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Phase contrast mammography with synchrotron radiation Alberto Bravin European Synchrotron Radiation Facility (Grenoble, France) MAXIMA: 3 rd Training School Application of computer models for advancement of X- ray breast imaging techniques Grand Hotel Santa Lucia Napoli

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Page 1: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Phase contrast mammography with

synchrotron radiation

Alberto BravinEuropean Synchrotron Radiation Facility (Grenoble France)

MAXIMA 3rd Training School

Application of computer models for advancement of X-

ray breast imaging techniques

Grand Hotel Santa Lucia Napoli

THANKS

Page 2

To MAXIMA organizers for their kind invitation

To all collaborators

A special thanks to

- Prof Paola COAN LMU Munich

- Dr Alberto MITTONE ESRF

- Prof T Peters London Canada

WHAT IS A SYNCHROTRON

Page 3

- A source of X-rays produced by relativistic electrons of

special characteristics

- Extremely intense the most intense on earth

- Highly collimated

- Brilliant

- Tunable in energy

ldquoA very large microscope to see deep inside matterrdquo

Why is SR interesting for imaging

and therapy

- ~106108 more intense than medical

X-ray generators or LINACS

- tunable monochromatic energy

- parallel beam

- (sub)micrometric spatial resolution

SYNCHROTRON RADIATION FOR MEDICAL APPLICATIONS

5

SR is produced by electrons with

relativistic energies circulating in

a ring

Synchrotron machine scheme

SR is a very intense source of

radiation from Infra Red

to hard X-rays

1 injector 2 transfer line 3 booster

4 storage ring 5 beamline 6 exp station

HOW IS A SYNCHROTRON MADE

3 larger facilities

5 with dedicated medical beamlines

SYNCHROTRONS IN THE WORLD

LIMITS OF CONVENTIONAL X-RAY RADIOGRAPHY IN BREAST IMAGING

Page 7 Tumors in dense breasts are masked by tissues

Diagnosis is simple in

a fatty breast

(radiotransparent)

9010 Fat - Glandular tissues

1090

Breast cancer First mortality cause for women in western countries

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 2: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

THANKS

Page 2

To MAXIMA organizers for their kind invitation

To all collaborators

A special thanks to

- Prof Paola COAN LMU Munich

- Dr Alberto MITTONE ESRF

- Prof T Peters London Canada

WHAT IS A SYNCHROTRON

Page 3

- A source of X-rays produced by relativistic electrons of

special characteristics

- Extremely intense the most intense on earth

- Highly collimated

- Brilliant

- Tunable in energy

ldquoA very large microscope to see deep inside matterrdquo

Why is SR interesting for imaging

and therapy

- ~106108 more intense than medical

X-ray generators or LINACS

- tunable monochromatic energy

- parallel beam

- (sub)micrometric spatial resolution

SYNCHROTRON RADIATION FOR MEDICAL APPLICATIONS

5

SR is produced by electrons with

relativistic energies circulating in

a ring

Synchrotron machine scheme

SR is a very intense source of

radiation from Infra Red

to hard X-rays

1 injector 2 transfer line 3 booster

4 storage ring 5 beamline 6 exp station

HOW IS A SYNCHROTRON MADE

3 larger facilities

5 with dedicated medical beamlines

SYNCHROTRONS IN THE WORLD

LIMITS OF CONVENTIONAL X-RAY RADIOGRAPHY IN BREAST IMAGING

Page 7 Tumors in dense breasts are masked by tissues

Diagnosis is simple in

a fatty breast

(radiotransparent)

9010 Fat - Glandular tissues

1090

Breast cancer First mortality cause for women in western countries

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 3: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

