Purpose
Propagationâbased phaseâcontrast computed tomography (PBâCT) is a method for threeâdimensional xâray imaging that utilizes refraction, as well as absorption, of x rays in the tissues to increase the signalâtoânoise ratio (SNR) in the resultant images, in comparison with equivalent conventional absorptionâonly xâray tomography (CT). Importantly, the higher SNR is achieved without sacrificing spatial resolution or increasing the radiation dose delivered to the imaged tissues. The present work has been carried out in the context of the current development of a breast CT imaging facility at the Australian Synchrotron.
Methods
Seven unfixed complete mastectomy samples with and without breast cancer lesions have been imaged using absorptionâonly CT and PBâCT techniques under controlled experimental conditions. The radiation doses delivered to the mastectomy samples during the scans were comparable to those approved for mammographic screening. Physical characteristics of the reconstructed images, such as spatial resolution and SNR, have been measured and compared with the results of the radiological quality assessment of the complete absorption CT and PBâCT image stacks.
Results
Despite the presence of some image artefacts, the PBâCT images have outperformed comparable absorption CT images collected at the same radiation dose, in terms of both the measured objective image characteristics and the radiological image scores. The outcomes of these experiments are shown to be consistent with predictions of the theory of PBâCT imaging and previous reported experimental studies of this imaging modality.
Conclusions
The results presented in this paper demonstrate that PBâCT holds a high potential for improving on the quality and diagnostic value of images obtained using existing medical xâray technologies, such as mammography and digital breast tomosynthesis (DBT). If implemented at suitable synchrotron imaging facilities, PBâCT can be used to complement existing imaging modalities, leading to more accurate breast cancer diagnosis.