate for defining the efficiency
             or speed of digital radiographic imaging systems. The study
             employed a geometric phantom simulating the attenuation and
             scatter properties of the adult human thorax and a
             representative indirect flat-panel-based clinical digital
             radiographic imaging system. The noise power spectrum (NPS)
             was derived from images of the phantom acquired at three
             exposure levels spanning the operating range of the clinical
             system. The modulation transfer function (MTF) was measured
             using an edge device positioned at the surface of the
             phantom, facing the x-ray source. Scatter measurements were
             made using a beam stop technique. The eDQE was then computed
             from these measurements, along with measures of phantom
             attenuation and x-ray flux. The MTF results showed notable
             impact from the focal spot blur, while the NPS depicted a
             large component of structured noise resulting from use of an
             antiscatter grid. The eDQE was found to be an order of
             magnitude lower than the conventional DQE. At 120 kVp,
             eDQE(0) was in the 8%-9% range, fivefold lower than DQE(0)
             at the same technique. The eDQE method yielded reproducible
             estimates of the system performance in a clinically relevant
             context by quantifying the inherent speed of the system,
             that is, the actual signal to noise ratio that would be
             measured under clinical operating conditions.},
   Language = {eng},
   Doi = {10.1118/1.3171690},
   Key = {fds268557}
}

@article{fds268549,
   Author = {Li, CM and Segars, WP and Tourassi, GD and Boone, JM and Dobbins,
             JT},
   Title = {Methodology for generating a 3D computerized breast phantom
             from empirical data.},
   Journal = {Medical Physics},
   Volume = {36},
   Number = {7},
   Pages = {3122-3131},
   Year = {2009},
   Month = {July},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/19673211},
   Keywords = {Algorithms • Breast • Computer Simulation •
             Female • Humans • Imaging, Three-Dimensional
             • Male • Mammography • Models, Anatomic*
             • Phantoms, Imaging* • Tomography, X-Ray Computed
             • anatomy & histology* • methods*},
   Abstract = {The initial process for creating a flexible
             three-dimensional computer-generated breast phantom based on
             empirical data is described. Dedicated breast
             computed-tomography data were processed to suppress noise
             and scatter artifacts in the reconstructed image set. An
             automated algorithm was developed to classify the breast
             into its primary components. A preliminary phantom defined
             using subdivision surfaces was generated from the segmented
             data. To demonstrate potential applications of the phantom,
             simulated mammographic image data were acquired of the
             phantom using a simplistic compression model and an analytic
             projection algorithm directly on the surface model. The
             simulated image was generated using a model for a
             polyenergetic cone-beam projection of the compressed
             phantom. The methods used to create the breast phantom
             generate resulting images that have a high level of tissue
             structure detail available and appear similar to actual
             mammograms. Fractal dimension measurements of simulated
             images of the phantom are comparatively similar to
             measurements from images of real human subjects. A realistic
             and geometrically defined breast phantom that can accurately
             simulate imaging data may have many applications in breast
             imaging research.},
   Language = {eng},
   Doi = {10.1118/1.3140588},
   Key = {fds268549}
}

@article{fds268533,
   Author = {Li, CM and Segars, WP and Lo, JY and Veress, AI and Boone, JM and Dobbins,
             JT},
   Title = {Computerized 3D breast phantom with enhanced High-Resolution
             detail},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {7258},
   Publisher = {SPIE},
   Year = {2009},
   Month = {June},
   ISBN = {9780819475091},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.813529},
   Abstract = {We previously proposed a three-dimensional computerized
             breast phantom that combines empirical data with the
             flexibility of mathematical models1. The goal of this
             project is to enhance the breast phantom to include a more
             detailed anatomy than currently visible and create
             additional phantoms from different breast CT data. To
             improve the level of detail in our existing segmentations,
             the breast CT data is reconstructed at a higher resolution
             and additional image processing techniques are used to
             correct for noise and scatter in the image data. A refined
             segmentation algorithm is used that incorporates more detail
             than previously defined. To further enhance high-resolution
             detail, mathematical models, implementing branching
             algorithms to extend the glandular tissue throughout the
             breast and to define Cooper's ligaments, are under
             investigation. We perform the simulation of mammography and
             tomosynthesis using an analytical projection algorithm that
             can be applied directly to the mathematical model of the
             breast without voxelization 2. This method speeds up image
             acquisition, reduces voxelization artifacts, and produces
             higher resolution images than the previously used method.
             The realistic 3D computerized breast phantom will ultimately
             be incorporated into the 4DXCAT phantom 3-5 to be used for
             breast imaging research.©2009 SPIE.},
   Doi = {10.1117/12.813529},
   Key = {fds268533}
}

@article{fds268534,
   Author = {Ranger, NT and Mackenzie, A and Honey, ID and Dobbins, JT and Ravin, CE and Samei, E},
   Title = {Extension of DQE to include scatter, grid, magnification,
             and focal spot blur: A new experimental technique and
             metric},
   Journal = {Progress in Biomedical Optics and Imaging Proceedings of
             Spie},
   Volume = {7258},
   Publisher = {SPIE},
   Year = {2009},
   Month = {June},
   ISSN = {1605-7422},
   url = {http://dx.doi.org/10.1117/12.813779},
   Abstract = {In digital radiography, conventional DQE evaluations are
             performed under idealized conditions that do not reflect
             typical clinical operating conditions. For this reason, we
             have developed and evaluated an experimental methodology for
             measuring the effective detective quantum efficiency (eDQE)
             of digital radiographic systems and its utility in chest
             imaging applications.To emulate the attenuation and scatter
             properties of the human thorax across a range of sizes, the
             study employed pediatric and adult geometric chest imaging
             phantoms designed for use in the FDA/CDRH Nationwide
             Evaluation of X-Ray Trends (NEXT) program and a third
             phantom configuration designed to represent the bariatric
             population. The MTF for each phantom configuration was
             measured using images of an opaque edge device placed at the
             nominal surface of each phantom and at a common reference
             point. For each phantom, the NNPS was measured in a uniform
             region within the phantom image acquired at an exposure
             level determined from a prior phototimed acquisition.
             Scatter measurements were made using a beam-stop technique.
             These quantities were used along with measures of phantom
             attenuation and estimates of x-ray flux, to compute the eDQE
             at the beam-entrance surface of the phantoms, reflecting the
             presence of scatter, grid, magnification, and focal spot
             blur. The MTF results showed notable degradation due to
             focal spot blurring enhanced by geometric magnification,
             with increasing phantom size. Measured scatter fractions
             were 33%, 34% and 46% for the pediatric, adult, and
             bariatric phantoms, respectively. Correspondingly, the
             measured narrow beam transmission fractions were 16%, 9%,
             and 3%. The eDQE results for the pediatric and adult
             phantoms correlate well at low spatial frequencies but show
             degradation in the eDQE at increasing spatial frequencies
             for the adult phantom in comparison to the pediatric
             phantom. The results for the bariatric configuration showed
             a marked decrease in eDQE in comparison to the adult phantom
             results, across all spatial frequencies, attributable to the
             combined differences in geometric magnification, and
             scatter. The eDQE metric has been demonstrated to be
             sensitive to body habitus suggesting its usefulness in
             assessing system response across a range of chest sizes and
             potentially making it a useful factor in protocol assessment
             and optimization.©2009 SPIE.},
   Doi = {10.1117/12.813779},
   Key = {fds268534}
}

@article{fds268550,
   Author = {Dobbins, JT},
   Title = {Tomosynthesis imaging: at a translational
             crossroads.},
   Journal = {Medical Physics},
   Volume = {36},
   Number = {6},
   Pages = {1956-1967},
   Year = {2009},
   Month = {June},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/19610284},
   Keywords = {Algorithms* • Imaging, Three-Dimensional •
             Radiographic Image Enhancement • instrumentation •
             methods* • trends*},
   Abstract = {Tomosynthesis is a decades-old technique for section imaging
             that has seen a recent upsurge in interest due to its
             promise to provide three-dimensional information at lower
             dose and potentially lower cost than CT in certain clinical
             imaging situations. This renewed interest in tomosynthesis
             began in the late 1990s as a new generation of flat-panel
             detectors became available; these detectors were the one
             missing piece of the picture that had kept tomosynthesis
             from enjoying significant utilization earlier. In the past
             decade, tomosynthesis imaging has been investigated in a
             variety of clinical imaging situations, but the two most
             prominent have been in breast and chest imaging.
             Tomosynthesis has the potential to substantially change the
             way in which breast cancer and pulmonary nodules are
             detected and managed. Commercial tomosynthesis devices are
             now available or on the horizon. Many of the remaining
             research activities with tomosynthesis will be translational
             in nature and will involve physicist and clinician alike.
             This overview article provides a forward-looking assessment
             of the translational questions facing tomosynthesis imaging
             and anticipates some of the likely research and clinical
             activities in the next five years.},
   Language = {eng},
   Doi = {10.1118/1.3120285},
   Key = {fds268550}
}

@article{fds268559,
   Author = {Godfrey, DJ and McAdams, HP and Dobbins, JTT},
   Title = {Stochastic noise characteristics in matrix inversion
             tomosynthesis (MITS).},
   Journal = {Medical Physics},
   Volume = {36},
   Number = {5},
   Pages = {1521-1532},
   Year = {2009},
   Month = {May},
   ISSN = {0094-2405},
   url = {http://www.ncbi.nlm.nih.gov/pubmed/19544768},
   Keywords = {Algorithms* • Computer Simulation • Image
             Enhancement • Image Interpretation, Computer-Assisted
             • Models, Statistical • Reproducibility of Results
             • Sensitivity and Specificity • Stochastic
             Processes • Tomography • methods*},
   Abstract = {Matrix inversion tomosynthesis (MITS) uses known imaging
             geometry and linear systems theory to deterministically
             separate in-plane detail from residual tomographic blur in a
             set of conventional tomosynthesis ("shift-and-add") planes.
             A previous investigation explored the effect of scan angle
             (ANG), number of projections (N), and number of
             reconstructed planes (NP) on the MITS impulse response and
             modulation transfer function characteristics, and concluded
             that ANG = 20 degrees, N = 71, and NP = 69 is the optimal
             MITS imaging technique for chest imaging on our prototype
             tomosynthesis system. This article examines the effect of
             ANG, N, and NP on the MITS exposure-normalized noise power
             spectra (ENNPS) and seeks to confirm that the imaging
             parameters selected previously by an analysis of the MITS
             impulse response also yield reasonable stochastic properties
             in MITS reconstructed planes. ENNPS curves were generated
             for experimentally acquired mean-subtracted projection
             images, conventional tomosynthesis planes, and MITS planes
             with varying combinations of the parameters ANG, N, and NP.
             Image data were collected using a prototype tomosynthesis
             system, with 11.4 cm acrylic placed near the image receptor
             to produce lung-equivalent beam hardening and scattered
             radiation. Ten identically acquired tomosynthesis data sets
             (realizations) were collected for each selected technique
             and used to generate ensemble mean images that were
             subtracted from individual image realizations prior to noise
             power spectra (NPS) estimation. NPS curves were normalized
             to account for differences in entrance exposure (as measured
             with an ion chamber), yielding estimates of the ENNPS for
             each technique. Results suggest that mid- and high-frequency
             noise in MITS planes is fairly equivalent in magnitude to
             noise in conventional tomosynthesis planes, but
             low-frequency noise is amplified in the most anterior and
             posterior reconstruction planes. Selecting the largest
             available number of projections (N = 71) does not incur any
             appreciable additive electronic noise penalty compared to
             using fewer projections for roughly equivalent cumulative
             exposure. Stochastic noise is minimized by maximizing N and
             NP but increases with increasing ANG. The noise trend
             results for NP and ANG are contrary to what would be
             predicted by simply considering the MITS matrix conditioning
             and likely result from the interplay between noise
             correlation and the polarity of the MITS filters. From this
             study, the authors conclude that the previously determined
             optimal MITS imaging strategy based on impulse response
             considerations produces somewhat suboptimal stochastic noise
             characteristics, but is probably still the best technique
             for MITS imaging of the chest.},
   Language = {eng},
   Doi = {10.1118/1.3103399},
   Key = {fds268559}
}

@article{fds327410,
   Author = {Hendee, W and Giger, M and Starkschall, G and Molloy, J and Peroni, C and Seibert, J and Dobbins, J and Smilowitz, J and Hogstrom, K and Montemayor, V and Jackson, E},
   Title = {TU‐C‐211A‐01: Becoming a Better Teacher},
   Journal = {Medical Physics},
   Volume = {36},
   Number = {6},
   Pages = {2719},
   Publisher = {WILEY},
   Year = {2009},
   Month = {January},
   url = {http://dx.doi.org/10.1118/1.3182318},
   Abstract = {Every medical physicist is a teacher, either formally in the
             classroom or informally in the clinic. Some physicists
             skillfully fulfill their educational obligations, while
             others struggle with their teaching responsibilities.
             However, everyone can be a good teacher — what are
             required are determination, dedication and diligence. This
             objective was the focus of a 3‐day AAPM Educational Summit
             held immediately after the 2008 AAPM annual meeting in
             Houston. It will also be the goal of a second Educational
             Summit scheduled to follow the 2010 annual meeting in
             Philadelphia. Discussion of the outcomes of the 2008
             Educational Summit, and plans for the 2010 Summit, are the
             topics of this educational session scheduled for the 2009
             annual meeting. This session will include solicitation of
             suggestions from the audience for the 2010 Educational
             Summit. © 2009, American Association of Physicists in
             Medicine. All rights reserved.},
   Doi = {10.1118/1.3182318},
   Key = {fds327410}
}

@article{fds172323,
   Author = {J.T. Dobbins},
   Title = {Yin FF, Godfrey DJ, Oldham M, Dobbins JT 3rd. Use of
             simulation tomosynthesis and verification tomosynthesis for
             treatment target localization. US Patent. Allowed
             2009.},
   Year = {2009},
   Key = {fds172323}
}

@article{fds172324,
   Author = {J.T. Dobbins},
   Title = {Samei E, Ranger NT, Bisset GS III, Maxfield C, Hollingsworth
             CL, Lo JY, Dobbins JT 3rd, Wilson KL. Image quality and dose
             in radiography. RSNA/AAPM Educational module, RSNA
             Publications, 2009.},
   Year = {2009},
   Key = {fds172324}
}

@article{fds172344,
   Author = {J.T. Dobbins},
   Title = {Li CM, Segars WP, Lo JY, Veress AI, Boone JM, Dobbins JT
             3rd. Computerized 3D breast phantom with enhanced
             high-resolution detail. SPIE Medical Imaging Conference.
             2009;7258:0S1-OS8.
}, Year = {2009}, Key = {fds172344} } @article{fds172345, Author = {J.T. Dobbins}, Title = {Ranger NT, Mackenzie A, Honey ID, Dobbins JT 3rd, Ravin CE, Samei E. Extension of DQE to include scatter, grid, magnification, and focal spot blur: a new experimental technique and metric. SPIE Medical Imaging Conference. 2009;7258:1A1-1A12.
}, Year = {2009}, Key = {fds172345} } @article{fds268551, Author = {Samei, E and Ranger, NT and MacKenzie, A and Honey, ID and Dobbins, JT and Ravin, CE}, Title = {Detector or system? Extending the concept of detective quantum efficiency to characterize the performance of digital radiographic imaging systems.}, Journal = {Radiology}, Volume = {249}, Number = {3}, Pages = {926-937}, Year = {2008}, Month = {December}, ISSN = {1527-1315}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19011189}, Keywords = {Efficiency • Phantoms, Imaging • Radiographic Image Enhancement • Radiography, Thoracic • Scattering, Radiation • instrumentation* • standards • standards*}, Abstract = {PURPOSE: To develop an experimental method for measuring the effective detective quantum efficiency (eDQE) of digital radiographic imaging systems and evaluate its use in select imaging systems. MATERIALS AND METHODS: A geometric phantom emulating the attenuation and scatter properties of the adult human thorax was employed to assess eight imaging systems in a total of nine configurations. The noise power spectrum (NPS) was derived from images of the phantom acquired at three exposure levels spanning the operating range of the system. The modulation transfer function (MTF) was measured by using an edge device positioned at the anterior surface of the phantom. Scatter measurements were made by using a beam-stop technique. All measurements, including those of phantom attenuation and estimates of x-ray flux, were used to compute the eDQE. RESULTS: The MTF results showed notable degradation owing to focal spot blur. Scatter fractions ranged between 11% and 56%, depending on the system. The eDQE(0) results ranged from 1%-17%, indicating a reduction of up to one order of magnitude and different rank ordering and performance among systems, compared with that implied in reported conventional detective quantum efficiency results from the same systems. CONCLUSION: The eDQE method was easy to implement, yielded reproducible results, and provided a meaningful reflection of system performance by quantifying image quality in a clinically relevant context. The difference in the magnitude of the measured eDQE and the ideal eDQE of 100% provides a great opportunity for improving the image quality of radiographic and mammographic systems while reducing patient dose.}, Language = {eng}, Doi = {10.1148/radiol.2492071734}, Key = {fds268551} } @article{fds268544, Author = {James, TD and McAdams, HP and Song, J-W and Li, CM and Godfrey, DJ and DeLong, DM and Paik, S-H and Martinez-Jimenez, S}, Title = {Digital tomosynthesis of the chest for lung nodule detection: interim sensitivity results from an ongoing NIH-sponsored trial.}, Journal = {Medical Physics}, Volume = {35}, Number = {6}, Pages = {2554-2557}, Year = {2008}, Month = {June}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18649488}, Keywords = {Cohort Studies • Humans • Lung • National Institutes of Health (U.S.)* • Radiographic Image Enhancement • Radiography, Thoracic • Sensitivity and Specificity • Tomography • United States • methods* • pathology* • radiography*}, Abstract = {The authors report interim clinical results from an ongoing NIH-sponsored trial to evaluate digital chest tomosynthesis for improving detectability of small lung nodules. Twenty-one patients undergoing computed tomography (CT) to follow up lung nodules were consented and enrolled to receive an additional digital PA chest radiograph and digital tomosynthesis exam. Tomosynthesis was performed with a commercial CsI/a-Si flat-panel detector and a custom-built tube mover. Seventy-one images were acquired in 11 s, reconstructed with the matrix inversion tomosynthesis algorithm at 5-mm plane spacing, and then averaged (seven planes) to reduce noise and low-contrast artifacts. Total exposure for tomosynthesis imaging was equivalent to that of 11 digital PA radiographs (comparable to a typical screen-film lateral radiograph or two digital lateral radiographs). CT scans (1.25-mm section thickness) were reviewed to confirm presence and location of nodules. Three chest radiologists independently reviewed tomosynthesis images and PA chest radiographs to confirm visualization of nodules identified by CT. Nodules were scored as: definitely visible, uncertain, or not visible. 175 nodules (diameter range 3.5-25.5 mm) were seen by CT and grouped according to size: < 5, 5-10, and > 10 mm. When considering as true positives only nodules that were scored definitely visible, sensitivities for all nodules by tomosynthesis and PA radiography were 70% (+/- 5%) and 22% (+/- 4%), respectively, (p < 0.0001). Digital tomosynthesis showed significantly improved sensitivity of detection of known small lung nodules in all three size groups, when compared to PA chest radiography.}, Language = {eng}, Doi = {10.1118/1.2937277}, Key = {fds268544} } @article{fds268532, Author = {Li, CM and Segars, WP and Lo, JY and Veress, AI and Boone, JM and Dobbins, JT}, Title = {Three-dimensional computer generated breast phantom based on empirical data}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {6913}, Publisher = {SPIE}, Year = {2008}, Month = {May}, ISBN = {9780819470973}, ISSN = {1605-7422}, url = {http://hdl.handle.net/10161/3119 Duke open access}, Abstract = {The goal of this work is to create a detailed three-dimensional (3D) digital breast phantom based on empirical data and to incorporate it into the four-dimensional (4D) NCAT phantom, a computerized model of the human anatomy widely used in imaging research. Twenty sets of high-resolution breast CT data were used to create anatomically diverse models. The datasets were segmented using techniques developed in our laboratory and the breast structures will be defined using a combination of non-uniform rational b-splines (NURBS) and subdivision surfaces (SD). Imaging data from various modalities (x-ray and nuclear medicine) were simulated to demonstrate the utility of the new breast phantoms. As a proof of concept, a simple compression technique was used to deform the breast models while maintaining a constant volume to simulate modalities (mammography and tomosynthesis) that involve compression. Initial studies using one CT dataset indicate that the simulated breast phantom is capable of providing a realistic and flexible representation of breast tissue and can be used with different acquisition methods to test varying imaging parameters such as dose, resolution, and patient motion. The final model will have a more accurate depiction of the internal breast structures and will be scaleable in terms of size and density. Also, more realistic finite-element techniques will be used to simulate compression. With the ability to simulate realistic, predictive patient imaging data, we believe the phantom will provide a vital tool to investigate current and emerging breast imaging methods and techniques.}, Doi = {10.1117/12.772185}, Key = {fds268532} } @article{fds268558, Author = {Dobbins, JT and McAdams, HP and Godfrey, DJ and Li, CM}, Title = {Digital tomosynthesis of the chest.}, Journal = {Journal of Thoracic Imaging}, Volume = {23}, Number = {2}, Pages = {86-92}, Year = {2008}, Month = {May}, ISSN = {0883-5993}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18520565}, Keywords = {Humans • Imaging, Three-Dimensional • Lung • Lung Diseases • Lung Neoplasms • Radiographic Image Enhancement • Radiographic Image Interpretation, Computer-Assisted • Radiography, Thoracic • Signal Processing, Computer-Assisted • diagnosis • diagnosis* • methods • methods* • radiography • trends}, Abstract = {Digital tomosynthesis is a technique that generates an arbitrary number of section images of a patient from a single pass of the x-ray tube. It is under investigation for application to a number of clinical detection tasks, and has recently been implemented in commercial devices for chest radiography. Tomosynthesis provides improved visibility of structures in the chest, such as pulmonary nodules, airways, and spine. This review article outlines the components of a typical tomosynthesis system, and presents examples of improved pulmonary nodule detection from a clinical trial in human subjects. Possible implementation strategies for use in chest imaging are discussed.}, Language = {eng}, Doi = {10.1097/RTI.0b013e318173e162}, Key = {fds268558} } @article{fds172322, Author = {J.T. Dobbins}, Title = {Chen Y, Lo JY, Dobbins JT 3rd. Impulse response and modulation transfer function analysis for shift-and-add and back projection image reconstruction algorithms in digital breast tomosynthesis (DBT). Int. J. of Functional Informatics and Personalised Medicine. 2008;1(2):189-204.
}, Year = {2008}, Key = {fds172322} } @article{fds172343, Author = {J.T. Dobbins}, Title = {Li CM, Segars WP, Lo JY, Veress AI, Boone JM, Dobbins JT 3rd. Three-dimensional computer generated breast phantom based on empirical data. SPIE Medical Imaging Conference. 2008;6913:14.1-14.8.