WHAT IS A SYNCHROTRON

Page 3

- A source of X-rays produced by relativistic electrons of

special characteristics

- Extremely intense the most intense on earth

- Highly collimated

- Brilliant

- Tunable in energy

ldquoA very large microscope to see deep inside matterrdquo

Why is SR interesting for imaging

and therapy

- ~106108 more intense than medical

X-ray generators or LINACS

- tunable monochromatic energy

- parallel beam

- (sub)micrometric spatial resolution

SYNCHROTRON RADIATION FOR MEDICAL APPLICATIONS

5

SR is produced by electrons with

relativistic energies circulating in

a ring

Synchrotron machine scheme

SR is a very intense source of

radiation from Infra Red

to hard X-rays

1 injector 2 transfer line 3 booster

4 storage ring 5 beamline 6 exp station

HOW IS A SYNCHROTRON MADE

3 larger facilities

5 with dedicated medical beamlines

SYNCHROTRONS IN THE WORLD

LIMITS OF CONVENTIONAL X-RAY RADIOGRAPHY IN BREAST IMAGING

Page 7 Tumors in dense breasts are masked by tissues

Diagnosis is simple in

a fatty breast

(radiotransparent)

9010 Fat - Glandular tissues

1090

Breast cancer First mortality cause for women in western countries

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 4: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Why is SR interesting for imaging

and therapy

- ~106108 more intense than medical

X-ray generators or LINACS

- tunable monochromatic energy

- parallel beam

- (sub)micrometric spatial resolution

SYNCHROTRON RADIATION FOR MEDICAL APPLICATIONS

5

SR is produced by electrons with

relativistic energies circulating in

a ring

Synchrotron machine scheme

SR is a very intense source of

radiation from Infra Red

to hard X-rays

1 injector 2 transfer line 3 booster

4 storage ring 5 beamline 6 exp station

HOW IS A SYNCHROTRON MADE

3 larger facilities

5 with dedicated medical beamlines

SYNCHROTRONS IN THE WORLD

LIMITS OF CONVENTIONAL X-RAY RADIOGRAPHY IN BREAST IMAGING

Page 7 Tumors in dense breasts are masked by tissues

Diagnosis is simple in

a fatty breast

(radiotransparent)

9010 Fat - Glandular tissues

1090

Breast cancer First mortality cause for women in western countries

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 5: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

5

SR is produced by electrons with

relativistic energies circulating in

a ring

Synchrotron machine scheme

SR is a very intense source of

radiation from Infra Red

to hard X-rays

1 injector 2 transfer line 3 booster

4 storage ring 5 beamline 6 exp station

HOW IS A SYNCHROTRON MADE

3 larger facilities

5 with dedicated medical beamlines

SYNCHROTRONS IN THE WORLD

LIMITS OF CONVENTIONAL X-RAY RADIOGRAPHY IN BREAST IMAGING

Page 7 Tumors in dense breasts are masked by tissues

Diagnosis is simple in

a fatty breast

(radiotransparent)

9010 Fat - Glandular tissues

1090

Breast cancer First mortality cause for women in western countries

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 6: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

3 larger facilities

5 with dedicated medical beamlines

SYNCHROTRONS IN THE WORLD

LIMITS OF CONVENTIONAL X-RAY RADIOGRAPHY IN BREAST IMAGING

Page 7 Tumors in dense breasts are masked by tissues

Diagnosis is simple in

a fatty breast

(radiotransparent)

9010 Fat - Glandular tissues

1090

Breast cancer First mortality cause for women in western countries

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 7: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

LIMITS OF CONVENTIONAL X-RAY RADIOGRAPHY IN BREAST IMAGING

Page 7 Tumors in dense breasts are masked by tissues

Diagnosis is simple in

a fatty breast

(radiotransparent)

9010 Fat - Glandular tissues

1090

Breast cancer First mortality cause for women in western countries

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 8: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

LIMITS OF CONVENTIONAL RADIOLOGY

Page 8

- High radiosensitive organ

--gt Possible radio-induced tumors -- gt Risk benefit evaluation

- Small difference in contrast between tumor and normal tissues

-- gt need more images higher doses

- Need of resolutions better= 40 microns (microcalcifications)

