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Purpose: Inverse geometry computed tomography (IGCT) has been proposed as a new system architecture that combines a small detector with a large, distributed source. This geometry can suppress cone-beam artifacts, reduce scatter, and increase dose efficiency. However, the temporal resolution of IGCT is still limited by the gantry rotation time. Large reductions in rotation time are in turn difficult due to the large source array and associated power electronics. We examine the feasibility of using stationary source arrays for IGCT in order to achieve better temporal resolution. We anticipate that multiple source arrays are necessary, with each source array physically separated from adjacent ones. Methods: Key feasibility issues include spatial resolution, artifacts, flux, noise, collimation, and system timing clashes. The separation between the different source arrays leads to missing views, complicating reconstruction. For the special case of three source arrays, a two-stage reconstruction algorithm is used to estimate the missing views. Collimation is achieved using a rotating collimator with a small number of holes. A set of equally spaced source spots are designated on the source arrays, and a source spot is energized when a collimator hole is aligned with it. System timing clashes occur when multiple source spots are scheduled to be energized simultaneously. We examine flux considerations to evaluate whether sufficient flux is available for clinical applications. Results: The two-stage reconstruction algorithm suppresses cone-beam artifacts while maintaining resolution and noise characteristics comparable to standard third generation systems. The residual artifacts are much smaller in magnitude than the cone-beam artifacts eliminated. A mathematical condition is given relating collimator hole locations and the number of virtual source spots for which system timing clashes are avoided. With optimization, sufficient flux may be achieved for many clinical applications. Conclusions: IGCT with stationary source arrays could be an imaging platform potentially capable of imaging a complete 16-cm thick volume within a tenth of a second. [ABSTRACT FROM AUTHOR]

Purpose: The prepatient attenuator (or 'bowtie filter') in CT is used to modulate the flux as a function of fan angle of the x-ray beam incident on the patient. Traditional, static bowtie filters are tailored only for very generic scans and for the average patient. The authors propose a design for a dynamic bowtie that can produce a time-dependent piecewise-linear attenuation profile. This dynamic bowtie may reduce dynamic range, dose or scatter, but in this work they focus on its ability to reduce dynamic range, which may be particularly important for systems employing photon-counting detectors. Methods: The dynamic bowtie is composed of a set of triangular wedges. Each wedge is independently moved in order to produce a time-dependent piecewise-linear attenuation profile. Simulations of the bowtie are conducted to estimate the dynamic range reduction in six clinical datasets. The control of the dynamic bowtie is determined by solving a convex optimization problem, and the dose is estimated using Monte Carlo techniques. Beam hardening artifacts are also simulated. Results: The dynamic range is reduced by factors ranging from 2.4 to 27 depending on the part of the body studied. With a dynamic range minimization objective, the dose to the patient can be reduced from 6% to 33% while maintaining peak image noise. Further reduction in dose may be possible with a specific dose reduction objective. Beam hardening artifacts are suppressed with a two-pass algorithm. Conclusions: A dynamic bowtie producing a time-dependent, piecewise-linear attenuation profile is possible and can be used to modulate the flux of the scanner to the imaging task. Initial simulations show a large reduction in dynamic range. Several other applications are possible. [ABSTRACT FROM AUTHOR]