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1986, The British Journal of Radiology, 59, 365-371 APRIL 1986

A method for increasing the resolution of scanned projection


radiography and other digital X-ray systems
By D. R. Checkley, M.Sc, X. P. Zhu, M.D., D. S. Hickey, Ph.D., J. K. Hughes, J. B. Carter, M.Sc.
and I. Isherwood, M.R.C.P., F.R.C.R.
Department of Diagnostic Radiology, The Medical School, University of Manchester, Oxford Road,
Manchester M13 9PT

(Received April 1985 and in revised form September 1985)

ABSTRACT generator required a minor hardware modification. All


A method for increasing the sampling frequency of digital X- images were produced using a standard Maxiray 100
ray systems is described. The method employs discrete, X-ray tube. The machine was in full-time clinical use
stepwise magnetic deflection of the focal spot and the and the high resolution facilities were introduced
recombination of the resulting displaced images. The technique
was applied to a GE CT/T 8800 scanner operating in "Scout
without major disruption.
View" mode. The hardware and software modifications were High contrast spatial resolution was measured with a
minor. The transverse resolution was shown to improve from 0.1 mm thick lead-bar phantom. This phantom offered
0.63 to 0.9 line pairs per mm, using a test phantom. The effect a convenient visual assessment of resolution in the
of the improvement in resolution is also illustrated in the range of 0.5 to 5.0 line pairs per mm (lp/mm). Initially it
human. The possibility of further improving the resolution of was used to estimate normal scanogram resolution in
the system is discussed. the transverse and longitudinal directions. These
measurements were obtained on separate scanograms
This paper describes the development of a method for with the phantom mounted on the patient cradle in the
increasing the sampling frequency of digital X-ray centre of the field. For transverse measurements the
detector systems by deflection of the X-ray focal spot. lead bars in the phantom were aligned parallel to the
The aim is to demonstrate that an increase in spatial scanner axis, whilst for the longitudinal measurements
resolution of digital images can be obtained using they were at right angles to it.
simple software and hardware modifications on a
commercial CT scanner. The method was implemented Increasing the transverse resolution
using the scanogram, a line-scanned digital radio- The principle of the technique involves discrete
graphic facility usually employed to locate axial deflections of the focal spot. These deflections move the
sections. The good contrast resolution of some X-ray image in small steps across the effectively
scanogram systems (Sommer & Brody, 1982) has stationary detectors. A digital line image is recorded for
stimulated a general interest in their direct use for each position of the focal spot. Recombination of two
diagnosis. Initial results were disappointing (Lawson et or more spatially displaced images then results in
al, 1980; Baker, 1981) but with modifications more improved resolution. The size of the steps between the
encouraging data have been obtained (Foley et al, 1979; positions of the image is manipulated such that they are
Casselet al, 1981). a fraction of the detector width for the geometry of the
A limitation of the scanogram is its poor spatial selected object plane.
resolution. An increase in resolution would provide To increase the transverse resolution we considered a
useful diagnostic images, particularly in limbs, the head, horizontal plane in the centre of the image field of the
and the spine, where movement is not a problem. scanner 780 mm from the focal spot and 320 mm from
Transverse and longitudinal resolution in scanograms is the central detector. For simplicity, we considered first
controlled by different factors (Katragadda et al, 1979). a focal-spot deflection of 1.46 mm at the anode surface,
In our study the transverse sampling frequency and which would produce an image shift of half a detector
spatial resolution were increased by electron-beam width (0.6 mm). Other deflections may be treated by a
deflection. To increase resolution in the longitudinal simple extension of the geometry.
direction, the X-ray beam was collimated and the Lateral beam deflection for the image plane was
interpulse cradle travel reduced. These techniques are equivalent to lateral displacement of the curved detector
described and high resolution images are presented. array. Out-of-plane tomographic blurring was ignored,
since for a slice effectively 400 mm thick the blurring
MATERIALS AND METHODS extends over less than 0.12 mm, or only 10% of the
All experiments were performed on a GE CT/T 8800 detector width. The intensity distributions sampled by
scanner in scanogram, i.e. "Scout View" mode. the detectors are thus effectively the same for the
Attaching prototype magnetic coils to the X-ray different positions of the focal spot.
365
VOL. 59, No. 700
D. R. Checkley, X. P. Zhu, D. S. Hickey, J. K. Hughes, J. B. Carter and I. Isherwood

freedom from the propagation of noise. For each


View 1 Ai A2 A3 detector we set,
D a = A,/2
and
View 2
(displaced D,2 = B,/2
Bi B2 B3
\ detector where D is a dummy array. Then it follows that an
width) estimate of the pseudodetector values is
(2)
and
Combined (3)
views -
pseudo \ Ci c2 c3 C5 c6 c7
width
detectors where e is an error term. This error is calculated and
distributed over the dummy array such that:
'Ai/2

