Acquiring an image part 2


This section covers the processing aspect of acquiring an image.


Physics

A CT image is made up of pixels along a grey scale. What determines the level of grey is the density of the material or the linear attenuation coefficient and this is represented numerically by the Hounsfield Units (also called the CT number). The Hounsfield units are set so that water measures 0 and everything else is relative to this.

HU = 1000 x (μt - μw) / μw
where:
μt = attenuation coefficient of tissue
μw = attenuation coefficient of water

 

Summed linear attenuation coefficient

 

Each detector in the CT scanner samples a line of the patient and the sum total of the attenuation of the material passed through along the beam path is calculated. As the gantry rotates the detectors receive beams at different angles so in the end we have a series of values of summed linear attenuation coefficients from different angles. Now these need to be processed to form an image.

Typical Hounsfield unit values

Tissue CT number (HU)
Bone
Liver
White matter
Grey matter
Intravascular blood
Fresh clotted blood
Muscle
Kidney
CSF
Water
Fat
Air
+1000
40 to 60
20 to 30
37 to 45
30 to 45
70 to 80
10 to 40
30
15
0
-50 to -100
-1000

 

Download now on Kindle
Written by radiologists, for radiologists with plenty of diagrams to explain complicated concepts in an easy-to-follow way. An excellent resource for radiology physics revision.

 

FRCR Physics Notes: Beautiful revision notes for the First FRCR Physics exam

Post-Processing

Backprojection

 

Backprojection technique

 

There are a few main issues with backprojection:

1. Too few projections cause artefacts in the image as there are too few directions of summed LACs to accurately represent the image. Typically 2000 projections are used.

2. Even with a large number of projections the edges of structures are not well delineated due to the averaging out of values and there is blurring caused by the backprojection technique. This is corrected with filtered backprojection.

Iterative Reconstruction

This is generally a more time consuming method but is proving useful for low dose CT studies.

It involves several steps:

  1. Filtered backprojection is initially performed to assign a number value to all pixels in the matrix.
  2. The computer then calculates what it expected the detectors to have received based on the image generated THEN works out the difference between the actual detector measurements and the calculated measurements, and uses this information to generate an updated image.
  3. This continues through multiple iterations, each time bringing the calculated values closer and closer to the true values.

If you want further information on iterative reconstruction and backprojection a good website is: http://www.dspguide.com/ch25/5.htm  


Σ  Summary
  1. Image is made up of pixels of varying grey, the shade of which is determined the "Hounsfield Unit" (also called "CT number") which is measured on a look-up-table to give the greyscale.
  2. The x-ray beam and detectors rotate around the subject sampling rows at different angles. Each row is coded as a single summed attenuation value.
  3. The attenuation values are then processed to give the image mainly via two techniques
  1. Backprojection: The summed attenuation values are averaged out over the row. With several projections it comes closer to actual image. There are some weaknesses:
    • Too few projections cause artefacts
    • Blurred images - solved by filtered backprojection
    • For multislice scanners filter interpolation is used in which all projections within a certain axial slice are are summed and averaged.
  1. Iterative reconstruction: Filtered backprojection is initially performed to assign a number value to all pixels in the matrix. The computer then calculates what it expected the detectors to have received based on the image generated and compares this to the actual detector measurements, adjusting the image values to bring them closer to the true values.
    • Almost exclusively used now.
    • Weakness: Calculations are lengthy
    • Strength: Reducing CT dose

Next page: CT image quality


  Send us your feedback

Pin it

Get our newsletter

Please note: Your email address will never be shared with any 3rd parties. It will only be used for Radiology Cafe communications. Emails are sent approx once a month. Read our Privacy policy for more details.