Magnitude and effects of x-ray scatter in a 256-slice CT scanner

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Abstract
We developed a prototype 256‐slice CT scanner that employs continuous rotation of a cone‐beam with a larger cone angle than conventional multidetector CTs (MDCT) to ensure a wide field of view. However, a larger cone angle may result in image deterioration due to increased x‐ray scatter. Scattered radiation causes the detected signals to deviate from the true measurement of primary x‐ray intensity and may result in artifacts (e.g., cupping and streak artifacts), quantitative inaccuracy in reconstructed CT number, and degradation of contrast‐to‐noise ratio (CNR). To reduce the effects of scatter, the 256‐slice scanner incorporates an antiscatter collimator. Here, we estimated the magnitude of x‐ray scatter in the prototype 256‐slice CT scanner under clinical scan conditions and quantified the effects of this scatter on CT number accuracy, image noise, uniformity, and low contrast detectability. Although most experiments were performed with the antiscatter collimator, we also estimated the magnitude of x‐ray scatter without the collimator to evaluate the scatter rejection efficiency of the collimator. The scatter‐to‐primary energy fluence ratio (SPR) without the collimator increased as cone angle increased, with estimated values of 49.7% for a beam width with a phantom of diameter, and 78.5% for a diameter phantom. Estimated SPR was drastically decreased with the collimator, with an SPR reduction rate (ratio of SPR with and without the collimator) of 12.7% and 16.8% for the 200 and diameter phantoms, respectively. The reduction in x‐ray scatter by the collimator resulted in a considerable reduction in scatter effects. The measured uniformity was good and was independent of scatter amount. Although scatter still affected CT number accuracy, this could be corrected by rescaling. Further, although the CNR was decreased, in theory at least, the change was so subtle that it had no substantial effect on low‐contrast detectability.