Biomedical subjects

J A Rowlands

Publications and source records attributed to J A Rowlands.

At least 37 records · Page 2Linked to original sources

PubMed2002

Imaging of 1.0-mm-diameter radiopaque markers with megavoltage X-rays: an improved online imaging system.

PURPOSE: To improve an online portal imaging system such that implanted cylindrical gold markers of small diameter (no more than 1.0 mm) can be visualized. These small markers would make the implantation procedure much less traumatic for the patient than the large markers (1.6 mm in diameter), which are usually used today to monitor prostate interfraction motion during radiation therapy. METHODS AND MATERIALS: Several changes have been made to a mirror-video based online imaging system to improve image quality. First, the conventional camera tube was replaced by an avalanche-multiplication-based video tube. This new camera tube has very high gain at the target such that the camera noise, which is one of the main causes of image degradation of online portal imaging systems, was overcome and effectively eliminated. Second, the conventional linear-accelerator (linac) target was replaced with a low atomic number (low-Z) target such that more diagnostic X-rays are present in the megavoltage X-ray beam. Third, the copper plate buildup layer for the phosphor screen was replaced by a thin plastic layer for detection of the diagnostic X-ray components in the beam generated by the low-Z target. RESULTS: Radiopaque fiducial gold markers of different sizes, i.e., 1.0 mm (diameter) x 5 mm (length) and 0.8 mm (diameter) x 3 mm (length), embedded in an Alderson Rando phantom, can be clearly seen on the images acquired with our improved system. These markers could not be seen on images obtained with any commercial system available in our clinic. CONCLUSION: This work demonstrates the visibility of small-diameter radiopaque markers with an improved online portal imaging system. These markers can be easily implanted into the prostate and used to monitor the interfraction motion of the prostate.

Equipment Design↗

PubMed2002

A filtering method for signal equalization in region-of-interest fluoroscopy.

A method to significantly reduce the exposure area product in fluoroscopy using a pre-patient region-of-interest (ROI) attenuator is presented. The attenuator has a thin central region and a gradually increasing thickness away from the center. It is shown that the unwanted brightening artifact caused by the attenuator can be eliminated by attenuating the low spatial frequencies in the detected image using digital image processing techniques. An investigation of the best image processing method to correct for the presence of the attenuator is undertaken. The correction procedure selected is suitable for use with real-time image processors and the ROI attenuator can be permitted to move during image acquisition. Images of an anthropomorphic chest phantom acquired in the presence of the ROI attenuator using an x-ray image intensifier/video chain are corrected to illustrate the clinical feasibility of our approach.

Biophysical Phenomena↗

PubMed2002

Development of high quantum efficiency flat panel detectors for portal imaging: intrinsic spatial resolution.

Recently developed flat panel detectors have been proven to have a much better image quality than conventional electronic portal imaging devices (EPIDs). They are, however, not yet the ideal systems for portal imaging application due to the low x-ray absorption, i.e., low quantum efficiency (QE), which is typically on the order of 2-4% as compared to the theoretical limit of 100%. The QE of current flat panel systems can be improved by significantly increasing the thickness of the energy conversion layer (i.e., amorphous selenium or phosphor screen). This, however, will be at the expense of a decrease in spatial resolution mainly due to x-ray scatter in the conversion layer (and also the spread of optical photons in the case of phosphor screen). In this paper, we investigate theoretically the intrinsic spatial resolution of a high QE flat panel detector with a new energy conversion layer that is much denser and thicker than that of current flat panel systems. The modulation transfer function (MTF) of the system is calculated based on a theoretical model using a novel approach, which uses an analytical expression for absorbed dose. It is found that if appropriate materials are used for the conversion layer, then the intrinsic MTF of the high QE flat panel is better than that of current EPIDs, and in addition they have a high QE (e.g., approximately 60%). Some general rules for the design of the conversion layer to achieve both high QE and high resolution as well as high DQE are also discussed.

Computer Simulation↗

PubMed2002

X-ray imaging with amorphous selenium: X-ray to charge conversion gain and avalanche multiplication gain.

