A ghost story: Spatio-temporal response characteristics of an …lcr.uerj.br/Manual_ABFM/A ghost...

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A ghost story: Spatio-temporal response characteristics of an indirect-detection flat-panel imager J. H. Siewerdsen a) and D. A. Jaffray Department of Radiation Oncology, William Beaumont Hospital, Royal Oak, Michigan 48073-6769 ~Received 20 January 1999; accepted for publication 27 April 1999! Spatial and temporal imaging characteristics of an amorphous silicon flat-panel imager ~FPI! were investigated in terms relevant to the application of such devices in cone-beam computed tomogra- phy ~CBCT! and other x-ray imaging modalities, including general radiography, fluoroscopy, mam- mography, radiotherapy portal imaging, and nondestructive testing. Specifically, issues of image lag ~including the magnitude, spatial uniformity, temporal-frequency characteristics, and dependence upon exposure and frame time! and long-term image persistence ~‘‘ghosts’’! were investigated. As part of the basic characterization of the FPI, pixel dark signal and noise ~magnitude, temporal stability, and spatial uniformity! as well as radiation response ~signal size, linearity, gain, and reciprocity! were also measured. Image lag was analyzed as a function of frame time and incident exposure. First-frame lag ~i.e., the relative residual signal in the first frame following readout of an exposure! was ;2–10%, depending upon incident exposure and was spatially nonuniform to a slight degree across the FPI; second-, third-, and fourth-frame lag were ;0.7%, 0.4%, and 0.3%, respectively ~at 25% sensor saturation!. Image lag was also analyzed in terms of the temporal- frequency-dependent transfer function derived from the radiation response, allowing a quantitative description of system components contributing to lag. Finally, the contrast of objects as a function of time following an exposure was measured in order to examine long-term image persistence ~‘‘ghosts’’!. Ghosts were found to persist up to 30 min or longer, depending upon the exposure and frame time. Two means of reducing the apparent contrast of ghost images were tested: ~i! rapid scanning of the FPI at maximum frame rate, and ~ii! flood-field exposure of the FPI; neither was entirely satisfactory. These results pose important considerations for application of FPIs in CBCT as well as other x-ray imaging modalities. For example in CBCT, the magnitude of image lag is such that significant artifacts in tomographic reconstructions may result if strategies are not adopted either to reduce or correct the lag between successive projections ~e.g., rapid scanning between projections or iterative correction algorithms, respectively!. Similarly, long-term image persistence may necessitate frequent recalibration of offset corrections. © 1999 American Association of Physicists in Medicine. @S0094-2405~99!00608-2# Key words: digital x-ray imaging, flat-panel imager, amorphous silicon, image lag, image persistence, cone-beam computed tomography I. INTRODUCTION Flat-panel imagers ~FPIs! based upon arrays of hydrogenated amorphous silicon ~a -Si:H! thin-film transistors ~TFTs! in combination with either a -Si:H photodiodes and an overly- ing phosphor ~to provide ‘‘indirect’’ detection of x rays! or with a continuous photoconductive layer ~e.g., a -Se or PbI 2 , to provide ‘‘direct’’ detection of x rays! are being developed for application in medical x-ray imaging ~e.g., Refs. 1 and 2! and industrial nondestructive testing and evaluation ~NDTE!. Such devices are available in large area format ~e.g., 30 340 cm 2 !, may be packaged compactly ~e.g., ;3 cm thick!, and provide digital, real-time images. FPIs may operate in a single-shot, radiographic mode ~e.g., in chest radiography or mammography!, can be read continuously ~e.g., at 30 fps in fluoroscopy!, or can switch between these modes dynami- cally ~e.g., momentarily interrupting fluoroscopic acquisition to obtain a radiograph!. Furthermore, since such devices demonstrate relatively high resistance to radiation damage, 3 they are an attractive technology for the field of radiotherapy portal imaging. 4,5 In this paper, an experimental setup devel- oped specifically to investigate the performance of ~indirect- detection! FPIs in cone-beam computed tomography ~CBCT! 6–8 is described, and a number of imager perfor- mance parameters relevant to CBCT ~and other applications! are examined. The imaging performance of a FPI is affected by a mul- titude of characteristics, including: the behavior of pixel dark signal; 9 the linearity and gain of pixel signal response; 9 the effects of charge trapping, release, and image lag; 4,9–27 the spatial-frequency-dependent modulation transfer function ~MTF!, 5,15,28–31 noise power spectrum ~NPS!, 32 and detective quantum efficiency ~DQE!, 15,32–35 as well as contrast-detail performance. 4 This paper focuses specifically upon the sub- ject of image lag, i.e., signal present in frames subsequent to the frame in which it was generated. Image lag is a concern in CBCT, since image information carried over between successive x-ray projections causes ar- tifacts in reconstructed tomographic images. In fact, the issue 1624 1624 Med. Phys. 26 8, August 1999 0094-2405/99/268/1624/18/$15.00 © 1999 Am. Assoc. Phys. Med.

Transcript of A ghost story: Spatio-temporal response characteristics of an …lcr.uerj.br/Manual_ABFM/A ghost...

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A ghost story: Spatio-temporal response characteristicsof an indirect-detection flat-panel imager

J. H. Siewerdsena) and D. A. JaffrayDepartment of Radiation Oncology, William Beaumont Hospital, Royal Oak, Michigan 48073-6769

~Received 20 January 1999; accepted for publication 27 April 1999!

Spatial and temporal imaging characteristics of an amorphous silicon flat-panel imager~FPI! wereinvestigated in terms relevant to the application of such devices in cone-beam computed tomogra-phy ~CBCT! and other x-ray imaging modalities, including general radiography, fluoroscopy, mam-mography, radiotherapy portal imaging, and nondestructive testing. Specifically, issues of image lag~including the magnitude, spatial uniformity, temporal-frequency characteristics, and dependenceupon exposure and frame time! and long-term image persistence~‘‘ghosts’’! were investigated. Aspart of the basic characterization of the FPI, pixel dark signal and noise~magnitude, temporalstability, and spatial uniformity! as well as radiation response~signal size, linearity, gain, andreciprocity! were also measured. Image lag was analyzed as a function of frame time and incidentexposure. First-frame lag~i.e., the relative residual signal in the first frame following readout of anexposure! was ;2–10%, depending upon incident exposure and was spatially nonuniform to aslight degree across the FPI; second-, third-, and fourth-frame lag were;0.7%, 0.4%, and 0.3%,respectively~at 25% sensor saturation!. Image lag was also analyzed in terms of the temporal-frequency-dependent transfer function derived from the radiation response, allowing a quantitativedescription of system components contributing to lag. Finally, the contrast of objects as a functionof time following an exposure was measured in order to examine long-term image persistence~‘‘ghosts’’!. Ghosts were found to persist up to 30 min or longer, depending upon the exposure andframe time. Two means of reducing the apparent contrast of ghost images were tested:~i! rapidscanning of the FPI at maximum frame rate, and~ii ! flood-field exposure of the FPI; neither wasentirely satisfactory. These results pose important considerations for application of FPIs in CBCTas well as other x-ray imaging modalities. For example in CBCT, the magnitude of image lag issuch that significant artifacts in tomographic reconstructions may result if strategies are not adoptedeither to reduce or correct the lag between successive projections~e.g., rapid scanning betweenprojections or iterative correction algorithms, respectively!. Similarly, long-term image persistencemay necessitate frequent recalibration of offset corrections. ©1999 American Association ofPhysicists in Medicine.@S0094-2405~99!00608-2#

Key words: digital x-ray imaging, flat-panel imager, amorphous silicon, image lag, imagepersistence, cone-beam computed tomography

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I. INTRODUCTION

Flat-panel imagers~FPIs! based upon arrays of hydrogenatamorphous silicon~a-Si:H! thin-film transistors~TFTs! incombination with eithera-Si:H photodiodes and an overlying phosphor~to provide ‘‘indirect’’ detection of x rays! orwith a continuous photoconductive layer~e.g.,a-Se or PbI2,to provide ‘‘direct’’ detection of x rays! are being developedfor application in medical x-ray imaging~e.g., Refs. 1 and 2!and industrial nondestructive testing and evaluation~NDTE!.Such devices are available in large area format~e.g., 30340 cm2!, may be packaged compactly~e.g.,;3 cm thick!,and provide digital, real-time images. FPIs may operatesingle-shot, radiographic mode~e.g., in chest radiography omammography!, can be read continuously~e.g., at 30 fps influoroscopy!, or can switch between these modes dynacally ~e.g., momentarily interrupting fluoroscopic acquisitioto obtain a radiograph!. Furthermore, since such devicedemonstrate relatively high resistance to radiation dama3

they are an attractive technology for the field of radiothera

1624 Med. Phys. 26 „8…, August 1999 0094-2405/99/26 „8

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portal imaging.4,5 In this paper, an experimental setup devoped specifically to investigate the performance of~indirect-detection! FPIs in cone-beam computed tomograp~CBCT!6–8 is described, and a number of imager perfomance parameters relevant to CBCT~and other applications!are examined.

