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Purpose Acquisition of high-quality x-ray images using low patient exposures requires detectors with high detective quantum efficiency ( DQE). We describe a novel apodized-aperture pixel ( AAP) design that increases high-frequency modulation transfer function ( MTF) and DQE values. The AAP design makes a separation of physical sensor elements from image pixels by using very small sensor elements (e.g., 0.010-0.025 mm) to synthesize desired larger image pixels (e.g., 0.1-0.2 mm). Methods A cascaded systems model of signal and noise propagation is developed to describe the benefits of the AAP approach in terms of the MTF, Wiener noise power spectrum ( NPS), and DQE. The theoretical model was validated experimentally using a CMOS/CsI detector with 0.05 mm sensor elements to synthesize 0.20 mm image pixels and a clinical Se detector with 0.07 mm sensor elements to synthesize 0.28 mm pixels. A Monte Carlo study and x-ray images of a star-pattern and rat leg are used to visually compare AAP images. Results When used with a high-resolution converter layer and sensor elements one quarter the size of image pixels, the MTF is increased by 53% and the DQE by a factor of 2.3× at the image sampling cut-off frequency. Both simulated and demonstration images show improved detectability of high-frequency content and removal of aliasing artifacts. Evidence of Gibbs ringing is sometimes seen near high-contrast edges. Conclusions It is shown that the AAP approach preserves the MTF of the small sensor elements and attenuates frequencies above the image sampling cut-off frequency. This has the double benefit of improving the MTF while reducing both signal and noise aliasing, resulting in an increase of the DQE at high spatial frequencies. For optimal implementation, the converter layer must have very high spatial resolution and the detector must have low readout noise. [ABSTRACT FROM AUTHOR]

The imaging properties of a complementary metal-oxide-semiconductor (CMOS) active-pixel photodiode array coupled to a thin gadolinium-based granular phosphor screen with a fiber-optic faceplate are investigated. It is shown that this system has a nonlinear response at low detector exposure levels (<10 mR), resulting in an over-estimation of the detective quantum efficiency (DQE) by a factor of two in some cases. Errors in performance metrics on this scale make it difficult to compare new technologies with established systems and predict performance benchmarks that can be achieved in practice and help understand performance bottlenecks. It is shown the CMOS response is described by a power-law model that can be used to linearize image data. Linearization removed an unexpected dependence of the DQE on detector exposure level. [ABSTRACT FROM AUTHOR]

Purpose: Single-photon-counting (SPC) x-ray imaging has the potential to improve image quality and enable novel energy-dependent imaging methods. Similar to conventional detectors, optimizing image SPC quality will require systems that produce the highest possible detective quantum efficiency (DQE). This paper builds on the cascaded-systems analysis (CSA) framework to develop a comprehensive description of the DQE of SPC detectors that implement adaptive binning. Methods: The DQE of SPC systems can be described using the CSA approach by propagating the probability density function (PDF) of the number of image-forming quanta through simple quantum processes. New relationships are developed to describe PDF transfer through serial and parallel cascades to accommodate scatter reabsorption. Results are applied to hypothetical silicon and selenium-based flat-panel SPC detectors including the effects of reabsorption of characteristic/scatter photons from photoelectric and Compton interactions, stochastic conversion of x-ray energy to secondary quanta, depth-dependent charge collection, and electronic noise. Results are compared with a Monte Carlo study. Results: Depth-dependent collection efficiency can result in substantial broadening of photopeaks that in turn may result in reduced DQE at lower x-ray energies (20-45 keV). Double-counting interaction events caused by reabsorption of characteristic/scatter photons may result in falsely inflated image signal-to-noise ratio and potential overestimation of the DQE. Conclusions: The CSA approach is extended to describe signal and noise propagation through photoelectric and Compton interactions in SPC detectors, including the effects of escape and reabsorption of emission/scatter photons. High-performance SPC systems can be achieved but only for certain combinations of secondary conversion gain, depth-dependent collection efficiency, electronic noise, and reabsorption characteristics. [ABSTRACT FROM AUTHOR]

