Abstract. High-resolution, low-noise x-ray detectors based on the complementary metal-oxide-semiconductor (CMOS) active pixel sensor (APS) technology have been developed and proposed for digital breast tomosynthesis (DBT). In this study, we evaluated the three-dimensional (3D) imaging performance of a 50 μm pixel pitch CMOS APS x-ray detector named DynAMITe (Dynamic Range Adjustable for Medical Imaging Technology). The two-dimensional (2D) angle-dependent modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE) were experimentally characterized and modeled using the cascaded system analysis at oblique incident angles up to 30°. The cascaded system model was extended to the 3D spatial frequency space in combination with the filtered back-projection (FBP) reconstruction method to calculate the 3D and in-plane MTF, NNPS and DQE parameters. The results demonstrate that the beam obliquity blurs the 2D MTF and DQE in the high spatial frequency range. However, this effect can be eliminated after FBP image reconstruction. In addition, impacts of the image acquisition geometry and detector parameters were evaluated using the 3D cascaded system analysis for DBT. The result shows that a wider projection angle range (e.g. ±30°) improves the low spatial frequency (below 5 mm -1 ) performance of the CMOS APS detector. In addition, to maintain a high spatial resolution for DBT, a focal spot size of smaller than 0.3 mm should be used.Theoretical analysis suggests that a pixelated scintillator in combination with the 50 μm pixel pitch CMOS APS detector could further improve the 3D image resolution. Finally, the 3D imaging performance of the CMOS APS and an indirect amorphous silicon (a-Si:H) thin-film A c c e p t e d M a n u s c r i p t transistor (TFT) passive pixel sensor (PPS) detector was simulated and compared.Keywords: CMOS active pixel sensor, x-ray detector, digital breast tomosynthesis, three-dimensional, cascaded system analysis, pixelated scintillator, detective quantum efficiency
IntroductionHigh performance x-ray detectors based on the complementary metal-oxide-semiconductor ( Up to now, most studies focus on CMOS APS detector evaluation by measuring the one-dimensional (1D) or 2D modulation transfer function (MTF), noise power spectrum (NPS) and detective quantum efficiency (DQE) using a single x-ray projection at the zero-degree incident angle (perpendicular to the detector). Nevertheless, since DBT is a quasi-three-dimensional (3D) imaging technology, the DBT image quality is influenced by the system geometry and reconstruction algorithms (Sechopoulos 2013a(Sechopoulos , 2013b. Therefore, the 3D imaging performance should be evaluated for the CMOS APS detectors. However, it is difficult to empirically investigate the 3D image quality. To deal with this issue, the 3D cascaded system analysis for CMOS APS detectors was developed and is presented in this study.Cascaded system analysis can accurately model the signal and noise propagation and blurring within ...