-- gt doses increase with the 1pixel2

- Need of better identification of the lesion (25D ndash 3D imaging)

--gt higher doses

Challenges in mammography

ldquo ~10 of palpable malignant tumours are not visible in mammography

(dense breast infiltrating tumors etc)rdquo

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 9: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

SOLUTION STRATEGIES

Page 9

bull Improve contrast formation from absorption to phase contrast imaging

-- gtuse improved source or setup (Olivo Longo Bravin Paternohellip)

bull Move from 2D to 25 and 3D vision in depth

-- gt tomosynthesis or CT (K Bliznakova)

bull Improve detectors -- gt higher efficiency of used dose

-- gt single photon counting (Kalender Boone Esposito)

bull Improve image reconstruction technique to use fewer X-rays and reduce

dose

-- gt use improved reconstruction algorithms (This talk)

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 10: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

10

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 11: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

PHC IN THE 90IES FROM NYLON WIRES TO FIRST MAMMOGRAPHIES

Page 11

F Arfelli A Bravin et al

Radiology 215 2000

F Arfelli A Bravin et al

Physics in Medicine and Biology 43 1998

Conventional

radiography

Phase

contrast

Elettra synchrotron

1997-1998

First demonstration of phase contast

imaging in a full human organ

ldquoYes but it can work only in simple objectsrdquo

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 12: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

TECHNIQUES AVAILABLE FOR PHASE CONTRAST IMAGING

EDGE-ILLUMINATION

Optimal radiation is monochromatic collimated and coherent X-

rays presently available only at synchrotron radiation sources

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 13: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

13

Rocking curve width Si (333)

~ 30 rad at 25 keV

~ 13 rad at 50 keV

~ 09 rad at 60 keV

10

080

060

040

020

000

-10 -5 0 +5 +10

Re

lati

ve

inte

ns

ity

High angle sideLow angle side

rad

Analyzer-Based Imaging (ABI)

d-

d

d-

+

Analyzer crystal SampleIncoming beam

Analyzer acts as a perfect andextremely narrow slit

Braggrsquos law

2dsinθ=nλ

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 14: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

14

Diffraction Enhanced Imaging an algorithm for ABI

( ) ( )

DQQ

Q

+Q=

zLLRL

RRII

( ) ( )

DQQ

Q

+Q=

zHHRH

RRII

= apparent absorption

imageRI

( ) ( )LH

LH

d

dRR

d

dRR

d

dRI

d

dRI

I

HL

HL

R

QQ

QQ

QQ-

QQ

Q-

Q

=

= refraction image in the

plane of the object ZDQ

( ) ( )

LHd

dRI

d

dRI

RIRI

HL

HLLHZ

QQ Q-

Q

Q-Q=DQ

-02

0

02

04

06

08

1

12

6667 6668 6669 667 6671 6672 6673 6674

Ref

lect

ivit

y [

AU

]

Angle [degree]

HL

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 15: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

15

- 1 Siemens

Mammomat

3000 -23 kVp

56 mAs

MGD=04 mGy

- 2 ABI 25 keV

minus 07 rad

Si(333)

MGD= 06 mGy

- 3 Histology

1

Keyrilaumlinen et al European Journal of Radiology 53 226-237 (2005)

Carcinoma

Medullare

2

10X

3

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 16: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Breast cancer

3collagen strands

fat

Ca in collagen

skin-muscle

- 3 Histology (reality)

1 - 1 Hospital scanner2

- 2 SR technique

ABI-CT3

Bravin et al PhysMed Biol 2007 52 (8) 2197

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 17: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Conventional

MGD=69 mGy

Phase contrast (ABI)

MGD=19 mGy

Keyrilaumlinen et al Radiology 2008

Full breast 8 cm

33 keV

FIRST LOW DOSE CT DEMONSTRATION ON FULL MASTECTOMY

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 18: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Conventional Absorption