}, Year = {2008}, Key = {fds172343} } @article{fds268509, Author = {Chen, Y and Lo, JY and Dobbins, JT}, Title = {Impulse response and Modulation Transfer Function analysis for Shift-And-Add and Back Projection image reconstruction algorithms in Digital Breast Tomosynthesis (DBT).}, Journal = {International Journal of Functional Informatics and Personalised Medicine}, Volume = {1}, Number = {2}, Pages = {189-204}, Year = {2008}, ISSN = {1756-2104}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23935707}, Abstract = {Breast cancer is second only to lung cancer as the leading cause of non-preventable cancer death in women. Digital Breast Tomosynthesis (DBT) is a promising technique to improve early breast cancer detection. In this paper, we present the impulse response and Modulation Transfer Function (MTF) analysis to quantitatively compare Shift-And-Add (SAA) and point-by-point Back Projection (BP) three-dimensional image reconstruction algorithms in DBT. A Filtered Back Projection (FBP) deblurring algorithm based on point-by-point BP was used to demonstrate deblurred tomosynthesis images.}, Doi = {10.1504/IJFIPM.2008.020187}, Key = {fds268509} } @article{fds268531, Author = {Chen, Y and Lo, JY and Dobbins, JT}, Title = {A comparison between traditional shift-and-add (SAA) and point-by-point back projection (BP) - Relevance to morphology of microcalcifications for isocentric motion in Digital Breast tomosynthesis (DBT)}, Journal = {Proceedings of the 7th Ieee International Conference on Bioinformatics and Bioengineering, Bibe}, Pages = {563-569}, Publisher = {IEEE}, Year = {2007}, Month = {December}, url = {http://dx.doi.org/10.1109/BIBE.2007.4375617}, Abstract = {Digital breast tomosynthesis (DBT) is a three-dimensional imaging technique providing an arbitrary set of reconstruction planes in the breast with limited series of projection images. This paper describes a comparison between traditional shift-and-add (SAA) and point-by-point back projection (BP) algorithms by impulse response and modulation transfer function (MTF) analysis. Due to the partial isocentric motion of the x-ray tube in DBT, structures such as microcalcifications appear slightly blurred in traditional shift-and-add (SAA) images in the direction perpendicular to the direction of tube 's motion. Point-by-point BP improved rendition of microcalcifications. The sharpness and morphology of calcifications were improved in a human subject images. A Filtered Back Projection (FBP) deblurring approach was used to demonstrate deblurred point-by-point BP tomosynthesis images. The point-by-point BP rather than traditional SAA should be considered as the foundation of further deblurring algorithms for DBT reconstruction. ©2007 IEEE.}, Doi = {10.1109/BIBE.2007.4375617}, Key = {fds268531} } @article{fds268529, Author = {Li, CM and Dobbins, JT}, Title = {Methodology for determining dose reduction for chest tomosynthesis}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {6510}, Number = {PART 2}, Publisher = {SPIE}, Year = {2007}, Month = {October}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.713554}, Abstract = {Digital tomosynthesis is an imaging technique that reconstructs tomographic planes in an object from a set of projection images taken over a fixed angle1. Preliminary results show that this technique increases the detectability of lung nodules 2. Current settings acquire images with approximately the same exposure as a screen-film lateral. However, due to the increased detectability of lung nodules from the removal of overlying structures, patient dose may be reduced while still maintaining increased sensitivity and specificity over conventional chest radiographs. This study describes a simulation method that provides realistic reduced dose images by adding noise to digital chest tomosynthesis images in order to simulate lower exposure settings for the purpose of dose optimization. Tomosynthesis projections of human subjects were taken at dose levels which were specified based on either patient thickness or a photo-timed digital chest radiograph acquired prior to tomosynthesis acquisition. For the purposes of this study, subtle nodules of varying size were simulated in the image for demonstration purposes before the noise simulation in order to have a known truth for nodule location and to evaluate the effect of additive noise on tumor detection. Noise was subsequently added in order to simulate 3/4, 1/2, and 1/4 of the original exposure in each projection. The projections were then processed with the MITS algorithm to produce slice images. This method will be applied to a study of dose reduction in the future using human subject cases.}, Doi = {10.1117/12.713554}, Key = {fds268529} } @article{fds268530, Author = {Chen, Y and Lo, JY and Ranger, NT and Samei, E and Dobbins, JT}, Title = {Methodology of NEQ (f) analysis for optimization and comparison of digital breast tomosynthesis acquisition techniques and reconstruction algorithms}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {6510}, Number = {PART 1}, Publisher = {SPIE}, Year = {2007}, Month = {October}, ISBN = {081946628X}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.713737}, Abstract = {As a new three-dimensional imaging technique, digital breast tomosynthesis allows the reconstruction of an arbitrary set of planes in the breast from a limited-angle series of projection images. Though several tomosynthesis algorithms have been proposed, no complete optimization and comparison of different tomosynthesis acquisition techniques for available methods has been conducted as of yet. This paper represents a methodology of noise-equivalent quanta NEQ (f) analysis to optimize and compare the efficacy of tomosynthesis algorithms and imaging acquisition techniques for digital breast tomosynthesis. It combines the modulation transfer function (MTF) of system signal performance and the noise power spectrum (NPS) of noise characteristics. It enables one to evaluate the performance of different acquisition parameters and algorithms for comparison and optimization purposes. An example of this methodology was evaluated on a selenium-based direct-conversion flat-panel Siemens Mammomat Novation prototype system. An edge method was used to measure the presampled MTF of the detector. The MTF associated with the reconstruction algorithm and specific acquisition technique was investigated by calculating the Fourier Transform of simulated impulse responses. Flat field tomosynthesis projection sequences were acquired and then reconstructed. A mean-subtracted NPS on the reconstructed plane was studied to remove fixed pattern noise. An example of the application of this methodology was illustrated in this paper using a point-by-point Back Projection correction (BP) reconstruction algorithm and an acquisition technique of 25 projections with 25 degrees total angular tube movement.}, Doi = {10.1117/12.713737}, Key = {fds268530} } @article{fds268552, Author = {Chen, Y and Lo, JY and Dobbins, JT}, Title = {Importance of point-by-point back projection correction for isocentric motion in digital breast tomosynthesis: relevance to morphology of structures such as microcalcifications.}, Journal = {Medical Physics}, Volume = {34}, Number = {10}, Pages = {3885-3892}, Year = {2007}, Month = {October}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17985634}, Keywords = {Algorithms • Breast • Breast Neoplasms • Calcinosis • Calibration • Female • Humans • Image Processing, Computer-Assisted • Imaging, Three-Dimensional • Mammography • Phantoms, Imaging • Radiographic Image Interpretation, Computer-Assisted • Reproducibility of Results • Signal Processing, Computer-Assisted • X-Rays • diagnosis* • instrumentation • methods • methods* • pathology • pathology*}, Abstract = {Digital breast tomosynthesis is a three-dimensional imaging technique that provides an arbitrary set of reconstruction planes in the breast from a limited-angle series of projection images acquired while the x-ray tube moves. Traditional shift-and-add (SAA) tomosynthesis reconstruction is a common mathematical method to line up each projection image based on its shifting amount to generate reconstruction slices. With parallel-path geometry of tube motion, the path of the tube lies in a plane parallel to the plane of the detector. The traditional SAA algorithm gives shift amounts for each projection image calculated only along the direction of x-ray tube movement. However, with the partial isocentric motion of the x-ray tube in breast tomosynthesis, small objects such as microcalcifications appear blurred (for instance, about 1-4 pixels in blur for a microcalcification in a human breast) in traditional SAA images in the direction perpendicular to the direction of tube motion. Some digital breast tomosynthesis algorithms reported in the literature utilize a traditional one-dimensional SAA method that is not wholly suitable for isocentric motion. In this paper, a point-by-point back projection (BP) method is described and compared with traditional SAA for the important clinical task of evaluating morphology of small objects such as microcalcifications. Impulse responses at different three-dimensional locations with five different combinations of imaging acquisition parameters were investigated. Reconstruction images of microcalcifications in a human subject were also evaluated. Results showed that with traditional SAA and 45 degrees view angle of tube movement with respect to the detector, at the same height above the detector, the in-plane blur artifacts were obvious for objects farther away from x-ray source. In a human subject, the appearance of calcifications was blurred in the direction orthogonal to the tube motion with traditional SAA. With point-by-point BP, the appearance of calcifications was sharper. The point-by-point BP method demonstrated improved rendition of microcalcifications in the direction perpendicular to the tube motion direction. With wide angles or for imaging of larger breasts, this point-by-point BP rather than the traditional SAA should also be considered as the basis of further deblurring algorithms that work in conjunction with the BP method.}, Language = {eng}, Doi = {10.1118/1.2776256}, Key = {fds268552} } @article{fds268554, Author = {Ranger, NT and Samei, E and Dobbins, JT and Ravin, CE}, Title = {Assessment of detective quantum efficiency: intercomparison of a recently introduced international standard with prior methods.}, Journal = {Radiology}, Volume = {243}, Number = {3}, Pages = {785-795}, Year = {2007}, Month = {June}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17517933}, Keywords = {Equipment Failure Analysis • Internationality* • Practice Guidelines as Topic* • Radiographic Image Enhancement • Reference Standards • Reproducibility of Results • Sensitivity and Specificity • instrumentation* • methods* • standards*}, Abstract = {PURPOSE: To prospectively evaluate the recently introduced international standard method for measurement of the detective quantum efficiency (DQE) of digital radiography systems, in comparison with representative prior methods. MATERIALS AND METHODS: A recently introduced international standard method (International Electrotechnical Commission [IEC] 62220-1, 2003) for DQE measurement and two previously described DQE evaluation methods were considered. In addition to an overall comparison, evaluations of the following method factors were performed: beam quality, beam-limiting devices (apertures or collimators), noise power spectrum (NPS) analysis algorithms and parameters (area, region of interest size, background detrending), and modulation transfer function (MTF) test devices and methods. RESULTS: Overall, at low to middle frequencies, the IEC method yielded DQE estimates that were 3.3% and 6.5% lower than the values yielded by the two previous methods. Averaged over the frequency range of 1.5-2.5 mm(-1), the DQE estimate derived by using the IEC method was 7.1% lower and 12.4% higher than the estimates derived by using the other two methods. Results obtained with the two previous DQE evaluation methods agreed well (within 2.0%) in the low- to middle-frequency range but diverged by up to 10% at higher frequencies. When the DQE method factors were evaluated separately, the largest percentage deviations in DQE were associated with (in order of decreasing influence) the MTF analysis method ( approximately 11%), the beam limitation (about 7%-10%), the beam quality ( approximately 9%), and the NPS analysis method ( approximately 3%). CONCLUSION: Comparison of DQE estimates obtained by using the recently introduced international standard technique with those obtained by using prior methods revealed that the overall measurement method can affect the DQE estimate by as much as 12%. Findings further suggest that both beam limitation achieved by means of internal collimation (rather than external apertures) and use of a radio-opaque edge MTF device yield a more accurate estimation of the DQE.}, Language = {eng}, Doi = {10.1148/radiol.2433060485}, Key = {fds268554} } @article{fds268553, Author = {Samei, E and Stebbins, SA and Dobbins, JT and McAdams, HP and Lo, JY}, Title = {Multiprojection correlation imaging for improved detection of pulmonary nodules.}, Journal = {Ajr. American Journal of Roentgenology}, Volume = {188}, Number = {5}, Pages = {1239-1245}, Year = {2007}, Month = {May}, ISSN = {1546-3141}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17449766}, Keywords = {Aged • Algorithms • Cost-Benefit Analysis • Female • Humans • Imaging, Three-Dimensional • Lung Neoplasms • Male • Middle Aged • Phantoms, Imaging • Radiation Dosage • Radiographic Image Interpretation, Computer-Assisted* • economics • radiography*}, Abstract = {OBJECTIVE: The purpose of this study was the development and preliminary evaluation of multiprojection correlation imaging with 3D computer-aided detection (CAD) on chest radiographs for cost- and dose-effective improvement of early detection of pulmonary nodules. SUBJECTS AND METHODS: Digital chest radiographs of 10 configurations of a chest phantom and of seven human subjects were acquired in multiple angular projections with an acquisition time of 11 seconds (single breath-hold) and total exposure comparable with that of a posteroanterior chest radiograph. An initial 2D CAD algorithm with two difference-of-gaussians filters and multilevel thresholds was developed with an independent database of 44 single-view chest radiographs with confirmed lesions. This 2D CAD algorithm was used on each projection image to find likely suspect nodules. The CAD outputs were reconstructed in 3D, reinforcing signals associated with true nodules while simultaneously decreasing false-positive findings produced by overlapping anatomic features. The performance of correlation imaging was tested on two to 15 projection images. RESULTS: Optimum performance of correlation imaging was attained when nine projection images were used. Compared with conventional, single-view CAD, correlation imaging decreased as much as 79% the frequency of false-positive findings in phantom cases at a sensitivity level of 65%. The corresponding reduction in false-positive findings in the cases of human subjects was 78%. CONCLUSION: Although limited by a relatively simple CAD implementation and a small number of cases, the findings suggest that correlation imaging performs substantially better than single-view CAD and may greatly enhance identification of subtle solitary pulmonary nodules on chest radiographs.}, Language = {eng}, Doi = {10.2214/AJR.06.0843}, Key = {fds268553} } @article{fds268518, Author = {lo, JY and Singh, S and Dobbins, JT and Samei, E}, Title = {MO‐D‐L100F‐03: New Developments in Digital Breast Tomosynthesis}, Journal = {Medical Physics}, Volume = {34}, Number = {6}, Pages = {2518}, Publisher = {WILEY}, Year = {2007}, Month = {January}, ISSN = {0094-2405}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000247479600854&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {Digital tomosynthesis is one of the most exciting recent developments in breast imaging. By modifying existing full field digital mammography systems, one can achieve this type of limited‐angle cone‐beam CT imaging which produces 3D slice images of the breast. Overlapping dense tissue in mammography is one of the most common causes for unnecessary callbacks as well as missed cancers. Since the 3D images remove such overlapping tissue, breast tomosynthesis can improve radiologists' specificity by obviating unnecessary callbacks. It can also improve sensitivity by allowing easier detection and characterization of breast cancers which might otherwise be obscured. Most remarkably, tomosynthesis can achieve all this with a scan that is comparable to the speed, resolution, cost, and dose of conventional mammography. For these reasons, tomosynthesis stands poised as the only imaging technique with the potential to completely replace the current role of mammography as the primary tool in breast cancer screening and diagnosis. This presentation will cover both the hype and hope surrounding breast tomosynthesis. From a medical physics perspective, the latest results will be reviewed from recent studies to optimize radiographic techniques, acquisition modes, and reconstruction algorithms. In addition, emerging results will be surveyed from advanced applications including display/visualization, computer aided detection, and contrast enhanced tomosynthesis. Finally, the clinical promise and risks of this new technology will be discussed using initial clinical trial results. This research was supported in part by research grants from Siemens Medical Solutions, US Army Breast Cancer Research Program, and NIH/NCI. Educational Objectives: 1. Understand the difference between breast tomosynthesis and dedicated breast CT. 2. Appreciate the many medical physics issues involved in the development and optimization of breast tomosynthesis. 3. Understand the clinical promise and concerns of using breast tomosynthesis. © 2007, American Association of Physicists in Medicine. All rights reserved.}, Doi = {10.1118/1.2761222}, Key = {fds268518} } @article{fds327285, Author = {Ranger, N and Mackenzie, A and Honey, I and Dobbins, J and Ravin, C and Samei, E}, Title = {TU‐EE‐A4‐06: Experimental Evaluation of Effective Detective Quantum Efficiency for Digital Radiographic Imaging Systems}, Journal = {Medical Physics}, Volume = {34}, Number = {6}, Pages = {2564}, Publisher = {WILEY}, Year = {2007}, Month = {January}, url = {http://dx.doi.org/10.1118/1.2761409}, Abstract = {Purpose: To develop and evaluate an experimental methodology for measuring the effective detective quantum efficiency (eDQE) of digital radiographic systems which reflects the actual signal‐to‐noise performance of the system per unit exposure. Method and Materials: A NEXT phantom, simulating the scatter and attenuation properties of an adult human thorax was used to measure the resolution, noise, and scatter performance of a digital radiographic system (GE xQi) under conditions approximating those seen in clinical chest radiography. The resolution was measured in terms of the modulation transfer function (MTF) using an edge device placed at the phantom surface closest to the x‐ray tube. The noise was measured in terms of the noise power spectrum (NPS) of the region corresponding to the phantom center, acquired at three exposure levels. The scatter fraction (SF) was evaluated using a beam‐stop technique. These measurements along with measures of phantom attenuation and estimates of x‐ray flux and exposure were incorporated in the computation of the effective Detective Quantum Efficiency (eDQE). Results: The phantom exhibited a broad‐beam transmission fraction of 18.65%. The measured scatter fraction in the presence of grid and phantom was 33%. The MTF of the system dropped by 25% at 1.0 cycles/mm when the edge was placed at the phantom surface due to scatter and focal spot blurring. The computed eDQE was assessed to be 0.038 and 0.028 at 0.5 and 1.0 cycles/mm, respectively (for E= 5.6 mR). Conclusion: Conventional DQE measurements performed under relatively idealized conditions do not accurately represent the relative performance of digital radiographic imaging systems in routine clinical use. A more appropriate metric, the eDQE, measured under conditions that reasonably approximate those encountered clinically reflects the additional contributions from scatter, grid, and focal spot blurring, and provides a better estimate of the relative clinical performance of digital radiographic imaging systems. © 2007, American Association of Physicists in Medicine. All rights reserved.}, Doi = {10.1118/1.2761409}, Key = {fds327285} } @article{fds172341, Author = {J.T. Dobbins}, Title = {Chen Y, Lo JY, Dobbins JT 3rd. Methodology of NEQ(f) analysis for optimization and comparison of digital breast tomosynthesis acquisition techniques and reconstruction algorithms. SPIE Medical Imaging Conference. 2007;6510:1I1-1I9.}, Year = {2007}, Key = {fds172341} } @article{fds172342, Author = {J.T. Dobbins}, Title = {Li CM, Dobbins JT 3rd. Methodology for determining dose reduction for chest tomosynthesis. SPIE Medical Imaging Conference. 2007;6510:2D1-2D10.
}, Year = {2007}, Key = {fds172342} } @article{fds268548, Author = {McAdams, HP and Samei, E and Dobbins, J and Tourassi, GD and Ravin, CE}, Title = {Recent advances in chest radiography.}, Journal = {Radiology}, Volume = {241}, Number = {3}, Pages = {663-683}, Year = {2006}, Month = {December}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17114619}, Keywords = {Data Display • Humans • Image Processing, Computer-Assisted • Radiographic Image Interpretation, Computer-Assisted • Radiography, Thoracic • Scattering, Radiation • Subtraction Technique • X-Ray Intensifying Screens • methods* • trends*}, Abstract = {There have been many remarkable advances in conventional thoracic imaging over the past decade. Perhaps the most remarkable is the rapid conversion from film-based to digital radiographic systems. Computed radiography is now the preferred imaging modality for bedside chest imaging. Direct radiography is rapidly replacing film-based chest units for in-department posteroanterior and lateral examinations. An exciting aspect of the conversion to digital radiography is the ability to enhance the diagnostic capabilities and influence of chest radiography. Opportunities for direct computer-aided detection of various lesions may enhance the radiologist's accuracy and improve efficiency. Newer techniques such as dual-energy and temporal subtraction radiography show promise for improved detection of subtle and often obscured or overlooked lung lesions. Digital tomosynthesis is a particularly promising technique that allows reconstruction of multisection images from a short acquisition at very low patient dose. Preliminary data suggest that, compared with conventional radiography, tomosynthesis may also improve detection of subtle lung lesions. The ultimate influence of these new technologies will, of course, depend on the outcome of rigorous scientific validation.}, Language = {eng}, Doi = {10.1148/radiol.2413051535}, Key = {fds268548} } @article{fds268527, Author = {Li, CM and Dobbins, JT}, Title = {Preliminary assessment of the temporal subtraction of tomosynthesis images for improved detection of pulmonary nodules}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {6142 III}, Publisher = {SPIE}, Year = {2006}, Month = {June}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.652492}, Abstract = {Digital tomosynthesis is an imaging technique which reconstructs tomographic planes in an object from a set of projection images taken over a fixed angle [1]. Results from our initial pilot study show that tomosynthesis increases the detectability of lung nodules; while only 50% of CT confirmed nodules were found on typical chest radiographs, 81% were found on tomosynthesis image sets[2]. Temporal subtraction is a method which takes two sequential images and subtracts one from another, emphasizing the appearance of interval change[3-6]. As an addition to conventional chest radiography, it has been shown in several studies to significantly increase observer performance in detecting newly developed abnormalities[7-10]. Thus the combination of temporal subtraction and tomosynthesis may yield improved sensitivity of detection over either method alone. For this preliminary evaluation into the combination of these techniques, images were taken of an anthropomorphic chest phantom in different orientations and subtle lung nodules were simulated in order to emulate temporal discrepancies in anatomy. An automated method of segmentation, registration, and image warping was employed to align corresponding lung regions of each image set. The visibility of temporal change of simulated nodules was more apparent in the subtraction image. By our subjective analysis, tomosynthesis substantially improved the visibility of nodules relative to conventional chest radiography; and tomosynthesis augmented by temporal subtraction even further enhanced the conspicuity of difficultly placed subtle nodules.}, Doi = {10.1117/12.652492}, Key = {fds268527} } @article{fds268528, Author = {Chen, Y and Lo, JY and Dobbins, JT}, Title = {Noise power spectrum analysis for several digital breast tomosynthesis reconstruction algorithms}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {6142 III}, Publisher = {SPIE}, Year = {2006}, Month = {June}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.652282}, Abstract = {Digital breast tomosynthesis is a three-dimensional imaging technique that allows the reconstruction of an arbitrary set of planes in the breast from limited-angle series of projection images. Though several tomosynthesis algorithms have been proposed, no complete optimization and comparison of all available methods has been conducted as of yet. This paper presents an analysis of noise power spectrum to examine the noise characteristics of several tomosynthesis algorithms with different imaging acquisition techniques. Flat images were acquired with the following acquisition parameters: 13, 25, 49 projections with ±12.5 and ±25 degrees of angular ranges. Three algorithms, including Shift-And-Add (SAA), Matrix Inversion Tomosynthesis (MITS), and Filtered Back Projection (FBP) were investigated with reconstruction slice spacing of 1mm, 2mm, and 4mm. The noise power spectra of the reconstruction plane at 23.5mm above the detector surface were analyzed. Results showed that MITS has better noise responses with narrower slice spacing for low-to-middle frequencies. No substantial difference was noticed for SAA and FBP with different slice spacings. With the same acquisition technique and slice spacing, MITS performed better than FBP at middle frequencies, but FBP showed better performance at high frequencies because of applied Hamming and Gaussian low-pass filters. For different imaging acquisition techniques, SAA, MITS and FBP performed the best with 49 projections and ±25 degrees. For 25 projections specifically, FBP performed better with wider angular range, while MITS performed better with narrower angular range. For SAA, narrow angular range is slightly better for 25 projections and 13 projections.}, Doi = {10.1117/12.652282}, Key = {fds268528} } @article{fds268543, Author = {Chen, Y and Lo, JY and Baker, JA and Dobbins, JT}, Title = {Gaussian frequency blending algorithm with Matrix Inversion Tomosynthesis (MITS) and Filtered Back Projection (FBP) for better digital breast tomosynthesis reconstruction}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {6142 I}, Publisher = {SPIE}, Year = {2006}, Month = {June}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.652264}, Abstract = {Breast cancer is a major problem and the most common cancer among women. The nature of conventional mammography makes it very difficult to distinguish a cancer from overlying breast tissues. Digital Tomosynthesis refers to a three-dimensional imaging technique that allows reconstruction of an arbitrary set of planes in the breast from limited-angle series of projection images as the x-ray source moves. Several tomosynthesis algorithms have been proposed, including Matrix Inversion Tomosynthesis (MITS) and Filtered Back Projection (FBP) that have been investigated in our lab. MITS shows better high frequency response in removing out-of-plane blur, while FBP shows better low frequency noise prosperities. This paper presents an effort to combine MITS and FBP for better breast tomosynthesis reconstruction. A high-pass Gaussian filter was designed and applied to three-slice "slabbing" MITS reconstructions. A low-pass Gaussian filter was designed and applied to the FBP reconstructions. A frequency weighting parameter was studied to blend the high-passed MITS with low-passed FBP frequency components. Four different reconstruction methods were investigated and compared with human subject images: 1) MITS blended with Shift-And-Add (SAA), 2) FBP alone, 3) FBP with applied Hamming and Gaussian Filters, and 4) Gaussian Frequency Blending (GFB) of MITS and FBP. Results showed that, compared with FBP, Gaussian Frequency Blending (GFB) has better performance for high frequency content such as better reconstruction of micro-calcifications and removal of high frequency noise. Compared with MITS, GFB showed more low frequency breast tissue content.}, Doi = {10.1117/12.652264}, Key = {fds268543} } @article{fds268526, Author = {Nasab, NM and Samei, E and Dobbins, JT}, Title = {Biplane correlation imaging for lung nodule detection: Initial human subject results}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {6144 I}, Publisher = {SPIE}, Year = {2006}, Month = {June}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.652582}, Abstract = {In this paper, we present performance of biplane correlation imaging (BCI) on set of chest x-ray projections of human data. BCI significantly minimizes the number of false positives (FPs) when used in conjunction with computer aided detection (CAD) by eliminating non-correlated nodule candidates. Sixty-one low exposure posterior projections were acquired from more than 20 human subjects with small angular separations (0.32 degree) over a range of 20 degrees along the vertical axis. All patients were previously diagnosed for the presence of lung nodules based on computed tomography (CT) examination. Images were processed following two steps. First, all images were analyzed using our CAD routine for chest radiography. This process proceeded with a BCI processing in which the results of CAD on each single projection were examined in terms of their geometrical correlation with those found in the other 60 projections based on the predetermined shift of possible nodule locations in each projection. The suspect entities with a geometrical correlation that coincided with the known location of the lesions were selected as nodules; otherwise they were ignored. An expert radiologist with reference to the associated CT dataset determined the truth regarding nodule location and sizes, which were then used to determine if the found nodules are true positive or false positive. The preliminary results indicated that the best performance was obtained when the angular separation of the projection pair was greater than about 6.7 degrees. Within the range of optimum angular separation, the number of FPs per image was 0-1 without impacting the number of true positives (TPs), averaged around 92%. (Supported by grants from the NIH: R01-CA80490 and R01CA109074).}, Doi = {10.1117/12.652582}, Key = {fds268526} } @article{fds172306, Author = {JT Dobbins 3rd and E Samei and NT Ranger and Y Chen}, Title = {Intercomparison of methods for image quality characterization. II. Noise power spectrum.