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Impact of a single distance phase retrieval algorithm on spatial resolution in X-ray inline phase sensitive imaging

Abstract

A single-projection based phase retrieval method based on the phase attenuation duality principle (PAD) was used to compare the spatial resolution of the acquired phase sensitive and PAD processed phase retrieved images. An inline phase sensitive prototype was used to acquire the phase sensitive images. The prototype incorporates a micro-focus x-ray source and a flat panel detector with a 50 μm pixel pitch. A phantom composed of a 2 cm thick 50–50 adipose-glandular mimicking slab sandwiched with a 0.82 cm thick slanted PMMA sharp edge was used. Phase sensitive image of the phantom was acquired at 120 kV, 3.35 mAs with a 16 μm tube focal spot size under a geometric magnification (M) of 2.5. The PAD based method was applied to the acquired phase sensitive image for the retrieval of phase values. With necessary data processing, modulation transfer function (MTF) curves were determined for the estimation and comparison of the spatial resolution. The PAD processed phase retrieved values of the phantom were in good agreement with the theoretically calculated values. Phase sensitive images showed higher spatial resolution at all spatial frequencies compared to the phase retrieved images. It was noted that the high-frequency signal components in the retrieved image were suppressed that resulted in lower MTF values. When compared to the phase sensitive image, the cutoff resolution (10% MTF) for phase retrieved image dropped 32% from 15.6 lp/mm (32 μm) to 10.6 lp/mm (47 μm). The resolution offered by this phase sensitive prototype is radiographically enough to detect breast cancer.

Key Abbreviations and Symbols

(PAD)

Phase Attenuation Duality

(FPP)

Fresnel propagator phase

(β)

Linear attenuation coefficients

(δ)

Refractive index decrement

(ρe,p)

Projected electron density

(MTF)

Modulation Transfer Function

1.Introduction

In-line phase sensitive imaging technique (also known as propagation-based phase sensitive imaging) has demonstrated its value as compared to the attenuation-based imaging [18]. Experimentally, this technique is the simplest to because its setup does not involve any optical element introduced between the sample and detector [911]. However, data processing required for extracting an object’s phase map from the measured intensity is very complicated for this technique. Theoretically, the x-ray intensity arriving at the detector plane I (rD) is given by the general x-ray transport equation [1214]

I(rD)=IinM2{cos(λR24πM2)[A2(r)+λR22πM(.(ϕ(r)A2(r)))](1)2sin(λR24πM2)[A2(r)ϕ(r)]}
where λ represents the x-ray wavelength, Iin, the entrance intensity at the object plane, R2, the object-detector distance, M, the geometric magnification factor while A2(r) and ϕ(r) are the attenuation map and phase shift map of the object. Furthermore, cos(λR24πM2) and sin(λR24πM2) are the 2D pseudodifferential operators in which 2 is the Laplacian operator. The general x-ray transport equation is the basis for developing phase retrieval methods. The equation can be simplified for many applications where the maximal Fresnel propagator phase (FPPM=πλR2/4Mp2) is much less than 1 [13,14], where p represents the pixel size of the detector. If an imaging setup employs a detector pixel size on the order of tens of micrometers and a sample-detector distances of a few meters or less, then the corresponding maximal Fresnel propagator phase FPPM1. Under these conditions, the 2D pseudodifferential operators become constants [12,13] and Eq. (1) reduces to
(2)I(rD)=IinM2{A2(r)λR22πM(.(A2(r)ϕ(r)))}

Both the attenuation and phase maps are differentially encoded with each other in the projection intensity I(rD). Hence, for the task of retrieving the phase map of an object, one should decode the phase information from the projection views by utilizing the above equations. In general, phase retrieval requires the acquisition of at least two projections with varying object-detector distances per projection [9,1517]. This adds complexity to the experiments and increases the radiation dose delivered to biomedical samples. There is continuing interest and research in developing the so-called single-distance or single-projection acquisition techniques for retrieving the phase maps in diagnostic imaging [1823]. However, if a single-projection acquisition technique is used, stringent validity conditions are required to decode the contributions of attenuation and phase.