PCI CT

Histology

Breast-CT PCI-CT vs conventional CT vs histology

PCI CT outperfoms conv CT and it is in strong correlation with histology

A Sztrokay et al Physics in Medicine and Biology 57(10) 2931 - 2942 2012

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 19: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Keyrilaumlinen et al Radiology 2008

30 keV

(synchrotron radiation)

LOW DOSE AND HIGH RESOLUTION HUMAN BREAST CT

Phase contrast CT

+ iterative reconstruction methodDose = 20 plusmn 01 mGy

25 times dose saving vs clinical

breast CT at same resolution

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 20: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

360deg

0deg

0deg

90deg 270deg

0deg

360deg

CT BASIC PRINCIPLES

Rotating sample

DetectorSinogram

Computing

(reconstruction

algorithms)

3D image

X-rays

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 21: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Combination of 3 ingredients

ldquoPhase contrast

imagingrdquo

Advanced CT

reconstruction algorithms+ +High X-ray

energies

Highly sensitive

imaging techniques

Iterative algorithms for CT

reconstruction - less

projections than normally used

Tissues more

radio-transparent

-gt less dose

P Coan

3HIGHLIGHTS

LOW DOSE CT

21

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 22: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

22

- Breast imaging needs high resolution

- High number of projections for CT (Shannon Nyquist criterion)

REDUCING THE NUMBER OF PROJECTIONS

Proj=119811120529

119849 120784

- Can we reduce the number of projections

bull To reduce the number of projections for a CT data set

- Shannon-Nyquist criterion not valid anymore

bull To reduce the number of photons onto the detector per each angular projection

2 possible strategies

D sample thickness

P pixel size

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 23: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Effects of the lack of projections

Using FBP prone to the appearance of artefacts

REDUCING THE NUMBER OF PROJECTIONS OF A CT DATA SET

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 24: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

24

BREAST CT THE RECONSTRUCTION ALGORITHMS

- Filtered Back Projection (FBP)

- Simultaneous Iterative Reconstruction Technique (SIRT)

- Simultaneous Algebraic Reconstruction Technique (SART)

- Conjugate Gradient Least Squares (CGLS)

- Total Variation (TV) minimization

- Iterative FBP algorithm based on the image histogram updates

- Equally Sloped Tomography (EST)

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

REDUCING THE NUMBER OF PROJECTIONS

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 25: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

25

All algorithms available in X-TRACT software

httpwwwts-imagingnetServicesSignUpaspx

S Pacile et al Biomed Opt Express 2015 Aug 1 6(8) 3099ndash3112

0 worst case 4 best image

REDUCING THE NUMBER OF PROJECTIONS

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 26: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

26

REDUCING THE NUMBER OF PROJECTIONS PRINCIPLES OF EST

bull Real space image is in Cartesian grid while

the Fourier space data is in Polar Grid

bull There is no exact and direct FFT between

polar and Cartesian Grid [1]

[1] Briggs WL Henson VE The DFT An ownersrsquo Manual for the Discrete Fourier Transform SIAM

Philadelphia 1995

Observation

Slides provided by Prof P Coan

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 27: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

27

EQUALLY SLOPED TOMOGRAPHY ALGORITHM

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

bull NN Cartesian grid -gt 2N2N Pseudo polar grid (PPG) points

bull There exist a PPFFT between PPG and Cartesian Grid

bull algebraically exact

bull geometrically faithful

bull Invertible

Miao et al Phys Rev B 72 (2005) Slides provided by Prof P Coan

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 28: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

28

Idea ldquoa polar likerdquo grid that enables

direct and exact Fourier transform

=gt PSEUDO POLAR GRID

bull Grid points in the Fourier domain are lying on the

equally-sloped lines instead of equally-angled lines

Miao et al Equally sloped tomography with oversampling reconstruction Phys Rev B 72 (2005)

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 29: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

29

EQUALLY SLOPED TOMOGRAPHY ALGORITHM ITERATIVE ALGORITHM

Miao et al Phys Rev B 72 (2005)

