Computer-Tomography I: Principles, History, Technology

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1 Computer-Tomography I: Principles, History, Technology Prof. Dr. U. Oelfke DKFZ Heidelberg Department of Medical Physics (E040) Im Neuenheimer Feld Heidelberg, Germany History of CT 1895 W. C. Röntgen: Discovery of x-rays 1917 J.H. Radon: Radon transform, reconstruction algorithm 1963 A.M. Cormack: CT reconstruction algorithm 1972 G.N. Hounsfield und J. Ambrose: first clinical CT clinical CT scanners (head scanners) 1975 First clinical whole body CT 1979 Nobelprize for Hounsfield and Cormack 1989 Spiral CT 1998 Multi-slice CT 2000 > clinical CT installations Seite 1 1

2 Contents Motivation for CT Basic Physics Hounsfield Units Technical aspects: CT scanner CT reconstruction Spiral- and multi-slice CT Image quality Clinical applications Motivation Limitations of 2d x-ray imaging: Loss of depth information, superposition of all structures (projection on one plane) Very limited contrast for different soft tissue contrast Seite 2 2

3 Problems with planar x-ray imaging 2D image: superposition of all structures in depth No differentiation of soft tissues CT vs. planar X-ray imaging X-ray image: 2D-projection Good contrast for bone-air interfaces CT = Reconstruction of anatomical images from x-ray images obtained from different directions Seite 3 3

4 Principle of CT: Basic physics Absorption of x-rays in matter Intensity Measured: absorption coefficient I ( d ) I 0 exp ( ( E, Z ) ds ) d 0 (, Z ) E Seite 4 4

5 CT-Numbers: Hounsfield Units HU ( c Wasser Wasser ) 1000 HU = Hounsfield Unit Water: 0 HU; Air: HU Range of measured HUs: HU bis HU 4096 = 2 12 Gray values Hounsfield Units Contrast resolution: ~ 3 HU Seite 5 5

6 Windowing of CT images Observer can differentiate between gray values windowing C = Center W = Width CT: Technical aspects Seite 6 6

7 Planar -tomography Scanner generations Seite 7 7

8 Scanner 1. und 2. Generation EMI-Scanner (1. Generation) Seite 8 8

9 2. Generation scanner Multi-Detector- Translation-rotation Seite 9 9

10 3. Generation Scanners Realisation of short acquisition time Problem: high voltage supply Solution: sliding ring technology (1987) continuos rotation of gantry Seite 10 10

11 Scanner 3. und 4. generation Scanner setup - 3rd generation Seite 11 11

12 First SIEMENS scanner in SIRETOM SIRETOM (in 1974) Acquisition time 7 min., image matrix 80x80 pixels, scan field 25 cm, spatial resolution 1,3 mm (4LP/cm) SIEMENS SOMATOM Plus 4 (1996) Tube Detector Seite 12 12

13 Progress in Image Quality SIRETOM (1974) SOMATOM Plus 4 UFC (1996) CT: Technical development - detectors Seite 13 13

14 Detectors Xenon-ionisation chambers Good time response small dead time, small image lag Poor quantum efficiency Detectors Szintillation-detectors (Cs-Iodid, Cd-Wolframat) High quantum efficieny Longer image lag, slower response Seite 14 14

15 Detectors Today: Ceramic Szintillation- detectors High quantum efficiency Fast response, short image lag Combined advantages of previous detector types Time response of different detectors CT: Basic principle Seite 15 15

16 Image acquisition "1. Generation" CT-Scanner: Translation Rotation with pencilbeam x Seite 16 16

17 Seite 17 17

18 Raw data 1. Projection (Translationsscan) 160 measured values Time (Projections) Line-integrals Raw data 2. Projection (Translation scan after small rotation) 2 x 160 measured values Time (Projections) Line-integrals Seite 18 18

19 Raw data 180 Rotation Raw data 180 x 160 = Time (Projections) Line-integrals Image reconstruction Image Reconstruction Sinogram CT image Seite 19 19

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