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2 March 2006Optimal spectra for indirect detector breast tomosynthesis
The detection of lesions in conventional mammography is a difficult task, predominantly due to the masking effect of
superimposed parenchymal breast patterns. Breast tomosynthesis is a technique that has been proposed to reduce this
masking effect, by providing the radiologist with tomographic image slices through the breast. The goal of this research
was to investigate the impact of varying x-ray spectra on image quality of breast tomosynthesis using an indirect CsI
based detector. The ideal observer SNR was used as a figure-of-merit, under the assumption that the imaging system is
linear and shift-invariant. Computations of the ideal observer SNR used a serial cascade model to predict signal and
noise propagation through the detector, as well as a model of the lesion detection task in breast imaging. An indirect
detector breast tomosynthesis prototype system was modeled which acquires 11 projection views by rotating the x-ray
tube over a 50° angular range, with the breast and detector remaining stationary. Specific attention was focused on the
impact of electronic noise for indirect detector breast tomosynthesis. Three different target/filters were studied including
Mo/Mo, Mo/Rh, and W/Rh. Spectra were scaled to give a total of 2.4 mGy average glandular dose to the breast. It was
observed that theW/Rh target/filter exhibited the best performance. In addition, electronic noise was observed to have a
moderate effect on the SNR with more impact for thicker breasts and lower kVp settings.
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Stephen J. Glick, Xing Gong, "Optimal spectra for indirect detector breast tomosynthesis," Proc. SPIE 6142, Medical Imaging 2006: Physics of Medical Imaging, 61421L (2 March 2006); https://doi.org/10.1117/12.649547