17 - Computed Tomography III (1)

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    Computed Tomography III

    Reconstruction

    Image qualityArtifacts

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    Simple backprojection

    Starts with an empty image matri! and the

    "alue from each ray in all "iews is added

    to each piel in a line through the imagecorresponding to the ray#s path

    A characteristic $%r blurring is a byproduct

    A filtering step is therefore added to correct

    this blurring

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    &iltered backprojection

    The raw "iew data are mathematicallyfiltered before being backprojected onto the

    image matri In"ol"es con"ol"ing the projection data

    with a con"olution kernel

    'ifferent kernels are used for "aryingclinical applications such as soft tissueimaging or bone imaging

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    Con"olution filters

    (ak filter increases amplitude linearly as a

    function of frequency) works well when there is no

    noise in the data Shepp*(ogan filter incorporates some roll-offat

    higher frequencies! reducing high*frequency noise

    in the final CT image

    +amming filter has e"en more pronounced high*

    frequency roll*off! with better high*frequency

    noise suppression

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    ,one kernels and soft tissue

    kernels ,one kernels ha"e less high*frequency roll*off and

    hence accentuate higher frequencies in the image atthe epense of increased noise

    &or clinical applications in which high spatialresolution is less important than high contrastresolution - for eample! in scanning for metastaticdisease in the li"er - soft tissue kernels are used- .ore roll*off at higher frequencies and therefore produce

    images with reduced noise but lower spatial resolution

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    CT numbers or +ounsfield units

    The number CT(x,y)in each piel! (x,y)! of the

    image is/

    CT numbers range from about -$!000 to 12!000

    where -$!000 corresponds to air! soft tissues rangefrom -200 to -$00! water is 0! and dense bone and

    areas filled with contrast agent range up to 12!000

    water

    wateryxyxCT

    = 3!4000!$3!4

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    CT numbers 4cont53

    CT numbers are quantitative

    CT scanners measure bone density with

    good accuracy-Can be used to assess fracture risk

    CT is also quantitati"e in terms of linear

    dimensions-Can be used to accurately assess tumor "olume

    or lesion diameter

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    'igital image display

    6indow and le"el adjustments can be madeas with other forms of digital images

    Reformatting of eisting image data mayallow display of sagittal or coronal slices!albeit with reduced spatial resolutioncompared with the aial "iews

    7olume contouring and surface renderingallow sophisticated 2' "olume "iewing

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    Image quality

    Compared with *ray radiography! CT has

    significantly worse spatial resolution and

    significantly better contrast resolution (imiting spatial resolution for screen*film

    radiography is about 8 lp%mm) for CT it is about $

    lp%mm

    Contrast resolution of screen*film radiography is

    about 9:) for CT it is about 059:

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    Image quality 4cont53

    Contrast resolution is tied to the S;R! which is related to

    the number of *ray quanta used per piel in the image

    There is a compromise between spatial resolution and

    contrast resolution

    6ell*established relationship among S;R! piel

    dimensions 43! slice thickness 4T3! and radiation dose 4'3/

    T

    SNRD

    2