CT reconstruction

CT RECONSTRUCTION

CT reconstruction

Truly painless cancer treatment, realized through medical image analysis.

CT reconstruction and image processing improve images taken in the treatment room, supporting image-based position verification.

In order to provide cone-beam CT image reconstruction and image processing technology for radiation therapy equipment and particle beam therapy equipment, this product fully utilizes our experience in joint development with diagnostic equipment manufacturers and particle beam therapy equipment manufacturers.

See 4D-CBCT image reconstruction

Fast CT image reconstruction

The problem with CT image reconstruction is that it takes a long time to calculate because the calculation cost is high. In the past, multiple FPGAs were used to achieve ultra-high speed, but due to the high development costs, recently it is common to use GPUs for acceleration.

Image processing

Image processing is required for CT images, and both pre-reconstruction data processing and image reconstruction are required to obtain high-quality images. We specialize in data processing before reconstruction, and have implemented various image quality improvement technologies and artifact processing.

Flexible customization

We flexibly respond to joint development with therapeutic device manufacturers and customization according to customer requests. In addition, the introduction of IGRT equipment will enable high-precision treatment even with treatment equipment that does not have CBCT. Please feel free to contact us.

Reconstruction algorithm development

We develop state-of-the-art CT reconstruction algorithms, including iterative reconstruction (IR). Efficient algorithm design and GPU-optimized implementation enable CT image reconstruction in a short time.

In CT imaging, X-rays emitted in a fan shape from the X-ray tube are received by a flat-panel detector (FPD). In the conventional acquisition geometry (full-fan), the FPD is centered on the beam, so the imaging range (reconstruction FOV) is limited by the FPD size, which makes it difficult to image large subjects such as larger patients. Our product therefore also supports the "half-fan" geometry, in which the FPD is shifted laterally (offset) and the gantry is rotated once to greatly enlarge the reconstruction FOV. Iterative reconstruction is applied to half-fan acquisitions as well, producing high-quality CT images.

Comparison of full-fan and half-fan geometries
(Left) Full-fan: the FPD is centered, so the reconstruction FOV is limited by the FPD width. (Right) Half-fan: the FPD is offset and the gantry rotates once, enabling acquisition with a larger reconstruction FOV.

Improved spatial resolution

Recently, an X-ray device has been installed in the rotating gantry of a radiotherapy device to obtain CT images (cone beam CT: CBCT). Although the image quality is inferior to that of diagnostic CT images, it has the great advantage of being able to acquire 3D images of the treatment position/condition. However, since linacs and particle beam rotating gantry systems are larger than diagnostic CT systems, the position of the X-ray tube and detector changes during rotation, and the sensitivity of the detector is low.

CBCT spatial resolution improvement
A CBCT image acquired with a particle beam gantry. (Left) Before image processing. You can see that the structure is somewhat blurred. The main reason for this is that the position of the X-ray tube and detector is not corrected when the gantry is rotated. (Right) After image processing. You can see that fine structures are clearly visible.

Ring artifact correction

If the sensitivity correction of the detector is not successful, ring artifacts (yellow arrows) will occur in the CT image. In the case of CBCT, the position of the X-ray machine shifts with each gantry angle, so the ring artifacts are not perfectly concentric and cannot be corrected easily. By processing the image before reconstruction, it is possible to correct artifacts with higher accuracy.

Ring artifact correction
A CBCT image acquired with a particle beam gantry. (Left) Before image processing. A ring artifact (yellow arrow) is occurring. (Right) After image processing. You can see that the ring artifact is reduced.

CBCT artifact

CBCT has the problem that correct image reconstruction is more difficult as it approaches the end in the body axis direction. This is because the X-rays are emitted in a cone shape, so the front area on the detector side is irradiated with X-rays, but the irradiation area becomes narrower as it approaches the X-ray tube side (missing area). On the other hand, several literatures have proposed methods to correct the missing regions. This product performs artifact correction by effectively using the data remaining in the missing area.

CBCT artifact correction
This is a CT tomographic image with a missing area. (Left) Before image processing, the grid-like phantom shape is not displayed correctly. (Right) After image processing, you can see that the grid-like phantom shape is displayed correctly.
Before processing
After processing

(Left) Before image processing. There are missing areas at the top and bottom edges of the image, and the image is not reconstructed correctly. (Right) After image processing. By effectively using the data of the missing region, CT image reconstruction with reduced CBCT artifacts has become possible.

Phys. Med. Biol. 51 (2006) 3953–3965

Dual-energy CT

Dual-energy CT acquires images with X-rays at two different energies (tube voltages). Because X-ray attenuation depends on both energy and material, it enables discrimination of materials that are hard to separate on conventional CT (bone, iodine contrast, soft tissue, etc.) and estimation of electron density and effective atomic number. In radiotherapy and particle therapy it is expected to improve the accuracy of dose calculation and particle range calculation and to reduce metal artifacts. PIL is developing image reconstruction and image processing technology for dual-energy CT.

Concept of dual-energy CT
Low- and high-energy X-rays are attenuated differently by each material. Analyzing this difference enables material discrimination and estimation of electron density and effective atomic number.

Ultra-fast computation

Efficient algorithms and GPU-optimized implementation achieve CT image reconstruction in a short time. Coordinating multiple GPUs delivers even higher speed.

Concept of fast CT reconstruction with multiple GPUs
Large volumes of projection data are divided among multiple GPUs and processed in parallel, greatly reducing the time required for CT image reconstruction.

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