One of the methods of single-projection-based retrieval works correctly for a single material sample if the linear attenuation coefficients (β) and refractive index decrement (δ) of that material are known in advance [23]. In such special cases, the phase map of a single-material sample can be retrieved from just a single-phase sensitive projection of the sample. While this phase retrieval method is robust, the stringent requirement on the material homogeneity and prior knowledge of material’s δ and β limits its applicability. Another single-projection based retrieval method that utilizes the phase-attenuation duality (PAD) principle has been developed [2426] and has been applied in various medical imaging studies [2735]. This method is applicable when samples that are composed of light chemical elements with atomic number (Z)<10 are imaged with high energy x-rays (60–500 keV). With this method, one can retrieve the sample’s phase map using just a single-phase sensitive projection of the sample, without requiring any prior information of the sample’s δ and β at all. Another advantage of this method is its applicability with the multi-material samples. When low Z materials are imaged with high-energy x-rays, the x-ray-matter interactions are dominated by the Compton scattering. Hence, both the tissue attenuation (AKN2) and phase shifts (ϕ) are all uniquely related to the projected electron density (ρe,p) distributions as

(3)AKN2(r)=exp(σKNρe,p(r))(4)ϕ(r)=λreρe(r,z)dr=λreρe,p(r)

Under such conditions, the phase-shift map can be retrieved from just a single-phase sensitive image as

(5)AKN2(r)={[1(λ2R2re2πMσKN2)]1(M2IinI(rd))}(6)ϕ(r)=λreσKN.lnAKN2(r)
where, re=2.818×1015 m is the classical electron radius and σKN is the total cross-section for x-ray photon Compton scattering from a single free electron derived from the Klein Nishina formula as [25]
(7)σKN=2πre2{1+ηη2[2(1+η)1+2η1ηlog(1+2η)]+12ηlog(1+2η)(1+3η)(1+2η)2}

In Eq. (7), η=Ephoton/mec2, Ephoton is the photon energy of the primary x-ray beam, mec2 is the resting electron energy and re is the classical electron radius.

With the application of any image processing method on medical images, the impact of spatial resolution must be investigated. To the best of our knowledge, no comprehensive investigation of the impact of PAD based method on the spatial resolution has been performed. In this study, a phantom’s phase values retrieved experimentally by the PAD-based method are compared with the theoretically calculated phase values. Furthermore, the impact of this retrieval method on spatial resolution is studied by measuring the modulation transfer function (MTF). The measurement of MTF has been widely accepted for characterizing and quantifying the imaging performance of various imaging modalities. The calculation of MTF can be determined by normalizing the absolute value of the Fourier transform of the point spread function (PSF) or line spread function (LSF). By utilizing a sharp edge phantom, the edge spread function (ESF) can be acquired and then differentiated to obtain the LSF.

2.Materials and methods

2.1.Phase-sensitive imaging prototype

A benchtop inline phase sensitive x-ray imaging prototype was used for the acquisition of the phantom images. Details on the characterization of this prototype can be found elsewhere [29,30]. In summary, the prototype incorporates a microfocus x-ray source with a tungsten (W) target and a CMOS flat panel detector with an active area of 120 mm × 120 mm and 50 μm pixel pitch. The source to object distance was 68 cm while the source to image detector distance was 170 cm which corresponded to a magnification (M) factor of 2.5. The phase sensitive images of the phantom were acquired at 120 kV, 67 μA, 3.3 mAs with a focal spot (F) size of 16 μm. A 2.5 mm thick aluminum (Al) filter was utilized to harden the beam and block the low energy photons. These specific geometric and acquisition parameters are the optimized settings for this prototype operating with high energy x-rays for the acquisition of soft tissue and its equivalent materials [36]. In utilizing the polychromatic microfocus x-ray tube, it was necessary to approximate the values of the average wavelength (λ) and the Klein–Nishina total cross-section (σKN) utilized in Eqn (5) corresponding to a single wavelength monochromatic x-ray beam. The approximate average polychromatic x-ray output of a tungsten target tube operating at 120 kVp corresponds to a 60 keV monochromatic x-ray beam which gives λ=2.066×1011 m and σKN=5.456×1029 m2. The FPPM value corresponding to this imaging setup was 0.00264, which is much less than 1 and hence the approximation of Eqn (2) are fully valid.

2.2.Phantom

A phantom composed of a 2 cm thick slab mimicking a 50% glandular-50% adipose density sandwiched with a 0.82 cm thick polymethyl methacrylate (PMMA) was used for imaging. Both the 50–50 slab and PMMA were manufactured by Gammex (Middleton, WI, USA). The 50–50 slab is composed of the epoxy resin (C21H25CIO5) that simulates the attenuation properties of breast tissue to x-rays. The 50–50 slab and PMMA (C5O2H8)n are composed of chemical elements with Z<10, thus, the requirement of applying the phase-attenuation duality is readily met. The combination of the 50–50 slab and PMMA makes the phantom multi-material, and the efficacy of this phase retrieval method can be fully realized. Laser cutting technique was used for the fabrication of a sharp edge to ensure reliable measurements of the spatial resolution. The schematics of the phase sensitive prototype along with the image of the phantom are shown in Fig. 1.