Iterative process is initiated

bull Inverse PPFFT is applied to the

frequency data

bullA new object is obtained through

constraints Forward PPFFT onto

modified image

bullFrequency data is updated with the

measured Fourier slices

Real domain constraints

bullMinimization of the coefficients

bullReal values as result

Iterations are monitored by an error function

EST iterative algorithmStarts with the conversion of

the projections to Fourier

slices in the pseudo polar

grid fractional FFT

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 30: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

WE TESTED EST ON DIFFERENT CASES

On both synthetic and experimental data

Different Phase Contrast Imaging techniques

- Propagation based imaging

- Analyzer based imaging

Different clinical cases (FULL JOINTS or ORGANS)

- Breast imaging

- Musculoskeletal imaging

Propagation-based

Slides provided by Prof P Coan

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 31: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Prof P Coan

The raw data

The sinogram

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 32: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Visual Comparison

bull Loss of spatial resolution in

EST 200 compared to EST512

but clinically relevant

features are observable

2000proj = 77mGy 512proj = 17mGy

512proj = 17mGy 200 proj = 07mGy

FBPEST

Prof P Coan

bull FBP - 512 exhibits high

noise degraded features

and blurred boundary of the

tumour

bull Fine structures are

preserved by EST - 512

Contrast and noise are

equivalent or better

Zoomed view in a 92 microm thick slice an excised full human tumor bearing breast

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 33: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Result of reconstruction by EST 512projections

MGD17mGy

Collagen strands

Skin

Formalin

Glandular Tissue

Fat Tissue

Tumor

SpiculesTumor

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 34: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Quantitative Comparison

Blind Test made by 5 radiologists (Radiology department of Ludwig

Maximilians University)

Radiologist were asked to mark form 1 (worst) to 5 (best) on the following criteria

FBP 512 EST 200 FBP2000 EST512

Image quality 22 plusmn 04 27 plusmn 09 43 plusmn 09 45 plusmn 05

Sharpness 33 plusmn 0 22 plusmn 08 40 plusmn 07 43 plusmn 05

Contrast 30 plusmn 07 34 plusmn 09 40 plusmn 05 48 plusmn04

Evaluation of

different

structure

27 plusmn 05 29 plusmn 1 41 plusmn 06 48 plusmn 04

Noise 18 plusmn 07 33 plusmn 08 42 plusmn 07 48 plusmn 03

Prof P Coan

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 35: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

35Prof P Coan

Phase contrast CT + EST

Dose = 20 plusmn 01 mGy

3D CT breast tumor detection at high resolution and

at a dose even lower then conventional 2D mammography (~35 mGy)

25 times dose saving vs clinical breast CT at same resolution

2 cm

PNAS Zhao et al 109 (45) 6 Nov 2012

Conventional CT

Dose 49 plusmn 1 mGy

P Coan

Fourier based iterative Equally Slopped Tomography (EST) algorithm

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 36: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Summary

bull 3D information of soft tissues at higher resolution and better contrast but also deliver less radiation doses to the sample

bull A step towards the clinical application of PCT for 3D screening and diagnosis of human breast cancer

bull Very low dose (lt1mGy) 3D imaging is possible if one is ready to loose a bit of spatial resolution and noise

PNAS Zhao Brun Coan et al 109 (45) 6 Nov 2012

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 37: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

RECONSTRUCTION USING A PRIORI INFORMATION

image is intrinsically sparse when it can be approximated as a linear combination

of a small number n of basis functions with n=N where N is the image dimensionality

Sparsity

Good case when image has large constant parts the basis can be small

pieces varying only on the borders

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 38: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

RECONSTRUCTION USING A PRIORI INFORMATION

mxmltlt NxN (pixel size)

- Fast calculation

- Image not well reproduced

- Very low noise (noise has little sparsity)

mxmgtgt NxN (pixel size)