The imaging performance of a FPI is affected by a mtitude of characteristics, including: the behavior of pixel dasignal;9 the linearity and gain of pixel signal response;9 theeffects of charge trapping, release, and image lag;4,9–27 thespatial-frequency-dependent modulation transfer funct~MTF!,5,15,28–31noise power spectrum~NPS!,32 and detectivequantum efficiency~DQE!,15,32–35as well as contrast-detaperformance.4 This paper focuses specifically upon the suject of image lag, i.e., signal present in frames subsequenthe frame in which it was generated.

Image lag is a concern in CBCT, since image informaticarried over between successive x-ray projections causetifacts in reconstructed tomographic images. In fact, the is

1624…/1624/18/$15.00 © 1999 Am. Assoc. Phys. Med.

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1625 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1625

TABLE I. Summary of several studies reporting upon the topic of image lag in FPIs. The top portion shows results reported fora-Si:H photodiodes incombination with either ana-Si:H TFT ~denoted PD1TFT!, dual switching diodes~denoted PD12D!, or a single switching diode~denoted PD11D!. Thebottom contains results reported for FPIs based upon the direct-detection technology of a continuousa-Se photoconductor in combination with ana-Si:H TFT~denoteda-Se1TFT!. The ‘‘Source’’ column identifies whether measurements were performed using an optical~denoted LED! or x-ray ~denoted x ray!source of irradiation. The ‘‘Method’’ column identifies whether the measurement involved the step response to irradiation~denoted SRF!, the impulseresponse~denoted IRF!, or the response in the presence of moving objects~denoted Objects!. The notation Lagun refers to thenth-frame lag, as defined inEq. ~1!.

Reference Year Detector Source Method Image lag and long-term persistence

Streetet al. ~10! 1992 PD1TFT LED SRF Estimated Lagu1,1% achievablePowell et al. ~11! 1992 PD1TFT LED SRF Lagu1;2%; Lagu2;1%Antonuk et al. ~12! 1992 PD1TFT LED SRF Lagu1;2% – 5%Fujiedaet al. ~13! 1993 PD1TFT LED IRF Showed dependence of lag on input light levelAntonuk et al. ~14! 1993 PD1TFT LED SRF Lagu1,;5%Schiebelet al. ~15! 1994 PD1TFT x ray Objects Lagu1;5%; Observe persistence att;10 sGraeveet al. ~16! 1995 PD12D LED IRF Lagu1;5%; Lagu2;1%; Lagu3;0.4%Graeveet al. ~17! 1996 PD12D LED IRF Lagu1;5% – 8%Chabbalet al. ~18! 1996 PD11D LED ¯ Lagu1,; ‘ ‘a few’’%Weisfieldet al. ~19! 1997 PD LED SRF Photodiode current decay;0.5% after 30 msAntonuk et al. ~9! 1997 PD1TFT LED SRF Lagu1;5%Antonuk et al. ~4! 1998 PD1TFT LED SRF Lagu1;10%Bruijns et al. ~20! 1998 PD1TFT x ray ¯ Observe long-term ‘‘memory effect’’Junget al. ~21! 1998 PD1TFT x ray IRF Lagu1;10%; long-term residual signal;0.1%–1%Weisfieldet al. ~25! 1999 PD1TFT x ray SRF Lagu1;2%; Observe persistence att;10 sGranforset al. ~26! 1999 PD1TFT x ray SRF Lagu1;2%; Lagu2;0.7%; Lagu3;0.5%

Polischuket al. ~22! 1998 a-Se1TFT x ray IRF Lagu1;0.4%; persistence;electronics noiseTsukamotoet al. ~23! 1998 a-Se1TFT x ray IRF Lagu1;1.5%; Lagu2;0.8%; Lagu3;0.5%Lee et al. ~24! 1998 a-Se1TFT x ray ¯ Persistent images eliminated by imager reset

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of image lag is a consideration for all of the imaging appcations mentioned above. In ‘‘single shot’’ radiographic mdalities ~e.g., chest radiography, mammography, and radtherapy portal localization!, the image lag represents ainefficiency in signal collection due to charge lost to tra~although trapped charge is released in subsequent fram!.Depending upon the magnitude of charge trapping andnoise of the acquisition electronics, it might even prove beficial to utilize the trapped charge through addition of tinitial image with subsequent dark images. In fluoroscopycourse, image lag causes spatial blurring of objects thatmoving in the radiation field;36 however, it has been shown37

that a certain amount of image lag actually improvessignal-to-noise ratio by correlating information betweframes. In fact, Wrightet al. and Colbethet al.27,38,39 pur-posely implement a recursive filter to introduce lag durifluoroscopic acquisition. In dual-mode imaging, whereFPI is switched momentarily from fluoroscopic acquisitionobtain a high-quality radiograph, image lag causes the ragraphic signal to persist in the first few frames of subsequfluoroscopic acquisition. Thus, in applications involvinsingle-shot radiography, continuous fluoroscopy, dual-mimaging, and/or multiple successive projections of a chaing scene~e.g., CBCT!, knowledge of and/or minimizationof image lag is important.

The results reported in this paper were obtained usincommercially available prototype FPI~RID 512-400 A0from EG&G Heimann40! and are reported in three sectionfundamental properties, image lag, and image ghosting. Fa number of properties considered prerequisite to a thoroinvestigation of image lag are presented, including the d

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signal characteristics and radiation response of individpixels.

Second, the magnitude, exposure and frame time dedence, temporal-frequency behavior, and spatial uniformof the image lag is characterized through measurementsder x-ray exposure. As shown in Table I, a number of studhave reported on image lag for FPIs, but only recently hthe effect been characterized under x-ray irradiation. Moover, the experimental methods employed in the studies vconsiderably. Often, measurements are made of eitherrising or falling edge of the signal response to a step functof incident radiation ~called the step response functioSRF!. Often, the response to an impulse of radiation~i.e., aradiographic exposure between frames! is considered~calledthe impulse response function, IRF!. Still other studies haveexamined the signal response under constant irradiatiothe presence of high-contrast, rapidly moving objects.nally, the manner in which lag is defined and the terminoloemployed vary among the studies. The chronological listin Table I suggests that~for indirect-detection FPIs! despitethe low image lag demonstrated in early results~e.g., 1992–1993!, later results~e.g., 1996–1998! showed higher levelsof lag ~;5%–10%!. Most recently, improvements in arratechnology have demonstrated reduced image lag~;2% orless!, comparable to that reported for direct-detection FP

Herein and as described in Sec. II, image lag is invegated through measurement of the IRF under x-ray irradtion as a function of exposure and imager frame time~i.e.,the period,Tframe, between successive readout of a givrow of pixels!. Image lag is described in terms of thnth-frame lag, Lagun , given by the ratio of the~offset-

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1626 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1626

subtracted! pixel signal in framen, Sigun , to that in the frameimmediately following a radiographic exposure~frame zero!:

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wheren is a non-negative integer. Thus, Lagu0 , the zeroth-frame lag, is unity, and Lagu1 , the first-frame lag, is thawhich is typically reported, although a number of stud~Table I! have reported lag for frames beyondn51. Directcomparison between results summarized in Table I shouldone with a degree of caution, since the lag measured udifferent experimental methods~e.g., falling or rising edgeSRF versus IRF measurements! can~and should! give differ-ent results.

Three sources of image lag in indirect-detection FPIsgenerally regarded:~1! incomplete charge transfer betweethe capacitance of the sensor elements and that of the reaelectronics;~2! finite decay time in optical emission from thx-ray converter; and~3! trapping and release of charge in thsensor elements. The first source depends upon the desithe array and amplifier electronics, but is typically smgiven that the time which the TFT is conducting during eareadout cycle is much greater than theRC time constant ofthe pixel, and that charge-integrating amplifiers~and notvoltage-sensitive amplifiers! are used in readout.11,13

A second source of image lag is the decay and aftergin optical emission from the phosphor. For the caseGd2O2S:Tb, Shepherdet al.41 report that the phosphor decays to 1/e intensity in;0.7 ms and to 1024 intensity in lessthan 10 ms. Similarly, Rudinet al.42 reported Gd2O2S:Tbdecay to 1022 intensity in 2.4 ms, consistent with the resuof Mainprize and Yaffe,43,44 who showed decay to 1021,1022, and 1023, intensity in;1.2, ;2.5, and;3.7 ms, re-spectively. Faster decay times may be achieved throughof different activators~e.g., Gd2O2S:Pr!, possibly at the cosof increased long-term afterglow.41 For the case of CsI:Tl,Blasse45 reported a 1ms decay time, and Mainprize anYaffe43,44 showed that the decay is dominated by an exnential component with lifetime;3 ms. Since typical valuesof Tframe for FPIs in medical imaging range from;30 ms~e.g., in fluoroscopy! to ;1 s ~e.g., in radiographic applications!, the contribution of phosphor decay to the total imalag is fairly small. For the measurements reported herein,frame time was varied fromTframe5200 ms up to 25.6 s, timescales at which phosphor decay contributes negligibly toage lag.