Fig. 1.

Schematics of the inline phase sensitive x-ray imaging prototype illustrating a micro-focus x-ray source, a flat panel detector and a 2.82 cm thick phantom placed in a magnification geometry.

Schematics of the inline phase sensitive x-ray imaging prototype illustrating a micro-focus x-ray source, a flat panel detector and a 2.82 cm thick phantom placed in a magnification geometry.

2.3.MTF calculations

The PMMA edge was aligned to the source focal spot size and was slightly tilted (3° ∼ 5°) for the generation of oversampled ESF that had a data interval smaller than the size of the pixel pitch [37,38]. Using the Hough transformation [3941], the edge angle was estimated to be 3.2° on both phase sensitive and phase retrieved images. A fixed window (W) of 4 elements was convolved with the raw ESF to get the smoothed ESF as

(8)ESFS(X)=m=W(Xm).ESFRaw(X)

Then, the line spread function, LSF(X), was computed by differentiating the ESFS(X) function. A Gaussian function, FG(X), was used to fit the LSF(X) that made the overall MTF curve better behaved by forcing a smoothing transition of the LSFs to zeros.

(9)FG(X)=i=1i=Gaie(Xbici)2
where ai, bi and ci are all constants and G defines the order of the Gaussian function. A 7th order Gaussian function was used to fit the LSF(X) obtained from the phase sensitive image and a 3rd order Gaussian function was used to fit the LSF obtained from the phase retrieved image. Finally, the modulation transfer function (MTF) curves were obtained from the fast Fourier transform (FFT) of the LSF, and normalization to unity at zero spatial frequency (f) as [3941]
(10)MTF(f)=FFT{LSF(X)}(11)|MTF(f)|=MTF(f)/MTF(0)

3.Results

The phase sensitive image of the 50–50 slab-PMMA edge phantom acquired by the prototype and the retrieved image (AKN2) processed by PAD method are shown in Fig. 2(a) and (b). As shown in Fig. 2(c), the phase map of the phantom was retrieved using the using Eqn. (2) with AKN2 image as it’s input.

Fig. 2.

(a) phase sensitive image of the 50–50 slab-PMMA edge phantom acquired with the prototype (b) retrieved image (AKN2) processed with the PAD based method (c) phase retrieved map of the phantom with the color bar highlighting the retrieved phase values. For 2(a) and 2(b), the color bars highlight the normalized intensities in single-precision floating point numbers.

(a) phase sensitive image of the 50–50 slab-PMMA edge phantom acquired with the prototype (b) retrieved image (AKN2) processed with the PAD based method (c) phase retrieved map of the phantom with the color bar highlighting the retrieved phase values. For 2(a) and 2(b), the color bars highlight the normalized intensities in single-precision floating point numbers.

Note that with the PAD method, the phase retrieved map reported an average value of 389 radians along the 50–50 slab and 593 radians along the slab-PMMA edge. Thus, the average phase value for the PMMA edge after their difference is about 204 radians. Note that the x-ray phase shifts should be of negative values, as x-ray refractive indices of tissues and materials are complex, and their real parts are less than one.

Theoretically, the amount of phase shift along a ray can be calculated as ϕ(r)=λreρeTe(r), assuming all rays have normal incidence, where Te(r) denotes the projected phantom thickness along the ray path. For a 2 cm thick 50–50 slab having an electron density (ρe) of 3.261×1023 /cm3, we found that the approximate projected phase shift value along the slab is about 379 radians. Similarly, for the 0.82 cm thick PMMA edge having an electron density (ρe) of 3.874×1023 /cm3, the phase shift along the edge is about 185 radians and the approximate phase shift along the 2.82 cm thick slab-edge phantom is about 564 radians. Thus, the PAD based method reported the phase shift values that are reasonably close to the thickness-based phase estimates. The comparison of theoretically calculated phase and experimentally retrieved phase values are given in Table 1.

