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Grating interferometry breast computed tomography (GI-BCT) has the potential to provide enhanced soft tissue contrast and to improve visualization of cancerous lesions for breast imaging. However, with a conventional scanning protocol, a GI-BCT scan requires longer scanning time and higher operation complexity compared to conventional attenuation-based CT. This is mainly due to multiple grating movements at every projection angle, so-called phase stepping, which is used to retrieve attenuation, phase, and scattering (dark-field) signals. To reduce the measurement time and complexity and extend the field of view, we have adopted a helical GI-CT setup and present here the corresponding tomographic reconstruction algorithm. This method allows simultaneous reconstruction of attenuation, phase contrast, and scattering images while avoiding grating movements. Experiments on simulated phantom and real initial intensity, visibility and phase maps are provided to validate our method.

Background: X-ray grating interferometry normally requires multiple steps and exposures, causing a prolonged imaging time. There is motivation to use fewer steps to reduce scanning time and complexity, while keeping fidelity of the retrieved signals., Objective: We propose an iterative signal retrieval method, extracting attenuation, dark field contrast (DFC), and differential phase contrast (DPC) signals from two X-ray exposures., Methods: Two shots were captured at G2 grating positions with difference of 1/4 grating period. The algorithm consists of two stages. At the first stage, amplitude of sample phase stepping curve retrieved by virtual phase stepping (VPS) method, visibility and local phase of background phase stepping curve are used to limit the results to the proximity of the ground truth. After the second stage, three high-quality parameters, amplitude, visibility, and local phase, are retrieved through finetuning, and three signals are calculated. Simulated and real-sample experiments were conducted to validate this method., Results: We used standard phase stepping result as benchmark and calculated structural similarity (SSIM) and peak signal-to-noise ratio (PSNR) between benchmark and parameters retrieved by our dual-shot method and virtual phase stepping (VPS) method. For both simulated and real-sample experiments, the SSIM and PSNR value of dual-shot method are higher than those of VPS method. For real-sample method, we also conducted a three-step PS, and the SSIM and PSNR value of dual-shot method are slightly lower than those of three-step PS., Conclusion: Using our dual-shot method demonstrates higher performance than other single-shot method in retrieving high-quality signals, and it also reduces radiation dose and time.

X-ray phase contrast imaging is a powerful analysis technique for materials science and biomedicine. Here, we report on laboratory grating-based X-ray interferometry employing a microfocus X-ray source and a high Talbot order (35th) asymmetric geometry to achieve high angular sensitivity and high spatial resolution X-ray phase contrast imaging in a compact system (total length <1 m). The detection of very small refractive angles (∼50 nrad) at an interferometer design energy of 19 keV was enabled by combining small period X-ray gratings (1.0, 1.5 and 3.0 µm) and a single-photon counting X-ray detector (75 µm pixel size). The performance of the X-ray interferometer was fully characterized in terms of angular sensitivity and spatial resolution. Finally, the potential of laboratory X-ray phase contrast for biomedical imaging is demonstrated by obtaining high resolution X-ray phase tomographies of a mouse embryo embedded in solid paraffin and a formalin-fixed full-thickness sample of human left ventricle in water with a spatial resolution of 21.5 µm.

Grating interferometry mammography (GIM) is an experimental breast imaging method at the edge of being clinically implemented. Besides attenuation, GIM can measure the refraction and scattering of x-rays resulting in differential phase contrast (DPC) and dark-field (DF) images. In this exploratory study, we assessed the feasibility of using microbubbles as a contrast agent in GIM. Two millilitres of microbubbles and iodine were respectively injected into ex vivo breast phantoms, consisting of fresh chicken breasts. Native and postcontrast images were acquired with a clinically compatible GIM setup, operated at 38 kVp, 14-s acquisition time, and with a dose of 1.3 mGy. The visibility of the contrast agents was analysed in a side-by-side comparison by three radiologists. The contrast-to-noise-ratio (CNR) was calculated for each contrast agent. We found that both contrast agents were judged to be visible by the readers. The mean CNR was 3.1 ± 1.9 for microbubbles in DF and 24.2 ± 6.5 for iodine in attenuation. In conclusion, this is a first proof-of-mechanism study that microbubbles could be used as a contrast agent in clinically compatible GIM, due to their scattering properties, which implies the potential use of a contrast agent with a high safety profile in x-ray-based breast imaging.