The third effect~trapping and release of charge in thsensor elements! is typically recognized as the dominasource of image lag for indirect-detection FPIs. Trappmay occur as a result of bulk effects46 ~in the i layer of thephotodiode! or surface effects~at interfaces between materals in the sensor elements!.46–48 Bulk effects include directcapture of charge at defect energy levels in the gap, followby slow release over a broad range of time constants. Csidering the density of defect states in high-qualitya-Si:H(;331015cm23),46 the capacity for trapped charge is enomous ~e.g., ;100 pC in a 400mm photodiode, which is

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about twice its parallel plate capacitance!. Surface effects toocould contribute to image lag, since the high density of dgling bonds at layer interfaces may be satisfied by constents other than Si, such as oxides, resulting in a high denof defect states at surfaces. Trapping at layer interfacemore significant for thin, multilayer structures, such asTFT. Thus, both the photodiode~through bulk effects! andthe TFT ~through surface effects! are potential sources ocharge trapping; however, the former is typically identifias the dominant source.25,46As reported elsewhere,10,11,14im-age lag is reduced by:~1! illuminating the photodiodethrough thep layer; ~2! operating the photodiode at a higbias voltage~e.g.,Vbias;25 V!; and ~3! operating at signallevels far below sensor saturation.

Finally, in Sec. III, long-term persistence~up to 1 h fol-lowing an exposure! of images of high-contrast objectsreported. Sometimes referred to as ‘‘ghosting,’’ this lonterm persistence has been observed by sevinvestigators,15,20 but the effect and its clinical implicationhave yet to be quantified. Ghosts of high-contrast obje~e.g., collimator edges, skin line, metal prosthetics, surginstruments, etc.! could have detrimental effects in any of thx-ray imaging applications mentioned above if present aperceptible level of contrast. Similar to the sources goveing image lag, the source of long-term ghosting couldclude~1! slow release of charge from deep trapping statesthe a-Si:H and/or~2! afterglow from the phosphor.

II. METHODS AND MATERIALS

A. Experimental setup

A laboratory bench consisting of an x-ray tube, objestage, and imager stage was constructed to investigateperformance of FPIs in CBCT. The x-ray tube was a GeneElectric Maxiray 75 powered by a 100 kW General ElectMSI-850 generator at a measured potential of 120 kVp. Tx-ray tube was operated under computer control and hadfollowing characteristics: a target angle of 11°; a focal spsize of 0.6 mm; inherent filtration of 1.0 mm Al~specifiedequivalent at 150 kVp!; added filtration of 1.5 mm Al plus0.129 mm Cu; and first and second HVLs of 6.1 mm~measured! and 15.6 mm Al~calculated!, respectively, at 120kVp. As shown in Fig. 1, the tube was mounted on a rigframe attached to the laboratory bench, with the x-ray bedirected horizontally. An object stage consisting of Daetranslation and rotation tables was positioned at a distanc100 cm from the x-ray source and was computer controby means of a National Instruments PC-LPM-16 I/O boaAll values of exposure~63%!, and kVp ~62 kVp! weremeasured using an RTI Electronics PMX-III x-ray multimeter with an R25 diode placed at the surface of the FPI.

The flat-panel imager~RID 512-400 A0! was constructedby EG & G Heimann Optoelectronics and consists ofa-Si:H imaging array in combination with a luminescephosphor ~Lanex Fast-B; 133 mg/cm2 Gd2O2S:Tb! alongwith a system of acquisition electronics.40 The FPI was de-signed as a prototype for investigation of the imaging perfmance of such devices at diagnostic energies, with a s

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1627 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1627

FIG. 1. Photograph of the experimental setup. The x-ray tube, object and imager stages, FPI, exposure meter, and relevant distances are labeleder~not shown! provides synchrony of the x-ray tube, translation and rotation stages, and the FPI. This system was designed to provide a well-knowreproducible geometry for investigation of the performance of FPIs in cone-beam tomography.

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mary of specifications given in Table II. The imaging arrcomprises a 5123512 matrix of a-Si:H TFTs coupled ton- i -p a-Si:H photodiodes at 400mm pixel-to-pixel pitch,giving an active area of;20.5320.5 cm2. Directed by a PC,the FPI operates asynchronously of the host computercould be addressed at frame rates of 0.04–5 fps; i.e., at frtimes ranging from 200 ms to 25.6 s. The frame time

TABLE II. Summary of the design specifications for the FPI employed inmeasurements. Designed as a prototype for investigation of FPI pemance in diagnostic x-ray imaging, the RID 512-400 A0 is among a numof FPIs to be made commercially available for academic research anding.

FPI design parameter Valuea

Array format 5123512Pixel pitch 400mmArea ;20.5320.5 cm2

Pixel fill factor 0.80Photodiode bias voltage 26 VTFT off/on voltage 210/15 VPhotodiode charge capacity ;62 pCASIC amplifier charge capacity ;23 pCADC bit depth 16 bitDark current ,3 pA/mm2

TFT thermal noise~on! ;1800 ePhotodiode shot noise~1 fps! ;1200 eDigitization noise ;630 eASIC amplifier noise ;12 700 eMaximum frame rate 5 fpsX-ray converter 133 mg/cm2 Gd2O2S:Tb

aReference 40.

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varied by means of a variable-length pause imposed ascanning all rows in a given frame, i.e., the time that tTFTs are held conducting and the time interval betweswitching successive rows is held constant. The photodibias voltage~26 V!, TFT switching voltages~210 and15V for TFT ‘‘off’’ and ‘‘on,’’ respectively !, and ASIC ampli-fier integration time~;80 ms! were held fixed at the defaulvalues set by the manufacturer. The FPI was mounted overtical frame at a source-to-imager distance of 160 cm. TFluke 52 K/J thermocouple placed inside the FPI enclosmonitored the temperature during operation.

This experimental setup was constructed specificallyprovide a system for investigation of the performance ofFPI in CBCT. Measurements reported herein are part offundamental, empirical characterization of the FPI requisto understanding and optimizing its performance in CBCand other x-ray imaging applications.

B. Fundamental pixel performance properties: Darksignal, noise, and signal response

1. Temporal characteristics of pixel dark signal

The temporal stability~‘‘drift’’ ! of the pixel dark signalwas evaluated by operating the FPI in the absence of x~i.e., in the dark! and reading the pixel values as a functionelapsed time. Prior to each measurement, the FPI wasunpowered overnight, and measurements commenced frotime, t50 ~corresponding to the time at which power wsupplied to the FPI! and extending over 6 h. The FPI waoperated at frame times from 0.2 to 25.6 s, and the temp

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ture inside the FPI enclosure was monitored continuouThe average dark signal value~for an ensemble of 10 pixels!was plotted as a function of time. Furthermore, in orderexamine the spatial uniformity of the dark signal drift, aimage obtained immediately following imager startup,I (t50), was subtracted from images obtained at later timI (t.0), to yield a drift image,I drift(t)5I (t)2I (0). Inspec-tion of the resulting drift images and image histogramslowed identification of regions exhibiting anomalous dasignal drift. As shown in Sec. III, the FPI generally exhibitesignificant drift over the first;2 h of operation. Thus, almeasurements below were performed following a warmperiod of at least 2 h.

2. Pixel dark noise

Fluctuations in pixel dark signal~the ‘‘pixel dark noise’’!were measured for values ofTframe ranging from 0.2 to 25.6s by acquiring realizations of 200 consecutive samples fr48 pixels. The analysis was equivalent to that reporpreviously,33 with slight modifications to identify variouscomponents of the pixel dark noise. From the ensemblemeasurements, three values of pixel dark noise were demined:~1! the noise from a single pixel sampled repeateds1pix ; ~2! the noise calculated from the difference betwetwo pixels lying along the same row,s2pix-row; and ~3! thenoise calculated from the difference between two pixelsthe same frame~but not lying along the same row or coumn!, s2pix-frame. The noise analysis divides each realizatiinto N groups in order to reduce possible effects arising frdark signal drift during the course of the measurement; hever, comparison of results with an without such groupwere identical, suggesting that drift during the measuremewas negligible.

As reported in a number of publications,2–4,33 the totalpixel dark noise is modeled as the sum in quadrature of vous independent noise components, including the TFT tmal noise~in the conducting state!, sTFT therm, the photodi-ode shot noise,sPD shot, the noise of the readout anamplifier electronics,samp, and the digitization noise of theanalog-to-digital conversion process,sADC . Other sources ofadditive noise include row-correlated noise arising from flutuations in the TFT gate voltage,s row , and frame flickernoise, s frame, arising from fluctuations in the photodiodbias voltage applied across the entire array. Thus, thepixel dark noise can be represented as:

s1pix2 5sTFT therm

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2 1sADC2 1s row

2 1s frame2 .

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Reduction of the row-correlated component,s row , can beachieved by subtracting the values of pixels lying alongsame gate line,33 as in the row-subtracted noise realizatiodiscussed above:

s2pix-row2 5sTFT therm

2 1sPD shot2 1samp

2 1sADC2 , ~3!

which also reduces the frame-correlated component,s frame.The frame-correlated component alone can be reduced~with-

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out affecting the row-correlated noise! by subtracting the val-ues of pixels from the same frame~but lying along differentrows and columns!:

s2pix-frame2 5sTFT therm

2 1sPD shot2 1samp

2 1sADC2 1s row

2 . ~4!