Thus, a Ai=Ci+C 2 ^ 1 2 — ^12 1" t B ( / 2 VT»-


series of Bi= C2+C3 After two or three iterations of the array using
simultaneous
equations is A2= C3 equations (2), (3), and (4), the image data converged.
produced The coil produced distortion in the displaced focal
B2= spots, which necessitated the use of simple smoothing
FIG. 1. and grey-level normalisation procedures to produce
artefact-free images.
Pseudodetector response. When a detector with a rectangular
response function is displaced laterally between two radio- Deflecting the n detectors by half a detector width is
graphs of the same object, the two responses A, and B, can be thus equivalent to sampling the X-ray intensity
recombined to form a set of pseudodetector responses Cy. distribution using In half width detectors. Other
These pseudodetectors have half the width and therefore twice possibilities, such as deflection of the spot to four
the sampling frequency of the original detector array. positions and effectively overlapping the shifted
detectors by one quarter of a detector length, involve
only simple modifications to the mathematics. The
The focal-spot intensity structure was assumed to be technique may be used with non-rectangular detector
Gaussian (Barrett & Swindell, 1981). This form has response functions by a simple extension, but the values
previously been used to describe the GE CT/T 8800 of the integral over the appropriate overlap regions
focal spot in investigations of the resolution of CT must be known.
scanners (Glover & Eisner, 1979; Blumenfield & Recombination of images spatially separated by a
Glover, 1981). The xenon gas detectors were each fraction of the width of a single detector was modelled
considered to have an approximately rectangular by the convolution of the detector response function
response function across a width of 1.2 mm. with a comb fraction. The result was convolved with the
In the image reconstruction pairs of detector readings focal-spot intensity distribution to give a Modulation
were combined to produce pseudodetector values, as Transfer Function (MTF) for the system. The algorithm
shown in Fig. 1. The result is a series of simultaneous employed for the sampling process is essentially similar
equations relating m pseudodetectors to the n detector to that described by Barrett and Swindell (1981).
values. For simplicity, we consider recombination of
two images (m = 2n) displaced relative to each other by Coil design
half the width of a detector, thus: The coil prototype was designed for use with the
pulsed X-ray system of the scanner. This rectangular
coil had 200 turns and 1 ohm d.c. resistance and was
designed to fit around the initial collimator of the X-ray
"i+l =
(1) tube, as shown in Fig. 2. The distance between the coil
where A; and B, are the response of the ith detector and centre and the electron beam was 10 cm. Current
its deflected value respectively, and C ; is the jth. switching for the coil was triggered by the couch
pseudodetector value. There are several methods that electronics of the scanner. These were modified to
can be used to solve this form of equation although provide a pulse that reversed the polarity of the current
image noise can invalidate direct solutions. For this in the coil with each X-ray pulse (25 times/s). Alternate
study we chose a simple, locally acting iteration. This views recorded from the xenon detector array were thus
method had the advantages of simplicity and relative displaced by half the width of a detector.
366
APRIL 1986

Increasing the resolution of digital X-ray systems

structure was determined using the pinhole technique


FOCAL SPOT shown in Fig. 2. Pinhole images were recorded on
dental film using 80 kVp, 320 mA, and pulse width code
3 (a 4 ms pulse width). Precise alignment for these
images was achieved with simple software modifications
200 TURN COIL which allowed the projection data to be read for each
12 -16amps AC
view. It was then possible for the pinhole or other
objects to be positioned accurately over the central
detector in the array. All objects placed within the
COLLIMATOR scanner ring were positioned by this method.
"BOX