Table 1

Comparison of theoretical and retrieved phase values for the phantom

Material type values (radians)Theoretical phase values (radians)Phase retrieved% Error
2 cm 50–50 slab3793892.63
2.82 cm Combo5645935.1
0.82 cm PMMA18520410.2

On the phase sensitive image, the overshooting at the boundaries are clearly seen. As the distorted wave-front propagates sufficiently far, the small differences in phase shifts of the wavefront cause interference patterns which causes edge enhancements (dark-bright fringes) at boundaries between components of varying phase shift coefficients. These interference patterns are not visible after the application of the phase retrieval method on the phase sensitive image. The oversampled ESFs evaluated across the sharp PMMA-air edge for both the phase sensitive and PAD processed images are given in Fig. 3. The application of Eq. (6) to raw ESF generates smooth ESF curves with a high coefficient of determination (R2) values while preserving the edge truth. Note that the intensities of both images are converted back to 12-bit grayscale values. The edge enhancement effects are highlighted for the phase sensitive image.

Fig. 3.

Oversampled edge spread functions (ESFs) obtained from the (a) phase sensitive image (b) phase retrieved image. The results of applying the window function to the raw ESF are zoomed in 3(a).

Oversampled edge spread functions (ESFs) obtained from the (a) phase sensitive image (b) phase retrieved image. The results of applying the window function to the raw ESF are zoomed in 3(a).

The differentiation of ESF curves produces LSF curves as shown in Fig. 4. The raw LSF curves were fitted using the Gaussian function given by Eqn. (7), generating the fitted LSF curves with high R2 values that indicates a good fitting. The edge enhancement as highlighted in the ESF curves for the phase sensitive image causes negative side lobes (dips) in the corresponding LSF curves. The full width at half maximum (FWHM) values on LSF curves of phase sensitive and phase retrieved images were determined to be 209 μm and 318 μm.

Fig. 4.

Line spread functions (LSFs) obtained for the (a) phase sensitive image (b) phase retrieved image.

Line spread functions (LSFs) obtained for the (a) phase sensitive image (b) phase retrieved image.

The MTF curves for phase sensitive and phase retrieved images are given in Fig. 5. On the phase sensitive image, the interference patterns occurring at the boundaries between components of varying phase shift coefficients results in the amplification of signals in the mid-frequencies. The recorded resolutions for the two images at 50% MTF are 11.5 lp/mm and 5.3 lp/mm; while 15.6 lp/mm and 10.6 lp/mm are reported at 10% MTF for the phase sensitive and phase retrieval imaging.

Fig. 5.

Modulation transfer function (MTF) curves for the phase sensitive and phase retrieved images. The asterisk (*) signs show the frequencies corresponding to 50% and 10% MTF values.

Modulation transfer function (MTF) curves for the phase sensitive and phase retrieved images. The asterisk (*) signs show the frequencies corresponding to 50% and 10% MTF values.

4.Discussion

Phase-contrast imaging has shown its value in the preclinical imaging studies, and there has been a rapid acceleration over the past few years towards its clinical implementation [7,9,4245]. Experimentally, the in-line phase sensitive imaging is the most straightforward technique to implement. A necessary sample to detector distance is required to let the distorted wave propagate and diffract. This technique also works with polychromatic x-ray sources. One of the important goals for phase sensitive imaging is to get quantitative information such as tissue’s electron density and phase retrieval methods can yield that information. Depending on the sample’s composition, phase retrieval methods can be applied to a single-phase sensitive image. One such method is based on phase-attenuation duality (PAD) principle.

Without the prior information of δ and β of the multi-material phantom, PAD based method retrieved the phase numbers of the phantom which were within 2–10% of the theoretically calculated phase values. It was noted that with the PAD-based method, high-frequency signal components in the retrieved image were suppressed that resulted in lower MTF values. Mathematically, the Laplacian operator in Eqn (4) makes the denominator very large, thus, excessively suppressing high-frequency components in the resultant image. For example, the cutoff resolution (10% MTF) suggest that the smallest detectable details on phase retrieved and phase sensitive images were 47 μm and 31 μm. Yet, the retrieved image’s noise power spectrum (NPS) suggests that there is also suppression of high-frequency noise component. The comparison of NPS is beyond the scope of this topic and will be presented in a future study. It has been shown in the previous studies that the PAD-based method yielded images with an improvement of at least three times higher contrast to noise ratios (CNRs) than the phase sensitive images of biological samples [2933]. In this study, the CNR values for the phantom were 24 and 66 for the phase sensitive and phase retrieved images.

