title: Simultaneous deblurring and iterative reconstruction of CBCT for image guided brain radiosurgery.
abstract: One of the limiting factors in cone-beam CT (CBCT) image quality is system blur, caused by detector response, x-ray source focal spot size, azimuthal blurring, and reconstruction algorithm. In this work, we develop a novel iterative reconstruction algorithm that improves spatial resolution by explicitly accounting for image unsharpness caused by different factors in the reconstruction formulation. While the model-based iterative reconstruction techniques use prior information about the detector response and x-ray source, our proposed technique uses a simple measurable blurring model. In our reconstruction algorithm, denoted as simultaneous deblurring and iterative reconstruction (SDIR), the blur kernel can be estimated using the modulation transfer function (MTF) slice of the CatPhan phantom or any other MTF phantom, such as wire phantoms. The proposed image reconstruction formulation includes two regularization terms: (1) total variation (TV) and (2) nonlocal regularization, solved with a split Bregman augmented Lagrangian iterative method. The SDIR formulation preserves edges, eases the parameter adjustments to achieve both high spatial resolution and low noise variances, and reduces the staircase effect caused by regular TV-penalized iterative algorithms. The proposed algorithm is optimized for a point-of-care head CBCT unit for image-guided radiosurgery and is tested with CatPhan phantom, an anthropomorphic head phantom, and 6 clinical brain stereotactic radiosurgery cases. Our experiments indicate that SDIR outperforms the conventional filtered back projection and TV penalized simultaneous algebraic reconstruction technique methods (represented by adaptive steepest-descent POCS algorithm, ASD-POCS) in terms of MTF and line pair resolution, and retains the favorable properties of the standard TV-based iterative reconstruction algorithms in improving the contrast and reducing the reconstruction artifacts. It improves the visibility of the high contrast details in bony areas and the brain soft-tissue. For example, the results show the ventricles and some brain folds become visible in SDIR reconstructed images and the contrast of the visible lesions is effectively improved. The line-pair resolution was improved from 12 line-pair/cm in FBP to 14 line-pair/cm in SDIR. Adjusting the parameters of the ASD-POCS to achieve 14 line-pair/cm caused the noise variance to be higher than the SDIR. Using these parameters for ASD-POCS, the MTF of FBP and ASD-POCS were very close and equal to 0.7 mm-1which was increased to 1.2 mm-1by SDIR, at half maximum.
authors.affiliation: Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: SayedMasoud
authors.initials: S
authors.lastname: Hashemi
authors.forename: William Y
authors.initials: WY
authors.lastname: Song
authors.forename: Arjun
authors.initials: A
authors.lastname: Sahgal
authors.forename: Young
authors.initials: Y
authors.lastname: Lee
authors.forename: Christopher
authors.initials: C
authors.lastname: Huynh
authors.forename: Vladimir
authors.initials: V
authors.lastname: Grouza
authors.forename: Håkan
authors.initials: H
authors.lastname: Nordström
authors.forename: Markus
authors.initials: M
authors.lastname: Eriksson
authors.forename: Antoine
authors.initials: A
authors.lastname: Dorenlot
authors.forename: Jean Marie
authors.initials: JM
authors.lastname: Régis
authors.forename: James G
authors.initials: JG
authors.lastname: Mainprize
authors.forename: Mark
authors.initials: M
authors.lastname: Ruschin
mesh_terms: D000465:Algorithms; D016477:Artifacts; D001921:Brain / Q000000981:diagnostic imaging*; D054893:Cone-Beam Computed Tomography / Q000379:methods*; D006257:Head / Q000000981:diagnostic imaging*; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D008962:Models, Theoretical; D019047:Phantoms, Imaging; D016634:Radiosurgery / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*