Data processing
Normal scanogram data are corrected for offsets,
100c
normalised using the reference detectors, calibrated
using data from an axial air scan and filtered. For the
high resolution images we employed the normal offset
and reference data corrections, but used calibration
data from an air scanogram instead of an axial scan.
The air-calibration scanogram was carried out with the
0.5 mm collimator in place and with the coil producing
XENON
lateral beam deflection. The normal scanogram low
DETECTORS frequency suppression filter was not used.
Calibrated projections of the object were stored in
scanogram raw data files. Since in each interpulse
interval the cradle moved longitudinally, temporally
FIG. 2.
consecutive projections were not spatially equivalent
The position of the 200-turn coil, around the initial collimator and could not be directly combined. Linear
box. The experimental conditions for obtaining pinhole images
of the focal spot are also illustrated. interpolation, between adjacent projection values with
the same coil current direction, was therefore employed.
In the final image each interpolated projection was
A number of experiments were required initially to combined with the equivalent real projection.
determine the relationship between coil current and
focal-spot displacement. From this calibration the coil RESULTS
current required for deflection of the image by one Theoretical MTF curves calculated from the
quarter of a detector width was determined (12 A). Gaussian focal spot and rectangular detector response
Images obtained with focal-spot deflection were in effect
double sampled.
The result of combining four laterally displaced
images was investigated using a single strip of the bar
phantom as the object. This phantom was positioned in
the centre of the field on a travelling microscope and
moved laterally in steps, each of which corresponded to
an image displacement of one quarter of the detector •Normal sampling

width. < 2 sampling


; 4 sampling
Improving longitudinal resolution
Spatial resolution in the longitudinal direction was
increased by placing a 0.5 mm collimator centrally over
the output of the standard collimator box. This
produced an X-ray beam 3.5 mm wide at the detectors,
i.e. substantially narrower than the 5 mm width for the
normal scanogram.
A further increase in resolution was obtained by
halving the interpulse cradle increment. The number of Spacing frequency •
cradle-encoder output pulses for each cm of movement cycles mm
was doubled for the combination of the two images. FIG. 3.
System MTF curves calculated for a Gaussian focal spot and a
Focal-spot structure rectangular detector response function. The curves correspond
The effect of deflection on the form of the focal-spot to normal, two-image and four-image recombinations.
367
VOL. 59, No. 700
D. R. Checkley, X. P. Zhu, D. S. Hickey, J. K. Hughes, J. B. Carter and I. Isherwood

A normal scanogram and a combined image of the


bar phantom, reconstructed with half-width pseudo-
detectors, are shown in Fig. 5. An apparent
improvement in the transverse resolution can be seen in
the combined image. The four lead bars and five spaces
can be resolved at 0.63 lp/mm in the normal image and
0.9 lp/mm in the improved image. This is in agreement
with data derived from the predicted MTFs, which
indicated an improvement of 72% in the spatial
resolution.
The normal scanogram and combined image of the
bar phantom, with bars aligned transversely, are shown
FIG. 4.
in Fig. 6. An increase in longitudinal resolution from
less than 0.5 lp/mm to 0.7 lp/mm can be seen in the
Pinhole images of the deflected focal spot obtained using the combined image. Theoretically the decreased detector
200-turn coil.
length should produce up to 40% improvement in
spatial resolution. This appears to have been achieved.
functions are shown in Fig. 3 for normal, two-image Normal and beam deflected scanogram images of a
and four-image combinations. No further improvement human ankle are given in Fig. 7. The combined image is
was obtained with eight-image combinations due to generally sharper and shows a number of features
limitation by the MTF of the focal spot. resulting from the improvement in resolution. This
Deflected pinhole images produced by the 200-turn image demonstrates that despite the presence of
rapidly switching coil are given in Fig. 4. The substantial focal-spot distortion, artefact-free images
displacement produced by this coil differed at the top can be produced.
and bottom of the pinhole images. Our preliminary results from the combination of four

FIG. 5.
Image of lead bar phantom to show transverse resolution, (A) The normal unfiltered scanogram, resolution limit 0.63 lp/mm, (B)
with electron beam deflection and image combination, resolution limit 0.9 lp/mm.

368
APRIL 1986

Increasing the resolution of digital X-ray systems

FIG. 6.
Image of lead bar phantom to show longitudinal resolution, (A) Normal scanogram, resolution limit less than 0.5 lp/mm, (B) with
output collimation and decreased interpulse cradle movements, resolution limit 0.7 lp/mm.

FIG. 7.
(A) Normal scanogram and (B) increased resolution images of the human ankle. The images are similar but the combined image
both has an improved edge definition and appears less noisy. It is clear that an acceptable image quality was obtained despite the
distortion of the deflected focal spots in the prototype system.