The polychromatic beam has a contribution of different photon energies and thus, the approximate values of λ and σKN for the 120-kV polychromatic beam in Eqn. (5) cause blurring in the retrieved image. It has been shown that employing this retrieval method with a monochromatic x-ray beam at the synchrotron facility, the spatial resolution of the retrieved images does not degrade at all [31]. Furthermore, we predict that by employing a high-resolution photon counting detector in the current imaging setup, the contributions of various photon energies in a polychromatic beam can be limited and the PAD-based method would further provide accurate phase retrieval maps without degrading the spatial resolution.

It is worth to mention that the phase sensitive imaging technique has been adapted to visualize materials with weak attenuation coefficients. The traditional spatial resolution measurements employ a highly attenuating sharp edge or wire composed of a metal. For a metal, the phase effects are not visualized under the diagnostic energy range. These phase effects are the edge enhancements (dark-bright fringes) that occur at the boundaries between components of varying phase shift coefficients. Furthermore, if a metal like tungsten (W) was to be utilized under 60 keV, the ratio of δ/β=74, while for the PMMA phantom that was used in this study, the ratio of δ/β=1953 [46]. Hence, the use of a metal was not feasible in this study. PMMA being a weakly attenuating material (Z<10) fulfilled one of the conditions of PAD method and, the corresponding phase effects were visualized. The interference patterns occurring at the boundaries resulted in the amplification of signals in the mid-frequencies which has a direct impact on contrast for details corresponding to those frequencies. This trend is also predominantly observed in the LSFs and MTF curves for the CT imaging of lung where a sharp kernel is employed that amplifies the high frequency contents for the better visualization of details like lung nodules [4749].

The CT reconstruction performed directly with the phase sensitive projections offers an advantage in analyzing the structural inner and outer contours of weakly attenuating tissues. However, these tomograms would not be the maps of the linear attenuation coefficients (LACs) of the tissues. Instead, they may present unusually large or even negative LAC values at interfaces between different tissues [50]. Phase retrieval decodes the phase map from a given phase sensitive projection, and then the 3D images are reconstructed to enhance image contrast and enable to extract quantitative information such as tissue electron density and the so-called phase number [51]. Hence, any phase retrieval method must not degrade the spatial resolution to a great extent so that one could get refined phase maps and tissue’s electron density (pe). In our investigation, the sampling efficiency for the phase retrieved image was about 42% (10.6 lp/mm/25 lp/mm) as compared to the 62% efficiency for the phase sensitive image, a 32% reduction in sampling efficiency. Other single-distance phase retrieval methods have reported a reduction of more than 60% in their retrieved images as compared to phase sensitive images [52]. Thus, this retrieval method offers the advantage of offering the quantitative information while working with the polychromatic x-ray beams without greatly degrading the spatial resolution.

With a tube focus spot of 16 μm, the induced edge gradient blurring is 24 μm according to the relation f=F(M1) [53]. If a large focal spot of 50 μm were to be used, the induced edge gradient blurring would increase to 75 μm which would increase the FWHM of the LSF curves and degrading the spatial resolution. In our previous work with the 50 μm focal spot size, the cutoff resolution for the phase sensitive image was reported to be 12.5 lp/mm [33]. For translating the phase sensitive technology, operation with the large focal spot size is desired to limit the exposure time associated with microfocus tube’s outpower. For efficient mammography or breast imaging system, a cutoff resolution of 8 lp/mm is enough for accurate diagnosis. For example, the current general electric (GE) digital mammography units use 100 μm detector pitch which corresponds to a Nyquist frequency of 5 lp/mm for the contact modes. In their magnification mode, M=1.8, the Nyquist frequency increase to 1.8×5 lp/mm=9 lp/mm. The tube focal spot sizes for the breast imaging systems are usually in hundreds of microns, thus their cutoff resolution is always smaller than the Nyquist frequency as dictated by the magnification’s blurring. The detector employed in this study has a negative impact on the spatial resolution due to the light spreading that is associated with its scintillator layer. In collaboration with our industrial partners, a clinical phase sensitive imaging system has been developed that utilize a direct detection flat panel system which would further improve the spatial resolution and thus increasing the sampling efficiency of the system. Future studies will be conducted to further optimize this retrieval method to balance the tradeoffs in phase numbers, spatial resolution and image noise.

Acknowledgements

The research reported in the publication was supported by the National Cancer Institute of the National Institutes of Health under Award Number R01CA193378. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Health. We would like to acknowledge the support of Charles and Jean Smith Chair endowment fund as well.

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