PURPOSE: Previous work has demonstrated that structural models of surgical tools and implants can be integrated into model-based CT reconstruction to greatly reduce metal artifacts and improve image quality. This work extends a polyenergetic formulation of known-component reconstruction (Poly-KCR) by removing the requirement that a physical model (e.g. CAD drawing) be known a priori, permitting much more widespread application. METHODS: We adopt a single-threshold segmentation technique with the help of morphological structuring elements to build a shape model of metal components in a patient scan based on initial filtered-backprojection (FBP) reconstruction. This shape model is used as an input to Poly-KCR, a formulation of known-component reconstruction that does not require a prior knowledge of beam quality or component material composition. An investigation of performance as a function of segmentation thresholds is performed in simulation studies, and qualitative comparisons to Poly-KCR with an a priori shape model are made using physical CBCT data of an implanted cadaver and in patient data from a prototype extremities scanner. RESULTS: We find that model-free Poly-KCR (MF-Poly-KCR) provides much better image quality compared to conventional reconstruction techniques (e.g. FBP). Moreover, the performance closely approximates that of Poly- KCR with an a prior shape model. In simulation studies, we find that imaging performance generally follows segmentation accuracy with slight under- or over-estimation based on the shape of the implant. In both simulation and physical data studies we find that the proposed approach can remove most of the blooming and streak artifacts around the component permitting visualization of the surrounding soft-tissues. CONCLUSION: This work shows that it is possible to perform known-component reconstruction without prior knowledge of the known component. In conjunction with the Poly-KCR technique that does not require knowledge of beam quality or material composition, very little needs to be known about the metal implant and system beforehand. These generalizations will allow more widespread application of KCR techniques in real patient studies where the information of surgical tools and implants is limited or not available.
PURPOSE: Previous work has demonstrated that structural models of surgical tools and implants can be integrated into model-based CT reconstruction to greatly reduce metal artifacts and improve image quality. This work extends a polyenergetic formulation of known-component reconstruction (Poly-KCR) by removing the requirement that a physical model (e.g. CAD drawing) be known a priori, permitting much more widespread application. METHODS: We adopt a single-threshold segmentation technique with the help of morphological structuring elements to build a shape model of metal components in a patient scan based on initial filtered-backprojection (FBP) reconstruction. This shape model is used as an input to Poly-KCR, a formulation of known-component reconstruction that does not require a prior knowledge of beam quality or component material composition. An investigation of performance as a function of segmentation thresholds is performed in simulation studies, and qualitative comparisons to Poly-KCR with an a priori shape model are made using physical CBCT data of an implanted cadaver and in patient data from a prototype extremities scanner. RESULTS: We find that model-free Poly-KCR (MF-Poly-KCR) provides much better image quality compared to conventional reconstruction techniques (e.g. FBP). Moreover, the performance closely approximates that of Poly- KCR with an a prior shape model. In simulation studies, we find that imaging performance generally follows segmentation accuracy with slight under- or over-estimation based on the shape of the implant. In both simulation and physical data studies we find that the proposed approach can remove most of the blooming and streak artifacts around the component permitting visualization of the surrounding soft-tissues. CONCLUSION: This work shows that it is possible to perform known-component reconstruction without prior knowledge of the known component. In conjunction with the Poly-KCR technique that does not require knowledge of beam quality or material composition, very little needs to be known about the metal implant and system beforehand. These generalizations will allow more widespread application of KCR techniques in real patient studies where the information of surgical tools and implants is limited or not available.
Authors: John A Carrino; Abdullah Al Muhit; Wojciech Zbijewski; Gaurav K Thawait; J Webster Stayman; Nathan Packard; Robert Senn; Dong Yang; David H Foos; John Yorkston; Jeffrey H Siewerdsen Journal: Radiology Date: 2013-11-18 Impact factor: 11.105
Authors: J Webster Stayman; Yoshito Otake; Jerry L Prince; A Jay Khanna; Jeffrey H Siewerdsen Journal: IEEE Trans Med Imaging Date: 2012-05-16 Impact factor: 10.048