Thus, from the measurements described above, the matude of the row noise, frame flicker noise, and amplifinoise can be estimated:

s row2 5s2pix-frame

2 2s2pix-row2 , ~5!

s frame2 5s1pix

2 2s2pix-frame2 , ~6!

samp2 5s2pix-row

2 2sTFT therm2 2sPD shot

2 2sADC2 . ~7!

In order to examine the spatial uniformity of the pixdark noise, 24 consecutive images at various settingsTframe were acquired, and the standard deviation for eapixel was computed. The resulting data provided a maps1pix across the FPI.

3. Pixel signal response, linearity, gain,and reciprocity

The mean signal size for FPI pixels under x-ray irradtion was measured in a manner reported previously,9 wherethe signal from an ensemble of 20 pixels was recordedlowing exposure to the radiographic x-ray beam. Three bameasurements of signal response were performed:~1! mea-surement of the mean pixel signal as a function of expos~2! measurement of the slope of the signal response~termedthe system gain,G, with units of e/mR/pixel!; and ~3! mea-surement of the system gain as a function of incident exsure rate, varied through adjustment of the radiographicsetting. The first measurement indicates the degree of linity of system response and shows the exposure that resusaturation of the FPI. Note from Table II that for the Funder investigation, it is the charge capacity of the ASamplifier ~and not the photodiode! that determines the saturation signal. The second measurement characterizes thetem gain~i.e., the amount of signal collected per unit expsure to the FPI!. The third measurement demonstratesdegree to which the signal response satisfies reciprocity,the degree to which the signal resulting from a given exsure is independent of the exposure rate. Operated in ragraphic mode, the lowest and highest exposure rates alloby the MSI-800 were (15.360.6) mR/s and (916.6610.1) mR/s, thereby allowing investigation of reciprociover a factor of;60 in exposure rate and building upoearlier results49 which demonstrated reciprocity over a factof ;5 in exposure rate~4.8–22.4 mR/s!.

C. Impulse response characteristics: Image lag

Image lag was characterized through measurement oftemporal response of the FPI to a radiographic exposcalled the IRF. The synchronization between the radgraphic x-ray source and readout of the FPI is the samedescribed elsewhere,9 in which radiographic x-ray pulsewere delivered between image frames. The frame imme

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1629 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1629

ately following the x-ray pulse~frame 0! contains the radio-graphic image, and subsequent frames~frames 1, 2, and soon! contain signal attributable to lag.

In order to examine the magnitude, exposure dependeand frame-time dependence of the image lag, IRFs wmeasured for an ensemble of 20 pixels. Each IRF wassamples in length: The first 49 samples were used to estimthe pixel dark signal~to be subtracted!; a radiographic expo-sure was made just prior to the 50th frame~called framezero!; and thenth frame lag was computed using Eq.~1!from the remaining 50 samples. Each measurement wapeated five times, and the results were averaged~over thefive repeat IRFs and over the 20 pixels! to yield the reportedvalues of Lagun .

A relevant concern iswhether it is primarily the numbeof reads or the amount of elapsed time following the initexposure that determines the amount of residual sigpresent in subsequent frames. To address this issue, mesurements were performed at values ofTframeof 0.2, 0.4, 0.8,1.6, 3.2, and 6.4 s, and the resulting IRFs and Lagun wereplotted as a function of both frame number and elapsed tiTo examine the dependence of image lag on signal smeasurements were performed at exposures spanningsensitive range of the detector.

The temporal-frequency characteristics of the imagewere analyzed by Fourier transform of the IRF, yielding ttemporal-frequency-dependent transfer function,Tlag(v)~similar to the transfer function common to digital signprocessing, e.g., as in Ref. 50!:

Tlag~v!5uF@ IRFnorm~ t;n!#u, ~8!

where v is the temporal-frequency~units s21 or frame21!Fourier pair coordinate to time,t, or frame number,n.IRFnorm(t;n) is the area-normalized impulse response fution, andF represents the Fourier transform operation, coputed using a fast-Fourier algorithm inMATLAB .51 Clearly, adetector with Lagun.050 hasTlag(v)51 up to the Nyquistfrequency (vNyq51/2/Tframe). Analysis of the image lag inthis manner is insightful for a number of reasons. Firstprovides a straightforward temporal analog to the spaconcepts widely employed in image science; that is, insame sense that the MTF describes the transfer of signvarious spatial frequencies and provides a quantitativescription of spatial blur,Tlag(v) describes the transfer oinformation at various temporal frequencies and providequantitative description of ‘‘temporal blurring’’ that resulfrom image lag. In a similar manner to MTF reducing tindividual pixel noise33 and noise-power spectrum througcorrelation of signal in space,Tlag(v) reduces the noise insuccessive samplings of a given pixel through correlationsignal between frames.33,34 Furthermore, analysis ofTlag(v)provides a ‘‘systems’’ description of the processes resultin image lag. Hence, just as the MTF for an imaging systis given by the product of the MTFs of its various compnents ~e.g., focal spot, phosphor blur, and sampling apture!, Tlag(v) is the product of the temporal transfer funtions of components responsible for image lag~e.g., radiation

Medical Physics, Vol. 26, No. 8, August 1999

e,re0te

re-

lal

e.e,the

g

--

tl

eat

e-

a

f

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wave form, phosphor decay and afterglow, and trappingrelease of charge ina-Si:H!. Thus,Tlag(v) allows identifi-cation of the system component that dominates the tempresponse. Finally, analysis ofTlag(v) allows identification ofvarious temporal-frequency characteristics of the imageFor example, degradation ofTlag(v) at frequencies close tothe Nyquist frequency corresponds to image lag betwsuccessive frames~e.g., between frame 0 and frame 1!,whereas degradation nearv50 corresponds to longer termsignal retention.

To investigate the spatial uniformity of the image laIRFs for the 5123512 pixels were examined, and the resuing Lagun were plotted as a function of spatial position. Aexposure level of;2 mR ~;20% saturation! and a frametime of 3.2 s were used. For these measurements, eachconsisted of 30 samples: the first 10 samples were useestimate the pixel dark signal; and the radiographic exposwas delivered just prior to the 11th frame. The measuremwas repeated ten times, and the results were averaged.

Finally, the visual impression of image lag in successradiographs was examined by acquiring images of movobjects placed at 100 cm from the source. Two typesobjects were considered: a linear array of Pb BBs anstrongly attenuating edge~a Bi–Pb slab!, each translated laterally across the field of view~FOV! while successive radiographs were acquired. For the moving edge, two sets of msurements were performed: one with the slab moving outhe FOV and one with the slab moving into the FOV. Sumeasurements illustrate the effect of image lag under cotions where subsequent frames experience a high expocompared to conditions where such frames are in the shaof the slab.

D. Long-term image persistence: Ghosts

The persistence of images up to 1 h following an exposurewas examined at various settings ofTframe and at exposuresup to and exceeding sensor saturation. A Pb slab with a;2cm hole was placed in a rigid mount at 100 cm from tsource. With the imager operating at a given value ofTframe,an initial image of the object was obtained~at time t50!,and the local contrast of the hole was analyzed as a funcof elapsed time for up to 1 h. Local contrast was analyzfrom the~ensemble average! pixel signal in the region of thehole, Siguhole, relative to the~ensemble average! pixel signalbehind the Pb slab, SiguPb:

Clocal5Siguhole2SiguPb

Siguhole. ~9!

Measurements were performed atTframe settings of 0.2, 1.6,6.4, and 25.6 s and at exposures of;20%, 50%, 100%, and300% saturation. These measurements illustrate the matude of ghosting for the simple case of a single high-controbject following a single exposure. The effect was observto be smaller for objects of low contrast; furthermore, teffect is expected to depend on the history of FPI exposand operation, e.g., upon the number of exposures delive

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tc

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1630 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1630

the cumulative exposure, the intensity of irradiation, eSuch issues are beyond the scope of this study.

Finally, two methods of reducing the contrast of ghowere examined. The first method involved rapid scanningthe FPI at maximum frame rate in an attempt to ‘‘flush’’ thghost signal out of the imager. In this case, a relativstrong ghost was induced by forming an image of the hole~atan exposure;300% saturation! with the FPI operated aTframe56.4 s. Then, att;30 s, the FPI was switched to ithighest frame rate setting (Tframe5200 ms) and cycled for600 frames before being switched back toTframe56.4 s. Thelocal contrast of the hole was measured, and at timt;3 min, the FPI was switched again toTframe5200 ms thistime for 1500 frames. Finally, the FPI was switched backTframe56.4 s, and the local contrast of the hole was measufor 1 h. The plot ofClocal versus time for the rapid-scanninmethod was compared to the case where the FPI was oated at constant frame time.

The second strategy for reduction of ghost imagesvolved flood-field exposures delivered following the initiexposure. An image of the hole was obtained~with exposure;300% saturation andTframe56.4 s!, and Clocal was mea-sured as a function of elapsed time. Immediately followithe initial exposure, the Pb slab was removed from the FOand at timest;30 s andt;3 min, a flood-field exposure~exposure;100% saturation! was delivered. The local contrast for the case of the flood-fielding method was compato the case in which the imager was operated continuousthe dark.