}, Journal = {Medical physics}, Volume = {33}, Number = {5}, Pages = {1466-75}, Year = {2006}, Month = {May}, ISSN = {0094-2405}, Keywords = {Algorithms* • Artifacts • Quality Assurance, Health Care • Radiographic Image Enhancement • Radiographic Image Interpretation, Computer-Assisted • Reproducibility of Results • Sensitivity and Specificity • Stochastic Processes • methods*}, Abstract = {Second in a two-part series comparing measurement techniques for the assessment of basic image quality metrics in digital radiography, in this paper we focus on the measurement of the image noise power spectrum (NPS). Three methods were considered: (1) a method published by Dobbins et al. [Med. Phys. 22, 1581-1593 (1995)], (2) a method published by Samei et al. [Med. Phys. 30, 608-622 (2003)], and (3) a new method sanctioned by the International Electrotechnical Commission (IEC 62220-1, 2003), developed as part of an international standard for the measurement of detective quantum efficiency. In addition to an overall comparison of the estimated NPS between the three techniques, the following factors were also evaluated for their effect on the measured NPS: horizontal versus vertical directional dependence, the use of beam-limiting apertures, beam spectrum, and computational methods of NPS analysis, including the region-of-interest (ROI) size and the method of ROI normalization. Of these factors, none was found to demonstrate a substantial impact on the amplitude of the NPS estimates (< or = 3.1% relative difference in NPS averaged over frequency, for each factor considered separately). Overall, the three methods agreed to within 1.6% +/- 0.8% when averaged over frequencies > 0.15 mm(-1).}, Language = {eng}, Key = {fds172306} } @article{fds172308, Author = {E Samei and NT Ranger and JT Dobbins 3rd and Y Chen}, Title = {Intercomparison of methods for image quality characterization. I. Modulation transfer function.}, Journal = {Medical physics}, Volume = {33}, Number = {5}, Pages = {1454-65}, Year = {2006}, Month = {May}, ISSN = {0094-2405}, Keywords = {Algorithms* • Quality Assurance, Health Care • Radiographic Image Enhancement • Radiographic Image Interpretation, Computer-Assisted • Reproducibility of Results • Sensitivity and Specificity • methods*}, Abstract = {The modulation transfer function (MTF) and the noise power spectrum (NPS) are widely recognized as the most relevant metrics of resolution and noise performance in radiographic imaging. These quantities have commonly been measured using various techniques, the specifics of which can have a bearing on the accuracy of the results. As a part of a study aimed at comparing the relative performance of different techniques, in this paper we report on a comparison of two established MTF measurement techniques: one using a slit test device [Dobbins et al., Med. Phys. 22, 1581-1593 (1995)] and another using a translucent edge test device [Samei et al., Med. Phys. 25, 102-113 (1998)], with one another and with a third technique using an opaque edge test device recommended by a new international standard (IEC 62220-1, 2003). The study further aimed to substantiate the influence of various acquisition and processing parameters on the estimated MTF. The slit test device was made of 2 mm thick Pb slabs with a 12.5 microm opening. The translucent edge test device was made of a laminated and polished Pt(0.9)Ir(0.1). alloy foil of 0.1 mm thickness. The opaque edge test device was made of a 2 mm thick W slab. All test devices were imaged on a representative indirect flat-panel digital radiographic system using three published beam qualities: 70 kV with 0.5 mm Cu filtration, 70 kV with 19 mm Al filtration, and 74 kV with 21 mm Al filtration (IEC-RQA5). The latter technique was also evaluated in conjunction with two external beam-limiting apertures (per IEC 62220-1), and with the tube collimator limiting the beam to the same area achieved with the apertures. The presampled MTFs were deduced from the acquired images by Fourier analysis techniques, and the results analyzed for relative values and the influence of impacting parameters. The findings indicated that the measurement technique has a notable impact on the resulting MTF estimate, with estimates from the overall IEC method 4.0% +/- 0.2% lower than that of Dobbins et al. and 0.7% +/- 0.4% higher than that of Samei et al. averaged over the zero to cutoff frequency range. Over the same frequency range, keeping beam quality and limitation constant, the average MTF estimate obtained with the edge techniques differed by up to 5.2% +/- 0.2% from that of the slit, with the opaque edge providing lower MTF estimates at lower frequencies than those obtained with the translucent edge or slit. The beam quality impacted the average estimated MTF by as much as 3.7% +/- 0.9% while the use of beam limiting devices alone increased the average estimated MTF by as much as 7.0% +/- 0.9%. While the slit method is inherently very sensitive to misalignment, both edge techniques were found to tolerate misalignments by as much as 6 cm. The results suggest the use of the opaque edge test device and the tube internal collimator for beam limitation in order to achieve an MTF result most reflective of the overall performance of the imaging system and least susceptible to misalignment and scattered radiation. Careful attention to influencing factors is warranted to achieve accurate results.}, Language = {eng}, Key = {fds172308} } @article{8909923, Author = {Dobbins, JT and Samei, E and Ranger, NT and Chen, Y}, Title = {Intercomparison of methods for image quality characterization. II. Noise power spectrum.}, Journal = {Medical Physics}, Volume = {33}, Number = {5}, Pages = {1466-1475}, Year = {2006}, Month = {May}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16752581}, Keywords = {diagnostic radiography;image resolution;noise;}, Abstract = {Second in a two-part series comparing measurement techniques for the assessment of basic image quality metrics in digital radiography, in this paper we focus on the measurement of the image noise power spectrum (NPS). Three methods were considered: (1) a method published by Dobbins et al. [Med. Phys. 22, 1581-1593 (1995)], (2) a method published by Samei et al. [Med. Phys. 30, 608-622 (2003)], and (3) a new method sanctioned by the International Electrotechnical Commission (IEC 62220-1, 2003), developed as part of an international standard for the measurement of detective quantum efficiency. In addition to an overall comparison of the estimated NPS between the three techniques, the following factors were also evaluated for their effect on the measured NPS: horizontal versus vertical directional dependence, the use of beam-limiting apertures, beam spectrum, and computational methods of NPS analysis, including the region-of-interest (ROI) size and the method of ROI normalization. Of these factors, none was found to demonstrate a substantial impact on the amplitude of the NPS estimates (< or = 3.1% relative difference in NPS averaged over frequency, for each factor considered separately). Overall, the three methods agreed to within 1.6% +/- 0.8% when averaged over frequencies > 0.15 mm(-1).}, Doi = {10.1118/1.2188819}, Key = {8909923} } @article{8909922, Author = {Samei, E and Ranger, NT and Dobbins, JT and Chen, Y}, Title = {Intercomparison of methods for image quality characterization. I. Modulation transfer function.}, Journal = {Medical Physics}, Volume = {33}, Number = {5}, Pages = {1454-1465}, Year = {2006}, Month = {May}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16752580}, Keywords = {aluminium;biomedical equipment;copper;diagnostic radiography;filtration;Fourier analysis;image resolution;platinum compounds;}, Abstract = {The modulation transfer function (MTF) and the noise power spectrum (NPS) are widely recognized as the most relevant metrics of resolution and noise performance in radiographic imaging. These quantities have commonly been measured using various techniques, the specifics of which can have a bearing on the accuracy of the results. As a part of a study aimed at comparing the relative performance of different techniques, in this paper we report on a comparison of two established MTF measurement techniques: one using a slit test device [Dobbins et al., Med. Phys. 22, 1581-1593 (1995)] and another using a translucent edge test device [Samei et al., Med. Phys. 25, 102-113 (1998)], with one another and with a third technique using an opaque edge test device recommended by a new international standard (IEC 62220-1, 2003). The study further aimed to substantiate the influence of various acquisition and processing parameters on the estimated MTF. The slit test device was made of 2 mm thick Pb slabs with a 12.5 microm opening. The translucent edge test device was made of a laminated and polished Pt(0.9)Ir(0.1). alloy foil of 0.1 mm thickness. The opaque edge test device was made of a 2 mm thick W slab. All test devices were imaged on a representative indirect flat-panel digital radiographic system using three published beam qualities: 70 kV with 0.5 mm Cu filtration, 70 kV with 19 mm Al filtration, and 74 kV with 21 mm Al filtration (IEC-RQA5). The latter technique was also evaluated in conjunction with two external beam-limiting apertures (per IEC 62220-1), and with the tube collimator limiting the beam to the same area achieved with the apertures. The presampled MTFs were deduced from the acquired images by Fourier analysis techniques, and the results analyzed for relative values and the influence of impacting parameters. The findings indicated that the measurement technique has a notable impact on the resulting MTF estimate, with estimates from the overall IEC method 4.0% +/- 0.2% lower than that of Dobbins et al. and 0.7% +/- 0.4% higher than that of Samei et al. averaged over the zero to cutoff frequency range. Over the same frequency range, keeping beam quality and limitation constant, the average MTF estimate obtained with the edge techniques differed by up to 5.2% +/- 0.2% from that of the slit, with the opaque edge providing lower MTF estimates at lower frequencies than those obtained with the translucent edge or slit. The beam quality impacted the average estimated MTF by as much as 3.7% +/- 0.9% while the use of beam limiting devices alone increased the average estimated MTF by as much as 7.0% +/- 0.9%. While the slit method is inherently very sensitive to misalignment, both edge techniques were found to tolerate misalignments by as much as 6 cm. The results suggest the use of the opaque edge test device and the tube internal collimator for beam limitation in order to achieve an MTF result most reflective of the overall performance of the imaging system and least susceptible to misalignment and scattered radiation. Careful attention to influencing factors is warranted to achieve accurate results.}, Doi = {10.1118/1.2188816}, Key = {8909922} } @article{fds172307, Author = {DJ Godfrey and HP McAdams and JT Dobbins 3rd}, Title = {Optimization of the matrix inversion tomosynthesis (MITS) impulse response and modulation transfer function characteristics for chest imaging.}, Journal = {Medical physics}, Volume = {33}, Number = {3}, Pages = {655-67}, Year = {2006}, Month = {March}, ISSN = {0094-2405}, Keywords = {Algorithms • Humans • Phantoms, Imaging • Radiographic Image Enhancement • Radiographic Image Interpretation, Computer-Assisted • Radiography, Thoracic • Reproducibility of Results • Sensitivity and Specificity • Solitary Pulmonary Nodule • Thorax* • Tomography, X-Ray • diagnosis • methods* • radiography*}, Abstract = {Matrix inversion tomosynthesis (MITS) uses linear systems theory, along with a priori knowledge of the imaging geometry, to deterministically distinguish between true structure and overlying tomographic blur in a set of conventional tomosynthesis planes. In this paper we examine the effect of total scan angle (ANG), number of input projections (N), and plane separation/number of reconstructed planes (NP) on the MITS impulse response (IR) and modulation transfer function (MTF), with the purpose of optimizing MITS imaging of the chest. MITS IR and MTF data were generated by simulating the imaging of a very thin wire, using various combinations of ANG, N, and NP. Actual tomosynthesis data of an anthropomorphic chest phantom were acquired with a prototype experimental system, using the same imaging parameter combinations as those in the simulations. Thoracic projection data from two human subjects were collected for corroboration of the system response analysis in vivo. Results suggest that ANG=20 degrees, N=71, NP=69 is the optimal combination for MITS chest imaging given the inherent constraints of our prototype system. MITS chest data from human subjects demonstrates that the selected imaging strategy can effectively produce high-quality MITS thoracic images in vivo.}, Language = {eng}, Key = {fds172307} } @article{8832235, Author = {Godfrey, DJ and McAdams, HP and Dobbins, JT}, Title = {Optimization of the matrix inversion tomosynthesis (MITS) impulse response and modulation transfer function characteristics for chest imaging.}, Journal = {Medical Physics}, Volume = {33}, Number = {3}, Pages = {655-667}, Year = {2006}, Month = {March}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16878569}, Keywords = {diagnostic radiography;image reconstruction;lung;matrix inversion;medical image processing;optical transfer function;optimisation;transient response;}, Abstract = {Matrix inversion tomosynthesis (MITS) uses linear systems theory, along with a priori knowledge of the imaging geometry, to deterministically distinguish between true structure and overlying tomographic blur in a set of conventional tomosynthesis planes. In this paper we examine the effect of total scan angle (ANG), number of input projections (N), and plane separation/number of reconstructed planes (NP) on the MITS impulse response (IR) and modulation transfer function (MTF), with the purpose of optimizing MITS imaging of the chest. MITS IR and MTF data were generated by simulating the imaging of a very thin wire, using various combinations of ANG, N, and NP. Actual tomosynthesis data of an anthropomorphic chest phantom were acquired with a prototype experimental system, using the same imaging parameter combinations as those in the simulations. Thoracic projection data from two human subjects were collected for corroboration of the system response analysis in vivo. Results suggest that ANG=20 degrees, N=71, NP=69 is the optimal combination for MITS chest imaging given the inherent constraints of our prototype system. MITS chest data from human subjects demonstrates that the selected imaging strategy can effectively produce high-quality MITS thoracic images in vivo.}, Doi = {10.1118/1.2170398}, Key = {8832235} } @article{fds268517, Author = {Ranger, NT and Samei, E and Dobbins, JT and Ravin, CE}, Title = {SU‐FF‐I‐48: Assessment of Detective Quantum Efficiency: Inter‐Comparison of IEC 62220‐1 with Representative Prior Methods}, Journal = {Medical Physics}, Volume = {33}, Number = {6}, Pages = {2007}, Publisher = {WILEY}, Year = {2006}, Month = {January}, ISSN = {0094-2405}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000238688500148&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {Purpose: To evaluate a new international standard method for the measurement of detective quantum efficiency (DQE) of digital radiography systems in comparison with representative prior methods. Methods and Materials: Three DQE evaluation methods were considered: 1) a relatively recent international standard method published by the International Electrotechnical Commission (IEC, 62220‐1, 2003) which was evaluated in comparison with previously published methods by 2) Dobbins et al (Med Phys 22:1581–1593, 1995) and 3) Samei et al (Med Phys 30: 608–622, 2003). In addition to an overall comparison of the methods, the impact of the defining factors that comprise each method were evaluated including: beam quality, the presence of beam‐limiting devices (apertures or collimators), the NNPS analysis algorithm and processing parameters, and the MTF test device and associated analysis methodology. Results: The IEC DQE results at low/mid‐frequencies were lower than those obtained using the method of Dobbins et al and Samei et al by 3.3% and 6.5%, respectively. Averaged over 1.5–2.5 mm−1, the DQE estimate according to the IEC method was 7.1% lower and ̃12.4% higher than that of the other two methods, respectively. The overall DQE methods of Dobbins et al and Samei et al agreed well (within 2.0%) in the low‐ to mid‐frequency range but diverged by up to 10% at higher frequencies. Of the influencing factors on the DQE estimate considered, the most significant impact was seen with the MTF measurement method, followed by the beam‐limitation method. Conclusions: Comparison of DQE estimates using the new standard technique with results using prior methods demonstrated that measurement method can impact the DQE estimate by as much as 12%. Specifically, the results suggest the use of beam limitation using internal collimation (rather than external apertures) and use of a radio‐opaque edge MTF test device for more accurate estimation of the DQE. © 2006, American Association of Physicists in Medicine. All rights reserved.}, Doi = {10.1118/1.2240288}, Key = {fds268517} } @article{fds327411, Author = {Chen, Y and Lo, J and Baker, J and Dobbins, J}, Title = {SU‐FF‐I‐21: Two‐Dimensional Shift‐And‐Add (SAA) Algorithm for Digital Breast Tomosynthesis Reconstruction}, Journal = {Medical Physics}, Volume = {33}, Number = {6}, Pages = {2001}, Publisher = {WILEY}, Year = {2006}, Month = {January}, url = {http://dx.doi.org/10.1118/1.2240260}, Abstract = {Purpose: To investigate a two‐dimensional Shift‐And‐Add algorithm for three‐dimensional digital breast tomosynthsis reconstruction to correct for defects existing in the traditional Shift‐And‐Add algorithm that calculates only one‐dimensional shift amount along the axis of x‐ray tube's motion. Method and Materials: With the traditional Shift‐And‐Add (SAA) algorithm for breast tomosynthesis reconstruction, shift amounts for each projection plane are calculated only along the axis of x‐ray tube's movement. As a result, small objects such as microcalcifications appear slightly blurred in the direction perpendicular to the direction of tube motion. In this project, a two‐dimensional SAA method was developed to correct for this phenomenon. Shift amounts for every pixel location on each reconstruction plane were computed, taking into account the 2D arc projection location of reconstructed objects in each plane. Bilinear interpolation was used for partial pixel locations. Impulses at different 3‐D locations were simulated and a few human subject tomosynthesis sequences were acquired for investigation. Results: Two‐dimensional SAA demonstrated the improvement in the direction that is perpendicular to the tube motion direction. For human subjects, the appearance of calcifications from 2D SAA was sharper than traditional SAA at the direction orthogonal to the tube motion direction. The out‐of‐plane artifacts of calcifications changed from curved to be straight. Conclusion: Two‐dimensional SAA is an effective method to reconstruct 3D tomosynthesis images of the breast. Compared with the traditional SAA, the new method corrects for 2D shift amounts coming from the isocentric tube motion. This provides more accurate and reliable results compared with other SAA algorithms. Conflict of Interest: Research sponsored in part by a research grant from Siemens Medical Solutions. © 2006, American Association of Physicists in Medicine. All rights reserved.}, Doi = {10.1118/1.2240260}, Key = {fds327411} } @article{fds172337, Author = {J.T. Dobbins}, Title = {Chen Y, Lo JY, Baker JA, Dobbins JT 3rd. Gaussian frequency blending algorithm with matrix inversion tomosynthesis (MITS) and filtered back projection (FBP) for better digital breast tomosynthesis reconstruction. SPIE Medical Imaging Conference. 2006;6142:0E1-0E9.}, Year = {2006}, Key = {fds172337} } @article{fds172338, Author = {J.T. Dobbins}, Title = {Chen Y, Lo JY, Dobbins JT 3rd. Noise power spectrum analysis for several digital breast tomosynthesis reconstruction algorithms. SPIE Medical Imaging Conference. 2006;6142:59.1-59.8.
}, Year = {2006}, Key = {fds172338} } @article{fds172339, Author = {J.T. Dobbins}, Title = {Li CM, Dobbins JT 3rd. Preliminary assessment of the temporal subtraction of tomosynthesis images for improved detection of pulmonary nodules. SPIE Medical Imaging Conference. 2006;6142: 5C1-6C8.
}, Year = {2006}, Key = {fds172339} } @article{fds172340, Author = {J.T. Dobbins}, Title = {Nasab NM, Samei E, Dobbins JT 3rd. Biplane correlation imaging for lung nodule detection: initial human subject results. SPIE Medical Imaging Conference. 2006;6144:1X-1X8.}, Year = {2006}, Key = {fds172340} } @article{fds331534, Author = {Godfrey, DJ and Oldham, M and Dobbins, JT and Yin, F}, Title = {Online Digital Tomosynthesis (DTS): A Novel Technique for Improving Target Localization in Radiation Therapy}, Journal = {International Journal of Radiation Oncology, Biology, Physics}, Volume = {63}, Number = {2}, Pages = {S556-S556}, Publisher = {Elsevier BV}, Year = {2005}, Month = {October}, url = {http://dx.doi.org/10.1016/j.ijrobp.2005.07.937}, Doi = {10.1016/j.ijrobp.2005.07.937}, Key = {fds331534} } @article{fds268524, Author = {Baydush, AH and Godfrey, DJ and Oldham, M and Dobbins, JT}, Title = {Initial application of digital tomosynthesis with on-board imaging in radiation oncology}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {5745}, Number = {II}, Pages = {1300-1305}, Publisher = {SPIE}, Year = {2005}, Month = {August}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.596245}, Abstract = {We present preliminary investigations that examine the feasibility of incorporating digital tomosynthesis into radiation oncology practice with the use of kilovoltage on-board imagers (OBI). Modern radiation oncology linear accelerators now include hardware options for the addition of OBI for on-line patient setup verification. These systems include an x-ray tube and detector mounted directly on the accelerator gantry that rotate with the same isocenter. Applications include cone beam computed tomography (CBCT), fluoroscopy, and radiographs to examine daily patient positioning to determine if the patient is in the same location as the treatment plan. While CBCT provides the greatest anatomical detail, this approach is limited by long acquisition and reconstruction times and higher patient dose. We propose to examine the use of tomosynthesis reconstructed volumetric data from limited angle projection images for short imaging time and reduced patient dose. Initial data uses 61 projection images acquired over an isocentric arc of twenty degrees with the detector approximately fifty-four centimeters from isocenter. A modified filtered back projection technique, which included a mathematical correction for isocentric motion, was used to reconstruct volume images. These images will be visually and mathematically compared to volumetric computed tomography images to determine efficacy of this system for daily patient positioning verification. Initial images using the tomosynthesis reconstruction technique show much promise and bode well for effective daily patient positioning verification with reduced patient dose and imaging time. Additionally, the fast image acquisition may allow for a single breath hold imaging sequence, which will have no breath motion.}, Doi = {10.1117/12.596245}, Key = {fds268524} } @article{fds268525, Author = {Chen, Y and Lo, JY and Dobbins, JT}, Title = {Impulse response analysis for several digital tomosynthesis mammography reconstruction algorithms}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {5745}, Number = {I}, Pages = {541-549}, Publisher = {SPIE}, Year = {2005}, Month = {August}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.595684}, Abstract = {Digital tomosynthesis mammography algorithms allow reconstructions of arbitrary planes in the breast from limited-angle series of projection images as the x-ray source moves along an arc above the breast. Though several tomosynthesis algorithms have been proposed, no complete comparison of the methods has previously been conducted. This paper presents an analysis of impulse response for four different tomosynthesis mammography reconstruction algorithms. Simulated impulses at different 3-D locations were simulated to investigate the sharpness of reconstructed in-plane structures and to see how effective each algorithm is at removing out-of-plane blur. Datasets with 41, 21 and 11 projection images of the impulse were generated with a total angular movement of +/-10 degrees of the simulated x-ray point source. Four algorithms, including shift-and-add method, Niklason algorithm, filtered back projection (FBP), and matrix inversion tomosynthesis (MITS) are investigated. Compared with shift-and-add algorithm and Niklason method, MITS and FBP performed better for in-plane response and out-of-plane blur removal. MITS showed better out-of-plane blur removal in general. MITS and FBP performed better when projection numbers increase.}, Doi = {10.1117/12.595684}, Key = {fds268525} } @article{fds268555, Author = {Ranger, NT and Samei, E and Dobbins, JT and Ravin, CE}, Title = {Measurement of the detective quantum efficiency in digital detectors consistent with the IEC 62220-1 standard: Practical considerations regarding the choice of filter material.}, Journal = {Med Phys}, Volume = {32}, Number = {7Part1}, Pages = {2305-2311}, Year = {2005}, Month = {July}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16121586}, Keywords = {Equipment Failure Analysis • Filtration • Guidelines as Topic • Internationality • Quality Assurance, Health Care • Quantum Theory • Radiographic Image Enhancement • Reference Standards • Reproducibility of Results • Sensitivity and Specificity • Technology Assessment, Biomedical • Transducers* • X-Ray Intensifying Screens • instrumentation* • methods • standards • standards*}, Abstract = {As part of a larger evaluation we attempted to measure the detective quantum efficiency (DQE) of an amorphous silicon flat-panel detector using the method described in the International Electrotechnical Commission standard 62220-1 published in October 2003. To achieve the radiographic beam conditions specified in the standard, we purchased scientific-grade ultrahigh purity aluminum (99.999% purity, type-11999 alloy) filters in thicknesses ranging from 0.1 through 10.0 mm from a well-known, specialty metals supplier. Qualitative evaluation of flat field images acquired at 71 kV (RQA5 beam quality) with 21 mm of ultrahigh purity aluminum filtration demonstrated a low frequency mottle that was reproducible and was not observed when the measurement was repeated at 74 kV (RQA5 beam quality) with 21 mm of lower-purity aluminum (99.0% purity, type-1100 alloy) filtration. This finding was ultimately attributed to the larger grain size (approximately 1-2 mm) of high purity aluminum metal, which is a well-known characteristic, particularly in thicknesses greater than 1 mm. The impact of this low frequency mottle is to significantly overestimate the noise power spectrum (NPS) at spatial frequencies ⩽0.2mm-1, which in turn would cause an underestimation of the DQE in this range. A subsequent evaluation of ultrahigh purity aluminum, purchased from a second source, suggests, that reduced grain size can be achieved by the process of annealing. Images acquired with this sample demonstrated vertical striated nonuniformities that are attributed to the manufacturing method and which do not appear to appreciably impact the NPS at spatial frequencies ⩾0.5mm-1, but do result in an asymmetry in the x- and y-NPS at spatial frequencies ⩽0.2mm-1. Our observations of markedly visible nonuniformities in images acquired with high purity aluminum filtration suggest that the uniformity of filter materials should be carefully evaluated and taken into consideration when measuring the DQE.}, Language = {eng}, Doi = {10.1118/1.1929187}, Key = {fds268555} } @article{fds268569, Author = {Samei, E and Lo, JY and Yoshizumi, TT and Jesneck, JL and Dobbins, JT and Floyd, CE and McAdams, HP and Ravin, CE}, Title = {Comparative scatter and dose performance of slot-scan and full-field digital chest radiography systems.}, Journal = {Radiology}, Volume = {235}, Number = {3}, Pages = {940-949}, Year = {2005}, Month = {June}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15845791}, Keywords = {Phantoms, Imaging • Radiation Dosage • Radiographic Image Enhancement* • Radiography, Thoracic • methods • standards*}, Abstract = {PURPOSE: To evaluate the scatter, dose, and effective detective quantum efficiency (DQE) performance of a slot-scan digital chest radiography system compared with that of a full-field digital radiography system. MATERIALS AND METHODS: Scatter fraction of a slot-scan system was measured for an anthropomorphic and a geometric phantom by using a posterior beam-stop technique at 117 and 140 kVp. Measurements were repeated with a full-field digital radiography system with and without a 13:1 antiscatter grid at 120 and 140 kVp. For both systems, the effective dose was measured on posteroanterior and lateral views for standard clinical techniques by using dosimeters embedded in a female phantom. The effective DQEs of the two systems were assessed by taking into account the scatter performance and the DQE of each system. The statistical significance of all the comparative differences was ascertained by means of t test analysis. RESULTS: The slot-scan system and the full-field system with grid yielded scatter fractions of 0.13-0.14 and 0.42-0.48 in the lungs and 0.30-0.43 and 0.69-0.78 in the mediastinum, respectively. The sum of the effective doses for posteroanterior and lateral views for the slot-scan system (0.057 mSv +/- 0.003 [+/- standard deviation]) was 34% lower than that for the full-field system (0.086 mSv +/- 0.001, P < .05) at their respective clinical peak voltages (140 and 120 kVp, respectively). The effective DQE of the slot-scan system was equivalent to that of the full-field system in the lung region but was 37% higher in the dense regions (P < .05). CONCLUSION: The slot-scan design leads to marked scatter reduction compared with the more conventional full-field geometries with a grid. The improved scatter performance of a slot-scan geometry can effectively compensate for low DQE and lead to improved image quality.}, Language = {eng}, Doi = {10.1148/radiol.2353040516}, Key = {fds268569} } @article{fds327286, Author = {Godfrey, D and Oldham, M and Dobbins, J and Yin, F}, Title = {SU‐FF‐J‐57: Digital Tomosynthesis for Verification of Radiation Therapy Positioning: Preliminary Results From a Kilovoltage On‐Board Imaging System}, Journal = {Medical Physics}, Volume = {32}, Number = {6}, Pages = {1932}, Publisher = {WILEY}, Year = {2005}, Month = {January}, url = {http://dx.doi.org/10.1118/1.1997603}, Abstract = {Purpose: This study introduces a new radiation therapy target localization technique using online digital tomosynthesis (DTS), a method for reconstructing 3‐D slices from 2‐D projection data acquired with limited source motion. By separating the visualization of overlapping structure, DTS is expected to improve the visualization of anatomy compared with 2‐D planar radiographic imaging techniques, and may therefore yield more accurate target localization during radiation therapy set‐up. Method and Materials: We simulated treatment planning and setup of an anthropomorphic chest phantom. A treatment isocenter was marked in CT images. The phantom was then aligned for treatment on a Varian 21EX equipped with an on‐board‐imager (OBI), attached to the gantry orthogonal to the megavoltage treatment axis. Once aligned, 2‐D image projections were acquired over 200 degrees and coronal and sagittal DTS planes were reconstructed through the treatment isocenter from projection sub‐sets spanning 40°. Comparison of DTS images with corresponding planes from the CT data, as well as lateral and postero‐anterior (PA) planar radiographs, yielded estimations of set‐up error. Results: Sagittal and coronal DTS slices improved the visibility of anatomy when compared with planar radiograph equivalents, improving estimation of the set‐up error. Registration of sagittal and coronal DTS reconstructions with corresponding planes through the isocenter in the CT data was found to be feasible for estimating set‐up error. Preliminary determination of the set‐up accuracy of our clinical procedure was determined to be within 1mm for the phantom study presented here. Conclusion: Tomosynthesis has been demonstrated on a commercially available medical accelerator, and may be practical for improving patient set‐up when full cone‐beam‐CT is not required. DTS significantly improves the visibility of soft‐tissue detail that is obscured by overlying anatomy in radiographs and portal images. Additional benefits include a reduction in dose, acquisition and reconstruction time, and easier data handling compared with full cone‐beam‐CT. © 2005, American Association of Physicists in Medicine. All rights reserved.