369
VOL. 59, No. 700
D. R. Checkley, X. P. Zhu, D. S. Hickey, J. K. Hughes, J. B. Carter and I. Isherwood

A specific application of beam deflection may be in


A digital tomosynthesis systems (Maravilla et al, 1983). In
digital tomosynthesis the detector array is moved
relative to the patient, and a series of images is
collected. Tomographic planes within the patient are
then formed by simple manipulation of the data. The
techniques and algorithm described here could be
applied to increase resolution.
Deflecting the electron beam, and therefore the X-ray
beam, with a magnetic field is relatively simple and
B inexpensive. The technique can be used to achieve
increased sampling frequencies, and in systems limited
by detector width these modifications will improve the
spatial resolution. Resolution also depends upon the
intensity distribution and structure of the focal spot
(Glover & Eisner, 1979). If beam deflection is
employed, resolution is restricted by focal-spot size. Our
results are consistent with the published analyses of
oversampling (Glover & Eisner, 1979; Blumenfield &
Glover, 1981), which also indicate that the increase in
spatial resolution with oversampling on the CT/T 8800
is limited by the size of the focal spot. An estimate of the
effective width of the detector aperture and thus the
suitability of the beam deflection method may be
obtained from:

in Iff
I 20
0-5 line pairs/mm Xe[ = [X2 + (M-l)2S2~\yM
where Xe{ is the effective detector aperture width, M is
the magnification, X is the actual detector aperture
width, and S the spot size (Yester & Barnes, 1977).
2-8
The disparity in transverse and longitudinal
40 resolution, although not readily apparent in the images,
could be rectified by tube and detector-box collimation.
FIG. 8. This would be an effective method for decreasing the
The potential of beam deflection, for further improving the width of the X-ray beam, but would result in wasted
resolution of a scanogram. A single strip of the bar phantom is patient dose. Normal scanogram images do not have
shown with (A) single-image, (B) two-image and (c) four-image equal transverse and longitudinal resolution. The entry
recombinations. For these images the object, not the focal dose for a full-length scanogram is approximately
spot, was moved. 2.5 mGy, a dose which it is anticipated would be
proportionately increased by decreasing the interpulse
travel.
images show that further substantial increases in The reconstruction algorithm effectively smooths the
resolution are possible. In Fig. 8 three images of the images in the longitudinal direction and removes some
same strip of the bar phantom are shown. These images of the linear artefact caused by pulse-to-pulse
illustrate normal transverse resolution and the effect of differences in photon flux. Pulse-to-pulse variations
combining two and four deflected images. These data may be caused by deflecting the focal spot and changing
were obtained by moving the object relative to a the electron beam track on the anode surface (Braun,
stationary X-ray beam. Since focal-spot distortion was 1979). Electron-beam focusing may also be a cause,
not a problem in this experiment only a simple, although our results suggest that non-uniformity of the
unweighted moving average procedure was required for applied magnetic field is the major problem. There is
smoothing. considerable potential in the design of coils to produce a
more uniform X-ray output with alternately deflected
DISCUSSION pulses. Improved calibration procedures should reduce
We have demonstrated that an increase in the pulse-to-pulse variations and improve scanogram
transverse and longitudinal resolution of a scanogram images still further.
system can be obtained by making relatively minor Some focal-spot distortion was present, but it did not
changes to a conventional CT scanner. The technique of affect our production of higher resolution images. This
beam deflection could have general applications in distortion was not present when a larger coil, situated
digital radiography and CT. further from the electron beam, was used for deflection.

370
APRIL 1986

Increasing the resolution of digital X-ray systems

A computer simulation of the magnetic field in the radiography of the head using a CT scanner. Journal of
region of the electron beam was performed. This Computer Assisted Tomography, 5, 54-59.
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and involved a summation of the vector field for 600 Optimizing computed tomography scanner geometry. An
application of optical instrumentation in medicine VII.
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magnitude of the field across the electron beam in the BLUMENFIELD, S. M. & GLOVER, G., 1981. Spatial resolution in
small coil and 1% with the large coil, consistent with Computed Tomography. In Radiology of the Skull and
our experimental results and the apparent cause of focal- Brain: Technical Aspects of Computed Tomography. Vol. 5.
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BRACEWELL, R. N., 1978. In The Fourier Transform and Its
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many digital systems, including line-scanned projection BRODY, W. R., MACOVSKI, A., LEHMAN, L., DIBIANCA, F. A.,
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distribution. This distribution is convolved with the using a computed tomography instrument. Radiology, 133,
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ACKNOWLEDGMENTS 497-502.
We extend our sincere thanks to Brian Pullan for his help SOMMER, G. F. & BRODY, W. R., 1982. Contrast resolution of
and would like to acknowledge grants from the North Western line-scanned digital radiography. Journal of Computer
Regional Health Authority and the Peter Kershaw Trust. We Assisted Tomography, 6, 373-377.
also thank I.G.E. for technical help with this study. YESTER, M. W. & BARNES, G. T., 1977. Geometrical limitations
of computed tomography (CT) scanner resolution.
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