III. RESULTS AND DISCUSSION

A. Fundamental pixel performance properties

1. Temporal stability and spatial uniformity of pixeldark signal

Figure 2 plots the pixel dark signal as a functionelapsed time for the FPI operated atTframe settings from 0.2to 25.6 s. The magnitude and trend in the dark signal drifseen to depend strongly on the selected frame time.Tframe less than;6.4 s, the dark signal exhibits an initiadecrease, which stabilizes asymptotically within 1–2 h.larger frame times, the dark signal initially decreases, tincreases sharply before stabilizing. In each case, howethe pixel dark signal is seen to be fairly stable after a ‘‘warup’’ period of ;2 h. Superimposed in Fig. 2 is a plot of thtemperature measured inside the FPI enclosure duringmeasurements. Starting from an ambient temperature;18 °C, the temperature increases rapidly after the FPswitched on, rising to a stable temperature of;33 °C within;1.5 h. The change in temperature is strongly correlawith the observed drift in pixel dark signal, and it is likethat the dark signal drift is at least partly the resulttemperature-induced changes in the leakage currents oTFT and photodiode. Furthermore, it should be noted thatpixel dark signal does not ‘‘reset’’ simply by changing thframe time. Rather, pixel dark signal appears strictly cor

Medical Physics, Vol. 26, No. 8, August 1999

.

sf

y

od

er-

-

,

din

sor

tner,-

heofis

d

fhee

-

lated with the temperature of the FPI and, even during‘‘warm-up’’ period, switching between settings ofTframe

simply switches between the drift curves.The spatial uniformity of dark signal drift was analyze

by computing difference images relative to an image otained at timet50. Shown in Fig. 3 are difference imagest51, 2, and 6 h for frame times of 0.2, 0.8, 3.2, and 25.6For the lowest setting ofTframe, the drift is fairly uniformacross the array, and the histograms of pixel dark signal sdownward as implied by Fig. 2, but do not broaden signcantly. Close examination~e.g., in the circular, histogramequalized areas of each image! reveals a number of regionthat exhibit higher drift. At larger values ofTframe, theseirregularly shaped regions become quite apparent, exhibidark signal drift;2–3 times greater than surrounding rgions. Furthermore, pixels about the perimeter of suchgions exhibit dark signal that did not stabilize even withinh but increased in a monotonic fashion over the course ofmeasurements. Thus, the spatial uniformity of the pixel dsignal is poor; however, such nonuniformities can be eciently eliminated from x-ray images by means of a simpoffset correction, provided that the dark signal is spatiastationary. The fact that certain regions exhibit dark sigdrift that does not perfectly stabilize, however, suggeststhe offset image used in gain-offset corrections shouldobtained as close as possible~e.g., immediately prior! to theimage to be corrected.

2. Pixel dark noise

Pixel dark noise measured as a function of frame timeplotted in Fig. 4. The pixel noise is nearly the same~;13 100e! for the cases of row-subtracted and frame-subtracted spling, suggesting that the row-correlated noise is small. Tis likely due to the implementation of correlated double sapling ~CDS! circuitry in the readout electronics, which form

FIG. 2. Temporal stability of pixel dark signal. The dark signal drift wcharacterized by measuring the pixel dark signal over a period of 6various settings of imager frame time. An arbitrary offset has been appto each curve for purposes of presentation; thus, each curve indicatechange in pixel dark signal relative to an initial, arbitrary value at the tiwhich power was supplied to the FPI. Superimposed is a plot of the tperature measured inside the FPI enclosure.

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zero. Theing to

choice of

1631 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1631

FIG. 3. Spatial uniformity of dark signal drift. Each image represents the difference between dark-field images acquired at a given time and timegrayscale chosen for each plot was separated into two regions:~1! a common grayscale applied across each image, with lighter shades correspondpositive drift; and~2! a circular region in the upper-right quadrant of each image that has been independently histogram equalized. The formergrayscale allows quantitative comparison of the dark signal drift between all conditions; the latter illustrates nonuniformities that are too subtle to be visualizedthrough a single choice of grayscale.

lein

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an efficient high-pass filter of correlated noise. The singpixel noise exhibits significant frame time dependence,creasing from;13 300 e atTframe5200 ms to;22 500 e atTframe525.6 s. From Eqs.~5! to ~7!, it is concluded that therow-correlated noise is negligible, and that two componedominate the total pixel noise: the amplifier noise,samp, andthe frame flicker noise,s frame. The amplifier noise is estimated at;12 700 e and is the dominant component at lframe times. The frame flicker noise is apparently dependupon the frame time, becoming the dominant noise soufor Tframe greater than;3 s.

The spatial uniformity of the pixel dark noise is shownFig. 5, wheres1pix is plotted as a function of position fofour settings ofTframe. At the lowest frame time, the pixenoise is fairly uniform across the FPI, with slight differencbetween eight rectangular sections that are addresseseparate banks of readout electronics. At higher valueTframe, a number of irregularly shaped regions~coincidingwith the regions of anomalous drift! are evident, withanomalous pixels exhibiting dark noise approximately 2times larger than ‘‘normal’’ pixels. Two corners of the FPdemonstrate similarly increased pixel dark noise. The cafor the anomalous behavior in these regions is unclear,

Medical Physics, Vol. 26, No. 8, August 1999

--

ts

nte

byof

5

sel-

though it may be related to increased leakage current, pobly due to nonuniform quality of processing and/or passition. The variation in pixel dark noise across the F@standard deviation;(2 – 5)3103 e is small relative to themean pixel dark noise (;133103 e) and is negligible com-pared to the x-ray quantum noise~e.g.,;1003103 e/pixel at1 mR! for this FPI system configuration.34

3. Signal response, linearity, gain, and reciprocity

Figure 6 shows the signal response characteristics ux-ray irradiation. The FPI exhibits a linear response at exsures up to;5 mR, beyond which the linearity degrades athe system~i.e., the amplifier! reaches saturation at;10 mR.The system gain,G ~calculated from the slope of the signresponse curve below;2 mR! is ;183106 e/mR. Figure6~b! plots the slope of the signal response as a functionexposure and shows that the FPI maintains a linear respto within 5% across;50% of its sensitive range. The systeG measured as a function of kVp exhibits a spectral enedependence similar to that reported previously for a differdesign of FPI:9 G (80 kVp)5(14.560.8)3106 e/mR; G (90 kVp)

5~16.560.9!3106 e/mR; G (100 kVp)5~17.860.7!3106 e/mR;

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aruao

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1632 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1632

G (110 kVp)5(18.361.0)3106 e/mR; G (120 kVp)5(18.360.7)3106 e/mR; andG (130 kVp)5(18.460.6)3106 e/mR. The in-crease inG with kVp is well explained by a cascaded linesystems model that describes the tradeoffs in phosphor qtum detection efficiency and optical gain as a functionx-ray energy.32–34

The dependence of signal size upon the intensity of indent radiation~the so-called ‘‘reciprocity’’ of the signal! wasinvestigated by measuringG as a function of exposure rate.is a well-known effect with screen-film systems that the otical density can depend upon the particular combinationexposure rate and exposure time; however, such a phenenon has been investigated little for FPIs.49 As shown in Fig.6~c!, over the range of exposure rates examined, no dedence ofG on exposure rate was observed; therefore, fogiven exposure, the FPI signal is independent of the exsure rate.

B. Impulse response characteristics: Image lag

Image lag was investigated in terms of:~1! its dependenceupon frame time and signal size;~2! its temporal-frequencytransfer function;~3! its spatial uniformity across the FPand ~4! the visual impression of image lag in successivediographs of moving objects.

1. Image lag: Impulse response functions

It is reasonable to consider whether the amount ofsidual signal~in frame n! following an exposure dependprimarily upon n or upon elapsed time. That is,is it the

FIG. 4. Pixel dark noise vs frame time. Data labeleds1pix , s2pix-frame, ands2pix-row are from measurements of the pixel noise from a single psampled repeatedly, from a pixel pair within the same frame~but not alongthe same row or column!, and from a pixel pair along the same row, respetively. ~See the text for details!. Lines connecting the data points~in this andsubsequent figures! are provided merely for clarity. Superimposed are cculations of the TFT thermal noise, the photodiode shot noise, anddigitization noise, all of which are found to be small in comparison tototal measured noise.

Medical Physics, Vol. 26, No. 8, August 1999

n-f

i-

-fm-

n-ao-

-

-

l

e

FIG. 5. Spatial uniformity of the pixel dark noise. Each image showsindividual pixel noise,s1pix , as a function of spatial position across the FPThe grayscale was independently adjusted in each plot to maximize conHistograms for each plot give some quantification of the spatial uniformof pixel dark noise: atTframe50.2 s, the mean~mode! value of the noise is12 900~13 000 e! with a standard deviation of 2160 e, atTframe51.6 s, themean ~mode! value of the noise is 16 500 e~16 100 e! with a standarddeviation of 3240 e, forTframe56.4 s, the mean~mode! value of the noise is22 100 e~21 800 e! with a standard deviation of 3960 e, finally, forTframe

525.6 s, the mean~mode! value of the noise is 22 300 e~21 500 e! with astandard deviation of 5340 e. These results are consistent with the meaments plotted in Fig. 4.