- Heavy computation

- Image well reproduced

- Very smooth transition at the patches borders if the patches are overlapping

- Also noise is reproduced to be treated with a denoisy method

How many patches

All mathematics can be found in

A Mirone E Brun P Coan PlosOne 9(12) e114325

Submethods

- Dictionary learning

- Total Variation penalization (TV) introduces a regularization parameter

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 39: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Dictionary Learning

reconstruction

bull Idea of the method

ndash To create a database of patchworks

starting from images close to the images

to be reconstructed

ndash To decompose the slice to be

reconstructed in a patchwork of sub-

images

ndash To express a given sub-image at position

ldquorrdquo as a linear combination of the basis

patches

ndash To find the solution which gives the

maximum Likelihood by minimizing the

number of entries in the dictionary

ndash Minimization is done toggling between

slice and sinogram

ndash A regularization included to assure fidelity

A Mirone E Brun P Coan PlosOne 9(12) e114325

Dictionary ldquolearntrdquo from Lena image

and used for reconstructing

the image of interest

Noisy

imageDenoised

image

Prof P Coan

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 40: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

bull Experiment

ndash 512512 pixel Lena image

ndash 80 projections

bull Remark

ndash To avoid aliasing 800

projections should be used

(Nyquist-Shanon sampling

criterion)

Reconstructing Lena

51

2p

ixel

s

Lena image to reconstruct

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 41: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Results

FBP EST

DLTV

NO noise

80 projections

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 42: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

FBP EST TV DL Original

Zoom views in two different image

regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 43: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

FBP EST

TV DL

Noisy data

80 projections

Results

Additive White Gaussian Noise = 03 max of sinogram

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 44: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

FBP EST TV DL Original

Additive White Gaussian Noise = 03 max of sinogram

Zoom views in two different image regions

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 45: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Direct comparison

FBP

EST

DL

NoiseNo Noise NoiseNo NoiseProf P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 46: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

THE IMPORTANCE OF THE FAST CONVERGING

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 47: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Prof P Coan

APPLICATION ON EXPERIMENTAL DATA

Prof P Coan

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 48: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Integration

Reconstructing phase gradient

images

bull Sample imaged with the

analyzer set at two points

of its rocking curve may

yield to obtain two images

of the 2 phase gradient in

the reconstructed plane

bull The two phase gradients

are linked each other

Prof P CoanDiameter 7 cm

Shannon criterion 2335 projections

(pixel 47 microns)

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 49: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Vectorial Set of Patches

Set of 2 77 pixels patches learnt from another breast sample

Prof P Coan

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 50: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Phase Contrast Reconstruction using

DL

FBP 250 Projections DL 250 Projections

800 pixels

FBP 1000 Projections

Analyzer Based Imaging of a full (7cm) human tumor bearing breast tumor

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 51: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Closer Look

Small Structures are preserved in the Dictionary Learning reconstructionsGlobal Image quality is higher in DL

Prof P Coan A Mirone E Brun P Coan PlosOne 9(12) e114325

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 52: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

Phase retrieval converting the problem to

Poisson equation robust to noisy data

Optics Express Vol 22 Issue 5 pp 5216-5227 (2014)

PhC vs conventional CT accuracy in refraction

Index calculation in noisy data

Application of a finite element technique to solve

The boundary value problem in phase retrieval

Fast and low dose phase retrieval using a single

Image dataset

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 53: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

THE PROBLEM OF THE RADIATION DELIVERED

Page 53

The problem of the

radiation delivered

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 54: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

FAST DOSE SIMULATIONS

Page 54

bull The track-length estimator (TLE)

bull Electrons production cut

Conventional Monte Carlo

Long computational time

How to perform fast dose simulations

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 55: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

FAST DOSE SIMULATIONS

Page 55

bull The track-length estimator (TLE)

bull Electron energy is deposited

locally and are not tracked

Local deposition

vs

continuous deposition

It requires fewer particles to converge

Works when electron range is lt spatial resolution (lt100 keV)