Fluoroscopy is a low dose imaging technique. As such, a very sensitive detector is required to create images of good quality. Present day flat panel active matrix read out systems introduce an amount of noise that inhibits present direct and indirect methods from producing optimal quality images at fluoroscopic exposure rates (0.1-10 microR per frame). The gain of the direct conversion approach using amorphous selenium (a-Se) was investigated to determine whether by increasing the applied electric field, a gain sufficient to overcome the noise limitations of the active matrix could be achieved. Conversion gain and avalanche multiplication in a-Se were investigated as a function of electric field from 10 to 100 V/microm. Our results show a factor of 4 increase in conversion gain is available by increasing electric field from the current standard of 10 V/microm to 100 V/microm. Furthermore, we show that avalanche multiplication can provide an additional gain of up to 25. This increase in signal is sufficient to overcome the noise level encountered in flat panel detectors and permit fully quantum noise limited operation across the whole fluoroscopic range of exposure.

Electromagnetic Fields↗

PubMed2001

A truly hybrid interventional MR/X-ray system: feasibility demonstration.

A system enabling both x-ray fluoroscopy and MRI in a single exam, without requiring patient repositioning, would be a powerful tool for image-guided interventions. We studied the technical issues related to acquisition of x-ray images inside an open MRI system (GE Signa SP). The system includes a flat-panel x-ray detector (GE Medical Systems) placed under the patient bed, a fixed-anode x-ray tube overhead with the anode-cathode axis aligned with the main magnetic field and a high-frequency x-ray generator (Lunar Corp.). New challenges investigated related to: 1) deflection and defocusing of the electron beam of the x-ray tube; 2) proper functioning of the flat panel; 3) effects on B0 field homogeneity; and 4) additional RF noise in the MR images. We have acquired high-quality x-ray and MR images without repositioning the object using our hybrid system, which demonstrates the feasibility of this new configuration. Further work is required to ensure that the highest possible image quality is achieved with both MR and x-ray modalities.

Brain↗

PubMed2001

Investigation of a direct conversion flat panel imager for portal imaging.

Flat-panel based x-ray imaging is an emerging new technology that could be used to significantly improve the quality of on-line portal imagers. There are two types of flat panel imagers: direct and indirect conversion. Previous experimental work on flat panel detectors for portal imaging application used indirect-conversion imagers. In this paper, a direct-conversion amorphous-selenium flat panel imager is investigated for application in portal imaging. The imager has an active imaging area of 14 in. X 17 in., i.e., 3072 X 2560 pixels each with dimensions 139 microm X 139 microm. The spatial frequency dependent detective quantum efficiency of the imager has been measured for a 6 MV beam and found to be amongst the best area detectors investigated for on-line portal imaging. Effects of changing pixel size, as well as possible improvements to both the image quality and convenience of operation are discussed. Comparison with an indirect conversion flat panel imager is also included.

Diagnostic Imaging↗

PubMed2001

Effects of characteristic x rays on the noise power spectra and detective quantum efficiency of photoconductive x-ray detectors.

The effects of K fluorescence on the imaging performance of photoconductor-based x-ray imaging systems are investigated. A cascaded linear systems model was developed, where a parallel cascaded process was implemented to take into account the effect of K-fluorescence reabsorption on the modulation transfer function (MTF), noise power spectrum (NPS), and the spatial frequency dependent detective quantum efficiency [DQE(f)] of an imaging system. The investigation was focused on amorphous selenium (a-Se), which is the most highly developed photoconductor material for x-ray imaging. The results were compared to those obtained with Monte Carlo simulation using the same imaging condition and detector parameters, so that the validity of the cascaded linear system model could be confirmed. Our results revealed that K-fluorescence reabsorption in a-Se is responsible for a 18% drop in NPS at high spatial frequencies with an incident x-ray photon energy of E=20 keV (which is just above the K edge of 12.5 keV). When E increases to 60 keV, the effects of K-fluorescence reabsorption on NPS decrease to approximately 12% at high spatial frequencies. Because the high frequency drop is present in both MTF and NPS, the effect of K fluorescence on DQE(f) is minimal, especially for E that is much higher than the K edge. We also applied the cascaded linear system model to a newly developed compound photoconductor, lead iodide (PbI2), and found that at 60 keV there is a high frequency drop in NPS of 19%. The calculated NPS were compared to previously published measurements of PbI2 detectors.

Diagnostic Imaging↗

PubMed2000

Electronic portal imaging with an avalanche-multiplication-based video camera.