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ilyea

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1633 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1633

number of reads, n, or the amount of time, t, that primardetermines the magnitude of residual signal in subsequframes? To answer this question, IRFs were analyzed botha function ofn and elapsed time. Figure 7~a! shows six IRFsplotted as a function of the number of reads, and it is s

FIG. 6. Radiation response characteristics of the FPI.~a! Mean signal size asa function of exposure to the detector across the sensitive range of the~b! Slope of the signal response curve, i.e., gain, across the sensitiveof the detector.~c! The dependence of the system gain,G, upon exposurerate, measured from;15 to ;900 mR/s~a factor of 60 in intensity!. Allvalues of exposure and exposure rate reported herein were measuredsurface of the FPI.

Medical Physics, Vol. 26, No. 8, August 1999

nts

n

that the IRFs are nearly identical for all settings ofTframe.This strongly suggests that thenth frame lag~at least for 1<n<20 and across a factor of 32 in frame time! is depen-dent primarily upon the number of reads, rather than the tsince the exposure. The results plotted in the time dom@Fig. 7~b!# suggest the same conclusion, where each IRFseen to separate, with Lagun51;(2.860.7)%, Lagun52

;(0.7460.06)%, and so on across all settings of framtime. The degree of dependence upon frame time is smacomparison to that upon frame number, but is evident notheless, as seen in the dashed lines connecting the data pin Fig. 7~b! and in the plot of Fig. 7~c!. Still, the fractionalsignal level is determined primarily by the number of reaThis point is reiterated in the plot of Fig. 7~c!, which showsthenth-frame lag as a function ofTfame. For Lagun51 there isa measurable increase in image lag with increasing fratime, ranging from (2.0160.67)% at Tframe5200 ms to(3.7860.28)% atTframe56.4 s. This is consistent with thcommon notion that, for an amorphous semiconductor withigh density of deep trapping states, the longer one waits,more charge is released from traps. The effect is cleadominated by the number of reads, however~i.e., by thenumber of times that the pixel is reinitialized!, and withinexperimental error the Lagun curves forn.1 are flat.

A valid interpretation of these results~e.g., in the contextof CBCT! is that for a given time interval between succesive projections~e.g., 1–10 s!, it may be advantageous tscan the FPI at maximum frame rate in order to ‘‘flush’’ thlag signal between projections. For example, if the nomiTframe for image acquisition is 1.6 s, and the interval betwesuccessive projections is 3.2 s, then the amount of resisignal could be reduced from Lagun52 ~;0.7%! to Lagun516

~negligible! by switching temporarily toTframe5200 ms be-tween projections. Alternatively, the FPI could be operacontinuously at high frame rate, allowing residual signalbe ‘‘flushed’’ between projections. Exploration of such lasuppression procedures and determination of their effupon CBCT reconstructions are the subject of ongoing invtigation.

The dependence of image lag on signal size was exined by measuring IRFs as a function of exposure todetector across the latitude of the FPI~at Tframe53.2 s!. Asshown in Fig. 8, Lagun increases significantly as a function osignal size. For example, the first-frame lag at exposure10%, 25%, 50%, and 75% saturation is;3%, 3.6%, 5.2%,and 9%, respectively, and Lagun for highern exhibit a similartrend. Figure 8~b! plots thenth-frame lag versus exposureLagun51 is as low as;2.5% ~at 5% saturation! and as highas ;13.5% ~at 90% saturation!, a factor of 5.4 across thelatitude of the detector.

One implication of the exposure dependence of theconcerns implementation of image lag correction algoriththat have been proposed for CBCT to reduce the effect ofon tomographic reconstructions. One possible meanswhich such algorithms could reduce the effect of lag in scessive projections is to correct thei th projection by sub-tracting the (i 21)th projection weighted by Lagun51 @and

PI.ge

the

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1634 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1634

FIG. 7. Dependence of image lag upon frame time and number of reacycles. ~a! IRFs plotted as a function of readout cycle for six settingsTframe. ~b! The same IRFs plotted as a function of time. The dashed lijoin values measured at various settings ofTframe. ~c! Plot of thenth-framelag vs frame time. These illustrate that the residual signal level depeprimarily upon frame number, although there is a measurable dependupon time for Lagun51 ~increasing from 2.0% to 3.7% across a factor ofin frame time!. Within experimental error, the curves for higher-order lare nearly flat, with values of Lagun52;0.74%, Lagun53;0.42%, Lagun54

;0.29%, and Lagun510;0.09%, for example.

Medical Physics, Vol. 26, No. 8, August 1999

the (i 22)th projection by Lagun52 and so on#. The results ofFig. 8~b!, however, suggest that a single value of Lagun51 ,Lagun52 , etc., may be insufficient for such correctionrather, an algorithm may provide better results if thei th pro-jection is corrected by subtracting the (i 21)th projectionweighted by the values of Lagun51 appropriate to the exposure to each pixel in the (i 21)th exposure@which may beobtained from the pixel value in the (i 21)th exposure#. Theperformance of such correction algorithms, the benefitsincluding exposure dependence in corrections, and investtion of the optimal number of recursive subtractions is tsubject of future work.

2. Image lag: Temporal-frequency-dependenttransfer functions, T lag„v…

The temporal-frequency-dependent transfer function wdetermined by Fourier transform of the IRFs measured afunction of exposure. From the IRFs plotted in Fig. 9~a!~obtained atTframe53.2 s!, the temporal transfer functions

utfs

dsce

FIG. 8. Dependence of image lag upon exposure to the detector.~a! IRFsmeasured at exposures corresponding to 10%, 25%, 50%, and 75% osaturation signal. In all cases, the saturation exposure was taken to bmR. ~b! Plot of thenth frame lag vs exposure to the detector, expresseda percent of the saturation exposure. For alln(1<n<10), the image lagincreases by a factor of;5 over the latitude of the detector~from 5% to90% saturation!.

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1635 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1635

FIG. 9. Temporal-frequency characteristics of the image lag.~a! IRFs ac-quired at exposures corresponding to 5%–100% of signal saturation.IRF consists of 50 samples following the radiographic exposure and exhexposure-dependence consistent with the results of Fig. 8.~b! Temporaltransfer functions,Tlag(v), derived from the normalized IRFs by Fourietransform.~c! Temporal transfer functions~at 50% saturation! of the varioussystem components contributing to image lag. The solid curves corresto the transfer functions of the x-ray source (Txray), the x-ray converter(TGOS), and charge transfer between the sensor and the amplifier (Tamp); thedashed curve corresponds to the effect of trapping and release in the s(Ta-Si), derived from the other transfer functions.

Medical Physics, Vol. 26, No. 8, August 1999

Tlag(v), were derived and plotted in Fig. 9~b!. The temporal-frequency domain can be expressed either in terms of cyper frame ~with units of frame21 and Nyquist frequency,vNyq50.5 frame21! or cycles per second~with units of s21

andvNyq51/2Tframe!. However, since the image lag depenprimarily upon frame number rather than time~Fig. 7!, theformer choice for the frequency domain is employed. Fexposures less than;50% of saturation,Tlag(v) is greaterthan ;85% out to the Nyquist frequency. At higher expsures the transfer function degrades~e.g., as low as;55%near the Nyquist frequency for signal near saturation!. Asexposure increases, the degradation inTlag(v) at all temporalfrequencies suggests that the exposure dependence of Lunis similar for all n ~at least for 1<n<50!, consistent withFig. 8~b!. Even at the lowest frequency measured~v50.02 frame21, corresponding ton550!, there is slight deg-radation inTlag(v), suggesting slight signal retention outthe 50th frame~160 s!. Accurate IRF measurements ovlonger time scales are complicated by drift in the pixel dasignal; therefore, signal retention over extended time sc@corresponding to a low-frequency drop inTlag(v)# is inves-tigated in terms of ‘‘ghosts’’~discussed below!.

Analysis of the temporal transfer function,Tlag(v), al-lows a ‘‘systems’’ view of the FPI components contributinto image lag. In the temporal domain@or the frame numberdomain–Fig. 9~a!# the total, measured IRF is given by convolution of the IRFs of the individual components; in thtemporal-frequency domain@Fig. 9~b!# Tlag(v) is given bymultiplication of the transfer functions of each componeAt least four temporal components can be identified:~1! tem-poral decay in the incident x-ray fluence;~2! decay and af-terglow in the converting medium;~3! charge trapping andrelease in the sensor elements; and~4! signal transfer be-tween the sensor elements and the readout electronics.is illustrated in Fig. 9~c!, which plotsTlag(v) in comparisonto the transfer functions of these four components:Tx ray,TGOS, Ta-Si , andTamp, respectively.Tx ray was derived fromthe measured x-ray radiation wave form~obtained using thePMX-III multimeter and an oscilloscope!. Given the syn-chronization between the radiographic x-ray pulse andager readout, the integrated intensity of the x-ray sourceessentially a delta function in the frame number domahence,Tx ray is unity. TGOS was estimated based upon thphosphor decay measurements of Shepherdet al.41 andMainprize and Yaffe.43,44 Two components of phosphor aterglow were assumed in the estimation: decay~at a level of0.01% for n51! and afterglow~at a level of 0.0001% forn>2!. Again, for the integration times achievable with thFPI, the IRF was nearly a delta function in the frame numdomain; henceTGOS is near unity. Signal retention due tincomplete charge transfer between the sensor and the enal electronics was conservatively estimated at a level offor all n; hence,Tamp is greater than 98% out tovNyq . Fi-nally, the component corresponding to trapping and releof charge,Ta-Si , was obtained by dividing the measureTlag(v) by the product ofTx ray, TGOS, andTamp. The resultis that the total image lag for the FPI is strongly dominat

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1636 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1636

by the effect of charge trapping and release in thea-Si:Hsensor elements.