}, Doi = {10.1118/1.1997603}, Key = {fds327286} } @article{fds327412, Author = {Godfrey, D and Mcadams, H and Dobbins, J}, Title = {MO‐D‐I‐6B‐04: Matrix Inversion Tomosynthesis (MITS) Imaging of the Chest}, Journal = {Medical Physics}, Volume = {32}, Number = {6}, Pages = {2058}, Publisher = {WILEY}, Year = {2005}, Month = {January}, url = {http://dx.doi.org/10.1118/1.1999682}, Abstract = {Tomosynthesis is a method for reconstructing 3‐dimensional (3‐D) image data from a series of x‐ray projection radiographs, acquired with limited motion of the x‐ray source (typically no more than 40 degrees). Digital tomosynthesis (DTS) is implemented with a flat‐panel digital detector and can be integrated into standard digital chest radiography or mammography systems, providing a flexible platform for the acquisition of 3‐D image data in the clinical environment. DTS can be performed with short acquisition times (single breath‐hold duration), and requires lower dose and will likely be less expensive than traditional CT. Resolution in DTS images is high in the two dimensions displayed by a single reconstructed plane, but is reduced in the third dimension (plane‐to‐plane) by the limited scan angle. Conventional tomosynthesis reconstructs 3‐D planes by simply shifting and summing projection images to bring a user‐specified depth into focus. Unfortunately, planes reconstructed in this manner contain substantial low‐frequency tomographic blur from distant anatomy, which reduces the visibility of in‐plane structure. More sophisticated reconstruction methods include filtered‐backprojection, direct inverse solutions, and iterative inverse algorithms which allow the user to impose constraints upon the inverse solution. Matrix inversion tomosynthesis (MITS) is a direct inverse solution which uses the known image acquisition geometry to model a set of conventional tomosynthesis planes in terms of true in‐plane structure and out‐of‐plane tomographic blur. In‐plane structure is separated from residual blur by solving systems of linear algebraic equations in the Fourier domain. Resulting MITS reconstructions exhibit enhanced visibility of in‐plane anatomy compared with conventional tomosynthesis planes. MITS imaging of the chest is likely to improve the detection of lung nodules by resolving anatomy which would otherwise overlap in radiographs. A MITS pilot study was performed with 20 human volunteers who were known to have subtle pulmonary lung nodules, as determined by CT. MITS projection images were collected using a commercial x‐ray tube and stationary flat‐panel detector, equipped with prototype rapid‐readout electronics. Angulation of the x‐ray source was controlled with prototype motion hardware constructed in our laboratory. Total tomosynthesis exposures ranged from 1x to 2x the radiation exposure that would have been necessary to acquire a 250‐speed film/screen lateral radiograph. All projection data was acquired during a single breath‐hold (roughly 11 seconds). Preliminary human observer results indicate that MITS improved the sensitivity of retrospective lung nodule detection by 50% compared with standard radiography in the pilot study. This work was supported in part by grants from the National Institutes of Health (RO1 CA80490) and G. E. Medical Systems. Educational Objectives: 1. To gain a general understanding of tomosynthesis and its relation to both radiography and computed tomography. 2. To understand the benefits and limitations of tomosynthesis. 3. To view sample human chest tomosynthesis data for illustration of key concepts. © 2005, American Association of Physicists in Medicine. All rights reserved.}, Doi = {10.1118/1.1999682}, Key = {fds327412} } @article{8523003, Author = {Samei, E. and Dobbins, J.T., III and Lo, J.Y. and Tornai, M.P.}, Title = {A framework for optimising the radiographic technique in digital X-ray imaging}, Journal = {Radiat. Prot. Dosim. (UK)}, Volume = {114}, Number = {1-3}, Pages = {220 - 9}, Address = {Malmo, Sweden}, Year = {2005}, url = {http://dx.doi.org/10.1093/rpd/nch562}, Keywords = {bone;caesium compounds;computerised tomography;diagnostic radiography;mammography;medical image processing;optimisation;rhodium;selenium;tungsten;}, Abstract = {The transition to digital radiology has provided new opportunities for improved image quality, made possible by the superior detective quantum efficiency and post-processing capabilities of new imaging systems, and advanced imaging applications, made possible by rapid digital image acquisition. However, this transition has taken place largely without optimising the radiographic technique used to acquire the images. This paper proposes a framework for optimising the acquisition of digital X-ray images. The proposed approach is based on the signal and noise characteristics of the digital images and the applied exposure. Signal is defined, based on the clinical task involved in an imaging application, as the difference between the detector signal with and without a target present against a representative background. Noise is determined from the noise properties of uniformly acquired images of the background, taking into consideration the absorption properties of the detector. Incident exposure is estimated or otherwise measured free in air, and converted to dose. The main figure of merit (FOM) for optimisation is defined as the signal-difference-to-noise ratio (SdNR) squared per unit exposure or (more preferably) dose. This paper highlights three specific technique optimisation studies that used this approach to optimise the radiographic technique for digital chest and breast applications. In the first study, which was focused on chest radiography with a CsI flat-panel detector, a range of kV<sub>p</sub> (50-150) and filtration (Z=13-82) were examined in terms of their associated FOM as well as soft tissue to bone contrast, a factor of importance in digital chest radiography. The results indicated that additive Cu filtration can improve image quality. A second study in digital mammography using a selenium direct flat-panel detector indicated improved SdNR per unit exposure with the use of a tungsten target and a rhodium filter than conventional molybdenum target/molybdenum filter techniques. Finally, a third study focusing on cone-beam computed tomography of the breast using a CsI flat-panel detector indicated that high Z filtration of a tungsten target X-ray beam can notably improve the signal and noise characteristics of the image. The general findings highlight the fact that the techniques that are conventionally assumed to be optimum may need to be revisited for digital radiography}, Key = {8523003} } @article{fds131771, Author = {J.T. Dobbins}, Title = {Samei E, Dobbins JT III, Lo JY, Tornai M:  A framework for optimizing the radiographic technique in digital x-ray imaging.  Radiation Protection Dosimetry (accepted 2005).}, Year = {2005}, Key = {fds131771} } @article{fds131772, Author = {J.T. Dobbins}, Title = {Chen Y, Dobbins JT III: Impulse response analysis for several digital tomosynthesis mammography reconstruction algorithms. Proc. SPIE Medical Imaging Symposium. 2005;5745:541-549.}, Year = {2005}, Key = {fds131772} } @article{fds131773, Author = {J.T. Dobbins}, Title = {Bissonnette M, Hansroul M, Masson E, Savard S, Cadieux S, Warmoes P, Gravel D, Agopyan J, Polischuk B, Haerer W, Mertelmeier T, Lo JY, Chen Y, Dobbins JT III, Jesneck JL and Singh S: Digital breast tomosynthesis using an amorphous selenium flat panel detector. Proc. SPIE Medical Imaging Symposium. 2005;5745:529-540.}, Year = {2005}, Key = {fds131773} } @article{fds131774, Author = {J.T. Dobbins}, Title = {Baydush AH, Godfrey DJ, Oldham M, Dobbins JT III: Initial application of digital tomosynthesis with on-board imaging in radiation oncology. Proc. SPIE Medical Imaging Symposium. 2005;5745:1300-1305.}, Year = {2005}, Key = {fds131774} } @article{fds131775, Author = {J.T. Dobbins}, Title = {Samei E, Dobbins JT III, Ranger NT, Chen Y:  Inter-comparison of methods for image quality comparison:  1. Modulation transfer function.  Medical Physics (submitted), 2005.}, Year = {2005}, Key = {fds131775} } @article{fds131776, Author = {J.T. Dobbins}, Title = {Dobbins JT III, Samei E, Ranger NT, Chen Y:  Inter-comparison of methods for image quality comparison:  2. Noise power spectrum.  Medical Physics (submitted), 2005.}, Year = {2005}, Key = {fds131776} } @article{fds131777, Author = {J.T. Dobbins}, Title = {Ranger NT, Samei E, Dobbins JT III, Ravin CE:  Inter-comparison of methods for image quality comparison:  3. Detective quantum efficiency.  Medical Physics (submitted), 2005.}, Year = {2005}, Key = {fds131777} } @article{fds131778, Author = {J.T. Dobbins}, Title = {Ranger NT, Samei E, Dobbins JT III,  Ravin CE:  Measurement of the detective quantum efficiency in digital detectors consistent with the IEC 62220-1 standard:  practical considerations regarding the choice of filter material.  Medical Physics (accepted 2005).}, Year = {2005}, Key = {fds131778} } @article{fds131779, Author = {J.T. Dobbins}, Title = {Godfrey DJ, McAdams HP, Dobbins JT III:  Stochastic noise characteristics in matrix inversion tomosynthesis (MITS).  Medical Physics (submitted), 2005.}, Year = {2005}, Key = {fds131779} } @article{fds131780, Author = {J.T. Dobbins}, Title = {Godfrey DJ, McAdams HP, Dobbins JT III:  Averaging adjacent planes for artifact reduction in matrix inversion tomosynthesis (MITS).  Medical Physics (submitted), 2005.}, Year = {2005}, Key = {fds131780} } @article{fds131781, Author = {J.T. Dobbins}, Title = {Godfrey DJ, McAdams HP, Dobbins JT III:  Optimization of the matrix inversion tomosynthesis (MITS) impulse response and modulation transfer function characteristics for chest imaging.  Medical Physics (submitted), 2005.}, Year = {2005}, Key = {fds131781} } @article{fds172309, Author = {J.T. Dobbins}, Title = {Eberhard JW, Claus BEH, Alkhalidy AA, Dobbins JT III, Godfrey DJ. Continuous scan RAD tomosynthesis system and method. U.S. patent # 6,970,531, November 29, 2005.}, Year = {2005}, Key = {fds172309} } @article{8503490, Author = {Samei, E. and Lo, J.Y. and Yoshizumi, T.T. and Jesneck, J.L. and Dobbins, J.T., III and Floyd, C.E., Jr. and McAdams, H.P. and Ravin, C.E.}, Title = {Comparative scatter and dose performance of slot-scan and full-field digital chest radiography systems}, Journal = {Radiology (USA)}, Volume = {235}, Number = {3}, Pages = {940 - 9}, Year = {2005}, url = {http://dx.doi.org/10.1148/radiol.2353040516}, Keywords = {diagnostic radiography;dosimeters;dosimetry;lung;phantoms;}, Abstract = {The purpose of this paper is to evaluate the scatter, dose, and effective detective quantum efficiency (DQE) performance of a slot-scan digital chest radiography system compared with that of a full-field digital radiography system. Scatter fraction of a slot-scan system was measured for an anthropomorphic and a geometric phantom by using a posterior beam-stop technique at 117 and 140 kVp. Measurements were repeated with a full-field digital radiography system with and without a 13:1 antiscatter grid at 120 and 140 kVp. For both systems, the effective dose was measured on posteroanterior and lateral views for standard clinical techniques by using dosimeters embedded in a female phantom. The effective DQEs of the two systems were assessed by taking into account the scatter performance and the DQE of each system. The statistical significance of all the comparative differences was ascertained by means of t test analysis. The slot-scan system and the full-field system with grid yielded scatter fractions of 0.13-0.14 and 0.42-0.48 in the lungs and 0.30-0.43 and 0.69-0.78 in the mediastinum, respectively. The sum of the effective doses for posteroanterior and lateral views for the slot-scan system (0.057 mSv&plusmn;0.003 [&plusmn;standard deviation]) was 34% lower than that for the full-field system (0.086 mSv&plusmn;0.001, P&lt;.05) at their respective clinical peak voltages (140 and 120 kVp, respectively). The effective DQE of the slot-scan system was equivalent to that of the full-field system in the lung region but was 37% higher in the dense regions (P&lt;.05). The slot-scan design leads to marked scatter reduction compared with the more conventional full-field geometries with a grid. It is concluded that the improved scatter performance of a slot-scan geometry can effectively compensate for low DQE and lead to improved image quality}, Key = {8503490} } @article{fds268560, Author = {Samei, E and Dobbins, JT and Lo, JY and Tornai, MP}, Title = {A framework for optimising the radiographic technique in digital X-ray imaging.}, Journal = {Radiation Protection Dosimetry}, Volume = {114}, Number = {1-3}, Pages = {220-229}, Year = {2005}, ISSN = {0144-8420}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15933112}, Keywords = {Bone and Bones • Cesium • Computers • Equipment Design • Humans • Iodides • Mammography • Models, Statistical • Radiation Dosage • Radiographic Image Enhancement • Radiographic Image Interpretation, Computer-Assisted • Radiography • Radiography, Thoracic • Radiology • Scattering, Radiation • Software • Tungsten • X-Ray Intensifying Screens • X-Rays* • chemistry • instrumentation* • methods • methods* • radiography}, Abstract = {The transition to digital radiology has provided new opportunities for improved image quality, made possible by the superior detective quantum efficiency and post-processing capabilities of new imaging systems, and advanced imaging applications, made possible by rapid digital image acquisition. However, this transition has taken place largely without optimising the radiographic technique used to acquire the images. This paper proposes a framework for optimising the acquisition of digital X-ray images. The proposed approach is based on the signal and noise characteristics of the digital images and the applied exposure. Signal is defined, based on the clinical task involved in an imaging application, as the difference between the detector signal with and without a target present against a representative background. Noise is determined from the noise properties of uniformly acquired images of the background, taking into consideration the absorption properties of the detector. Incident exposure is estimated or otherwise measured free in air, and converted to dose. The main figure of merit (FOM) for optimisation is defined as the signal-difference-to-noise ratio (SdNR) squared per unit exposure or (more preferably) dose. This paper highlights three specific technique optimisation studies that used this approach to optimise the radiographic technique for digital chest and breast applications. In the first study, which was focused on chest radiography with a CsI flat-panel detector, a range of kV(p) (50-150) and filtration (Z = 13-82) were examined in terms of their associated FOM as well as soft tissue to bone contrast, a factor of importance in digital chest radiography. The results indicated that additive Cu filtration can improve image quality. A second study in digital mammography using a selenium direct flat-panel detector indicated improved SdNR per unit exposure with the use of a tungsten target and a rhodium filter than conventional molybdenum target/molybdenum filter techniques. Finally, a third study focusing on cone-beam computed tomography of the breast using a CsI flat-panel detector indicated that high Z filtration of a tungsten target X-ray beam can notably improve the signal and noise characteristics of the image. The general findings highlight the fact that the techniques that are conventionally assumed to be optimum may need to be revisited for digital radiography.}, Language = {eng}, Doi = {10.1093/rpd/nch562}, Key = {fds268560} } @article{05349316242, Author = {Bissonnette, M and Hansroul, M and Masson, E and Savard, S and Cadieux, S and Warmoes, P and Gravel, D and Agopyan, J and Polischuk, B and Haerer, W and Mertelmeier, T and Lo, JY and Chen, Y and Dobbins III and JT and Jesneck, JL and Singh, S}, Title = {Digital breast tomosynthesis using an amorphous selenium flat panel detector}, Journal = {Progress in Biomedical Optics and Imaging Proceedings of Spie}, Volume = {5745}, Number = {I}, Pages = {529-540}, Publisher = {SPIE}, Address = {San Diego, CA, United States}, Year = {2005}, ISSN = {1605-7422}, url = {http://dx.doi.org/10.1117/12.601622}, Keywords = {Computerized tomography;Biological organs;Selenium;Radiation detectors;Metal detectors;Quantum efficiency;Optical transfer function;Image quality;Image reconstruction;Data acquisition;Three dimensional computer graphics;X ray analysis;Algorithms;}, Abstract = {A prototype breast tomosynthesis system* has been developed, allowing a total angular view of &plusmn;25&deg;. The detector used in this system is an amorphous selenium direct-conversion digital flat-panel detector suitable for digital tomosynthesis. The system is equipped with various readout sequences to allow the investigation of different tomosynthetic data acquisition modes. In this paper, we will present basic physical properties - such as MTF, NPS, and DQE - measured for the full resolution mode and a binned readout mode of the detector. From the measured projections, slices are reconstructed employing a special version of filtered backprojection algorithm. In a phantom study, we compare binned and full resolution acquisition modes with respect to image quality. Under the condition of same dose, we investigate the impact of the number of views on artifacts. Finally, we show tomosynthesis images reconstructed from first clinical data.}, Doi = {10.1117/12.601622}, Key = {05349316242} } @article{fds268585, Author = {Samei, E and Saunders, RS and Lo, JY and Dobbins, JT and Jesneck, JL and Floyd, CE and Ravin, CE}, Title = {Fundamental imaging characteristics of a slot-scan digital chest radiographic system.}, Journal = {Medical Physics}, Volume = {31}, Number = {9}, Pages = {2687-2698}, Year = {2004}, Month = {September}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15487752}, Keywords = {Equipment Design • Equipment Failure Analysis* • Humans • Phantoms, Imaging • Radiographic Image Enhancement • Radiography, Thoracic • Reproducibility of Results • Scattering, Radiation • Sensitivity and Specificity • Technology Assessment, Biomedical • Technology, Radiologic • instrumentation • instrumentation* • methods}, Abstract = {Our purpose in this study was to evaluate the fundamental image quality characteristics of a new slot-scan digital chest radiography system (ThoraScan, Delft Imaging Systems/Nucletron, Veenendaal, The Netherlands). The linearity of the system was measured over a wide exposure range at 90, 117, and 140 kVp with added Al filtration. System uniformity and reproducibility were established with an analysis of images from repeated exposures. The modulation transfer function (MTF) was evaluated using an established edge method. The noise power spectrum (NPS) and the detective quantum efficiency (DQE) of the system were evaluated at the three kilo-voltages over a range of exposures. Scatter fraction (SF) measurements were made using a posterior beam stop method and a geometrical chest phantom. The system demonstrated excellent linearity, but some structured nonuniformities. The 0.1 MTF values occurred between 3.3-3.5 mm(-1). The DQE(0.15) and DQE(2.5) were 0.21 and 0.07 at 90 kVp, 0.18 and 0.05 at 117 kVp, and 0.16 and 0.03 at 140 kVp, respectively. The system exhibited remarkably lower SFs compared to conventional full-field systems with anti-scatter grid, measuring 0.13 in the lungs and 0.43 in the mediastinum. The findings indicated that the slot-scan design provides marked scatter reduction leading to high effective DQE (DQEeff) of the system and reduced patient dose required to achieve high image quality.}, Language = {eng}, Doi = {10.1118/1.1783531}, Key = {fds268585} } @article{8163357, Author = {Duryea, J and Neumann, G and Yoshioka, H and Dobbins, JT}, Title = {Digital tomosynthesis rendering of joint margins for arthritis assessment}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {5368}, Number = {1}, Pages = {12-18}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2004}, Month = {July}, ISSN = {0277-786X}, url = {http://dx.doi.org/10.1117/12.535850}, Keywords = {computerised tomography;diagnostic radiography;diseases;image reconstruction;image segmentation;mean square error methods;medical image processing;orthopaedics;}, Abstract = {Purpose: Rheumatoid arthritis (RA) of the hand is a significant healthcare problem. Techniques to accurately quantity the structural changes from RA are crucial for the development and prescription of therapies. Analysis of radiographic joint space width (JSW) is widely used and has demonstrated promise. However, radiography presents a 2D view of the joint. In this study we performed tomosynthesis reconstructions of proximal interphalangeal (PIP), and metacarpophalangeal (MCP) joints to measure the 3D joint structure. Methods: We performed a reader study using simulated radiographs of 12 MCP and 12 PIP joints from skeletal specimens imaged with micro-CT. The tomosynthesis technique provided images of reconstructed planes with 0.75 mm spacing, which were presented to 2 readers with a computer tool. The readers were instructed to delineate the joint surfaces on tomosynthetic slices where they could visualize the margins. We performed a quantitative analysis of 5 slices surrounding the central portion of each joint. Reader-determined JSW was compared to a gold standard. As a figure of merit we calculated the average root-mean square deviation (RMSD). Results: RMSD was 0.22 mm for both joints. For the individual joints, RMSD was 0.18 mm (MCP), and 0.26 mm (PIP). The reduced performance for the smaller PIP joints suggests that a slice spacing less than 0.75 mm may be more appropriate. Conclusions: We have demonstrated the capability of limited 3D rendering of joint surfaces using digital tomosynthesis. This technique promises to provide an improved method to visualize the structural changes of RA.}, Doi = {10.1117/12.535850}, Key = {8163357} } @article{fds268516, Author = {Maidment, ADA and Antonuk, L and Dobbins, JT and Flynn, M and Seibert, J and Yorkston, J}, Title = {A debate on the relative merits of digital radiography and mammography technologies}, Journal = {Medical Physics}, Volume = {31}, Number = {6}, Pages = {1755-1755}, Publisher = {AMER ASSOC PHYSICISTS MEDICINE AMER INST PHYSICS}, Year = {2004}, Month = {June}, ISSN = {0094-2405}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000222259100230&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds268516} } @article{fds131769, Author = {J.T. Dobbins}, Title = {Samei E, Lo JY, Yoshizumi T, Jesneck J, Dobbins JT III, Floyd CE Jr, McAdams HP, Ravin CE. Comparative scatter and dose performance of slot-scan and wide-beam digital chest radiographic systems.  Radiology  (accepted) 2004.}, Year = {2004}, Key = {fds131769} } @article{fds172299, Author = {J.T. Dobbins}, Title = {Duryea JW, Neumann G, Yoshioka H and Dobbins JT 3rd; Digital tomosynthesis rendering of joint margins for arthritis assessment; Proc. SPIE Medical Imaging Symposium. 2004;5368:12-18.}, Year = {2004}, Key = {fds172299} } @article{fds268588, Author = {Dobbins, JT and Godfrey, DJ}, Title = {Digital x-ray tomosynthesis: current state of the art and clinical potential.}, Journal = {Physics in Medicine and Biology}, Volume = {48}, Number = {19}, Pages = {R65-106}, Year = {2003}, Month = {October}, ISSN = {0031-9155}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14579853}, Keywords = {Algorithms* • Angiography • Bone and Bones • Imaging, Three-Dimensional • Mammography • Radiographic Image Enhancement • Radiographic Image Interpretation, Computer-Assisted • Radiography, Thoracic • Review Literature as Topic • Signal Processing, Computer-Assisted* • Tomography, X-Ray Computed • Tooth • methods • methods* • radiography • trends}, Abstract = {Digital x-ray tomosynthesis is a technique for producing slice images using conventional x-ray systems. It is a refinement of conventional geometric tomography, which has been known since the 1930s. In conventional geometric tomography, the x-ray tube and image receptor move in synchrony on opposite sides of the patient to produce a plane of structures in sharp focus at the plane containing the fulcrum of the motion; all other structures above and below the fulcrum plane are blurred and thus less visible in the resulting image. Tomosynthesis improves upon conventional geometric tomography in that it allows an arbitrary number of in-focus planes to be generated retrospectively from a sequence of projection radiographs that are acquired during a single motion of the x-ray tube. By shifting and adding these projection radiographs, specific planes may be reconstructed. This topical review describes the various reconstruction algorithms used to produce tomosynthesis images, as well as approaches used to minimize the residual blur from out-of-plane structures. Historical background and mathematical details are given for the various approaches described. Approaches for optimizing the tomosynthesis image are given. Applications of tomosynthesis to various clinical tasks, including angiography, chest imaging, mammography, dental imaging and orthopaedic imaging, are also described.}, Language = {eng}, Doi = {10.1088/0031-9155/48/19/r01}, Key = {fds268588} } @article{7793732, Author = {Godfrey, DJ and Rader, A and Dobbins, JT}, Title = {Practical strategies for the clinical implementation of matrix inversion tomosynthesis (MITS)}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {5030 I}, Pages = {379-390}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2003}, Month = {September}, url = {http://dx.doi.org/10.1117/12.480352}, Keywords = {biomedical equipment;computerised tomography;diagnostic radiography;image reconstruction;image sequences;lung;matrix inversion;medical image processing;phantoms;X-ray detection;}, Abstract = {Digital tomosynthesis is a method that enables the retroactive reconstruction of arbitrary tomographic planes in an object from a finite series of digital projection radiographs, acquired with limited angle tube movement. Conventional tomosynthesis suffers from the presence of blurring artifacts, created by objects located outside of each reconstructed plane. Matrix inversion tomosynthesis (MITS) utilizes known acquisition geometry to solve directly for the unwanted out-of-plane blur artifacts, thus enabling their removal. This paper examines practical strategies for the implementation of MITS in a clinical setting, on a flat-panel fast-readout detector, with the aim of minimizing procedure time and image reconstruction artifacts concurrently. Topics include a comparison of continuous vs. incremental tube motion, the presence of reconstruction artifacts due to error in computing the x-ray tube location, the effect of scrubbing the detector between projections to reduce image retention, and a method for accounting for data that gets projected off the detector. We conclude that MITS is robust enough to be clinically applicable, even under less-than-ideal conditions. Rapid image acquisition with continuous tube movement and no detector scrubbing is clinically desirable for MITS imaging of the chest, where patient motion is a concern. Knowledge of the source-detector geometry can be satisfactorily determined via either a lead fiducial marker placed on the patient, or a tube motion device with sufficient precision and accuracy. Extrapolation of data at the top and bottom of projection images provides excellent amelioration of image truncation artifacts.}, Doi = {10.1117/12.480352}, Key = {7793732} } @article{fds268586, Author = {Duryea, J and Dobbins, JT and Lynch, JA}, Title = {Digital tomosynthesis of hand joints for arthritis assessment.}, Journal = {Medical Physics}, Volume = {30}, Number = {3}, Pages = {325-333}, Year = {2003}, Month = {March}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12674232}, Keywords = {Arthritis • Artifacts • Finger Joint • Hand • Humans • Imaging, Three-Dimensional • Metacarpophalangeal Joint • Radiographic Image Enhancement • Radiographic Image Interpretation, Computer-Assisted • Reference Values • Reproducibility of Results • Sensitivity and Specificity • methods • methods* • radiography • radiography*}, Abstract = {The two principal forms of hand arthritis, rheumatoid arthritis (RA) and osteoarthritis (OA) have large clinical and economic costs. Radiography has been shown to be a useful tool to assess the condition of the disease. A hand radiograph, however, is a two-dimensional projection of a three-dimensional object. In this report we present the results of a study that applied digital tomosynthesis to hand radiography in order to extract three-dimensional outcome measures that should be more sensitive to arthritis progression. The study was performed using simulated projection radiographs created using micro computed tomography (microCT) and a set of five dry-bone hand skeletons. These simulated projection images were then reconstructed into tomographic slices using the matrix inversion tomosynthesis (MITS) algorithm. The accuracy of the tomosynthesis reconstruction was evaluated by comparing the reconstructed images to a gold standard created using the microCT data. A parameter from image registration science, normalized mutual information, provided a quantifiable figure of merit. This study examined the effects of source displacement, number of reconstructed planes, number of acquisitions, noise added to the gray scale images, and errors in the location of a fiducial marker. We also optimized the reconstruction as a function of two variables k and alpha, that controlled the mixing of MITS with conventional shift-and-add tomosynthesis. A study using hand delineated joint margins demonstrated that MITS images provided a better measurement of average joint space width. We found good agreement between the MITS slices and the true planes. Both joint margins and trabecular structure were visible and the reconstructed slices showed additional structures not visible with the standard projection image. Using hand-delineated joint margins we compared the average joint space width of the gold standard slices to the MITS and projection images. A root-mean square deviation (RMSD), calculated for this comparison, gave RMSDproj = 0.18 mm and RMSDMITS = 0.14 mm for the projection and MITS images, respectively. We have demonstrated the potential of digital tomosynthesis for imaging of the hand to assess arthritic changes. We have also developed a methodology that can be used to optimize the technique and have studied the issues that will control the feasibility of clinical implementation.}, Language = {eng}, Doi = {10.1118/1.1543573}, Key = {fds268586} } @article{fds268587, Author = {Warp, RJ and Dobbins, JT}, Title = {Quantitative evaluation of noise reduction strategies in dual-energy imaging.