The aim of this study is to investigate the degree to which the imaging quality of an existing (video-based) electronic portal imaging device (EPID) system may be improved by using an avalanche-multiplication-based video camera (called the avalanche-gain method). Due to avalanche multiplication in the target of the video camera tube, the new camera can be made up to several hundred times more sensitive than a camera using a conventional video (e.g., Saticon) tube. As a result, the camera noise which limits the performance of current video-based EPIDs should be overwhelmed and made negligible. The detective quantum efficiency (DQE) of an EPID using the avalanche-gain method has been measured with 6 MV and 18 MV beams obtained using a linear accelerator. It is shown that the camera noise is indeed much smaller than quantum noise and that the DQE of the system is significantly increased compared to conventional video-based EPIDs. Variation of DQE of the avalanche-gain video portal system with a change of demagnification was also investigated. It has been shown that the improvement of optical coupling has less effect in this system than that in a conventional video-based EPID system.

Humans↗

PubMed1999

Detective quantum efficiency of an amorphous selenium detector to megavoltage radiation.

The spatial frequency dependent detective quantum efficiency (DQE(f)) of a high-resolution selenium-based imaging system has been measured at megavoltage energies. These results have been compared with theoretical calculations. The imaging system was a video tube with a 5 microm amorphous selenium (a-Se) target which was irradiated by 1.25 MeV gamma-rays. The modulation transfer function (MTF) decreased rapidly with spatial frequency (determined by spread of electrons in the build-up material) while the noise power spectrum was constant as a function of spatial frequency. The DQE obtained from these MTF and noise power measurements was compared with a Monte Carlo model of the pulse height spectrum of the detector. The DQE(0) model accounted for the interaction of x rays with the detector as well as the energy-dependent gain (charge generated/energy deposition). Good agreement between the calculated and measured DQE(0) was found. The model was also used to estimate the DQE(f) of a metal plate + a-Se detector which was compared with a metal plate + phosphor system of the same mass thickness. The DQE(f) s of both detectors are very similar, indicating that the choice of which detector is better will be based upon criteria other than DQE(f), such as read-out approach, ease of manufacture or sensitivity.

Biophysical Phenomena↗

PubMed1999

Digital radiology using active matrix readout: amplified pixel detector array for fluoroscopy.

Active matrix array technology has made possible the concept of flat panel imaging systems for radiography. In the conventional approach a thin-film circuit built on glass contains the necessary switching components (thin-film transistors or TFTs) to readout an image formed in either a phosphor or photoconductor layer. Extension of this concept to real time imaging--fluoroscopy--has had problems due to the very low noise required. A new design strategy for fluoroscopic active matrix flat panel detectors has therefore been investigated theoretically. In this approach, the active matrix has integrated thin-film amplifiers and readout electronics at each pixel and is called the amplified pixel detector array (APDA). Each amplified pixel consists of three thin-film transistors: an amplifier, a readout, and a reset TFT. The performance of the APDA approach compared to the conventional active matrix was investigated for two semiconductors commonly used to construct active matrix arrays--hydrogenated amorphous silicon and polycrystalline silicon. The results showed that with amplification close to the pixel, the noise from the external charge preamplifiers becomes insignificant. The thermal and flicker noise of the readout and the amplifying TFTs at the pixel become the dominant sources of noise. The magnitude of these noise sources is strongly dependent on the TFT geometry and its fabrication process. Both of these could be optimized to make the APDA active matrix operate at lower noise levels than is possible with the conventional approach. However, the APDA cannot be made to operate ideally (i.e., have noise limited only by the amount of radiation used) at the lowest exposure rate required in medical fluoroscopy.

Models, Theoretical↗

PubMed1998

Sensitivity of amorphous selenium to x rays from 40 kVp to 18 MV: measurements and implications for portal imaging.

Recently, the clinical application of electronic portal imaging devices has enabled more frequent verification of patient setup for radiation treatment. However, the image quality has sometimes proven to be inadequate, motivating the investigation of alternative sensors with better image quality. Amorphous selenium (a-Se) is potentially one such sensor since the electrostatic image formation process has high resolution. To fully evaluate the potential of a-Se for portal imaging, it is necessary to investigate all the imaging properties at high x-ray energies. Here, measurements of the sensitivity of a-Se to incident x-ray spectra ranging in energy from 40 kVp to 18 MV and for a-Se thicknesses ranging from approximately 10 to 300 microns under full buildup conditions are described. When x rays or energetic electrons deposit energy in a photoconductor with an applied electric field, F, electrons and holes are released. The x-ray conversion sensitivity may be defined as 1/W +/-, where W +/- is the energy required to release an electron-hole pair. Consistent with the results of previous investigators, W +/- is found to vary approximately with F-2/3. Unexpectedly, over the energy range of 40 kVp to 18 MV, W +/- was found to decrease by a factor of nearly 3. These dependencies are compared to the predictions of two competing charge recombination models, geminate and columnar. The results are explained by a microdosimetric model in which the sensitivity at megavoltage energies is governed by geminate recombination, but at lower energies, both mechanisms are involved. Thus, the sensitivity of a-Se to x rays spanning the diagnostic and radiotherapy range has been measured and the physical basis for this behavior established.