3. Image lag: Spatial uniformity

The spatial uniformity of the image lag was measuredacquiring IRFs for all pixels on the array. As shown in F10, the image lag is uniform to within;1% ~ranging from;2.5% to 3.5%! across most of the FPI, although thereevidence of increased lag~by a factor of 2–3! in severalregions ~corresponding to the regions of anomalous pidark noise in Fig. 5!. The cause for this variation in Lagun51

is likely the result of nonuniform processing/qualitya-Si:H in the array. Its presence suggests, among othings, that lag correction algorithms for CBCT~mentionedabove! should consider not only the magnitude of Lagun andits dependence upon exposure, but also the~stationary! spa-tial dependence of Lagun across the FPI. That is, Lagun de-pends uponn @Fig. 7~a!#, exposure@Fig. 8~b!#, and to someextent upon position~Fig. 10!.

4. Image lag: Visual impression in successiveprojections

Finally, the visual impression resulting from image labetween successive radiographs was examined by acquimages of moving objects, including a linear array of Pb Band an angled Bi–Pb edge. The image in Fig. 11~a! clearlyshows the position of the BBs at the time of the expos~labeled ‘‘0’’!; however, image lag~at a level of Lagun51

;3.3%! results in the presence of a clearly visible artifafrom the previous exposure~labeled ‘‘1’’!. Artifacts from theimage obtained two frames prior~at a level of Lagun52

FIG. 10. Spatial uniformity of the~first-frame! image lag. The image showLagun51 for all 5123512 pixels plotted as a function of spatial positioacross the FPI~for an exposure of;2 mR and aTframe setting of 3.2 s!. Thegrayscale was adjusted to maximize the displayed contrast, and a histoof lag values is superimposed.

Medical Physics, Vol. 26, No. 8, August 1999

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;0.74%! are barely visible~labeled ‘‘2’’!, and artifacts fromprevious frames are imperceptible. Presumably, the visibof such artifacts increases for higher exposures and for laobjects.

Figures 11~b! and 11~c! show images of a Bi–Pb alloyslab moving into~b! and out of~c! the FOV. The image inFig. 11~b! exhibits step artifacts from not only the previouframe ~labeled ‘‘1’’! but from the previous three or fouframes as well~or more, depending upon the choice of grascale window!. In Fig. 11~c!, step artifacts from the previoutwo or three images are discernible. The fact that fewer sartifacts are discernible in the case of Fig. 11~c! than in Fig.

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FIG. 11. Visual impression of image lag in successive radiographs.~a! Aportion of a single image from a series of radiographs acquired~with anexposure of;2 mR/frame and a frame time of 6.4 s! as a line of BBs wastranslated across the FOV, from left to right as indicated by the arrow.~b!and ~c! Images from a series of successive radiographs during whichedge of a Bi–Pb alloy slab was translated into@to the left~b!# and out of@tothe right~c!# the detector FOV. The relative signal along a row in the cenof the image is illustrated in the signal profiles superimposed in~b! and~c!.

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1637 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1637

FIG. 12. A ghost in the machine. Images~of a 2 cmhole in a Pb slab! acquired at times 0, 1, 5, 10, 30, and 60 min following an exposure~at ;10 mR! areshown for continuous FPI operation at frame times of 0.2, 1.6, 6.4, and 25.6 s. Each image represents a small region (1203120 pixels) in the lower left ofthe FPI. All images att.0 were obtained without x-ray irradiation~i.e., in the dark!. In the upper left of each image, the number of frames read followthe exposure is indicated. In the lower-left of each image, the contrast of the hole is expressed in terms of the exposure that would produce anntdifference in signal level~expressed in units ofmR and denotedmRequiv!.

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11~b! points out an interesting consideration concerningeffect of image lag on clinical images: The visibility of laartifacts is greater in regions of lower signal; and, the appeance of such artifacts is reduced in regions of high signThis is due to at least two effects:~1! the contribution of lagsignal relative to the signal generated on the current framlarge ~small! in regions of low~high! exposure; and~2! theelectric field across the photodiode is higher for regionslow signal, resulting in greater extraction of trapped chafrom previous frames. This difference also points out anportant caveat in interpreting lag results measured using vous IRF, SRF, and moving object techniques~as in Table I!:The case of Fig. 11~b! is analogous to a falling-edge SRmeasurement, whereas that of Fig. 11~c! is analogous to arising-edge SRF measurement; a moving slit would be angous to an IRF measurement. The implications of thesesults for applications involving high-contrast moving edgare obvious. For example, on-line verification imagingradiotherapy regimens employing dynamic collimation~e.g.,dynamic multileaf collimation! may exhibit such artifacts afield edges, which are often the regions of interest for polocalization.

C. Ghosts

The long-term persistence of ‘‘ghost’’ images was invetigated by acquiring images of a hole drilled in a Pb slab

Medical Physics, Vol. 26, No. 8, August 1999

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a function of time following exposure. At timet50, an ex-posure was made, and images were acquired continuofor up to 1 h atvarious settings ofTframe. Figure 12 showsexample images that demonstrate the ‘‘ghosting’’ effe~1203120 pixel region in the lower left-hand side of thFPI!. For Tframe5200 ms, the ghost image is barely percetible at t51 min, and it is imperceptible att55 min. Athigher settings ofTframe, the ghost image persists longer. Fexample, atTframe525.6 s, the ghost image is clearly visibat t530 min and barely visible att560 min. Typically, theghost image becomes imperceptible at a contrast equivato ;2 mR ~within the hole!, corresponding to a signal difference of ;~183106 e/mR!3~0.002 mR!;36 000e ~which is;2–3 times the pixel dark noise!.

At first glance, one might conclude that the contrast ofghost is simply a function of the number of frames@such asdemonstrated for image lag in Fig. 7~a!# and that by readingout many frames, the ghost is made imperceptible; howethat is not entirely the case. For example, consideringimage at ~t530 min, Tframe525.6 s!, the contrast corre-sponds to 4.5mRequiv after ;71 readout cycles; on the othehand, the image at~t510 min; Tframe56.4 s! exhibits6.6mRequiv following ;94 about readout cycles. Thereforthe contrast is greater in the latter case despite a grenumber of reads. This implies a mechanism for ghosting tdepends not upon the number of readout cycles, but u

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1638 J. H. Siewerdsen and D. A. Jaffray: A ghost story: Image lag in flat-panel imagers 1638

time. To illustrate this point further, consider the three iages at @~t560 min; Tframe525.6 s!, ~t530 min; Tframe

56.4 s!, and~t510 min; Tframe51.6 s!#. For these three im-ages, the number of readouts is 141, 282, and 375, restively; however, the contrast corresponds to 1.2, 2.2,2.7mRequiv, respectively, which follows a trend contradictoto a frame-dependent ghosting mechanism. Ratherstrongly suggests a long-term mechanism that dependsupon the number of reads, but upon the amount of time

FIG. 13. Long-term persistence~‘‘ghosting’’ ! of the image of a hole in a Pbslab. The local contrast of the hole is plotted vs time forTframe settings of0.2, 1.6, 6.4, and 25.6 s for exposures of;2, 5, 10, and 30 mR@~a!, ~b!, ~c!,and ~d!, respectively#. Typically, the ghost image of the hole is impercetible at local contrast values of;0.01–0.02.

Medical Physics, Vol. 26, No. 8, August 1999

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lowing the initial x-ray exposure. This mechanism is qudistinct from that governing image lag~which was shown todepend primarily on the number of reads over the fi;10–20 frames following exposure!.

Figure 13 shows plots of the local contrast computed frghost images of the hole at various exposures andTframe

versus time following the x-ray exposure. At the lowest eposure@2 mR, as in Fig. 13~a!#, ghosting appears negligibleand the level of contrast exhibited in the first minute following the exposure is consistent simply with the image lag.higher exposures, however, and especially beyond sesaturation, the contrast of ghost images att.1 min is largefor high settings ofTframe. Furthermore, it should be notethat at a given time following the exposure~say,t510 min!,the ghost image may be imperceptible at lowTframe, but ifthe imager is switched to largeTframe, the ghost is readilyapparent. For example, an experiment was performedwhich an image of the hole was formed at 10 mR and wTframe5200 ms. Following the exposure, the FPI was cyccontinuously in the dark at this same frame rate, andghost was imperceptible following;1 min, as suggested bthe lowest curve in Fig. 13~c!. At t530 min, however, theFPI was switched toTframe525.6 s, and the ghost image wareadily apparent. Switching back toTframe5200 ms causedthe ghost to vanish, and switching back toTframe525.6 scaused it to reappear in the image. Obviously, this behasuggests a low intensity source of the ghost signal, i.e.,that produces a small amount of signal electrons pertime ~compared to the pixel dark noise, and independenTframe!, so that the integrated ghost signal is only appreciaat long integration times. Specifically, from the levels of cotrast exhibited in Fig. 12, a signal source the intensitywhich decays over time is suggested, with equivalent exsures rates of;14, ;2.5, 1.0, and 0.3mRequiv/s ~i.e., 252,45, 18, and 5.43103 e/s! at t51, 5, 10, and 30 min, respectively. At least two such sources of ghosting may be hypoesized: ~1! low intensity afterglow from the Gd2O2S:Tbphosphor; and~2! very slow release of charge from deetrapping states in thea-Si:H sensor. In light of the phosphopersistence data of Shepherdet al.41 and Mainprizeet al.43,44

it is difficult to justify the former explanation. Considerinthe capacitance and broad spectrum of time constants46 cor-responding to trapping states ina-Si:H, the latter explana-tion may be more likely.