}, Journal = {Medical Physics}, Volume = {30}, Number = {2}, Pages = {190-198}, Year = {2003}, Month = {February}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12607836}, Keywords = {Algorithms* • Artifacts • Humans • Lung • Phantoms, Imaging • Quality Control • Radiographic Image Enhancement • Radiography, Dual-Energy Scanned Projection • Reproducibility of Results • Sensitivity and Specificity • instrumentation • methods* • radiography*}, Abstract = {In this paper we describe a quantitative evaluation of the performance of three dual-energy noise reduction algorithms: Kalender's correlated noise reduction (KCNR), noise clipping (NOC), and edge-predictive adaptive smoothing (EPAS). These algorithms were compared to a simple smoothing filter approach, using the variance and noise power spectrum measurements of the residual noise in dual-energy images acquired with an a-Si TFT flat-panel x-ray detector. An estimate of the true noise was made through a new method with subpixel accuracy by subtracting an individual image from an ensemble average image. The results indicate that in the lung regions of the tissue image, all three algorithms reduced the noise by similar percentages at high spatial frequencies (KCNR=88%, NOC=88%, EPAS=84%, NOC/KCNR=88%) and somewhat less at low spatial frequencies (KCNR=45%, NOC=54%, EPAS=52%, NOC/KCNR=55%). At low frequencies, the presence of edge artifacts from KCNR made the performance worse, thus NOC or NOC combined with KCNR performed best. At high frequencies, KCNR performed best in the bone image, yet NOC performed best in the tissue image. Noise reduction strategies in dual-energy imaging can be effective and should focus on blending various algorithms depending on anatomical locations.}, Language = {eng}, Doi = {10.1118/1.1538232}, Key = {fds268587} } @article{7788104, Author = {Maidment, ADA and Albert, M and Bunch, PC and Cunningham, IA and Dobbins, JT and Gagne, R and Nishikawa, RM and Metter, RV and Wagner, RF}, Title = {Standardization of NPS measurement: Interim report of AAPM TG16}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {5030 I}, Pages = {523-532}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2003}, Month = {January}, url = {http://dx.doi.org/10.1117/12.480451}, Keywords = {biomedical equipment;diagnostic radiography;mammography;measurement standards;noise measurement;reviews;}, Abstract = {This article reviews the state of the Noise Power Standard being drafted by Task Group No. 16 for the American Association of Physicists in Medicine. The Standard is intended to represent a consensus on acceptable practices in the measurement and reporting of noise power spectra for digital radiographic imaging devices based on single projections and to contain informative sections which will be of use to those not completely familiar with the measurement and interpretation of noise power spectra. Several of the issues considered by the committee are reviewed, including issues of conditioning and windowing data, issues specific to several modalities, and various methods of data presentation. A note on the historical background of noise power measurements and a brief discussion of possible avenues for future research is included.}, Doi = {10.1117/12.480451}, Key = {7788104} } @article{fds268602, Author = {Dobbins, JT and Samei, E and Chotas, HG and Warp, RJ and Baydush, AH and Floyd, CE and Ravin, CE}, Title = {Chest radiography: optimization of X-ray spectrum for cesium iodide-amorphous silicon flat-panel detector.}, Journal = {Radiology}, Volume = {226}, Number = {1}, Pages = {221-230}, Year = {2003}, Month = {January}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12511694}, Keywords = {Cesium • Computer Simulation • Humans • Iodides • Radiography, Thoracic • Silicon • methods*}, Abstract = {PURPOSE: To ascertain the optimum x-ray spectrum for chest radiography with a cesium iodide-amorphous silicon flat-panel detector. MATERIALS AND METHODS: End points for optimization included the ratio of tissue contrast to bone contrast and a figure of merit (FOM) equal to the square of the signal-to-noise ratio of tissue divided by incident exposure to the patient. Studies were conducted with both computer spectrum modeling and experimental measurement in narrow-beam and full-field exposure conditions for four tissue thicknesses (8-32 cm). Three parameters that affect spectra were considered: the atomic number (Z) of filter material (Z = 13, 26, 29, 42, 50, 56, 64, 74, and 82), kilovoltage (from 50 to 150 kVp), and filter thickness (from 0.25 to 2.00 half-value layer [HVL]). RESULTS: Computer modeling and narrow-beam experimental data showed similar trends for the full range of parameters evaluated. Spectrum model results showed that copper filtration at 120 kVp or more was optimum for FOM. The ratio of contrasts showed a trend to be higher with higher kilovoltage and only a minor variation with filter material. Full-field experimental results, which reflect the added contribution of x-ray scatter, differed in magnitude but not trends from the narrow-beam data in all cases except the ratio of contrasts in the mediastinum. CONCLUSION: The best performance overall, including both FOM and ratio of contrasts, was at 120 kVp with 1-HVL copper filtration (0.2 mm). With this beam spectrum and an increase in tube output (ie, milliampere seconds) of about 50%, a chest radiograph can be obtained with image quality approximately equal to that with a conventional spectrum but with about 25% less patient exposure.}, Language = {eng}, Doi = {10.1148/radiol.2261012023}, Key = {fds268602} } @article{7875470, Author = {Dobbins, J.T., III and Godfrey, D.J.}, Title = {Digital x-ray tomosynthesis: current state of the art and clinical potential}, Journal = {Phys. Med. Biol. (UK)}, Volume = {48}, Number = {19}, Pages = {65 - 106}, Year = {2003}, url = {http://dx.doi.org/10.1088/0031-9155/48/19/R01}, Keywords = {computerised tomography;dentistry;diagnostic radiography;mammography;medical image processing;orthopaedics;}, Abstract = {Digital x-ray tomosynthesis is a technique for producing slice images using conventional x-ray systems. It is a refinement of conventional geometric tomography, which has been known since the 1930s. In conventional geometric tomography, the x-ray tube and image receptor move in synchrony on opposite sides of the patient to produce a plane of structures in sharp focus at the plane containing the fulcrum of the motion: all other structures above and below the fulcrum plane are blurred and thus less visible in the resulting image. Tomosynthesis improves upon conventional geometric tomography in that it allows an arbitrary number of in-focus planes to be generated retrospectively from a sequence of projection radiographs that are acquired during a single motion of the x-ray tube. By shifting and adding these projection radiographs, specific planes may be reconstructed. This topical review describes the various reconstruction algorithms used to produce tomosynthesis images. as well as approaches used to minimize the residual blur from out-of-plane structures. Historical background and mathematical details are given for the various approaches described. Approaches for optimizing the tomosynthesis image are given. Applications of tomosynthesis to various clinical tasks. including angiography, chest imaging, mammography, dental imaging and orthopaedic imaging, are also described}, Key = {7875470} } @article{fds131725, Author = {J.T. Dobbins}, Title = {Maidment ADA, Albert M, Bunch PC, Cunningham IA, Dobbins JT 3rd, Gagne RM, Nishikawa RM, Wagner RF, Van Metter RL. Standardization of NPS measurement: interim report of AAPM TG16. Proc. SPIE Medical Imaging Symposium. 2003;5030:523-532.}, Year = {2003}, Key = {fds131725} } @article{fds131729, Author = {J.T. Dobbins}, Title = {Nicolas FS, Rader AE, Barber MJ, Dobbins JT 3rd. System and method for synchronization of the acquisition of images with the cardiac cycle for dual energy imaging. U.S. Patent # 6,643,536, 2003. Assignees: GE Medical Systems Global Technology Company and Duke University.}, Year = {2003}, Key = {fds131729} } @article{fds131730, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd, Godfrey DJ, McAdams HP. Chest tomosynthesis. In Advances in Digital Radiography: RSNA Categorical course in Digital Radiography, Samei E, Flynn MJ (eds), Radiological Society of North America, Oak Brook, Illinois, 2003.}, Year = {2003}, Key = {fds131730} } @article{fds131731, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd, Warp RJ. Dual-energy methods for tissue discrimination in chest radiography. In Advances in Digital Radiography: RSNA Categorical course in Digital Radiography, Samei E, Flynn MJ (eds), Radiological Society of North America, Oak Brook, Illinois, 2003.}, Year = {2003}, Key = {fds131731} } @article{fds131749, Author = {J.T. Dobbins}, Title = {Vyborny C, Bunch P, Chotas J, Dobbins J, Niklason L, Schaefer-Prokop C. Image quality in chest radiography. Report #70 of the International Commission on Radiation Units and Measurements (ICRU). Journal of the ICRU. 2003;3(2):1-176.}, Year = {2003}, Key = {fds131749} } @article{fds131765, Author = {J.T. Dobbins}, Title = {Godfrey DJ, Rader A, Dobbins JT 3rd. Practical strategies for the clinical implementation of matrix inversion tomosynthesis. Proc. SPIE Medical Imaging Symposium. 2003;5030:379-390.}, Year = {2003}, Key = {fds131765} } @article{7588976, Author = {Duryea, J. and Dobbins, J.T. and Lynch, J.A.}, Title = {Digital tomosynthesis of hand joints for arthritis assessment}, Journal = {Med. Phys. (USA)}, Volume = {30}, Number = {3}, Pages = {325 - 33}, Year = {2003}, url = {http://dx.doi.org/10.1118/1.1543573}, Keywords = {diagnostic radiography;diseases;image reconstruction;medical image processing;orthopaedics;}, Abstract = {The two principal forms of hand arthritis, rheumatoid arthritis (RA) and osteoarthritis (OA) have large clinical and economic costs. Radiography has been shown to be a useful tool to assess the condition of the disease. A hand radiograph, however, is a two-dimensional projection of a three-dimensional object. In this report we present the results of a study that applied digital tomosynthesis to hand radiography in order to extract three-dimensional outcome measures that should be more sensitive to arthritis progression. The study was performed using simulated projection radiographs created using micro computed tomography (&mu;CT) and a set of five dry-bone hand skeletons. These simulated projection images were then reconstructed into tomographic slices using the matrix inversion tomosynthesis (MITS) algorithm. The accuracy of the tomosynthesis reconstruction was evaluated by comparing the reconstructed images to a gold standard created using the &mu;CT data. A parameter from image registration science, normalized mutual information, provided a quantifiable figure of merit. This study examined the effects of source displacement, number of reconstructed planes, number of acquisitions, noise added to the gray scale images, and errors in the location of a fiducial marker. We also optimized the reconstruction as a function of two variables k and &alpha;, that controlled the mixing of MITS with conventional shift-and-add tomosynthesis. A study using hand delineated joint margins demonstrated that MITS images provided a better measurement of average joint space width. We found good agreement between the MITS slices and the true planes. Both joint margins and trabecular structure were visible and the reconstructed slices showed additional structures not visible with the standard projection image. Using hand-delineated joint margins we compared the average joint space width of the gold standard slices to the MITS and projection images. A root-mean square deviation (RMSD), calculated for this comparison, gave RMSD<sub>proj</sub>=0.18 mm and RMSD<sub>MITS</sub>=0.14 mm for the projection and MITS images, respectively. We have demonstrated the potential of digital tomosynthesis for imaging of the hand to assess arthritic changes. We have also developed a methodology that can be used to optimize the technique and have studied the issues that will control the feasibility of clinical implementation}, Key = {7588976} } @article{7579227, Author = {Warp, R.J. and Dobbins, J.T., III}, Title = {Quantitative evaluation of noise reduction strategies in dual-energy imaging}, Journal = {Med. Phys. (USA)}, Volume = {30}, Number = {2}, Pages = {190 - 8}, Year = {2003}, url = {http://dx.doi.org/10.1118/1.1538232}, Keywords = {algorithm theory;amorphous semiconductors;diagnostic radiography;elemental semiconductors;medical image processing;semiconductor device noise;silicon;silicon radiation detectors;thin film transistors;X-ray detection;}, Abstract = {In this paper we describe a quantitative evaluation of the performance of three dual-energy noise reduction algorithms: Kalender's correlated noise reduction (KCNR), noise clipping (NOC), and edge-predictive adaptive smoothing (EPAS). These algorithms were compared to a simple smoothing filter approach, using the variance and noise power spectrum measurements of the residual noise in dual-energy images acquired with an a-Si TFT flat-panel x-ray detector. An estimate of the true noise was made through a new method with subpixel accuracy by subtracting an individual image from an ensemble average image. The results indicate that in the lung regions of the tissue image, all three algorithms reduced the noise by similar percentages at high spatial frequencies (KCNR=88%,NOC=88%,EPAS=84%,NOC/KCNR=88%) and somewhat less at low spatial frequencies (KCNR=45%,NOC=54%,EPAS=52%,NOC/KCNR=55%). At low frequencies, the presence of edge artifacts from KCNR made the performance worse, thus NOC or NOC combined with KCNR performed best. At high frequencies, KCNR performed best in the bone image, yet NOC performed best in the tissue image. Noise reduction strategies in dual-energy imaging can be effective and should focus on blending various algorithms depending on anatomical locations}, Key = {7579227} } @article{fds331535, Author = {Samei, E and Dobbins, JT and Chotas, HG and Baydush, AH and Floyd, CE and Ravin, CE}, Title = {Optimum radiographic technique for chest radiography using a flat-panel digital detector}, Journal = {Radiology}, Volume = {225}, Pages = {642-643}, Publisher = {RADIOLOGICAL SOC NORTH AMERICA}, Year = {2002}, Month = {November}, Key = {fds331535} } @article{fds268522, Author = {Miyamoto, I and Kobayashi, KF and Sugioka, K and Poprawe, R and Helvajian, H}, Title = {Proceedings of SPIE - The International Society for Optical Engineering: Introduction}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {4830}, Pages = {xiii-xiv}, Year = {2002}, Month = {January}, Key = {fds268522} } @article{fds268599, Author = {Floyd, CE and Warp, RJ and Dobbins, JT and Chotas, HG and Baydush, AH and Vargas-Voracek, R and Ravin, CE}, Title = {Imaging characteristics of an amorphous silicon flat-panel detector for digital chest radiography.}, Journal = {Radiology}, Volume = {218}, Number = {3}, Pages = {683-688}, Year = {2001}, Month = {March}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11230640}, Keywords = {Evaluation Studies as Topic • Radiographic Image Enhancement • Radiography, Thoracic • instrumentation*}, Abstract = {PURPOSE: To evaluate the imaging characteristics of an amorphous silicon flat-panel detector (FPD) for digital chest radiography. MATERIALS AND METHODS: The 41 x 41-cm digital FPD is constructed on a single monolithic glass substrate with a structured cesium iodide scintillator layer and an amorphous silicon thin-film transistor array for image readout. Basic imaging characteristics of the FPD and associated image processing system were assessed on acquired images, including linearity, repeatability, uniformity of response, modulation transfer function (MTF), noise power spectrum, detective quantum efficiency (DQE), contrast sensitivity, and scatter content. Results with the FPD system were compared to those with a storage phosphor computed radiography (CR) system. RESULTS: Images obtained with the FPD demonstrated excellent uniformity, repeatability, and linearity, as well as MTF and DQE that were superior to those with the storage phosphor CR system. The contrast and scatter content of images acquired with the FPD were equivalent to those acquired with the storage phosphor system. CONCLUSION: The FPD provides radiographic images with excellent inherent physical image quality.}, Language = {eng}, Doi = {10.1148/radiology.218.3.r01fe45683}, Key = {fds268599} } @article{7295843, Author = {Godfrey, DJ and Warp, RJ and Dobbins, JT}, Title = {Optimization of matrix inverse tomosynthesis}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {4320}, Pages = {696-704}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2001}, Month = {January}, url = {http://dx.doi.org/10.1117/12.430908}, Keywords = {computerised tomography;diagnostic radiography;image reconstruction;matrix inversion;medical image processing;optimisation;}, Abstract = {Digital tomosynthesis is a method for reconstructing arbitrary planes in an object from a series of projection radiographs, acquired with limited angle tube movement. Conventional 'shift and add' tomosynthesis suffers from the presence of blurring artifacts, created by objects located outside of each reconstructed plane. Matrix inversion tomosynthesis (MITS) uses known geometry, and a set of coupled linear algebra equations to solve for the blurring function in each reconstructed plane, enabling removal of the unwanted out-of-plane blur artifacts. For this paper, both MITS and conventional tomosynthesis reconstructions were generated for a simulated impulse located at varying distance from the detector, and also an anthropomorphic chest phantom. Exploration of the effects of total angular tube movement, number of projection radiographs acquired, and number of planes reconstructed via matrix inversion tomosynthesis, on residual out-of-plane blur ensued. We conclude that optimization of image acquisition and plane reconstruction parameters can improve slice image quality. In all examined scenarios, the MITS algorithm outperforms conventional tomosynthesis in removing out-of-plane blur.}, Doi = {10.1117/12.430908}, Key = {7295843} } @article{7295831, Author = {Sabol, JM and Avinash, GB and Nicolas, F and Claus, B and Zhao, J and Dobbins, JT}, Title = {The development and characterization of a dual-energy subtraction imaging system for chest radiography based on CsI:Tl amorphous silicon flat-panel technology}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {4320}, Pages = {399-408}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2001}, Month = {January}, url = {http://dx.doi.org/10.1117/12.430897}, Keywords = {amorphous semiconductors;caesium compounds;diagnostic radiography;image sensors;lung;medical image processing;silicon;solid scintillation detectors;thallium;X-ray detection;}, Abstract = {Dual-energy subtraction imaging increases the sensitivity and specificity of pulmonary nodule detection in chest radiography by reducing the contrast of overlying bone structures. A prototype dual-energy system which enables rapid, dual-exposure imaging of the chest using a commercially available high-efficiency, flat-panel x-ray detector was constructed. As such, the quality of the clinical images generated with this prototype exceeds that of CR techniques and demonstrates the potential for improved detection and characterization of lung disease through dual-energy imaging.}, Doi = {10.1117/12.430897}, Key = {7295831} } @article{7291234, Author = {Samei, E and Flynn, MJ and Chotas, HG and Dobbins, JT}, Title = {DQE of direct and indirect digital radiographic systems}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {4320}, Pages = {189-197}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2001}, Month = {January}, url = {http://dx.doi.org/10.1117/12.430953}, Keywords = {biomedical equipment;diagnostic radiography;X-ray detection;}, Abstract = {Current flat-panel detectors either directly convert x-ray energy to electronic charge or use indirect conversion with an intermediate optical process. The purpose of this work was to compare direct and indirect detectors in terms of their modulation transfer function (MTF), noise power spectrum (NPS), and detective quantum efficiency (DQE). Measurements were made on the three flat-panel detectors, Philips Digital Diagnost, GE Revolution XQ/i, and Hologic Direct-Ray DR1000 using the IEC-defined RQA5 (∼ 75 kVp, 21 mm Al) and RQA9 (∼ 120 kVp, 40 mm Al) radiographic techniques. The presampled MTF of the systems was measured using an edge method (Samei et al., Med Phys 25:102, 1998). The NPS of the systems was determined for a range of exposure levels by 2D Fourier analysis of uniformly exposed radiographs (Flynn and Samei, Med Phys 26:1612, 1999). The ideal signal-to-noise ratio per exposure for each system was estimated using a semi-empirical x-ray model. The DQE, reported only at the RQA5 technique, was assessed from the measured MTF, NPS, exposure, and the ideal signal-to-noise ratio. For the direct system, the MTF was found to be significantly higher than that for the indirect systems and very close to an ideal function associated with the detector pixel size. The NPS for the direct system was found to be constant in relation to frequency. The DQE results reflected expected differences based on the absorption efficiency of the different detector materials. Using RQA5 and 0.3 mR exposure, the measured DQE values at spatial frequencies of 0.15 mm-1 and 2.5 mm-1 were 64% and 14% for the XQ/i system and 35% and 19% for DR-1000. Using RQA5 and the averages at all exposures, the corresponding values were 58% and 13% for the XQ/i system and 36% and 19% for DR-1000.}, Doi = {10.1117/12.430953}, Key = {7291234} } @article{7295842, Author = {Duryea, J and Dobbins, JT}, Title = {Application of digital tomosynthesis to hand radiography for arthritis assessment}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {4320}, Pages = {688-695}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2001}, Month = {January}, url = {http://dx.doi.org/10.1117/12.430907}, Keywords = {bone;computerised tomography;diagnostic radiography;diseases;image reconstruction;medical image processing;}, Abstract = {Joint space width (JSW) is an important arthritis outcome measure, However, a single radiographic image is a 2D projection of a 3D structure and diseased areas can be obscured. To quantify the JSW in three dimensions, a tomosynthesis algorithm was modified to provide reconstructed slices through the bones that formed joints of the hand. The algorithm produced tomographic slices through the ones of the joint with minimal loss of spatial resolution. It was also discovered that hand radiography is ideally suited for tomosynthesis imaging due to the small amount of scatter and lack of truncation artifacts.}, Doi = {10.1117/12.430907}, Key = {7295842} } @article{fds131718, Author = {J.T. Dobbins}, Title = {Godfrey DJ, Warp RJ, Dobbins JT 3rd. Optimization of Matrix Inversion Tomosynthesis. Proc. SPIE Medical Imaging Conference. 2001;4320:696-704.}, Year = {2001}, Key = {fds131718} } @article{fds131719, Author = {J.T. Dobbins}, Title = {Samei EJ, Flynn MJ, Chotas HG, Dobbins JT 3rd. DQE of direct and indirect digital radiography systems. Proc. SPIE Medical Imaging Conference. 2001;4320:189-197.}, Year = {2001}, Key = {fds131719} } @article{fds131747, Author = {J.T. Dobbins}, Title = {Duryea J, Dobbins JT 3rd. Application of digital tomosynthesis to hand radiography for arthritis assessment. Proc. SPIE Medical Imaging Conference. 2001;4320:688-695.}, Year = {2001}, Key = {fds131747} } @article{fds131748, Author = {J.T. Dobbins}, Title = {Sabol JM, Avinash, GB, Nicolas F, Claus B, Zhao J, Dobbins JT 3rd. Development and characterization of a dual-energy subtraction imaging system for chest radiography based on CsI:Tl amorphous silicon flat-panel technology. Proc. SPIE Medical Imaging Conference. 2001;4320:399-408.}, Year = {2001}, Key = {fds131748} } @article{6990254, Author = {Floyd, C.E., Jr. and Warp, R.J. and Dobbins, J.T. and Chotas, H.G. and Baydush, A.H. and Vargas-Voracek, R. and Ravin, C.E.}, Title = {Imaging characteristics of an amorphous silicon flat-panel detector for digital chest radiography}, Journal = {Radiology (USA)}, Volume = {218}, Number = {3}, Pages = {683 - 8}, Year = {2001}, Keywords = {amorphous semiconductors;caesium compounds;diagnostic radiography;elemental semiconductors;medical image processing;sensitivity;silicon;silicon radiation detectors;solid scintillation detectors;thin film transistors;X-ray detection;}, Abstract = {Evaluates the imaging characteristics of an amorphous silicon flat-panel detector (FPD) for digital chest radiography. The 41&times;41-cm digital FPD is constructed on a single monolithic glass substrate with a structured cesium iodide scintillator layer and an amorphous silicon thin-film transistor array for image readout. Basic imaging characteristics of the FPD and associated image processing system were assessed on acquired images, including linearity, repeatability, uniformity of response, modulation transfer function (MTF), noise power spectrum, detective quantum efficiency (DQE), contrast sensitivity, and scatter content. Results with the FPD system were compared to those with a storage phosphor computed radiography (CR) system. Images obtained with the FPD demonstrated excellent uniformity, repeatability, and linearity, as well as MTF and DQE that were superior to those with the storage phosphor CR system. The contrast and scatter content of images acquired with the FPD were equivalent to those acquired with the storage phosphor system. The FPD provides radiographic images with excellent inherent physical image quality}, Key = {6990254} } @article{fds331536, Author = {Samei, E and Flynn, MJ and Dobbins, JT and Chotas, HG}, Title = {Comparative assessment of image quality in three flat-panel digital radiographic systems}, Journal = {Radiology}, Volume = {221}, Pages = {462-463}, Year = {2001}, Key = {fds331536} } @article{6785097, Author = {Warp, RJ and Godfrey, DJ and Dobbins, JT}, Title = {Applications of matrix inverse tomosynthesis}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {3977}, Pages = {376-383}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {2000}, Month = {January}, url = {http://dx.doi.org/10.1117/12.384512}, Keywords = {computerised tomography;diagnostic radiography;image restoration;matrix inversion;medical image processing;orthopaedics;}, Abstract = {The improved image quality and characteristics of new flat-panel x-ray detectors have renewed interest in advanced algorithms such as tomosynthesis. Digital tomosynthesis is a method of acquiring and reconstructing a three-dimensional data set with limited-angle tube movement. Historically, conventional tomosynthesis reconstruction has suffered contamination of the planes of interest by blurred out-of-plane structures. This paper focuses on a Matrix Inversion Tomosynthesis (MITS) algorithm to remove unwanted blur from adjacent planes. The algorithm uses a set of coupled equations to solve for the blurring function in each reconstructed plane. This paper demonstrates the use of the MITS algorithm in three imaging applications: small animal microscopy, chest radiography, and orthopedics. The results of the MITS reconstruction process demonstrate an improved reduction of blur from out-of-plane structures when compared to conventional tomosynthesis. We conclude that the MITS algorithm holds potential in a variety of applications to improve three-dimensional image reconstruction.}, Doi = {10.1117/12.384512}, Key = {6785097} } @article{fds131717, Author = {J.T. Dobbins}, Title = {Warp RJ, Godfrey DG, Dobbins JT 3rd. Applications of Matrix Inverse Tomosynthesis. Proc. SPIE Medical Imaging Conference. 2000;3977:376-383.}, Year = {2000}, Key = {fds131717} } @article{fds131745, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd. Image quality metrics for digital systems. In Handbook of Medical Imaging, Vol. 1, Van Metter RL, Beutel J, Kundel H (eds), SPIE Press, Bellingham, WA, 2000.}, Year = {2000}, Key = {fds131745} } @article{fds131746, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd, Boone JM (eds). Medical Imaging 2000: Physics of Medical Imaging, SPIE, Bellingham, WA, 2000.}, Year = {2000}, Key = {fds131746} } @article{fds268603, Author = {Chotas, HG and Dobbins, JT and Ravin, CE}, Title = {Principles of digital radiography with large-area, electronically readable detectors: a review of the basics.}, Journal = {Radiology}, Volume = {210}, Number = {3}, Pages = {595-599}, Year = {1999}, Month = {March}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10207454}, Keywords = {Analog-Digital Conversion • Electronics, Medical • Equipment Design • Humans • Image Processing, Computer-Assisted • Light • Radiochemistry • Radiographic Image Enhancement • Semiconductors • Technology, Radiologic • Time Factors • X-Ray Film • X-Rays • instrumentation • instrumentation* • methods*}, Language = {eng}, Doi = {10.1148/radiology.210.3.r99mr15595}, Key = {fds268603} } @article{fds268600, Author = {Bradford, CD and Peppler, WW and Dobbins, JT}, Title = {Performance characteristics of a Kodak computed radiography system.}, Journal = {Medical Physics}, Volume = {26}, Number = {1}, Pages = {27-37}, Year = {1999}, Month = {January}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9949395}, Keywords = {Evaluation Studies as Topic • Fourier Analysis • Radiographic Image Enhancement* • Radiographic Image Interpretation, Computer-Assisted* • X-Ray Intensifying Screens • instrumentation • methods}, Abstract = {The performance characteristics of a photostimulable phosphor based computed radiographic (CR) system were studied. The modulation transfer function (MTF), noise power spectra (NPS), and detective quantum efficiency (DQE) of the Kodak Digital Science computed radiography (CR) system (Eastman Kodak Co.-model 400) were measured and compared to previously published results of a Fuji based CR system (Philips Medical Systems-PCR model 7000). To maximize comparability, the same measurement techniques and analysis methods were used. The DQE at four exposure levels (30, 3, 0.3, 0.03 mR) and two plate types (standard and high resolution) were calculated from the NPS and MTF measurements. The NPS was determined from two-dimensional Fourier analysis of uniformly exposed plates. The presampling MTF was determined from the Fourier transform (FT) of the system's finely sampled line spread function (LSF) as produced by a narrow slit. A comparison of the slit type ("beveled edge" versus "straight edge") and its effect on the resulting MTF measurements was also performed. The results show that both systems are comparable in resolution performance. The noise power studies indicated a higher level of noise for the Kodak images (approximately 20% at the low exposure levels and 40%-70% at higher exposure levels). Within the clinically relevant exposure range (0.3-3 mR), the resulting DQE for the Kodak plates ranged between 20%-50% lower than for the corresponding Fuji plates. Measurements of the presampling MTF with the two slit types have shown that a correction factor can be applied to compensate for transmission through the relief edges.}, Language = {eng}, Doi = {10.1118/1.598781}, Key = {fds268600} } @article{fds131716, Author = {J.T. Dobbins}, Title = {Boone JM, Dobbins JT 3rd (eds). Medical Imaging 1999: Physics of Medical Imaging, SPIE, Bellingham, WA, 1999.}, Year = {1999}, Key = {fds131716} } @article{6281092, Author = {Chotas, H.C. and Dobbins, J.T., III and Ravin, C.E.