Evidence map›Paper›PMID 29159941›Full record

ArticleMedical physics2018

The role of off-focus radiation in scatter correction for dedicated cone beam breast CT.

Linxi Shi, Srinivasan Vedantham, Andrew Karellas, Lei Zhu

Open access · greenAbstract read
In one paragraph

Article in Medical physics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Artificial Intelligence in Breast X-Ray Imaging.Seminars in ultrasound, CT, and MR · 2023
    Review
  2. Article
  3. Article
  4. Characterization of x-ray focal spots using a rotating edge.Journal of medical imaging (Bellingham, Wash.) · 2021
    Article
  5. Article
  6. Article
  7. Cone-beam breast computed tomography using ultra-fast image reconstruction with constrained, total-variation minimization for suppression of artifacts.Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) · 2020
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Linxi ShiNuclear and Radiological Engineering and Medical Physics Programs, The George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA.
Srinivasan VedanthamDepartment of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ, 85724, USA.
Andrew KarellasDepartment of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ, 85724, USA.
Lei ZhuNuclear and Radiological Engineering and Medical Physics Programs, The George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA.
Banner - University Medical Center Tucson · USGeorgia Institute of Technology · USPalo Alto University · US

Funding

STANFORD CANCER IMAGING TRAINING (SCIT) PROGRAMT32CA009695 · NCI · STANFORD UNIVERSITY · PI BRUCE L DANIEL, Jeremy Dahl · 1993 to 2026
$7.7M
Towards screening with high-resolution, low-dose, dedicated breast CTR01CA199044 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SRINIVASAN VEDANTHAM · 2016 to 2026
$6.1M
Reducing mastectomy rates in invasive lobular carcinoma by high-resolution 3D breast CTR01CA195512 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI VEDANTHAM, SRINIVASAN · 2015 to 2017
$757k
Role of 3D Tomography in Breast CancerR21CA134128 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GLICK, STEPHEN J, KARELLAS, ANDREW · 2009 to 2010
$723k
Explore random sampling for dose reduction and scatter removal in cone beam CTR21EB021545 · NIBIB · UT SOUTHWESTERN MEDICAL CENTER · PI JIA, XUN, ZHU, LEI · 2016 to 2017
$463k
Volumetric CT Imaging using Primary ModulationR21EB019597 · NIBIB · GEORGIA INSTITUTE OF TECHNOLOGY · PI ZHU, LEI · 2015 to 2016
$411k
NCI NIH HHS R01 CA195512NCI NIH HHS R01 CA199044NCI NIH HHS R21 CA134128NCI NIH HHS T32 CA009695NIBIB NIH HHS R21 EB019597NIBIB NIH HHS R21 EB021545
6 · The paper itself

Abstract

purposeDedicated cone beam breast CT (CBBCT) suffers from x-ray scatter contamination. We aim to identify the source of the significant difference between the scatter distributions estimated by two recent methods proposed by our group and to investigate its effect on CBBCT image quality.

methodWe recently proposed two novel methods of scatter correction for CBBCT, using a library based (LB) technique and a forward projection (FP) model. Despite similar enhancement on CBBCT image qualities, these two methods obtain very different scatter distributions. We hypothesize that the off-focus radiation (OFR) is the contributor and results in nontrivial signals in x-ray projections, which is ignored in the scatter estimation via the LB method. Experiments using a thin wire test tool are designed to study the effect of OFR on CBBCT spatial resolution by measuring the point spread function (PSF) and the modulation transfer function (MTF). A narrow collimator setting is used to suppress the OFR-induced signals. In addition, "PSFs" and "MTFs" are measured on clinical CBBCT images obtained by the LB and FP methods using small calcifications as point sources. The improvement of spatial resolution achieved by suppressing OFR in the wire experiment as well as in the clinical study is quantified by the improvement ratios of PSFs and spatial frequencies at different MTF values. Our hypothesis that OFR causes the imaging difference between the FP and LB methods is verified if these ratios obtained from experimental and clinical data are consistent.

resultsIn the wire experiment, the results show that suppression of OFR increases the maximum signal of the PSF by about 14% and reduces the full-width-at-half-maximum (FWHM) by about 12.0%. Similar improvement on spatial resolution is achieved by the FP method compared with the LB method in the patient study. The improvement ratios of spatial frequencies at different MTF values without OFR match very well in both studies at a level of around 16%, with an average root-mean-square difference of 0.47%.

conclusionThe results of the wire experiment and the clinical study indicate that the main difference between the LB and FP methods is whether the OFR-induced signals are included after scatter correction. Our study further shows that OFR significantly affects the image spatial resolution of CBBCT, indicating that the visualization of micro-calcifications is susceptible to OFR contamination. Our finding is therefore important in further improvement of diagnostic performance of CBBCT.

Indexed as

Cone-Beam Computed TomographyScattering, RadiationBreastHumansImage Processing, Computer-Assistedcone-beam breast CToff-focus radiationscatter correction

Identifiers

PMID29159941
PMCPMC5985236
OpenAlexW2768720080

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.