Purpose: This study investigates the fundamental signal and noise performance limitations imposed by the stochastic nature of x-ray interactions in selected photoconductor materials, such as Si, a-Se, CdZnTe, HgI2, PbI2, PbO, and TlBr, for x-ray spectra typically used in mammography. Methods: It is shown how Monte Carlo simulations can be combined with a cascaded model to determine the absorbed energy distribution for each combination of photoconductor and x-ray spectrum. The model is used to determine the quantum efficiency, mean energy absorption per interaction, Swank noise factor, secondary quantum noise, and zero-frequency detective quantum efficiency (DQE). Results: The quantum efficiency of materials with higher atomic number and density demonstrates a larger dependence on convertor thickness than those with lower atomic number and density with the exception of a-Se. The mean deposited energy increases with increasing average energy of the incident x-ray spectrum. HgI2, PbI2, and CdZnTe demonstrate the largest increase in deposited energy with increasing mass loading and a-Se and Si the smallest. The best DQE performances are achieved with PbO and TlBr. For mass loading greater than 100 mg cm-2, a-Se, HgI2, and PbI2 provide similar DQE values to PbO and TlBr. Conclusions: The quantum absorption efficiency, average deposited energy per interacting x-ray, Swank noise factor, and detective quantum efficiency are tabulated by means of graphs which may help with the design and selection of materials for photoconductor-based mammography detectors. Neglecting the electrical characteristics of photoconductor materials and taking into account only x-ray interactions, it is concluded that PbO shows the strongest signal-to-noise ratio performance of the materials investigated in this study. [ABSTRACT FROM AUTHOR]

Purpose: Theoretical models of the detective quantum efficiency (DQE) of x-ray detectors are an important step in new detector development by providing an understanding of performance limitations and benchmarks. Previous cascaded-systems analysis (CSA) models accounted for photoelectric interactions only. This paper describes an extension of the CSA approach to incorporate coherent and incoherent interactions, important for low-Z detectors such as silicon and selenium. Methods: A parallel-cascade approach is used to describe the three types of x-ray interactions. The description of incoherent scatter required developing expressions for signal and noise transfer through an 'energy-labeled reabsorption' process where the parameters describing reabsorption are random functions of the scatter photon energy. The description of coherent scatter requires the use of scatter form factors that may not be accurate for some crystalline detector materials. The model includes the effects of scatter reabsorption and escape, charge collection, secondary quantum sinks, noise aliasing, and additive noise. Model results are validated by Monte Carlo calculations for Si and Se detectors assuming free-atom atomic form factors. Results: The new signal and noise transfer expressions were validated by showing agreement with Monte Carlo results. Coherent and incoherent scatter can degrade the DQE of Si and sometimes Se detectors depending on detector thickness and incident-photon energy. Incoherent scatter can produce a substantial low-frequency drop in the modulation transfer function and DQE. Conclusions: A generally useful CSA model of the DQE is described that is believed valid for any single-Z material up to 10 cycles/mm at both mammographic and radiographic energies within the limitations of Fourier-based linear-systems models and the use of coherent-scatter form factors. The model describes a substantial low-frequency drop in the DQE of Si systems due to incoherent scatter above 20-40 keV. [ABSTRACT FROM AUTHOR]

Purpose: Single-photon counting (SPC) x-ray imaging has the potential to improve image quality and enable new advanced energy-dependent methods. The purpose of this study is to extend cascaded-systems analyses (CSA) to the description of image quality and the detective quantum efficiency (DQE) of SPC systems. Methods: Point-process theory is used to develop a method of propagating the mean signal and Wiener noise-power spectrum through a thresholding stage (required to identify x-ray interaction events). The new transfer relationships are used to describe the zero-frequency DQE of a hypothetical SPC detector including the effects of stochastic conversion of incident photons to secondary quanta, secondary quantum sinks, additive noise, and threshold level. Theoretical results are compared with Monte Carlo calculations assuming the same detector model. Results: Under certain conditions, the CSA approach can be applied to SPC systems with the additional requirement of propagating the probability density function describing the total number of image-forming quanta through each stage of a cascaded model. Theoretical results including DQE show excellent agreement with Monte Carlo calculations under all conditions considered. Conclusions: Application of the CSA method shows that false counts due to additive electronic noise results in both a nonlinear image signal and increased image noise. There is a window of allowable threshold values to achieve a high DQE that depends on conversion gain, secondary quantum sinks, and additive noise. [ABSTRACT FROM AUTHOR]