Dose-Response Relationship, Radiation↗

PubMed1998

Digital radiology using active matrix readout of amorphous selenium: detectors with high voltage protection.

A flat-panel x-ray imaging detector is being investigated for digital radiography and fluoroscopy. The detector uses a layer of amorphous selenium (a-Se) to convert x rays to a charge image, which is then electronically read out with a two-dimensional array of thin film transistors (TFTs). In order to sensitize the a-Se layer to x rays, a high voltage (of the order of several thousand volts) is applied to its top surface. The TFTs, which are at the bottom surface of the a-Se layer, are not subjected to any high voltage under normal radiological operational conditions since the pixel potential is < 10 V. However under a fault condition where these two events occur simultaneously: (1) suspended detector scan; and (2) an x-ray exposure more than ten times higher than normal, the voltage on the TFTs could rise to a damaging value. This paper describes a method for protecting the TFTs from high voltage damage under this fault condition. It employs a dual-gate TFT structure, one gate is for scanning control and the other is connected to the pixel electrode for high voltage protection. Before the pixel potential reaches a damaging value, the protection gate turns on the TFT automatically and drains excess charge away from the pixel thus providing a safe pixel saturation potential. In this paper, the characteristic curves of dual-gate TFTs are studied both theoretically and experimentally. The pixel x-ray response for imaging detectors with high voltage protection are predicted, and it is shown that with practical TFT designs the detector can provide a safe pixel saturation potential as well as satisfy the dynamic range required for diagnostic x-ray imaging applications.

Equipment Design↗

PubMed1998

Digital radiology using active matrix readout of amorphous selenium: radiation hardness of cadmium selenide thin film transistors.

A flat-panel x-ray imaging detector using active matrix readout of amorphous selenium (a-Se) is being investigated for digital radiography and fluoroscopy. The active matrix consists of a two-dimensional array of thin film transistors (TFTs). Radiation penetrating through the a-Se layer will interact with the TFTs and it is important to ensure that radiation induced changes will not affect the operation of the x-ray imaging detector. The methodology of the present work is to investigate the effects of radiation on the characteristic curves of the TFTs using individual TFT samples made with cadmium selenide (CdSe) semiconductor. Four characteristic parameters, i.e., threshold voltage, subthreshold swing, field effect mobility, and leakage current, were examined. This choice of parameters was based on the well established radiation damage mechanisms for crystalline silicon metal-oxide-semiconductor field-effect transistors (MOSFETs), which have a similar principle of operation as CdSe TFTs. It was found that radiation had no measurable effect on the leakage current and the field effect mobility. However, radiation shifted the threshold voltage and increased the subthreshold swing. But even the estimated lifetime dose (50 Gy) of a diagnostic radiation detector will not affect the normal operation of an active matrix x-ray detector made with CdSe TFTs. The mechanisms of the effects of radiation will be discussed and compared with those for MOSFETs and hydrogenated amorphous silicon (a-Si:H) TFTs.

Cadmium Compounds↗

PubMed1998

X-ray imaging using amorphous selenium: determination of Swank factor by pulse height spectroscopy.

The use of photoconductors, especially amorphous selenium (a-Se), in x-ray imaging is currently of interest. A critical performance parameter of an imaging detector is the Swank factor for degradation of the signal to noise ratio, or DQE(0), due to variations in the detector response. The Swank factor is evaluated from measured pulse height spectra generated by the absorption of monoenergetic x-ray photons. The spectra show an additional width over previous theoretical expectations, but the Swank factor is still close to the high values previously predicted theoretically.

Americium↗

PubMed1998

Lens design for large-area x-ray sensitive vidicons.