No significative energy escape (radiative atomic

deexcitation) Zlt20 Elt1 MeV

Conventional Monte Carlo

Long computational time

The TLE code (C++) has been

integrated in GATE (Geant4)

enED =In charged

particle

equilibrium

How to perform fast dose simulations

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 56: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

COMPARISON WITH STANDARD MONTE CARLO METHOD

Page 56

8A Mittone et al J Synchrotron Radiat 20139F Baldacci A Mittone et al Z Med Phys 2015

TLE Method89 Standard Monte Carlo

107 events on segmented CT data of experimental breast sample

Statistical error TLE ~15

Statistical error MC ~50

To obtain the same

statistics with MC ~ 2 orders

of magnitude more time

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 57: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

DOSE DATABASE FOR BREAST IMAGING10

Page 57

Estimation of the average dose in a breast (monochromatic radiation)

-Range of energy 15-100 keV

-Different geometries (thickness)

-Different compositions (fraction of glandular tissue)

A Mittone et al Phys Med Biol 59 (2014) 2199ndash2217

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)

Page 58: Phase contrast mammography with synchrotron radiationpeople.na.infn.it/~mettivie/MaXIMA Video/presentation/Bravin.pdf · SOLUTION STRATEGIES Page 9 • Improve contrast formation:

SELECTED BIBLIOGRAPHY OF MAMMOGRAPHY AT ID17-ESRF

Page 58

S Fiedler A Bravin Physics in Medicine and Biology 49 175-188 (2004)

M Fernaacutendez J Keyrilaumlinen Spectroscopy 18 (2004) 167ndash176

J Keyrilaumlinen M Fernaacutendez European Journal of Radiology 53 226-237 (2005)

M Fernandez J Keyrilainen Phys Med Biol 50 (2005) 2991ndash3006

A Bravin J Keyrilaumlinen Phys Med Biol 52 (8) 2197ndash2211 (2007)

J Keyrilaumlinen M Fernaacutendez Radiology 2008 249 (1) 321-327

Fernaacutendez M Suhonen H Eur J Radiol 68S (2008) S89-S94

Keyrilaumlinen J Fernaacutendez M Journal of Synchrotron Radiation 18 689-696 (2011)

Sztroacutekay A Diemoz PC Phys Med Biol 2012 May 2157(10)2931-42 Epub 2012 Apr 20

Y Zhao E Brun PNAS 2012 November 6 vol 109 no 45 18290ndash18294

P Coan A Bravin J Phys D Appl Phys 46 (2013) 494007

A Mittone A Bravin Phys Med Biol 59 (2014) 2199ndash2217

E Brun S Grandl Medical Physics 41 111902 (2014)

K Bliznakova P Russo Computers in Biology and Medicine 61 (2015) 62-74

S Grandl A Sztroacutekay-Gaul PLOSONE 2016 Jun 3011(6)e0158306

Bliznakova K Kamarianakis Z IFMBE Proceedings 57 367-371 (2016)

Bliznakova K Mettivier G Lecture Notes in Computer Science 9699 611-617(2016)

Bliznakova K Russo P Physics in Medicine and Biology 61 6243-6263(2016)

J Keyrilainen A Bravin Acta Radiologica 2010 51 (8) 866-884

Gasilov S Mittone A Opt Express 2014 Mar 1022(5)5216-27 doi 101364OE22005216

A Mirone E Brun PLOS ONE 2014 vol9 art 0114325 DOI101371journalpone0114325

Baldacci F Mittone A Z Med Phys 2015 Mar25(1)36-47

A Mittone S Gasilov Physics in Medicine and Biology60 (2015) 3433ndash3440

Gasilov S Mittone A Opt Express 2015 May 1823(10)13294-308

S Gasilov A Mittone Biomedical Optics Express 2013 Vol 4 No 9 1512-1518

A Mittone F Baldacci J Synchrotron Rad (2013) 20 785ndash792

A Olivo P C Diemoz and A Bravin Optic Letters (2012) Vol 37 No 5

P C Diemoz M Endrizzi Physical Review Letters 110 138105 (2013)