Phase-contrast imaging using conventional polychromatic x-ray sources and grating interferometers has been developed and demonstrated for x-ray energies up to 60 keV. Here, we conduct an analysis of possible grating configurations for this technique and present further geometrical arrangements not considered so far. An inverse interferometer geometry is investigated that offers significant advantages for grating fabrication and for the application of the method in computed tomography ͑CT͒ scanners. We derive and measure the interferometer's angular sensitivity for both the inverse and the conventional configuration as a function of the sample position. Thereby, we show that both arrangements are equally sensitive and that the highest sensitivity is obtained, when the investigated object is close to the interferometer's phase grating. We also discuss the question whether the sample should be placed in front of or behind the phase grating. For CT applications, we propose an inverse geometry with the sample position behind the phase grating.

To explore the future clinical potential of improved soft-tissue visibility with grating-based X-ray phase contrast (PC), we have developed a first preclinical computed tomography (CT) scanner featuring a rotating gantry. The main challenge in the transition from previous bench-top systems to a preclinical scanner are phase artifacts that are caused by minimal changes in the grating alignment during gantry rotation. In this paper, we present the first experimental results from the system together with an adaptive phase recovery method that corrects for these phase artifacts. Using this method, we show that the scanner can recover quantitatively accurate Hounsfield units in attenuation and phase. Moreover, we present a first tomography scan of biological tissue with complementary information in attenuation and phase contrast. The present study hence demonstrates the feasibility of gratingbased phase contrast with a rotating gantry for the first time and paves the way for future in vivo studies on small animal disease models (in the mid-term future) and human diagnostics applications (in the long-term future).differential X-ray phase contrast | grating interferometer | X-ray imaging O ne of the main shortcomings of existing biomedical X-ray imaging systems is their weak contrast in soft tissue. This limitation can be addressed by phase-sensitive imaging methods that rely on the phase shift that X-rays undergo when passing through matter (1). The resultant refraction angle can be utilized as contrast mechanism in a grating-based interferometer in radiographic (2, 3) and tomographic acquisition mode (4, 5). In a computed tomography scan, quantitative information about the sample's composition can be extracted-i.e., the linear attenuation coefficient μ and decrement of the refractive index δ can be reconstructed (6-8). Because the grating-based phase-contrast imaging method is compatible with X-ray tube sources, when operated as Talbot-Lau interferometer (9), a translation to a clinical application scenario is currently discussed with great enthusiasm in the research community. Recent studies with laboratory X-ray sources have shown excellent imaging results with respect to softtissue contrast (10)(11)(12)(13)(14). In order to explore the envisioned clinical potential, we have developed a first preclinical phase-contrast CT scanner. This development represents an important milestone in the translation of phase-contrast imaging to clinical settings, as all grating-based phase-contrast setups, which are reported in the literature so far, use a rotating sample for tomographic scans. Because this mode of operation is obviously not preferable for intended in vivo animal studies, we have explored with this work the step from rotating sample to rotating gantry. The main challenge in this translation process was mechanical stability regarding the required precise alignment of the X-ray optical components (gratings). Even mechanical movements of either grating of only fractions of a micrometer during gantry rotation already c...

X-ray chest radiography is an inexpensive and broadly available tool for initial assessment of the lung in clinical routine, but typically lacks diagnostic sensitivity for detection of pulmonary diseases in their early stages. Recent X-ray dark-field (XDF) imaging studies on mice have shown significant improvements in imaging-based lung diagnostics. Especially in the case of early diagnosis of chronic obstructive pulmonary disease (COPD), XDF imaging clearly outperforms conventional radiography. However, a translation of this technique towards the investigation of larger mammals and finally humans has not yet been achieved. In this letter, we present the first in-vivo XDF full-field chest radiographs (32 × 35 cm2) of a living pig, acquired with clinically compatible parameters (40 s scan time, approx. 80 µSv dose). For imaging, we developed a novel high-energy XDF system that overcomes the limitations of currently established setups. Our XDF radiographs yield sufficiently high image quality to enable radiographic evaluation of the lungs. We consider this a milestone in the bench-to-bedside translation of XDF imaging and expect XDF imaging to become an invaluable tool in clinical practice, both as a general chest X-ray modality and as a dedicated tool for high-risk patients affected by smoking, industrial work and indoor cooking.

X-ray grating interferometry is a coherent imaging technique that bears tremendous potential for three-dimensional tomographic imaging of soft biological tissue and other specimens whose details exhibit very weak absorption contrast. It is intrinsically trimodal, delivering phase contrast, absorption contrast, and scattering (“dark-field”) contrast. Recently reported acquisition strategies for grating-interferometric phase tomography constitute a major improvement of dose efficiency and speed. In particular, some of these techniques eliminate the need for scanning of one of the gratings (“phase stepping”). This advantage, however, comes at the cost of other limitations. These can be a loss in spatial resolution, or the inability to fully separate the three imaging modalities. In the present paper we report a data acquisition and processing method that optimizes dose efficiency but does not share the main limitations of other recently reported methods. Although our method still relies on phase stepping, it effectively uses only down to a single detector frame per projection angle and yields images corresponding to all three contrast modalities. In particular, this means that dark-field imaging remains accessible. The method is also compliant with data acquisition over an angular range of only 180° and with a continuous rotation of the specimen.

Disorders of the lungs such as chronic obstructive pulmonary disease (COPD) are a major cause of chronic morbidity and mortality and the third leading cause of death in the world. The absence of sensitive diagnostic tests for early disease stages of COPD results in under-diagnosis of this treatable disease in an estimated 60–85% of the patients. In recent years a grating-based approach to X-ray dark-field contrast imaging has shown to be very sensitive for the detection and quantification of pulmonary emphysema in small animal models. However, translation of this technique to imaging systems suitable for humans remains challenging and has not yet been reported. In this manuscript, we present the first X-ray dark-field images of in-situ human lungs in a deceased body, demonstrating the feasibility of X-ray dark-field chest radiography on a human scale. Results were correlated with findings of computed tomography imaging and autopsy. The performance of the experimental radiography setup allows acquisition of multi-contrast chest X-ray images within clinical boundary conditions, including radiation dose. Upcoming clinical studies will have to demonstrate that this technology has the potential to improve early diagnosis of COPD and pulmonary diseases in general.