Towards subtraction angiography using a multi-layered X-ray detector

Abstract

The feasibility of single-exposure dual-energy imaging (DEI) was investigated in pursuit of motion-artifact-free subtraction angiography. To acquire low- and high-energy images simultaneously from a single X-ray exposure, a sandwich-like multilayered detector was fabricated by configuring two phosphor-coupled photodiode array layers in tandem. A simple analytic model describing the signal in DE-reconstructed images was derived. For the feasibility test, two plastic phantoms with linear arrays of cylindrical holes were prepared to contain iodinated water. One consisted of the same-diameter cylinders with different iodine concentrations, whereas the other had the different-diameter cylinders with the same iodine concentration. The concentration and size discrimination capabilities of single-exposure DEI were evaluated by investigating the phantom images. While the image noise relative to the signal was almost independent of the mass thickness of iodine, the iodine detectability improved with the mass thickness. The detectability performance at a lower tube voltage (e.g. 60 kV) outperformed those at higher voltages, as expected from the model. The results obtained in this study demonstrate the potential applicability of the single-exposure approach to motion-artifact-free subtraction angiography.

Keywords: Digital subtraction angiography; Dual-energy imaging; Energy subtraction imaging; Sandwich detector.