Finally, two methods of reducing the apparent contrasghost images were examined. The first involved rapid scning of the FPI at maximum frame rate following the expsure~in an attempt to ‘‘flush out’’ the ghost image, a tecnique which might seem viable in the context of the imalag data, described in Sec. III D!. As shown in Fig. 14~a!,however, this approach proved ineffective at reducinglocal contrast of the ghost image below that measured wout rapid scanning. These results are consistent with the fiings above—namely, that the long-term ghosting effectpends primarily upon elapsed time and not upon the numof readout cycles.

A second method was examined in which flood-field eposures were made at times following the original expos

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~in an attempt to ‘‘wash out’’ the ghost image!. The resultsare shown in Fig. 14~b!. Delivery of the first flood field wasfound to significantly reduce the local contrast of the ghofrom ;0.6 to ;0.2. The subsequent flood field att53 minhad a similar effect. These results suggest that flood-fiexposures succeed to some extent in ‘‘washing out’’ghost image; however, this is likely accomplished by induing a source of low intensity signal~i.e., a ghost! uniformlyacross the FPI. Thus, reduction of the ghost image mcome at the cost of increased ‘‘dark’’ signal. The effectthis procedure upon image quality in subsequent imagebeyond the scope of this investigation. Furthermore,practice of delivering a flood-field exposure between radgraphs may not be clinically practical. The same effect mibe achieved, however, through incorporation of an optreset mechanism~such as that employed in FPIs utilizingsingle-diode switch18! to provide an optical flood field. Suca mechanism might not only aid in the reduction of gh

FIG. 14. Ghost-busters? Local contrast of the image of a hole~as in Figs. 12and 13! is plotted vs time following the exposure@solid curves in both~a!and~b!#. In each case a fairly strong ghost image was induced by delivea high exposure~;30 mR; nominalTframe56.4 s!, and the local contrast wamonitored for 1 h. In~a!, the measurement was repeated, except that att530 s, the FPI was switched to its fastest frame rate for 600 frames~;2min!, indicated by the bracketed region of the graph labeled ‘‘Rapid ScaThe imager was then switched back to the nominal frame time, and thecontrast was recorded, as shown by the open circles plotted att;3 min. TheFPI was switched again to its highest frame rate~for 1500 frames, or 5 min!,shown by the second ‘‘Rapid-Scan’’ region of the graph. In~b! flood-fieldexposures~10 mR each! were delivered att530 s andt53 min, and thelocal contrast of the ghost image was recorded continuously~with Tframe

held constant at 6.4 s!. Neither technique represents an ideal means of elinating ghost images: method~a! is ineffective, and method~b! is impracti-cal.

Medical Physics, Vol. 26, No. 8, August 1999

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artifacts, but might also reduce image lag in general by keing deep and shallow trapping states full, so that charge gerated from the x-ray exposure has a lower probabilitybeing trapped.

IV. SUMMARY AND CONCLUSIONS

The prototype flat-panel imager under investigationCBCT was characterized in terms of its pixel dark signal anoise, radiation response, image lag, and ghosting effeFor most pixels on the array, pixel dark signal is stabwithin ;5–10 fC followinga 2 h warm-up period. A numbeof regions, however, exhibit increased dark signal dwhich does not stabilize even after;2 h. The pixel darknoise is typically;13 100 e and is dominated by the noisethe amplifier and readout electronics. The radiation respoof the FPI provides a system gain of;183106 e/mR/pixel~at 120 kVp!, saturates at an exposure of;10 mR ~limitedby the charge capacity of the amplifier electronics!, is linearwithin ;5% across 50% of the FPI latitude, and is indepedent of exposure rate. The reproducibility of the results wtested by repeating measurements of dark pixel noise~versusframe time! and image lag~versus frame time and exposulevel! approximately four months after the measurementsported herein, and excellent agreement~well within statisti-cal error! was achieved in all cases.

The image lag characteristics were quantified throumeasurements of pixel IRFs. First, second, and third-fralag is;2.8%,;0.7%, and;0.4%~at exposures corresponding to ;20% saturation!, and tenth-frame lag is;0.1%. Im-age lag was found to increase significantly with exposureto depend primarily upon the number of reads, rather ththe amount of time between successive frames. Lag is laruniform across the FPI; however, a number of anomalregions exhibit first-frame lag;2–5 times higher than ‘‘nor-mal’’ pixels. The visual impact of image lag is such thartifacts of high-contrast, moving objects are clearly visibin successive frames, depending upon exposure. Thisgests that, in the context of the CBCT application, strategto minimize or account for such artifacts should be adoptSuch strategies include:~1! ‘‘flushing’’ the lag signal byreading several~e.g., ;1–10! frames between successivprojections; and~2! implementation of a correction algorithmto subtract the lag signal from each projection. The first stegy is likely the easier to implement and possibly the meffective, although it may slow CBCT acquisition. Bswitching to the highest frame rate between projections,example, 10 frames could be ‘‘flushed’’ within 2 s. Alterntively, a special readout mode~not currently implemented!could be utilized in which all rows of the FPI are activatesimultaneously. Of course, such a mode provides no imaginformation, but it could allow very fast ‘‘flushing’’ betweenCBCT projections. The latter strategy~a correction algo-rithm! necessarily introduces noise in corrected imagesshould account for the magnitude, exposure dependencespatial nonuniformity of the image lag. Each strategy in flpanel CBCT is the subject of future work.

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Measurements of the spatial uniformity of pixel dark snal, dark signal drift, pixel dark noise, and image lag nonly demonstrate the degree of uniformity attained by a sof the art, commercially available FPI, but also providesight into the physical mechanisms responsible for such pnomena. Nonuniformity in these phenomena exhibited strspatial correlation, and typically occurred about numeroirregularly shaped regions and/or in two corners of the FThe periphery of the irregularly shaped regions exhibielevated dark signal and dark signal drift~Fig. 3!, whereasthe interior of such regions, in addition to the corner regioexhibited elevated pixel dark noise~at extended frame timeFig. 5! and image lag~Fig. 10!. The degraded performancof pixels in such regions may be the result of nonunifoquality of thea-Si:H52 and/or the passivation layer.9 The factthat regions of elevated pixel dark noise are strongly colated with regions exhibiting increased image lag suggethat these effects share a common physical mechan~which is distinct from the mechanism governing drift!, e.g.,increased density of trapping states and/or increased deresistance. The fact that these regions seem ‘‘bounded’regions of high drift is intriguing.

Long-term persistence~‘‘ghosting’’ ! was observed for im-ages of high-contrast objects obtained at high exposuGhosts were found to persist for 30 min or longer and wmore apparent at higher settings ofTframe, suggesting a low-intensity source of the ghost signal~e.g., increased leakagcurrent in regions of high exposure, slow release of chafrom deep trapping states, or phosphor afterglow!. The inten-sity of the ghost signal source was small but easily detecequivalent to;2–3 mR/s at an elapsed time of 5 min folowing the exposure. Rapid scanning was ineffective inmoving persistent ghosts; flood-field exposures succeedesome degree in reducing the visibility of ghosts, but itdoubtful that this represents a practical solution. Thesesults are most relevant to imaging applications in whhigh-contrast edges~e.g., collimators, skin line, prostheticor any number of objects in industrial NDTE! are routinelyimaged. In order to inhibit strong ghosting effects, itclearly advantageous to avoid delivering a saturating exsure to the FPI; similarly, it is beneficial to avoid repeatimaging of high-contrast objects placed in the same regiothe FOV. Frequent recalibration of the dark signal offset iage required for gain-offset correction~e.g., acquisition ofoffset images immediately prior to imaging! may be the mostefficient means of reducing the visibility of ghosts. Suchprocedure is prudent also in that it allows better correctionpixels exhibiting anomalous dark signal drift.

ACKNOWLEDGMENTS

The authors extend their gratitude to D. G. Drake~Oak-land University! for assistance with the measurements,Jendhoff~Beaumont Services Corp.! for instrumentation ofnumerous components employed on the laboratory beElekta Oncology Systems, Inc. for supplying the flat-paimaging system, and M. K. Gauer~EG&G Heimann! fortechnical information concerning the imaging array. This

Medical Physics, Vol. 26, No. 8, August 1999

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search was funded in part by the Prostate Cancer ReseProgram Grant No. DAMD-17-98-1-8497 from the U. SArmy Medical Research and Materiel Command.

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