}, Title = {Principles of digital radiography with large-area, electronically readable detectors: a review of the basics}, Journal = {Radiology (USA)}, Volume = {210}, Number = {3}, Pages = {595 - 9}, Year = {1999}, Keywords = {biomedical electronics;CCD image sensors;diagnostic radiography;reviews;thin film transistors;X-ray detection;}, Abstract = {In this report, the authors provide an overview of digital electronic X-ray detectors, including two broad classes of detectors based on thin-film transistor arrays and the older, CCD-based designs. Computed radiographic systems based on photostimulable storage phosphors are omitted from this report because they do not contain integrated readout mechanisms. The authors' goal is to provide a brief review of the basic methods, designs, and materials used in direct-readout radiographic systems and to emphasize important characteristics that may affect system performance and image quality. The advantages and disadvantages of the different detectors, as well as the important factors that should be considered when performing a critical analysis of these new digital imaging systems, are discussed}, Key = {6281092} } @article{6132753, Author = {Bradford, C.D. and Peppler, W.W. and Dobbins, J.T., III}, Title = {Performance characteristics of a Kodak computed radiography system}, Journal = {Med. Phys. (USA)}, Volume = {26}, Number = {1}, Pages = {27 - 37}, Year = {1999}, url = {http://dx.doi.org/10.1118/1.598781}, Keywords = {biomedical equipment;diagnostic radiography;medical image processing;phosphors;}, Abstract = {The performance characteristics of a photostimulable phosphor based computed radiographic (CR) system were studied. The modulation transfer function (MTF), noise power spectra (NPS), and detective quantum efficiency (DQE) of the Kodak Digital Science computed radiography (CR) system (Eastman Kodak Co.-model 400) were measured and compared to previously published results of a Fuji based CR system (Philips Medical Systems-PCR model 7000). To maximize comparability, the same measurement techniques and analysis methods were used. The DQE at four exposure levels (30, 3, 0.3, 0.03 mR) and two plate types (standard and high resolution) were calculated from the NPS and MTF measurements. The NPS was determined from two-dimensional Fourier analysis of uniformly exposed plates. The presampling MTF was determined from the Fourier transform (FT) of the system's finely sampled line spread function (LSF) as produced by a narrow slit. A comparison of the slit type (&ldquo;beveled edge&rdquo; versus &ldquo;straight edge&rdquo;) and its effect on the resulting MTF measurements was also performed. The results show that both systems are comparable in resolution performance. The noise power studies indicated a higher level of noise for the Kodak images (~20% at the low exposure levels and 40%-70% at higher exposure levels). Within the clinically relevant exposure range (0.3-3 mR), the resulting DQE for the Kodak plates ranged between 20%-50% lower than for the corresponding Fuji plates. Measurements of the presampling MTF with the two slit types have shown that a correction factor can be applied to compensate for transmission through the relief edges}, Key = {6132753} } @article{02397114234, Author = {Dobbins, JT and Boone, JM}, Title = {Erratum: (Medical Imaging 1998 - Physics of Medical Imaging (22-24 February 1998))}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {3336}, Pages = {838}, Address = {San Diego, CA, United States}, Editor = {Dobbins III and J.T.;Boone, J.M.;}, Year = {1998}, Month = {December}, Keywords = {Imaging systems;Image sensors;Liquid crystal displays;Thin film transistors;Phosphors;Monochromators;Optical resolving power;Amorphous silicon;Contrast media;Photoconducting materials;Laser produced plasmas;Crystals;Ionization;Image quality;Anodes;X ray diffraction;}, Abstract = {The proceedings contains 86 paper from the Conference on the Medical Imaging 1998: Physics of Medical Imaging. Topics discussed include: improved imaging performance of 14 &times; 17-in; large area x-ray image sensing using a PbI<sub>2</sub> photoconductor; technical and clinical results of an experimental flat dynamic (digital) x-ray image detector (FDXD) system with real-time corrections; diffraction spectrometer for spectral analysis of mammographic x-ray sources; resolution properties of a large-area quasi-monochromatic x-ray source for mammography and monochromatic plasma x-ray generator and its applications.}, Key = {02397114234} } @article{fds343280, Author = {Dobbins, JT and Boone, JM}, Title = {Proceedings of SPIE - The International Society for Optics: Introduction}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {3336}, Year = {1998}, Month = {December}, Key = {fds343280} } @article{fds131708, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd, Boone JM (eds). Medical Imaging 1998: Physics of Medical Imaging, SPIE, Bellingham, WA, 1998.}, Year = {1998}, Key = {fds131708} } @article{fds131728, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd, Hames SM, Haseqawa BH, Degrado TR, Zagzebski JA, Frayne R. Medical imaging. In Measurement, Instrumentation and Sensors Handbook, Webster JG (ed), CRC Press, Boca Raton, FL, 1998.}, Year = {1998}, Key = {fds131728} } @article{fds268604, Author = {Althof, RJ and Wind, MG and Dobbins, JT}, Title = {A rapid and automatic image registration algorithm with subpixel accuracy.}, Journal = {Ieee Transactions on Medical Imaging}, Volume = {16}, Number = {3}, Pages = {308-316}, Year = {1997}, Month = {June}, ISSN = {0278-0062}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9184893}, Keywords = {Algorithms* • Humans • Image Processing, Computer-Assisted* • Radiographic Image Enhancement*}, Abstract = {A number of digital imaging techniques in medicine require the combination of multiple images. Using these techniques, it is essential that the images be adequately aligned and registered prior to addition, subtraction, or any other combination of the images. This paper describes an alignment routine developed to register an image of a fixed object containing a global offset error, rotation error, and magnification error relative to a second image. The described routine uses sparsely sampled regional correlation in a novel way to reduce computation time and avoid the use of markers and human interaction. The result is a fast, robust, and automatic alignment algorithm, with accuracy better than about 0.2 pixel in a test with clinical computed radiography images.}, Language = {eng}, Doi = {10.1109/42.585765}, Key = {fds268604} } @article{5617266, Author = {Althof, R.J. and Wind, M.G.J. and Dobbins, J.T., III}, Title = {A rapid and automatic image registration algorithm with subpixel accuracy}, Journal = {IEEE Trans. Med. Imaging (USA)}, Volume = {16}, Number = {3}, Pages = {308 - 16}, Year = {1997}, url = {http://dx.doi.org/10.1109/42.585765}, Keywords = {diagnostic radiography;image registration;medical image processing;}, Abstract = {A number of digital imaging techniques in medicine require the combination of multiple images. Using these techniques, it is essential that the images be adequately aligned and registered prior to addition, subtraction, or any other combination of the images. This paper describes an alignment routine developed to register an image of a fixed object containing a global offset error, rotation error, and magnification error relative to a second image. The described routine uses sparsely sampled regional correlation in a novel way to reduce computation time and avoid the use of markers and human interaction. The result is a fast, robust, and automatic alignment algorithm, with accuracy better than about 0.2 pixel in a test with clinical computed radiography images}, Key = {5617266} } @article{fds268606, Author = {Hinshaw, DA and Dobbins, JT}, Title = {Plate scatter correction for improved performance in dual-energy imaging.}, Journal = {Medical Physics}, Volume = {23}, Number = {6}, Pages = {871-876}, Year = {1996}, Month = {June}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8798172}, Keywords = {Air • Biophysical Phenomena • Biophysics • Humans • Models, Theoretical • Radiography, Dual-Energy Scanned Projection • Scattering, Radiation • instrumentation • methods* • statistics & numerical data}, Abstract = {We have developed a method for correcting for the scatter produced by the computed radiography plates in single-shot dual-energy imaging. In our technique, which uses a series of four computed radiography plates (the middle two plates act as a filter), the back plate can have scatter fractions as high as 30% due to the scatter from the first three plates. We use the deconvolution method to correct for this scatter, as the scatter medium is uniform and isotropic with a constant air gap. The ratio of the modulation transfer function (MTF) of a standard computed radiography plate to that of a dual-energy plate gives us the correction factor we need to scale the Fourier transforms of our images, thus compensating for the reduced response of the system due to scatter. We also investigated the effect of having an air gap between the back dual-energy plate and the first three plates. Our measurements show that this degrades the signal-to-noise response of the back plate slightly at low spatial frequencies. We also used independent scatter fraction measurements to verify the validity of our MTF measurements. Applying the correction to a back plate image improves the fine detail contrast by approximately 30%.}, Language = {eng}, Doi = {10.1118/1.597855}, Key = {fds268606} } @article{95052693478, Author = {Hinshaw, DA and Dobbins, JT}, Title = {Recent progress in noise reduction and scatter correction in dual-energy imaging}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {2432}, Pages = {134-142}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {1995}, Month = {December}, ISSN = {0277-786X}, url = {http://dx.doi.org/10.1117/12.208330}, Keywords = {Spurious signal noise;Scattering;Medical imaging;Image quality;}, Abstract = {We report on several new techniques which we are developing for scatter correction and noise suppression in single-shot dual-energy chest radiography. For scatter, we use a deconvolution technique to correct for the scatter produced within the dual-energy cassette, which can result in scatter fractions as high as 30% in the high-energy image. For patient scatter, we have developed a technique which estimates the scatter by viewing each pixel in the image as a scattering source, and summing up its scatter contribution over all pixels. For scatter suppression, we describe the methods of noise clipping and noise forcing, both which use information from the low- and high-energy images to correct pixel values in the high-energy image which are unphysical. The noise clipping can also be combined with the correlated noise reduction technique, in order to combine the strengths of the two methods.}, Doi = {10.1117/12.208330}, Key = {95052693478} } @article{fds268596, Author = {Dobbins, JT and Ergun, DL and Rutz, L and Hinshaw, DA and Blume, H and Clark, DC}, Title = {DQE(f) of four generations of computed radiography acquisition devices.}, Journal = {Medical Physics}, Volume = {22}, Number = {10}, Pages = {1581-1593}, Year = {1995}, Month = {October}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8551982}, Keywords = {Humans • Mathematics • Radiographic Image Interpretation, Computer-Assisted • Radiography, Thoracic • Reproducibility of Results • instrumentation* • methods*}, Abstract = {Measurements were made of the MTF(f), NPS(f), and DQE(f) of four generations of computed radiography (CR) imaging plates and three generations of CR image readers. The MTF generally showed only a minor change between generations of plates and readers, but the DQE(f) has improved substantially from a very early plate/reader combination to a more recent one. The DQE in the more recent plate/reader combination is 1.3X greater at low frequencies and about 3X greater at high frequencies than the much earlier versions. Thus there has been substantial improvement in the imaging performance obtainable with CR since some of the early observer studies which indicated poorer performance with CR than with screen-film.}, Language = {eng}, Doi = {10.1118/1.597627}, Key = {fds268596} } @article{fds268601, Author = {Dobbins, JT}, Title = {Effects of undersampling on the proper interpretation of modulation transfer function, noise power spectra, and noise equivalent quanta of digital imaging systems.}, Journal = {Medical Physics}, Volume = {22}, Number = {2}, Pages = {171-181}, Year = {1995}, Month = {February}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/7565348}, Keywords = {Fourier Analysis • Humans • Mathematics • Models, Theoretical* • Quantum Theory • Radiography • instrumentation • methods* • standards*}, Abstract = {The proper understanding of modulation transfer function (MTF), noise power spectra (NPS), and noise equivalent quanta (NEQ) in digital systems is significantly hampered when the systems are undersampled. Undersampling leads to three significant complications: (1) MTF and NPS do not behave as transfer amplitude and variance, respectively, of a single sinusoid, (2) the response of a digital system to a delta function is not spatially invariant and therefore does not fulfill certain technical requirements of classical analysis, and (3) NEQ loses its common meaning as maximum available SNR2 (signal-to-noise) at a particular frequency. These three complications cause the comparisons of MTF and NEQ between undersampled digital systems to depend on the frequency content of the images being evaluated. A tutorial of MTF, NPS, and NEQ concepts for digital systems is presented, along with a complete theoretical treatment of the above-mentioned complications from undersampling.}, Language = {eng}, Doi = {10.1118/1.597600}, Key = {fds268601} } @article{5129122, Author = {Dobbins, J.T., III and Ergunb, D.L. and Rutz, L. and Hinshaw, D.A. and Blume, H. and Clark, D.C.}, Title = {DQE(f) of four generations of computed radiography acquisition devices}, Journal = {Med. Phys. (USA)}, Volume = {22}, Number = {10}, Pages = {1581 - 93}, Year = {1995}, url = {http://dx.doi.org/10.1118/1.597627}, Keywords = {biomedical equipment;data acquisition;diagnostic radiography;}, Abstract = {Measurements were made of the MTF(f), NPS(f), and DQE(f) of four generations of computed radiography (CR) imaging plates and three generations of CR image readers. The MTF generally showed only a minor change between generations of plates and readers, but the DQE(f) has improved substantially from a very early plate/reader combination to a more recent one. The DQE in the more recent plate/reader combination is 1.3&times; greater at low frequencies and about 3&times;. Greater at high frequencies than the much earlier versions. Thus there has been substantial improvement in the imaging performance obtainable with CR since some of the early observer studies which indicated poorer performance with CR than with screen-film}, Key = {5129122} } @article{fds131707, Author = {J.T. Dobbins}, Title = {Hinshaw DA, Dobbins JT 3rd. Recent progress in noise reduction and scatter correction in dual-energy imaging. Proc. SPIE Medical Imaging Conference. 1995 Feb;2432:134-142.}, Year = {1995}, Key = {fds131707} } @article{4921239, Author = {Dobbins, J.T., III}, Title = {Effects of undersampling on the proper interpretation of modulation transfer function, noise power spectra, and noise equivalent quanta of digital imaging systems}, Journal = {Med. Phys. (USA)}, Volume = {22}, Number = {2}, Pages = {171 - 81}, Year = {1995}, url = {http://dx.doi.org/10.1118/1.597600}, Keywords = {diagnostic radiography;digital systems;noise;}, Abstract = {The proper understanding of modulation transfer function (MTF), noise power spectra (NPS), and noise equivalent quanta (NEQ) in digital systems is significantly hampered when the systems are undersampled. Undersampling leads to three significant complications: (1) MTF and NPS do not behave as transfer amplitude and variance, respectively, of a single sinusoid, (2) the response of a digital system to a delta function is not spatially invariant and therefore does not fulfill certain technical requirements of classical analysis, and (3) NEQ loses its common meaning as maximum available SNR<sup>2</sup> (signal-to-noise) at a particular frequency. These three complications cause the comparisons of MTF and NEQ between undersampled digital systems to depend on the frequency content of the images being evaluated. A tutorial of MTF, NPS, and NEQ concepts for digital systems is presented, along with a complete theoretical treatment of the above-mentioned complications from undersampling}, Key = {4921239} } @article{fds347608, Author = {Ergun, DL and Peppler, WW and Dobbins, JT and Zink, FE and Kruger, DG and Kelcz, F and De Bruijn and FJ and Bellers, EW and Wang, Y and Althof, RJ and Wind, MGJ}, Title = {Dual-energy computed radiography: Improvements in processing}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {2167}, Pages = {663-671}, Year = {1994}, Month = {May}, url = {http://dx.doi.org/10.1117/12.175102}, Abstract = {We have reported on a single-exposure dual-energy system based on computed radiography (CR) technology. In a clinical study conducted over a two year period, the dual-energy system proved to be highly successful in improving the detection (p=0.0005) and characterization (p=0.005) of pulmonary nodules when compared to conventional screen-film radiography. The basic components of our dual-energy detector system include source filtration with gadolinium to produce a bi-modal x-ray spectrum and a cassette containing four CR imaging plates. The front and back plates record the low-energy and high-energy images, respectively, and the middle two plates serve as an intermediate filter. Since our initial report, a number of improvements have been made to make the system more practical. An automatic registration algorithm based on image features has been developed to align the front and back image plates. There have been two improvements in scatter correction: A simple correction is now made to account for scatter within the multiplate detector; and a correction algorithm is applied to account for scatter variations between patients. An improved basis material decomposition (BMD) algorithm has been developed to facilitate automatic operation of the algorithm. Finally, two new noise suppression techniques are under investigation: one adjusts the noise filtering parameters depending on the strength of edge signals in the detected image in order to greatly reduce quantum mottle while minimizing the introduction of artifacts; a second routine uses knowledge of the region of valid low-energy and highenergy image data to suppress noise with minimal introduction of artifacts. This paper is a synthesis of recent work aimed at improving the performance of dual-energy CR conducted at three institutions: Philips Medical Systems, the University of Wisconsin, and Duke University.}, Doi = {10.1117/12.175102}, Key = {fds347608} } @article{fds131764, Author = {J.T. Dobbins}, Title = {Ergun DL, Peppler WW, Dobbins JT 3rd, Zink FE, Kruger DG, Kelcz F, de Bruijn FJ, Bellers EW, Wang Y, Althof RJ, Wind MGJ. Dual-energy computed radiography: improvements in processing. Proc. SPIE Medical Imaging Conference. 1994 Feb;2167:663-671.}, Year = {1994}, Key = {fds131764} } @article{fds268519, Author = {Chotas, HG and Floyd, CE and Dobbins, JT and Ravin, CE}, Title = {Dr Chotas and colleagues respond}, Journal = {Radiology}, Volume = {189}, Number = {1}, Pages = {290-290}, Publisher = {Radiological Society of North America (RSNA)}, Year = {1993}, Month = {October}, ISSN = {0033-8419}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:A1993LY02300064&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.1148/radiology.189.1.290-a}, Key = {fds268519} } @article{fds268592, Author = {Dobbins, JT and Rice, JJ and Goodman, PC and Patz, EF and Ravin, CE}, Title = {Variable compensation chest radiography performed with a computed radiography system: design considerations and initial clinical experience.}, Journal = {Radiology}, Volume = {187}, Number = {1}, Pages = {55-63}, Year = {1993}, Month = {April}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8451437}, Keywords = {Aged • Humans • Male • Middle Aged • Radiographic Image Enhancement • Radiography, Thoracic • Technology, Radiologic • Tomography, X-Ray Computed • instrumentation • methods*}, Abstract = {The authors describe a variable compensation (VC) technique in which an x-ray equalizer and a computed radiography system are used. The VC technique allows retrospective alteration of equalized chest appearance with maintenance of improved signal-to-noise ratio in dense regions. Two imaging plates are used: one upstream of the patient to record the incident beam profile and one down-stream to record the equalized image. Subtraction of a weighted version of the upstream image from the down-stream image permits alteration of the appearance of the VC image, from the extremes of stimulated-unequalized to highly equalized. VC image appearance was optimized with a real-time workstation. The quality of VC images obtained in 33 patients was evaluated by three chest radiologists. Mediastinal appearance was better on VC equalized images than on conventional screen-film images. The stimulation of the appearance of a conventional radiograph with VC proved useful in interpretation of lung appearances on equalized radiographs.}, Language = {eng}, Doi = {10.1148/radiology.187.1.8451437}, Key = {fds268592} } @article{fds268597, Author = {Chotas, HG and Floyd, CE and Dobbins, JT and Ravin, CE}, Title = {Digital chest radiography with photostimulable storage phosphors: signal-to-noise ratio as a function of kilovoltage with matched exposure risk.}, Journal = {Radiology}, Volume = {186}, Number = {2}, Pages = {395-398}, Year = {1993}, Month = {February}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/8421741}, Keywords = {Electricity* • Humans • Maximum Allowable Concentration • Radiographic Image Enhancement* • Radiography, Thoracic • X-Ray Intensifying Screens* • methods*}, Abstract = {A photostimulable storage phosphor (PSP) digital radiography system was evaluated regarding the signal-to-noise ratio (S/N) on chest images acquired at differing peak kilovoltage settings but with matched risk from radiation exposure. Images of two chest phantoms were acquired by using bedside (portable) imaging equipment at tube voltages ranging from 60 to 120 kV. Exposure factors were set so that the effective dose equivalent, a risk estimator weighted for various organs, was approximately equal in all exposures. The S/N in the lung-equivalent regions was found to be slightly higher (maximum, 15%) in the low-energy exposures, while the S/N values in the mediastinum- and subdiaphragm-equivalent regions were approximately equal at all kilovoltage settings. The absence of a high sensitivity of S/N to kilovoltage in risk-matched PSP images should enable institutions to select x-ray beam quality on the basis of other imaging criteria.}, Language = {eng}, Doi = {10.1148/radiology.186.2.8421741}, Key = {fds268597} } @article{4482357, Author = {Dobbins, J.T., III and Rice, J.J. and Goodman, P.C. and Patz, E.F., Jr. and Ravin, C.E.}, Title = {Variable compensation chest radiography performed with a computed radiography system: design considerations and initial clinical experience}, Journal = {Radiology (USA)}, Volume = {187}, Number = {1}, Pages = {55 - 63}, Year = {1993}, Keywords = {diagnostic radiography;lung;}, Abstract = {The authors describe a variable compensation (VC) technique in which an X-ray equalizer and a computed radiography system are used. The VC technique allows retrospective alteration of equalized chest appearance with maintenance of improved signal-to-noise ratio in dense regions. Two imaging plates are used: one upstream of the patient to record the incident beam profile and one downstream to record the equalized image. Subtraction of a weighted version of the upstream image from the downstream image permits alteration of the appearance of the VC image, from the extremes of simulated-unequalized to highly equalized. VC image appearance was optimized with a real-time workstation. The quality of VC images obtained in 33 patients was evaluated by three chest radiologists. Mediastinal appearance was better on VC equalized images than on conventional screen-film images. The simulation of the appearance of a conventional radiograph with VC proved useful in interpretation of lung appearances on equalized radiographs}, Key = {4482357} } @article{4402611, Author = {Chotas, H.G. and Floyd, C.E., Jr. and Dobbins, J.T., III and Ravin, C.E.}, Title = {Digital chest radiography with photostimulable storage phosphors: signal-to-noise ratio as a function of kilovoltage with matched exposure risk}, Journal = {Radiology (USA)}, Volume = {186}, Number = {2}, Pages = {395 - 8}, Year = {1993}, Keywords = {diagnostic radiography;phosphors;}, Abstract = {A photostimulable storage phosphor (PSP) digital radiography system was evaluated regarding the signal-to-noise ratio (S/N) on chest images acquired at differing peak kilovoltage settings but with matched risk from radiation exposure. Images of two chest phantoms were acquired by using bedside (portable) imaging equipment at tube voltages ranging from 60 to 120 kV. Exposure factors were set so that the effective dose equivalent, a risk estimator weighted for various organs, was approximately equal in all exposures. The S/N in the lung-equivalent regions was found to be slightly higher (maximum, 15%) in the low-energy exposures, while the S/N values in the mediastinum-m and subdiaphragm-equivalent regions were approximately equal at all kilovoltage settings. The absence of a high sensitivity of S/N to kilovoltage in risk-matched PSP images should enable institutions to select X-ray beam quality on the basis of other imaging criteria}, Key = {4402611} } @article{fds268605, Author = {Dobbins, JT and Chotas, HG and Benveniste, H}, Title = {Direct digitization of optical images using a photostimulable phosphor system.}, Journal = {Medical Physics}, Volume = {19}, Number = {4}, Pages = {1071-1080}, Year = {1992}, Month = {July}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1518470}, Keywords = {Humans • Image Processing, Computer-Assisted • Luminescent Measurements • Metals, Rare Earth • Radiographic Image Enhancement • methods*}, Abstract = {The authors describe a method for directly digitizing optical images with a photostimulable phosphor (PSP) system. A PSP plate is initially charged with an exposure to a uniform x-ray field, and is then exposed to an optical image which discharges the plate in relation to the amount of incident light. Two applications were investigated: a contact-print technique for digitizing film radiographs, and a projection technique for digitizing transparent objects such as histology slides. Spatial uniformity was found to be adequate, and linearity of optical density response was excellent from 0.0-2.9 o.d. after look-up table correction. Spatial frequency response was degraded with the optical technique relative to the x-ray imaging properties of the plates, but was restorable by Fourier filtering. Image noise following spatial enhancement was satisfactory at intermediate to high optical densities using a high-resolution PSP plate, but was somewhat degraded at low densities.}, Language = {eng}, Doi = {10.1118/1.596917}, Key = {fds268605} } @article{fds268591, Author = {Dobbins, JT and Rice, JJ and Beam, CA and Ravin, CE}, Title = {Threshold perception performance with computed and screen-film radiography: implications for chest radiography.}, Journal = {Radiology}, Volume = {183}, Number = {1}, Pages = {179-187}, Year = {1992}, Month = {April}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/1549669}, Keywords = {Humans • Models, Structural • Observer Variation • Radiographic Image Enhancement* • Radiography, Thoracic* • X-Ray Intensifying Screens*}, Abstract = {Images of a phantom obtained with computed radiography and standard screen-film imaging were compared to evaluate observer threshold perception performance with a modified contrast-detail technique. Optimum exposure necessary for performance with the imaging plate technique to match that with screen-film techniques was determined, as was comparative performance with variation in kilovoltages, plate type, spatial enhancement, and hard-copy interpolation method. It was found that computed radiography necessitates about 75%-100% more exposure than screen-film radiography to optimally match performance with Ortho-C film with Lanex regular or medium screens (Eastman Kodak, Rochester, NY) for detection of objects 0.05-2.0 cm in diameter. However, only minimal loss of detection performance (approximately 10% overall) was experienced if standard screen-film exposures were used with computed radiography. Little change in observer performance was found with variation in plate type, spatial enhancement, or method of hard-copy interpolation. However, perception performance with computed radiographic images was better at lower kilovoltages.}, Language = {eng}, Doi = {10.1148/radiology.183.1.1549669}, Key = {fds268591} } @article{fds131727, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd. Variable compensation method and apparatus for radiological images (continuation in part). U.S. Patent #5,081,659. January, 1992. Assignee: Duke University.}, Year = {1992}, Key = {fds131727} } @article{4278454, Author = {Dobbins, J.T., III and Chotas, H.G. and Benvensite, H.}, Title = {Direct digitization of optical images using a photostimulable phosphor system}, Journal = {Med. Phys. (USA)}, Volume = {19}, Number = {4}, Pages = {1071 - 80}, Year = {1992}, url = {http://dx.doi.org/10.1118/1.596917}, Keywords = {biomedical equipment;diagnostic radiography;optical images;}, Abstract = {The authors describe a method for directly digitizing optical images with a photostimulable phosphor (PSP) system. A PSP plate is initially charged with an exposure to a uniform X-ray field, and is then exposed to an optical image which discharges the plate in relation to the amount of incident light. Two applications were investigated: a contact-print technique for digitizing film radiographs, and a projection technique for digitizing transparent objects such as histology slides. Spatial uniformity was found to be adequate, and linearity of optical density response was excellent from 0.0-2.9 o.d. after look-up table correction. Spatial frequency response was degraded with the optical technique relative to the X-ray imaging properties of the plates, but was restorable by Fourier filtering. Image noise following spatial enhancement was satisfactory at intermediate to high optical densities using a high-resolution PSP plate, but was somewhat degraded at low densities}, Key = {4278454} } @article{4253350, Author = {Dobbins, J.T., III and Rice, J.J. and Beam, C.A. and Ravin, C.E.}, Title = {Threshold perception performance with computed and screen-film radiography: implications for chest radiography}, Journal = {Radiology (USA)}, Volume = {183}, Number = {1}, Pages = {179 - 87}, Year = {1992}, Keywords = {diagnostic radiography;visual perception;}, Abstract = {Images of a phantom obtained with computed radiography and standard screen-film imaging were compared to evaluate observer threshold perception performance with a modified contrast-detail technique. Optimum exposure necessary for performance with the imaging plate technique to match that with screen-film techniques was determined, as was comparative performance with variation in kilovoltages, plate type, spatial enhancement, and hard-copy interpolation method. It was found that computed radiography necessitates about 75%-100% more exposure than screen-film radiography to optimally match performance with Ortho-C film with Lanex regular or medium screens (Eastman Kodak, Rochester, NY) for detection of objects 0.05-20 cm in diameter. However, only minimal loss of detection performance (~10% overall) was experienced if standard screen-film exposures were used with computed radiography. Little change in observer performance was found with variation in plate type, spatial enhancement, or method of hard-copy interpolation. However, perception performance with computed radiographic images was better at lower kilovoltages}, Key = {4253350} } @article{fds268590, Author = {Chotas, HG and Dobbins, JT and Floyd, CE and Ravin, CE}, Title = {Single-exposure conventional and computed radiography image acquisition.