X-ray grating interferometry is a promising tool for medical imaging because of its capability of providing additional and complementary information to conventional absorption-based methods. This technology can simultaneously measure absorption, differential phase and small-angle scattering signals from the sample, significantly improving the diagnostic content. In this work, we present a method which uses the image (dubbed the R image) obtained by taking the ratio of the absorption and small-angle scattering signals to gain quantitative insight from a radiographic x-ray projection. We demonstrate that with the help of the R image we can successfully distinguish among different (light-Z) plastic materials, which are usually used to mimic soft tissues. Two potential applications in medical imaging, such as quantitative x-ray radiography and volumetric breast density estimation, are demonstrated.

Purpose: Breast cancer is the most common malignancy in women. Unfortunately, current breast imaging techniques all suffer from certain limitations: they are either not fully three dimensional, have an insufficient resolution or low soft‐tissue contrast. Grating interferometry breast computed tomography (GI‐BCT) is a promising X‐ray phase contrast modality that could overcome these limitations by offering high soft‐tissue contrast and excellent three‐dimensional resolution. To enable the transition of this technology to clinical practice, dedicated data‐processing algorithms must be developed in order to effectively retrieve the signals of interest from the measured raw data. Methods: This article proposes a novel denoising algorithm that can cope with the high‐noise amplitudes and heteroscedasticity which arise in GI‐BCT when operated in a low‐dose regime to effectively regularize the ill‐conditioned GI‐BCT inverse problem. We present a data‐driven algorithm called INSIDEnet, which combines different ideas such as multiscale image processing, transform‐domain filtering, transform learning, and explicit orthogonality to build an Interpretable NonexpanSIve Data‐Efficient network (INSIDEnet). Results: We apply the method to simulated breast phantom datasets and to real data acquired on a GI‐BCT prototype and show that the proposed algorithm outperforms traditional state‐of‐the‐art filters and is competitive with deep neural networks. The strong inductive bias given by the proposed model's architecture allows to reliably train the algorithm with very limited data while providing high model interpretability, thus offering a great advantage over classical convolutional neural networks (CNNs). Conclusions: The proposed INSIDEnet is highly data‐efficient, interpretable, and outperforms state‐of‐the‐art CNNs when trained on very limited training data. We expect the proposed method to become an important tool as part of a dedicated plug‐and‐play GI‐BCT reconstruction framework, needed to translate this promising technology to the clinics. [ABSTRACT FROM AUTHOR]

Within neutron imaging, different methods have been developed with the aim to go beyond the conventional contrast modalities, such as grating interferometry. Existing grating interferometers are sensitive to scattering in a single direction only, and thus investigations of anisotropic scattering structures imply the need for a circular scan of either the sample or the gratings. Here we propose an approach that allows assessment of anisotropic scattering in a single acquisition mode and to broaden the range of the investigation with respect to the probed correlation lengths. This is achieved by a far-field grating interferometer with a tailored 2D-design. The combination of a directional neutron dark-field imaging approach with a scan of the sample to detector distance yields to the characterization of the local 2D real-space correlation functions of a strongly oriented sample analogous to conventional small-angle scattering. Our results usher in quantitative and spatially resolved investigations of anisotropic and strongly oriented systems beyond current capabilities. Acquiring orientation-resolved neutron images currently requires the sample or system to be rotated, precluding single-shot measurement. Here, the authors achieve small-angle scattering information with spatial resolution in a single shot through the inclusion of a circular diffraction grating. [ABSTRACT FROM AUTHOR]