Abstract: A cascaded model of the spatial-frequency-dependent detective quantum efficiency (DQE) was developed for various photoconductor materials for use in mammography. The model uses Monte Carlo calculations of the absorbed energy distributions for each material and, after experimental validation for an amorphous selenium (a-Se) detector, was used to predict the potential performance of each material. We show that all materials can have a modulation-transfer function value greater than 0.75 at frequencies up to 30cyclesmm−1 and a DQE value greater than 0.2 at frequencies up to 10cyclesmm−1. As such, all materials have good potential for this application. The quantum-noise-limited exposure level determines the ability of each detector material to operate at low exposure levels. It is shown that a-Se detectors have the highest limit (0.01mR), which is still likely to be low enough for mammography. [Copyright &y& Elsevier]

The X-ray imaging performance of a phosphor-coupled photodiode array detector was assessed for use in a cone-beam computed tomography (CBCT) system for printed-circuit board inspection. The radiographic image quality of a detector is mainly responsible for the tomographic image quality. The radiographic image quality can be improved by increasing the X-ray exposure level, but CT scans at higher exposure can impose an enormous heat load on the X-ray tube. In this study, the detective quantum efficiency (DQE) was used to describe the image quality per air kerma as a metric to assess the detector performance. Measurement results were obtained for 40-kVp and 50-kVp tungsten-target X-ray beams, which show that the DQE of the detector is tolerant of air kerma levels as low as 0.8 μ Gy. Below this level, the electronic noise of the detector system could degrade the DQE performance. The concept of DQE and the measurement procedure are described, including the modulation-transfer function and the noise-power spectrum. [ABSTRACT FROM AUTHOR]

Abstract: We report the imaging characteristics of the recently developed large-area complementary metal-oxide-semiconductor (CMOS) active-pixel detector for low-energy digital X-ray imaging applications. The detector consists of a scintillator to convert X-ray into light and a photodiode pixel array made by the CMOS fabrication process to convert light into charge signals. Between two layers, we introduce a fiber-optic faceplate (FOP) to avoid direct absorption of X-ray photons in the photodiode array. A single pixel is composed of a photodiode and three transistors, and the pixel pitch is 96μm. The imaging characteristics of the detector have been investigated in terms of modulation-transfer function (MTF), noise-power spectrum (NPS), and detective quantum efficiency (DQE). From the measured results, the MTF at the Nyquist frequency is about 20% and the DQE around zero-spatial frequency is about 40%. Simple cascaded linear-systems analysis has showed that the FOP prevents direct absorption of X-ray photons within the CMOS photodiode array, leading to a lower NPS and consequently improved DQE especially at high spatial frequencies. [Copyright &y& Elsevier]

This study investigates the imaging performance of a complementary metal-oxide-semiconductor (CMOS) active pixel sensor (APS) array coupled with a gadolinium oxysulfide phosphor. A wide range of mammographic energy was considered, which corresponds to an aluminum-equivalent thickness in the range of 0.515 to 0.689 mm in terms of half-value layers. The performance metrics include the modulation-transfer function (MTF), Wiener noise-power spectrum (NPS), and detective quantum efficiency (DQE). The detector showed a nonlinear response at low exposure ranges, so it was described using a power-law model to linearize image data before evaluating the MTF, NPS, and DQE. We show that the NPS, which is measured from images without linearization but corrected by the exponent of the power function (viz., nonlinearity correction), can be consistent with that obtained using the linearization procedure. Negligible difference in MTFs measured with and without linearization showed good agreement between the nonlinearity-corrected and linearized DQEs. The DQE performance of the detector was comparable to published data for conventional digital mammography detectors. However, the detector design with a CMOS APS array in conjunction with a thin phosphor was energy-sensitive. The overall spatial-resolution performance (the size of effective aperture) improved by about 13%, the noise performance was degraded by about 22%, and the zero-frequency DQE was reduced by about 26% when measured with a Mo-target beam quality of 25 kV to 31 kV and a similar exposure of about 6 mR. The detector design may be appropriate for operation in a narrow range of energy. Further design considerations of the phosphor with output that tolerates variations in energy could lead to applications in convertible mammography and tomosynthesis. • Power model for nonlinear detector responses describes NPS without linearization. • Detector design with CMOS APS/thin gadolinium oxysulfide phosphor is energy-sensitive. • Lower optical Swank factor limits the performance of gadolinium oxysulfide phosphors. [ABSTRACT FROM AUTHOR]