}, Journal = {Investigative Radiology}, Volume = {26}, Number = {5}, Pages = {438-445}, Year = {1991}, Month = {May}, ISSN = {0020-9996}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2055742}, Keywords = {Humans • Radiographic Image Enhancement • Technology, Radiologic • X-Ray Intensifying Screens* • methods*}, Abstract = {A technique for simultaneously acquiring a conventional film-screen radiographic image and a digital computed radiography (CR) image with a single x-ray exposure is described. Measurements of image contrast, spatial resolution, and signal-to-noise ratios demonstrate that a modified film cassette in which the first intensifier screen has been replaced with a CR imaging plate permits dual-image, single-exposure imaging with only nominal degradation in film and CR image quality relative to the two standard image counterparts. This technique may be used to acquire matched image pairs for research or as a way to provide full-size conventional film images in the clinical environment, while retaining the advantages offered by computed radiography systems.}, Language = {eng}, Doi = {10.1097/00004424-199105000-00011}, Key = {fds268590} } @article{fds268609, Author = {Chotas, HG and Floyd, CE and Dobbins, JT and Lo, JY and Ravin, CE}, Title = {Scatter fractions in AMBER imaging.}, Journal = {Radiology}, Volume = {177}, Number = {3}, Pages = {879-880}, Year = {1990}, Month = {December}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2244003}, Keywords = {Radiography, Thoracic* • Scattering, Radiation* • Technology, Radiologic*}, Abstract = {Images of two phantoms were obtained with use of an advanced multiple-beam equalization radiography system, and scatter fractions were estimated with use of a photostimulable phosphor imaging system. Scatter fractions in the equalized images were lower in the mediastinum-equivalent areas and higher in the lung-equivalent areas, relative to images that were conventionally acquired with use of an antiscatter grid. The differences are attributed to a reduction in incident exposure in the lungs and the presence of cross-scatter between lung and mediastinal regions.}, Language = {eng}, Doi = {10.1148/radiology.177.3.2244003}, Key = {fds268609} } @article{3896171, Author = {Chotas, H.G. and Floyd, C.E., Jr. and Dobbins, J.T., III and Lo, J.Y. and Ravin, C.E.}, Title = {Scatter fractions in AMBER imaging}, Journal = {Radiology (USA)}, Volume = {177}, Number = {3}, Pages = {879 - 80}, Year = {1990}, Keywords = {diagnostic radiography;X-ray scattering;}, Abstract = {Images of two phantoms were obtained with use of an advanced multiple-beam equalization radiography system, and scatter fractions were estimated with use of a photostimulable phosphor imaging system. Scatter fractions in the equalized images were lower in the mediastinum-equivalent areas and higher in the lung-equivalent areas relative to images that were conventionally acquired with use of an antiscatter grid. The differences are attributed to a reduction in incident exposure in the lungs and the presence of cross scatter between lung and mediastinal regions}, Key = {3896171} } @article{fds131768, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd. Matrix Inversion Tomosynthesis improvements in longitudinal x-ray slice imaging. U.S. Patent #4,903,204, 1990. Assignee: Duke University.}, Year = {1990}, Key = {fds131768} } @article{3714521, Author = {Floyd, C.E., Jr. and Chotas, H.G. and Dobbins, J.T., III and Ravin, C.E.}, Title = {Quantitative radiographic imaging using a photostimulable phosphor system}, Journal = {Med. Phys. (USA)}, Volume = {17}, Number = {3}, Pages = {454 - 9}, Year = {1990}, url = {http://dx.doi.org/10.1118/1.596569}, Keywords = {biomedical equipment;diagnostic radiography;phosphors;}, Abstract = {The authors have evaluated a photostimulable phosphor X-ray imaging system [Philips Computed Radiography (PCR) system] for use in quantification of X-ray exposure in diagnostic radiography. An exponential function was fitted to a data yielding quantitative X-ray exposure values as a function of digital pixel values. The authors investigated several factors that affect the accuracy of exposure measurement using the PCR including repeatability, background noise as a function of time delay between plate erasure and use, sensitivity variation between different plates, nonuniformity of sensitivity within a plate, decay of the latent image between time of exposure and readout (observed as a change in sensitivity), and the accuracy with which the (exponential) calibration function yields exposure values as a function of digital pixel values. The calibration was performed over the exposure range from 5.1&times;10<sup>-9</sup> to 2.0&times;10<sup>-5</sup> C/kg (0.02-75 mR). The accuracy of exposure measurements made with a single imaging plate is between 1.6% and 4.2%. If measurements from several plates are involved, the uncertainty in the final measurements from several plates are involved, the uncertainty in the final measurement will be between 5% and 5.9%}, Key = {3714521} } @article{fds268589, Author = {Floyd, CE and Chotas, HG and Dobbins, JT and Ravin, CE}, Title = {Quantitative radiographic imaging using a photostimulable phosphor system.}, Journal = {Medical Physics}, Volume = {17}, Number = {3}, Pages = {454-459}, Year = {1990}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2385203}, Keywords = {Evaluation Studies as Topic • Humans • Luminescent Measurements • Radiation Dosage* • Radiography • instrumentation* • standards}, Abstract = {We have evaluated a photostimulable phosphor x-ray imaging system [Philips Computed Radiography (PCR) system] for use in quantification of x-ray exposure in diagnostic radiography. An exponential function was fitted to data yielding quantitative x-ray exposure values as a function of digital pixel values. We investigated several factors that affect the accuracy of exposure measurement using the PCR including repeatability, background noise as a function of time delay between plate erasure and use, sensitivity variation between different plates, nonuniformity of sensitivity within a plate, decay of the latent image between time of exposure and readout (observed as a change in sensitivity), and the accuracy with which the (exponential) calibration function yields exposure values as a function of digital pixel values. The calibration was performed over the exposure range from 5.1 X 10(-9) to 2.0 X 10(-5) C/kg (0.02-75 mR). The accuracy of exposure measurements made with a single imaging plate is between 1.6% and 4.2%. If measurements from several plates are involved, the uncertainty in the final measurement will be between 5% and 5.9%.}, Language = {eng}, Doi = {10.1118/1.596569}, Key = {fds268589} } @article{fds268594, Author = {Dobbins, JT and Powell, AO}, Title = {Variable compensation technique for digital radiography of the chest.}, Journal = {Radiology}, Volume = {173}, Number = {2}, Pages = {451-458}, Year = {1989}, Month = {November}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/2798877}, Keywords = {Humans • Mediastinum • Models, Structural • Radiographic Image Enhancement • Radiography, Thoracic • methods* • radiography}, Abstract = {The authors describe a new technique, variable compensation (VC) radiography, for digital radiography of the chest. It permits retrospective adjustment of image display while maintaining improved mediastinal signal-to-noise ratio (S/N) from aggressive x-ray equalization. A fraction of a logarithmic image representing the profile of the beam intensity incident on the patient is subtracted from a logarithmic equalized image. VC images of a chest phantom were generated with various weightings of the beam-profile image. Edge artifacts were substantially reduced with a weighting of greater than 0.5 and eliminated with a weighting of 1.0. The S/N properties of VC images were measured with a series of plastic squares placed over various regions of the chest phantom. The S/N of the squares in the dense sub-diaphragm were improved twofold compared with the S/N on unequalized radiographs, whereas the S/N in the lung was reduced by 30%. Studies of a volunteer revealed the ability to render images with aggressive equalization (for improved mediastinal visualization) and images with the appearance of traditional chest radiographs.}, Language = {eng}, Doi = {10.1148/radiology.173.2.2798877}, Key = {fds268594} } @article{3566251, Author = {Dobbins, J.T., III and Powell, A.O.}, Title = {Variable compensation technique for digital radiography of the chest}, Journal = {Radiology (USA)}, Volume = {173}, Number = {2}, Pages = {451 - 8}, Year = {1989}, Keywords = {diagnostic radiography;}, Abstract = {Describes a new technique, variable compensation (VC) radiography, for digital radiography of the chest. It permits retrospective adjustment of image display while maintaining improved mediastinal signal-to-noise ratio (S/N) from aggressive X-ray equalization. A fraction of a logarithmic image representing the profile of the beam intensity incident on the patient is subtracted from a logarithmic equalized image. VC images of a chest phantom were generated with various weightings of the beam-profile image. Edge artifacts were substantially reduced with a weighting of greater than 0.5 and eliminated with a weighting of 1.0. The S/N properties of VC images were measured with a series of plastic squares placed over various regions of the chest phantom. The S/N of the squares in the dense subdiaphragm were improved twofold compared with the S/N on unequalized radiographs, whereas the S/N in the lung was reduced by 30%}, Key = {3566251} } @article{fds131726, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd. Variable Compensation method and apparatus for radiological images. U.S. Patent #4,868,857, Sept. 1989. Assignee: Duke University.}, Year = {1989}, Key = {fds131726} } @article{fds131724, Author = {J.T. Dobbins}, Title = {Sorenson JA, Dobbins JT 3rd. Techniques for chest radiography. Proc. Chest Imaging Conference 1987, WW Peppler and AA Alter (eds.), pp. 1-15, 1987.}, Year = {1987}, Key = {fds131724} } @article{fds131763, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd, Powell AO. Characterization of variable compensation radiography of the chest. Proc. Chest Imaging Conference 1987, WW Peppler and AA Alter (eds.), pp. 144-154, 1987.}, Year = {1987}, Key = {fds131763} } @article{2995879, Author = {Hasegawa, B.H. and Dobbins, J.T., III. and Naimuddin, S. and Peppler, W.W. and Mistretta, C.A.}, Title = {Geometrical properties of a digital beam attenuator system}, Journal = {Med. Phys. (USA)}, Volume = {14}, Number = {3}, Pages = {314 - 21}, Year = {1987}, url = {http://dx.doi.org/10.1118/1.596086}, Keywords = {diagnostic radiography;}, Abstract = {A digital beam attenuator system has been developed to automatically generate patient-specific compensating filters for chest radiography. An initial low-dose test image is used to generate the attenuator, which is fabricated by overprinting multiple layers of a heavy-metal material onto a nonattenuating substrate. The attenuator is subsequently inserted into the X-ray beam for a final compensated radiograph. The effects of focal spot blurring and limited attenuator resolution result in the final compensated image containing only high-spatial frequency information. The frequency response of the process is not strictly describable by a modulation transfer function, but an approximation of the frequencies remaining in the compensated image is obtained for low-contrast conditions. It is found that a 4&times;4 blurring function on the original 64&times;64 test image is required for the attenuator to give appropriate compensated image appearance. A proposed attenuator printing scheme prints the attenuator in a 16&times;16 matrix, staggering successively printed layers to achieve the required 64&times;64 sampling with appropriate blurring. The resulting compensated image has good anatomical definition and contains a frequency response similar to that obtained by compensation techniques being investigated by Plewes and Sorenson}, Key = {2995879} } @article{fds268607, Author = {Hasegawa, BH and Dobbins, JT and Naimuddin, S and Peppler, WW and Mistretta, CA}, Title = {Geometrical properties of a digital beam attenuator system.}, Journal = {Medical Physics}, Volume = {14}, Number = {3}, Pages = {314-321}, Year = {1987}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/3600518}, Keywords = {Humans • Models, Anatomic • Radiography, Thoracic • instrumentation • methods*}, Abstract = {A digital beam attenuator system has been developed to automatically generate patient-specific compensating filters for chest radiography. An initial low-dose test image is used to generate the attenuator, which is fabricated by overprinting multiple layers of a heavy-metal material onto a nonattenuating substrate. The attenuator is subsequently inserted into the x-ray beam for a final compensated radiograph. The effects of focal spot blurring and limited attenuator resolution result in the final compensated image containing only high-spatial frequency information. The frequency response of the process is not strictly describable by a modulation transfer function, but an approximation of the frequencies remaining in the compensated image is obtained for low-contrast conditions. It is found that a 4 X 4 blurring function on the original 64 X 64 test image is required for the attenuator to give appropriate compensated image appearance. A proposed attenuator printing scheme prints the attenuator in a 16 X 16 matrix, staggering successively printed layers to achieve the required 64 X 64 sampling with appropriate blurring. The resulting compensated image has good anatomical definition and contains a frequency response similar to that obtained by compensation techniques being investigated by Plewes and Sorenson.}, Language = {eng}, Doi = {10.1118/1.596086}, Key = {fds268607} } @article{fds268595, Author = {Hasegawa, BH and Naimuddin, S and Dobbins, JT and Mistretta, CA and Peppler, WW and Hangiandreou, NJ and Cusma, JT and McDermott, JC and Kudva, BV and Melbye, KM}, Title = {Digital beam attenuator technique for compensated chest radiography.}, Journal = {Radiology}, Volume = {159}, Number = {2}, Pages = {537-543}, Year = {1986}, Month = {May}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/3961188}, Keywords = {Humans • Male • Models, Structural • Radiographic Image Enhancement • Radiography, Thoracic • methods*}, Abstract = {The feasibility of producing patient-specific beam attenuators for chest radiography has been investigated using an anthropomorphic phantom and a human volunteer. A low-dose test exposure is digitized, processed, and used to print a small cerium filter, which is placed in the x-ray beam near the collimator. The final radiograph is recorded on film. The technique results in relatively uniform film exposure, so that structures in all regions of the chest are simultaneously displayed with optimal film contrast. The equalized exposure improves image quality in the normally underpenetrated regions and reduces the role of cross-scatter from the lungs. The image is analogous to optical or computer-processed unsharp masking techniques, but the processing is accomplished in the x-ray beam and results in an improved exposure distribution, giving advantages that cannot be achieved with image processing techniques alone.}, Language = {eng}, Doi = {10.1148/radiology.159.2.3961188}, Key = {fds268595} } @article{2749911, Author = {Hasegawa, B.H. and Naimuddin, S. and Dobbins, J.T., III and Mistretta, C.A. and Peppler, W.W. and Hangiandreou, N.J. and Cusma, J.T. and McDermott, J.C. and Kudva, B.V. and Melbye, K.M.}, Title = {Digital beam attenuator technique for compensated chest radiography}, Journal = {Radiology (USA)}, Volume = {159}, Number = {2}, Pages = {537 - 43}, Year = {1986}, Keywords = {diagnostic radiography;}, Abstract = {The feasibility of producing patient-specific beam attenuators for chest radiography has been investigated using an anthropomorphic phantom and a human volunteer. A low-dose test exposure is digitized, processed, and used to print a small cerium filter, which is placed in the X-ray beam near the collimator. The final radiograph is recorded on film. The technique results in relatively uniform film exposure, so that structures in all regions of the chest are simultaneously displayed with optimal film contrast. The equalized exposure improves image quality in the normally underpenetrated regions and reduces the role of cross-scatter from the lungs. The image is analogous to optical or computer processed unsharp masking techniques, but the processing is accomplished in the X-ray beam and results in an improved exposure distribution, giving advantages that cannot be achieved with image processing techniques alone}, Key = {2749911} } @article{2857369, Author = {Hasegawa, BH and Naimuddin, S and Dobbins, JT and Mistretta, CA and Peppler, WW and Hangiandreou, NJ and Cusma, JT and McDermott, JC and Kudva, BV and Melbve, KM}, Title = {Chest radiography using patient-specific digitally-prepared compensating filters}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {555}, Pages = {262-265}, Publisher = {SPIE}, Address = {Boston, MA, USA}, Year = {1985}, Month = {September}, url = {http://dx.doi.org/10.1117/12.949502}, Keywords = {diagnostic radiography;digital filters;}, Abstract = {We have used a prototype digital beam attenuator (DBA) system to generate patient-specific digitally-prepared compensating filters for chest radiography of a human subject. The compensated radiographs demonstrate substantially more information in areas such as the mediastinum and upper abdomen which normally are underpenetrated in conventional chest radiographs. The compensated image was acquired with high contrast, high speed film-screen receptors improving the visibility of pulmonary parenchymal detail while minimizing patient radiation exposure. Currently we are limited by a two-hour preparation time and position the attenuator manually. We are developing a second generation DBA system featuring fast (15 second) fabrication times and automatic positioning of the attenuator. We expect that these features will relieve some of the misregistration errors present in our initial examination. © 1985 SPIE.}, Doi = {10.1117/12.949502}, Key = {2857369} } @article{2588962, Author = {Lee, CSR and Peppier, WW and Van Lysel and MS and Cusma, JT and Folts, JD and Zarnstorff, WC and Mistretta, CA and Dobbins, JT and Hasegawa, BH and Naimuddin, S and Molloi, S and Hangiandreou, N and Lancaster, JC}, Title = {Adaptive processing algorithms for intravenous digital subtraction coronary angiography}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {535}, Pages = {369-377}, Publisher = {SPIE}, Address = {Newport Beach, CA, USA}, Year = {1985}, Month = {June}, url = {http://dx.doi.org/10.1117/12.947292}, Keywords = {cardiology;computerised picture processing;diagnostic radiography;}, Abstract = {Digital Subtraction Angiography (DSA) is commonly used in conjunction with intravenous contrast injection for detection of atherosclerotic disease in arteries outside of the heart. Images of coronary arteries obtained with intravenous DSA have been limited in quality by several important factors. Among these is the confusing background provided by superposed pulmonary veins. Because these opacity just before the coronary arteries, conventional remasking results in substantial loss in coronary artery contrast. This paper presents preliminary work on a processing scheme in which the degree of correlation between the contrast pass curves in individual pixels and a reference region can be used to adaptively suppress pulmonary structures. © 1985 SPIE.}, Doi = {10.1117/12.947292}, Key = {2588962} } @article{2588957, Author = {Hasegawa, BH and Dobbins, JT and Naimuddin, S and Mistretta, CA and Peppier, WW and Van Lysel and MS and Cusma, JT and Lancaster, JC and Hoffman, P and Lee, CS and Molloi, S and Hangiandreou, N and Kudva, BV and Melbye, KM}, Title = {Design of a digital beam attenuator system for chest radiography}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {535}, Pages = {332-339}, Publisher = {SPIE}, Address = {Newport Beach, CA, USA}, Year = {1985}, Month = {June}, url = {http://dx.doi.org/10.1117/12.947279}, Keywords = {biomedical equipment;diagnostic radiography;}, Abstract = {We have been testing a digital beam attenuator (DBA) system for fabricating patient- specific compensating filters to improve image quality in chest radiography. At present, the technique is limited by a 2 hour attenuator fabrication time and a 20 mR exposure used to acquire an initial image from which the attenutor is designed. We now are developing an improved DBA system capable of generating, in a few seconds, patient-specific compensating filters for clinical chest radiography. The initial image will be acquired at less than 1 mR of skin exposure using an intensifying screen viewed by a low light-level television camera. Image processing including scatter and beam-hardening corrections generate a 64x64 matrix of values from which the attenuator is fabricated. The attenutor will be fabricated with individual layers having a 16x16 format using a special purpose dot-matrix printer. Successive layers are shifted by a quarter of a dot width to maintain the 64x64 sampling frequency in the final attenuator. After the attenuator is positioned automatically in the x-ray beam, a final image will be acquired directly on film. © 1985 SPIE.}, Doi = {10.1117/12.947279}, Key = {2588957} } @article{85110168916, Author = {Hasegawa, Bruce H. and Dobbins, James T. III and Naimuddin, Shaikh and Mistretta, Charles A. and Peppler, Walter W. and Van Lysel and Michael S. and Cusma, Jack T. and Lancaster, Jerome C. and Hoffman, Perry and Lee, Ching-Shan and Molloi, Sabee and Hangiandreou, Nicholas and Kudva, Bakki V. and Melbye, Kenneth M.}, Title = {DESIGN OF A DIGITAL BEAM ATTENUATOR SYSTEM FOR CHEST RADIOGRAPHY.}, Journal = {Proceedings of SPIE - The International Society for Optical Engineering}, Volume = {535}, Pages = {332 - 339}, Address = {Newport Beach, CA, USA}, Year = {1985}, Keywords = {IMAGE PROCESSING - Enhancement;}, Abstract = {The authors have been testing a digital beam attenuator (DBA) system for fabricating patient-specific compensating filters to improve image quality in chest radiography. At present, the technique is limited by a 2 hour attenuator fabrication time and a 2 mR exposure used to acquire an initial image from which the attenutor is designed. They now are developing an improved DBA system capable of generating, in a few seconds, patient-specific compensating filters for clinical chest radiography. The initial image will be acquired at less than 1 mR of skin exposure using an intensifying screen viewed by a low light-level television camera. Image processing including scatter and beam-hardening corrections generate a 64 multiplied by 64 matrix of values from which the attenuator is fabricated. After the attenuator is positioned automatically in the x-ray beam, a final image will be acquired directly on film.}, Key = {85110168916} } @article{fds131723, Author = {J.T. Dobbins}, Title = {Hasegawa BH, Naimuddin S, Dobbins JT 3rd, Peppler WW, Van Lysel MS, Cusma JT, Lancaster JC, Hoffman P, Lee CS, Molloi S, Mistretta CA, Kudva BV, Melbye KM. Design of a digital beam attenuator system for chest radiography. Proc. SPIE Conference on Applications of Optical Instrumentation in Medicine XIII. Vol. 535, February 1985.}, Year = {1985}, Key = {fds131723} } @article{fds131761, Author = {J.T. Dobbins}, Title = {Lee CS, Peppler WW, Van Lysel MS, Cusma JT, Folts JD, Zarnstorff WC, Mistretta CA, Dobbins JT 3rd, Hasegawa BH, Naimuddin S, Molloi S, Hangiandreou N, Lancaster JC. Adaptive processing algorithms for intravenous digital subtraction coronary angiography. Proc. SPIE Conference on Applications of Optical Instrumentation in Medicine XIII. Vol. 535, Feb. 1985.}, Year = {1985}, Key = {fds131761} } @article{fds131762, Author = {J.T. Dobbins}, Title = {Hasegawa BH, Naimuddin S, Dobbins JT 3rd, Mistretta CA, Peppler WW, Hangiandreou NJ, Cusma JT, McDermott JC. Chest radiography using patient-specific digitally-prepared compensating filters. Proc. SPIE Conference on Medical Imaging and Instrumentation. Vol. 555, April 1985.}, Year = {1985}, Key = {fds131762} } @article{fds131767, Author = {J.T. Dobbins}, Title = {Mistretta CA, Peppler WW, Hasegawa BH, Dobbins JT 3rd, Kudva BV. Digitally controlled x-ray beam attenuation method and apparatus. U.S. Patent #4,497,062, January 1985.}, Year = {1985}, Key = {fds131767} } @article{fds268521, Author = {Hasegawa, BH and Peppler, WW and Dobbins, JT and Kudva, BV and Mistretta, CA and Cusma, JT and Van Lysel and MS and Lee, CS and Naimuddin, S and Molloi, S and Lancaster, JC and Melbye, K}, Title = {DIGITAL BEAM ATTENUATOR FOR DSA AND CHEST RADIOGRAPHY.}, Pages = {56}, Year = {1984}, Month = {December}, Abstract = {During the past year our group has investigated an extension of the concept of beam compensating filters. Our approach involves the acquisition of a low dose patient positioning image which is digitized and used to drive a mechanism which places attenuating materials in the x-ray beam. Our initial experiments involved a 6 multiplied by 6 array of pistons which deformed a bladder filled with cerous chloride. This device had inadequate spatial resolution and excessive common mode x-ray attenuation. More recently we have developed a technique involving a digitally controlled dot-matrix printer equipped with a ribbon containing cerium oxide. This is used to type an attenuating image of the patient. This attenuator is then servoed into the x-ray beam. Current attenuator formation times are on the order of five minutes. Soon we hope to be able to accomplish this in 30 seconds. Preliminary results using a Humanoid chest phantom and laboratory animals demonstrate the distinct advantages of the technique. Image quality relative to uncompensated images is striking in simulated chest radiography and DSA.}, Key = {fds268521} } @article{2465776, Author = {Hasegawa, BH and Naimuddin, S and Dobbins, JT and Peppier, WW and Cusma, JT and Van Lysel and MS and Lancaster, JC and Lee, CS and Molloi, S and Mistretta, CA and Kudva, BV and Melbye, KM}, Title = {Application of a digital beam attenuator to chest radiography}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {486}, Pages = {2-7}, Publisher = {SPIE}, Address = {Las Vegas, NV, USA}, Year = {1984}, Month = {August}, url = {http://dx.doi.org/10.1117/12.943191}, Keywords = {biomedical equipment;diagnostic radiography;}, Abstract = {Although image quality in chest radiography can be improved dramatically with compensat-ing attenuators, it is difficult to match attenuator geometry to that of the patient and to properly position the filter in the x-ray beam. We are developing a system which will fabricate a compensating filter specific for individual patient anatomy and position the filter automatically. A low-dose image is acquired from which the attenuator is designed using a hardwired algorithm. The attenuator then is typed in multiple layers of a cerium oxide material onto a sheet of paper with a dot-matrix printer. Following positioning of the attenuator in the x-ray beam, the final compensated image is acquired with a photographic or electronic detector.Initial studies with our prototype digital beam attenuator have produced images with improved image quality. The improvement occurs because the attenuator allows the entire image to be placed in the linear portion of the film characteristic curve. In addition, decreased scatter fractions and increased signal-to-noise contribute to improved visualization of low- contrast signals behind the most attenuating regions of the patient. © 1984 SPIE.}, Doi = {10.1117/12.943191}, Key = {2465776} } @article{2364693, Author = {Hasegawa, BH and Dobbins, JT and Peppier, WW and Cusma, JT and Mistretta, CA and Kudva, BV and Van Lysel and MS and Lee, CS and Naimuddin, S and Lancaster, JC and Molloi, S and Melbye, KM}, Title = {Feasibility of selective exposure radiography}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {454}, Pages = {271-278}, Publisher = {SPIE}, Address = {San Diego, CA, USA}, Year = {1984}, Month = {June}, url = {http://dx.doi.org/10.1117/12.939342}, Keywords = {radiography;}, Abstract = {The concept of selective exposure radiography encompasses those techniques which spatially modulate the incident x-ray field to produce a more uniform exit field arising from the patient. The resulting reduction in the dynamic range of the exposure field offers several advantages. In conventional radiography, selective exposure techniques allow all areas of the image to be placed in the linear portion of the film characteristic curve so that local contrast is maximized. With video systems, the reduction in dynamic range minimizes the impact of electronic noise behind the least transmissive regions of the patient. With both electronic and photographic detectors, selective exposure radiography is characterized by uniform quantum statistics and uniform scatter across the image. Several selective exposure techniques currently are being investigated. They include compensating filters placed manually in the x-ray field as well as fan-beam geometries in which the x-ray tube output is modulated with a feedback circuit to maintain constant exposure to the image receptor. At the University of Wisconsin, we have been investigating a digital system which uses an initial low-dose patient image to design an attenuator with transmission complimentary to that of the patient. The attenuator is fabricated for each patient and is positioned automatically in the x-ray beam prior to the acquisition of the final compensated image. The possible applications of this device include chest radiography, coronary angiography, subtraction angiography, and accurate digital videodensitometry. © 1984 SPIE.}, Doi = {10.1117/12.939342}, Key = {2364693} } @article{fds131754, Author = {J.T. Dobbins}, Title = {Mistretta CA, Van Lysel MS, Peppler W, Dobbins JT 3rd, Hasegawa B, Zarnstorff W, Lee CS, Naimuddin S, Myerowitz PD, Swanson D, Strother CM, Crummy AB, Sackett JF. Applicazioni attuali e aspetti tecnici della angiografia digitale. La Radiologia Medica 1984 Apr;70(4):177-84.}, Year = {1984}, Key = {fds131754} } @article{fds131759, Author = {J.T. Dobbins}, Title = {Hasegawa BH, Dobbins JT 3rd, Peppler WW, Cusma JT, Kudva BV, Mistretta CA, Van Lysel MS, Lee CS, Naimuddin S, Lancaster JC, Melbye K. Feasibility of selective exposure radiography. Proc. SPIE Conference on Applications of Optical Instrumentation in Medicine XII. 1984 Feb;454:271-78.}, Year = {1984}, Key = {fds131759} } @article{fds131760, Author = {J.T. Dobbins}, Title = {Hasegawa BH, Dobbins JT 3rd, Peppler WW, Kudva BV, Mistretta CA, Cusma JT, Melbye KM, Van Lysel MS, Lee CS, Naimuddin S, Molloi S, Lancaster JC. Application of a digital beam attenuator to chest radiography.  Proc. SPIE Conference on Medical Imaging and Instrumentation 1984 Apr;486:2-7.}, Year = {1984}, Key = {fds131760} } @article{fds172347, Author = {J.T. Dobbins}, Title = {Hasegawa BH, Dobbins JT 3rd, Peppler WW, Kudva BV, Mistretta CA, Cusma JT, Melbye KM, Van Lysel MS, Lee CS, Naimuddin S, Molloi S, Lancaster JC. Application of a digital beam attenuator to chest radiography. Proc. SPIE Conference on Medical Imaging and Instrumentation 1984 Apr;486:2-7.