Abstract High quality gratings are among the key elements for successful imaging with X-ray grating interferometry. Grating fabrication, specifically of absorption gratings, with high aspect ratio and large area, is a great challenge from a microfabrication point of view. In this paper the fabrication of absorption gratings by seedless electroplating of gold in high aspect ratio silicon moulds that are fabricated by deep reactive ion etching (Bosch process) is presented. We report on our latest results and discuss the possibility of reducing the grating period down to 1.3 μ m. In addition, the quality of the gratings is assessed by performing visibility measurements and imaging various samples on a compact in house X-ray grating interferometer. [ABSTRACT FROM AUTHOR]

MÖNCH is a 25 µm-pitch charge-integrating detector aimed at exploring the limits of current hybrid silicon detector technology. The small pixel size makes it ideal for high-resolution imaging. With an electronic noise of about 110 eV r.m.s., it opens new perspectives for many synchrotron applications where currently the detector is the limiting factor, e.g. inelastic X-ray scattering, Laue diffraction and soft X-ray or high-resolution color imaging. Due to the small pixel pitch, the charge cloud generated by absorbed X-rays is shared between neighboring pixels for most of the photons. Therefore, at low photon fluxes, interpolation algorithms can be applied to determine the absorption position of each photon with a resolution of the order of 1 µm. In this work, the characterization results of one of the MÖNCH prototypes are presented under low-flux conditions. A custom interpolation algorithm is described and applied to the data to obtain high-resolution images. Images obtained in grating interferometry experiments without the use of the absorption grating G2 are shown and discussed. Perspectives for the future developments of the MÖNCH detector are also presented. [ABSTRACT FROM AUTHOR]

Progress in X-ray medical imaging and advances in detector developments have always been closely related. Similarly, a strong connection exists between innovations in synchrotron imaging and their implementation on table-top X-ray tube setups. The transfer of phase-based imaging to X-ray tubes can provide table-top setups with improved contrast between areas of low attenuation differences, by exploiting the unit decrement of the real part of the refractive index. Medical imaging is a potential application for such a system. Originally developed for synchrotron experiments, the novel generation of hybrid photon counting detectors is becoming increasingly popular due to their unique characteristics, such as small pixel size, negligible dark noise, fast counting and adjustable energy thresholds. Furthermore, novel room temperature semiconductor materials such as Cd(Zn)Te can provide higher quantum efficiency. In the first part of this article we review phase-contrast techniques and recent research towards medical applications. In the second part we present results and evaluate the potential of combining a table-top Talbot grating interferometry system with latest generation hybrid photon counting detectors. [ABSTRACT FROM AUTHOR]

Purpose: In addition to absorption imaging, grating interferometry-based mammography (GIM) is capable of detecting differential-phase and scattering signals. In particular, the scattering signal can enable a quantifiable characterization of breast lesions. The purpose of this study was to determine if suspicious microcalcifications associated with benign or malignant lesions can be discriminated based on their absorption and scattering properties.Materials and Methods: In this prospective, ethically approved study, 62 patients (mean age 60 y, range 39-89) with suspicious microcalcifications, who underwent stereotactic biopsies, were included. Biopsies were measured with an experimental GIM device and the ratios of the scattering and absorption signal (R-value) for microcalcifications were calculated. The mean R-values for benign and malignant lesions associated with microcalcifications were compared with the final histopathological diagnosis using a t-test.Results: Twenty of the 62 participants had microcalcifications associated with malignancy. Comparing the two largest histopathological sub-groups of fibrosis (n = 23) vs. ductal carcinoma in situ (n = 15) resulted in an average R-value of 4.08 for benign and 2.80 for malignant lesions; p = 0.07. All microcalcifications associated with malignancy had an R-value below 4.71. Excluding microcalcifications with an R-value above this threshold would result in an 11 % reduction of false positives.Conclusion: The novel GIM modality has the potential to non-invasively characterize microcalcifications and might aid in the discrimination of benign from malignant lesions in fresh biopsy samples. [ABSTRACT FROM AUTHOR]