Large-area x-ray sensitive vidicons have the potential to be superior to conventional x-ray image intensifiers for medical fluoroscopy. To build a large-area x-ray vidicon, an electron lens system is necessary to provide perpendicular beam landing. In this paper, we discuss theoretically how to build two and three cylinder coaxial lenses for this purpose. Some general design rules and a preferred design which satisfies our design criteria are presented. Limitations of these simple types of electron lens are discussed. Two advanced designs for vidicons with short lengths or reduced beam landing error are also included. Among them, the deflection-center-change system is introduced here for the first time.

Electrons↗

PubMed1998

Digital radiology using active matrix readout of amorphous selenium: geometrical and effective fill factors.

Flat panel self-scanned x-ray detectors using amorphous selenium (a-Se) as the photoconductor are being developed to replace both film/screen cassette systems for radiography and image intensifier (XRII)/video systems for fluoroscopy. These use a two-dimensional array of pixel electrodes to collect and readout the latent image charges formed on the photoconductor surface. The percentage of the area covered by the pixel electrodes (i.e., the geometrical fill factor fg) is always less than unity. In this paper, a novel approach is introduced to make the charge collection by pixel electrodes almost complete (i.e., a close to unity effective fill factor). The idea is to bend the electric field lines in the a-Se layer in such a way that image charges cannot land in the gap region between electrodes. This is achieved by depositing holes in the gap region, which is possible because there are charge traps available at the a-Se/insulator interface. The distribution of holes required in the gap region is calculated. Various factors associated with the feasibility of this approach as well as a method to deposit these holes are discussed. Application of the approach to the case of mammography is also included.

Biophysical Phenomena↗

PubMed1998

Digital x-ray imaging using amorphous selenium: reduction of aliasing.

Alias reduction is analyzed with the concept of an equivalent presampling filter, and a mathematical approach is established to find the equivalent presampling filter corresponding to specific digital image processing algorithms. The effects of different sampling period T and sampling aperture tau on aliasing artifacts and on the resultant detective quantum efficiency (DQE) for a self-scanned, flat-panel, amorphous selenium detector are obtained. Different effective apertures can be obtained from the same detector by averaging signals over adjacent pixels. It is shown that adding outputs from M adjacent pixels is equivalent to introducing an equivalent presampling filter with special properties. Appropriate selection of the averaging parameters (M and weights) is shown to reduce the aliasing artifact in the resultant image. The effect of incomplete charge collection due to geometrical effects (fill factor) is examined. It is shown that a large fill factor is desirable for aliasing reduction. The relationship between a digital filter applied to the sampled signal and its equivalent presampling analog filter is also established. Analytical formulas for the sampled spectrum of white signal and for the sampled power spectrum of white noise are obtained for aperture functions with a spatially uniform response. These formulas take into accounts aliasing artifacts, signal correlation and aperture function response, and demonstrate the dependence of sampled spectra on T and tau. With these formulas the detective quantum efficiency DQE is derived. It is shown that the resultant DQE depends only on the fill factor and the size of readout electrode tau 0, but is completely independent of the degree or type of pixel averaging. That is, even though the pixel averaging method reduces aliasing it leaves DQE (omega) unchanged. When significant amplifier noise is present the DQE obtained with the pixel averaging method can be better than those obtained with an analog presampling filter. Finally, it is pointed out that the requirement of reducing aliasing artifacts conflicts with other requirements for a detector such as maximizing modulation transfer function (MTF). A careful and practical compromise has to be made by a detector designer in choosing the extent to which the aliasing artifacts are eliminated.

Algorithms↗

PubMed1997

X-ray detectors for digital radiography.

Digital radiography offers the potential of improved image quality as well as providing opportunities for advances in medical image management, computer-aided diagnosis and teleradiology. Image quality is intimately linked to the precise and accurate acquisition of information from the x-ray beam transmitted by the patient, i.e. to the performance of the x-ray detector. Detectors for digital radiography must meet the needs of the specific radiological procedure where they will be used. Key parameters are spatial resolution, uniformity of response, contrast sensitivity, dynamic range, acquisition speed and frame rate. The underlying physical considerations defining the performance of x-ray detectors for radiography will be reviewed. Some of the more promising existing and experimental detector technologies which may be suitable for digital radiography will be considered. Devices that can be employed in full-area detectors and also those more appropriate for scanning x-ray systems will be discussed. These include various approaches based on phosphor x-ray converters, where light quanta are produced as an intermediate stage, as well as direct x-ray-to-charge conversion materials such as zinc cadmium telluride, amorphous selenium and crystalline silicon.

Electrons↗