}, Year = {1984}, Key = {fds172347} } @article{fds268598, Author = {Dobbins, JT and Pedersen, PL and Mazess, RB and Cameron, JR and Hansen, JL and Hefner, LV}, Title = {A scanning-slit x-ray videoabsorptiometric technique for bone mineral measurement.}, Journal = {Medical Physics}, Volume = {11}, Number = {5}, Pages = {582-588}, Year = {1984}, ISSN = {0094-2405}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6503872}, Keywords = {Aged • Bone and Bones • Female • Femur • Fluoroscopy • Humans • Minerals • analysis • analysis* • instrumentation • methods}, Abstract = {An x-ray videoabsorptiometric technique was developed for measurement of bone mineral content (BMC) in vivo. The principle utility of this technique is the precise measurement of commonly fractured bones, such as the femoral neck, that are difficult to measure by other techniques because of repositioning problems. Scanning slits reduce scattered radiation and improve linearity of measurements. Heavily filtered, high-kVp beams are used to minimize errors from beam hardening, and data renormalization is employed to compensate for spatial nonuniformities of the beam and detector. Linearity of measured BMC over the range 0.8 to 5 g/cm2 is very good (r = 0.998) and compares well to single- and dual-photon absorptiometry. A 1.6% change in measured BMC is observed for a 10% change (approximately 2 cm) in tissue thickness while a 10% change in marrow type causes a 0.6%-0.8% change in BMC. Manual repositioning of a femur phantom revealed a variation of 0.84% over ten measurements when femur values were referenced to standards. A computer repositioning algorithm provides much easier identification of the region for analysis and yields comparable variation (0.9%).}, Language = {eng}, Doi = {10.1118/1.595554}, Key = {fds268598} } @article{2306544, Author = {Dobbins, JT and Van Lysel and MS and Hasegawa, BH and Peppier, WW and Mistretta, CA}, Title = {Spatial frequency filtering in digital subtraction angiography (DSA) by real-time digital video convolution}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {419}, Pages = {111-121}, Publisher = {SPIE}, Address = {Atlanta, GA, USA}, Year = {1983}, Month = {December}, url = {http://dx.doi.org/10.1117/12.936013}, Keywords = {computerised picture processing;densitometry;radiography;spatial filters;}, Abstract = {A circuit has been constructed to perform spatial frequency filtration on DSA images at real-time video rates. The 10-bit device performs low-pass or high-pass filtering, and with external memory can perform bandpass and more sophisticated filtering. Pixels in the convolving kernel are weighted independendently in the x-and y-directions to provide a Gauss-ian-like convolving function. The kernel width ranges from 3-30 pixels and appropriate weighting yields a FWHM of the Gaussian kernel function as small as 0.85 pixel width for horizontal image widths of ≤256 pixels and as small as 1.25 pixel width for a horizontal image width of 512 pixels. Applications to be investigated include scatter and glare correction for videodensitometry, enhancement of arteries behind large opacified structures such as the ventricle and aorta, noise suppression in low-spatial frequency DSA exams, edge-enhancement of images, and partial-pixel shifting. Peli and Lim have suggested a more sophisticated algorithm which enhances high-pass filtration only in dark regions of an image. This and other techniques may be implemented with the current circuit to enhance small detail in highly opacified regions such as the ventricle, while leaving the rest of the image unaltered. © 1983 SPIE.}, Doi = {10.1117/12.936013}, Key = {2306544} } @article{84050086380, Author = {Hasegawa, BH and Dobbins, JT and Peppler, WW and Kudva, BV and Melbye, KM and Van Lysel and MS and Lee, CS and Naimuddin, S and Lancaster, JC and Mistretta, CA}, Title = {SELECTIVE EXPOSURE RADIOGRAPHY USING DIGITALLY-FORMED X-RAY BEAM ATTENUATORS.}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {419}, Pages = {282-288}, Address = {Atlanta, Ga, USA}, Year = {1983}, Month = {December}, Keywords = {BIOMEDICAL ENGINEERING;}, Key = {84050086380} } @article{fds268513, Author = {Mistretta, CA and Peppler, WW and Van Lysel and M and Dobbins, J and Hasegawa, B and Myerowitz, PD and Swanson, D and Lee, CS and Shaik, N and Zarnstorff, W}, Title = {Recent advances in digital radiography.}, Journal = {Annales De Radiologie}, Volume = {26}, Number = {7}, Pages = {537-542}, Year = {1983}, Month = {November}, ISSN = {0003-4185}, Abstract = {The authors present several recents advances in digital angiography; combined energy time subtraction angiography; temporal filtration and integration schemes and problems concerning intravenous coronary angiography.}, Key = {fds268513} } @article{fds268593, Author = {Van Lysel and MS and Dobbins, JT and Peppler, WW and Hasegawa, BH and Lee, CS and Mistretta, CA and Zarnstorff, WC and Crummy, AB and Kubal, W and Bergsjordet, B and Strother, CM and Sackett, JF}, Title = {Work in progress: hybrid temporal-energy subtraction in digital fluoroscopy.}, Journal = {Radiology}, Volume = {147}, Number = {3}, Pages = {869-874}, Year = {1983}, Month = {June}, ISSN = {0033-8419}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6342038}, Keywords = {Analog-Digital Conversion • Angiography • Carotid Arteries • Computers • Fluoroscopy • Humans • Subtraction Technique • instrumentation* • methods • methods* • radiography}, Abstract = {Initial clinical results using a digital fluoroscopic implementation of the combined time-energy ("hybrid") subtraction technique are described, with emphasis on carotid and renal imaging. Where patient motion artifacts are due to soft-tissue motion alone, hybrid subtraction can remove them. Due to the need for a finite separation time between high- and low-energy pairs, however, the present implementation of the hybrid technique is not completely immune to soft-tissue motion. The intrinsic signal-to-noise ratio of hybrid imaging is less than that of conventional temporal subtraction. However, since the low-energy temporal subtraction images are included in the hybrid data set, the diagnostic quality of the examination is not compromised.}, Language = {eng}, Doi = {10.1148/radiology.147.3.6342038}, Key = {fds268593} } @article{fds268608, Author = {Swanson, DK and Myerowitz, PD and Hasegawa, B and Van Lysel and MS and Watson, KM and Frantz, DW and Banaszak, S and Hausman-Stokes, E and Peppler, WW and Dobbins, JT}, Title = {Videodensitometric quantitation of mean blood flow.}, Journal = {Journal of Surgical Research}, Volume = {34}, Number = {6}, Pages = {524-532}, Year = {1983}, Month = {June}, ISSN = {0022-4804}, url = {http://www.ncbi.nlm.nih.gov/pubmed/6855221}, Keywords = {Absorptiometry, Photon • Angiography • Animals • Blood Circulation* • Computers • Dogs • Femoral Artery • Videotape Recording* • methods • methods* • radiography}, Abstract = {Standard angiography demonstrates the anatomy of arterial occlusive disease but does not define its physiological significance. However, measurement of flow in a compromised vessel at rest and following peripheral dilatation provides important physiological information. Using digital subtraction angiography, femoral arterial flows determined by the cross-correlation transit time technique were compared to measurements by electromagnetic flowmeter. Thirty-five femoral arterial flow measurements were obtained in nine dogs instrumented with an electromagnetic flow probe and balloon occluder. Renografin 76 (7 cc) was power-injected at 14 cc/sec into the distal abdominal aorta. Angiographic flow measurements correlated well with electromagnetic flowmeter measurements (r = 0.94, standard deviation of the difference (SDD) = 15 ml/min). Intravenous studies provided somewhat poorer correlation due to difficulties in defining dimensions (r = 0.72, SDD = 36). Paired contrast injections (2 injections in succession) in 11 studies increased flow from an average of 80 to 250 ml/min (a 210 +/- 100% increase), providing an estimate of a vessel's capacity to provide increased flow during peripheral dilatation. Thus, reliable angiographic flow determinations may be obtained by arterial and intravenous contrast injections, adding physiological information to anatomical definition.}, Language = {eng}, Doi = {10.1016/0022-4804(83)90105-1}, Key = {fds268608} } @article{84050086358, Author = {Dobbins, J. T. III and Van Lysel and M. S. and Hasegawa, B. H. and Peppler, W. W. and Mistretta, C. A.}, Title = {SPATIAL FREQUENCY FILTERING IN DIGITAL SUBTRACTION ANGIOGRAPHY (DSA) BY REAL-TIME DIGITAL VIDEO CONVOLUTION.}, Journal = {Proceedings of SPIE - The International Society for Optical Engineering}, Volume = {419}, Pages = {111 - 121}, Address = {Atlanta, Ga, USA}, Year = {1983}, Keywords = {BIOMEDICAL ENGINEERING;}, Key = {84050086358} } @article{2299694, Author = {Hasegawa, B.H. and Dobbins, J.T. and Peppler, W.W. and Kudva, B.V. and Melbye, K.M. and Van Lysel and M.S. and Lee, C.S. and Naimuddin, S. and Lancaster, J.C. and Mistretta, C.A.}, Title = {Selective exposure radiography using digitally-formed X-ray beam attenuators}, Journal = {Proc. SPIE - Int. Soc. Opt. Eng. (USA)}, Volume = {419}, Pages = {282 - 8}, Address = {Atlanta, GA, USA}, Year = {1983}, Keywords = {computerised picture processing;radiography;}, Abstract = {Compensation attenuators can provide fundamental improvements in radiographic image formation by modifying patient dose distribution, reducing scatter fractions in dark regions of the image, and easing dynamic range requirements for film and video systems. The authors have designed a software-based system which forms a heavy-metal attenuator from a digital image of the patient. At present, the attenuators are constructed manually from a pattern generated by the computer, but several techniques are being investigated which may permit fabrication and positioning during suspension of respiration. Phantom studies demonstrates that, in nonsubtractive applications, unsharp masking by the X-ray beam attenuator enhances local contrast, while in digitally subtracted images, attenuators eliminate dark regions where iodine signals otherwise are degraded by video and quantum noise}, Key = {2299694} } @article{fds131721, Author = {J.T. Dobbins}, Title = {Crummy AB, Stieghorst MF, Van Lysel MS, Dobbins JT 3rd. Advances in diagnosis: applying digital subtraction arteriography. J Cardiovascular Med. 1983 Mar;8(3):345-62.}, Year = {1983}, Key = {fds131721} } @article{fds131753, Author = {J.T. Dobbins}, Title = {Mistretta CA, Peppler WW, Van Lysel M, Dobbins JT 3rd, Hasegawa B, Myerowitz PD, Swanson D, Lee CS, Naimuddin S, Zarnstorff W, Crummy AB, Strother CM, Sackett JF. Recent advances in digital radiography. Annales de Radiologie 1983 Nov;26(7):537-42.}, Year = {1983}, Key = {fds131753} } @article{fds131756, Author = {J.T. Dobbins}, Title = {Dobbins JT 3rd, Van Lysel MS, Hasegawa BH, Peppler WW, Mistretta CA. Spatial frequency filtering in digital subtraction angiography (DSA) by real-time digital video convolution. Proc. SPIE Conference on Applications of Optical Instrumentation in Medicine XI. 1983 Apr;419:111-21.}, Year = {1983}, Key = {fds131756} } @article{fds131757, Author = {J.T. Dobbins}, Title = {Hasegawa BH, Dobbins JT 3rd, Peppler WW, Kudva BV, Melbye K, Van Lysel MS, Lee CS, Naimuddin S, Lancaster JC, Mistretta CA. Selective exposure radiography using digitally-formed x-ray beam attenuators. Proc. SPIE Conference on Applications of Optical Instrumentation in Medicine XI. 1983 Apr;419:282-88.}, Year = {1983}, Key = {fds131757} } @article{fds131758, Author = {J.T. Dobbins}, Title = {Peppler WW, Van Lysel MS, Dobbins JT 3rd, Lancaster JC, Hicks J, Hasegawa BH, Lee CS, Shaikh N, Zarnstorff WC, Mistretta CA, Myerowitz PD, Swanson DK. Progress report on the University of Wisconsin digital video image processor (DVIP II). Digital Imaging in Cardiovascular Radiology, Heintzen PH and Brennecke R (eds), Georg Theime Verlag, Stuttgart, 1983.}, Year = {1983}, Key = {fds131758} } @article{2100651, Author = {Van Lysel and M.S. and Dobbins, J.T., III. and Peppler, W.W. and Hasegawa, B.H. and Ching-Shan Lee and Mistretta, C.A. and Zarnstorff, W.C. and Crummy, A.B. and Kubal, W. and Bergsjordet, B. and Strother, C.M. and Sackett, J.F.}, Title = {Work in progress: hybrid temporal-energy subtraction in digital fluoroscopy}, Journal = {Radiology (USA)}, Volume = {147}, Number = {3}, Pages = {869 - 74}, Year = {1983}, Keywords = {computerised picture processing;radiography;}, Abstract = {Initial clinical results using a digital fluoroscopic implementation of the combined time-energy (`hybrid') subtraction technique are described, with emphasis on carotid and renal imaging. Where patient motion artifacts are due to soft-tissue motion alone, hybrid subtraction can remove them. Due to the need for a finite separation time between high- and low-energy pairs, however, the present implementation of the hybrid technique is not completely immune to soft-tissue motion. The intrinsic signal-to-noise ratio of hybrid imaging is less than that of conventional temporal subtraction. However, since the low-energy temporal subtraction images are included in the hybrid data set, the diagnostic quality of the examination is not compromised}, Key = {2100651} } @article{2050922, Author = {Peppler, CW and Kudva, B and Dobbins, JT and Lee, CS and Lysel, MS and Hasegawa, BH and Mistretta, CA}, Title = {Digitally controlled beam attenuator}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {347}, Pages = {106-111}, Publisher = {SPIE}, Address = {New Orleans, LA, USA}, Year = {1982}, Month = {December}, url = {http://dx.doi.org/10.1117/12.933815}, Keywords = {biomedical equipment;computerised control;radiography;}, Abstract = {In digital fluorographic techniques the video camera must accommodate a wide dynamic range due to the large variation in the infject thickness within the field of view. Typically exposure factors and the optical aperture are selected such that the maximum video signal is obtained in the most transmissive region of the infject. Consequently, it has been shown that the signal-to-noise ratio is severely reduced in the dark regions. We have developed a prototype digital beam attenuator (DBA) which will alleviate this and some related problems in digital fluorography. The prototype DBA consists of a 6x6 array of pistons which are individually controlled. A membrane containing an attenuating solu-tion of (CeC13) in water and the piston matrix are placed between the x-ray tube and the infject. Under digital control the pistons are moved into the attenuating material in order to adjust the beam intensity over each of the 36 cells. The DBA control unit which digitizes the image during patient positioning will direct the pistons under hydraulic control to produce a uniform x-ray field exiting the infject. The pistons were designed to produce very little structural background in the image. In inftraction studies any structure would be cancelled. For non-inftraction studies such as cine-cardiology we are considering higher cell densities (eg. 64x64). Due to the narrow range of transmission provided by the DBA, in such studies ultra-high contrast films could be used to produce a high resolution quasi-inftraction display. Additional benefits of the DBA are: 1) reduced dose to the bright image areas when the dark areas are properly exposed. 2) improved scatter and glare to primary ratios, leading to improved contrast in the dark areas. © 1982 SPIE.}, Doi = {10.1117/12.933815}, Key = {2050922} } @article{83100157091, Author = {Peppler, W. W. and Kudva, B. and Dobbins, J. T. III and Lee, C. S. and Van Lysel and M. S. and Hasegawa, B. H. and Mistretta, C. A.}, Title = {DIGITALLY CONTROLLED BEAM ATTENUATOR.}, Journal = {Proceedings of SPIE - The International Society for Optical Engineering}, Volume = {347}, Pages = {106 - 111}, Address = {New Orleans, LA, USA}, Year = {1982}, Keywords = {BIOMEDICAL ENGINEERING;}, Key = {83100157091} } @article{fds131722, Author = {J.T. Dobbins}, Title = {Peppler WW, Kudva BV, Dobbins JT 3rd, Lee CS, Hasegawa BH, Van Lysel M, Mistretta CA. A digitally controlled beam attenuator. Proc. SPIE Conference on Applications of Optical Instrumentation in Medicine X. 1982 May;347:106-11.}, Year = {1982}, Key = {fds131722} } @article{fds131766, Author = {J.T. Dobbins}, Title = {Myerowitz PD, Mistretta CA, Shaw CG, Van Lysel MS, Swanson DK, Lasser TA, Dhanani SP, Zarnstorff WC, Vander Ark CR, Dobbins JT 3rd, Peppler WW, Crummy AB. Digital cardiovascular imaging. In Coronary Artery Disease Today, Bruschke AVG, van Herpen G, Vermeulen FEE (eds), Excerpta Medica, Amsterdam, 1982.}, Year = {1982}, Key = {fds131766} } @article{82100136225, Author = {Van Lysel and MS and Zarnstorff, WC and Lancaster, JC and Mistretta, CA and Dobbins, JT}, Title = {REAL-TIME DIGITAL VIDEO RECORDING SYSTEM.}, Journal = {Smart Structures and Materials 2005: Active Materials: Behavior and Mechanics}, Volume = {314}, Pages = {389-395}, Address = {Stanford, CA, USA}, Year = {1981}, Month = {December}, Keywords = {IMAGE PROCESSING;}, Key = {82100136225} } @article{fds131755, Author = {J.T. Dobbins}, Title = {Van Lysel MS, Zarnstorff WC, Lancaster JC, Mistretta CA, Dobbins JT 3rd. Real-time digital video recording system. Proc. SPIE Conference on Digital Radiography. 1981 Sep;314:389-95.}, Year = {1981}, Key = {fds131755} } @article{82100136184, Author = {Shaw, CG and Ergun, DL and Lysel, MSV and Peppler, WW and Dobbins, JT and Zarnstorff, WC and Myerowitz, PD and Swanson, DK and Lasser, TA and Mistretta, CA and Dhanani, SP and Strother, CM and Crummy, AB}, Title = {QUANTITATION TECHNIQUES IN DIGITAL SUBTRACTION VIDEOANGIOGRAPHY.}, Journal = {Proceedings of Spie the International Society for Optical Engineering}, Volume = {314}, Pages = {121-129}, Publisher = {SPIE}, Address = {Stanford, CA, USA}, Year = {1981}, url = {http://dx.doi.org/10.1117/12.933033}, Keywords = {RADIOGRAPHY;}, Abstract = {Digital subtraction videoangiography has been proven to be suitable for imaging the left ventricle and other cardiac chambers.l, 2 The high contrast sensitivity and good cancellation of structural background enable this imaging technique to be used with intra-venous injections, which result in complete mixing of contrast medium with blood in the left ventricle.3 The digital nature of the image processor used in subtraction video-angiography enables convenient data collection and analysis. For these reasons, digital videoangiography is well suited to videodensitometric calculation of physiological quantities such as left ventricular ejection fraction. © 1981 SPIE.}, Doi = {10.1117/12.933033}, Key = {82100136184} } @article{2398373, Author = {Dobbins, J.T., III and Pedersen, P.L. and Mazess, R.B. and Cameron, J.R. and Hansen, J.L. and Hefner, L.V.}, Title = {A scanning-slit X-ray videoabsorptiometric technique for bone mineral measurement}, Journal = {Med. Phys. (USA)}, Volume = {11}, Number = {5}, Pages = {582 - 8}, url = {http://dx.doi.org/10.1118/1.595554}, Keywords = {biomedical measurement;bone;diagnostic radiography;}, Abstract = {An X-ray videoabsorptiometric technique was developed for measurement of bone mineral content (BMC) in vivo. The principle utility of this technique is the precise measurement of commonly fractured bones, such as the femoral neck, that are difficult to measure by other techniques because of repositioning problems. Scanning slits reduce scattered radiation and improve linearity of measurements. Heavily filtered, high-kVp beams are used to minimize errors from beam hardening, and data renormalization is employed to compensate for spatial nonuniformities of the beam and detector. Linearity of measured BMC over the range 0.8 to 5 g/cm<sup>2</sup> is very good (<i>r</i>=0.998) and compares well to single- and dual-photon absorptiometry. A 1.6% change in measured BMC is observed for a 10% change (~2 cm) in tissue thickness while a 10% change in marrow type causes a 0.6%-0.8% change in BMC. Manual repositioning of a femur phantom revealed a variation of 0.84% over ten measurements when femur values were referenced to standards. A computer repositioning algorithm provides much easier identification of the region for analysis and yields comparable variation (0.9%)}, Key = {2398373} } @article{8104164, Author = {Samei, E. and Saunders, R.S. and Lo, J.Y. and Dobbins, J.T. and Jesneck, J.L. and Floyd, C.E. and Ravin, C.E.}, Title = {Fundamental imaging characteristics of a slot-scan digital chest radiographic system}, Journal = {Med. Phys. (USA)}, Volume = {31}, Number = {9}, Pages = {2687 - 98}, url = {http://dx.doi.org/10.1118/1.1783531}, Keywords = {aluminium;diagnostic radiography;flat panel displays;image resolution;lung;medical image processing;phantoms;}, Abstract = {Our purpose in this study was to evaluate the fundamental image quality characteristics of a new slot-scan digital chest radiography system (ThoraScan, Delft Imaging Systems/Nucletron, Veenendaal, The Netherlands). The linearity of the system was measured over a wide exposure range at 90, 117, and 140 kVp with added Al filtration. System uniformity and reproducibility were established with an analysis of images from repeated exposures. The modulation transfer function (MTF) was evaluated using an established edge method. The noise power spectrum (NPS) and the detective quantum efficiency (DQE) of the system were evaluated at the three kilo-voltages over a range of exposures. Scatter fraction (SF) measurements were made using a posterior beam stop method and a geometrical chest phantom. The system demonstrated excellent linearity, but some structured nonuniformities. The 0.1 MTF values occurred between 3.3-3.5 mm<sup>-1</sup>. The DQE(0.15) and DQE(2.5) were 0.21 and 0.07 at 90 kVp, 0.18 and 0.05 at 117 kVp, and 0.16 and 0.03 at 140 kVp, respectively. The system exhibited remarkably lower SFs compared to conventional full-field systems with anti-scatter grid, measuring 0.13 in the lungs and 0.43 in the mediastinum. The findings indicated that the slot-scan design provides marked scatter reduction leading to high effective DQE (DQE<sub>eff</sub>) of the system and reduced patient dose required to achieve high image quality}, Key = {8104164} }