Abstract
Phasecontrast Xray imaging can improve the visibility of weakly absorbing objects (e.g. soft tissues) by an order of magnitude or more compared to conventional radiographs. Combining phase retrieval with computed tomography (CT) can increase the signaltonoise ratio (SNR) by up to two orders of magnitude over conventional CT at the same radiation dose, without loss of image quality. Our experiments reveal that as the radiation dose decreases, the relative improvement in SNR increases. We show that this enhancement can be traded for a reduction in dose greater than the square of the gain in SNR. Upon reducing the dose 300 fold, the phaseretrieved SNR was still up to 9.6 ± 0.2 times larger than the absorption contrast data with spatial resolution in the tens of microns. We show that this theoretically reveals the potential for dose reduction factors in the tens of thousands without loss in image quality, which would have a profound impact on medical and industrial imaging applications.
Introduction
Xray radiography and computed tomography (CT) are two of the most common imaging modalities in diagnostic medicine. However, soft tissues have similar Xray absorption properties resulting in poor contrast obscured by noise. Photon (Poisson) noise can be reduced by increasing radiation dose, but dose must be minimised for patient safety and for high throughput applications. New techniques have been developed to enhance image contrast by an order of magnitude or more^{1,2,3} using phase shifts (i.e. refraction) of Xrays.
Propagationbased imaging (PBI) is the simplest phase contrast technique, relying on Fresnel diffraction^{4}, and is wellsuited to commercially available polychromatic, microfocus Xray sources^{5}. Fresnel diffraction simultaneously enhances image contrast and spatial resolution^{6,7} with negligible increase in image noise. Despite the huge benefits afforded by phase contrast, it is not regularly employed in industrial or clinic systems largely due to the difficulty of producing sufficiently highpowered microfocus sources for high throughput imaging. Herein we show that the need for a highpowered source can be greatly reduced by using phase contrast tomography when the object of interest is comprised of known materials.
Recovering an object’s complex refractive index is difficult since only intensity, not phase, is measured directly. Most phase retrieval algorithms place restrictions on the object’s composition and/or are unstable against image noise^{8}. Paganin et al.^{9} developed an especially noiserobust algorithm for homogenous, singlematerial samples (TIEHom; see Methods)^{10,11,12}. Beltran et al.^{13,14} extended TIEHom for multimaterial samples. These algorithms have been shown to improve the signaltonoise ratio (SNR) by up to 200 fold over conventional CT with minimal loss of spatial resolution^{13,14,15}. This paper explores how such gains can be traded for massive reductions in Xray radiation exposure.
If image noise contains photon noise only, the SNR is proportional to the root of the mean photon number per pixel, \(\bar{n}\) ^{16}. Since photon number is proportional to radiation dose and, in the case of constant photon rate, \(\eta \), also to exposure time, \(t\), as \(\bar{n}=\eta t\), the gain in SNR provided by phase retrieval is:
The attenuation coefficient, μ, is the CT signal and z is the objecttodetector propagation distance that enables Fresnel diffraction to be seen. PR and AC denote phase retrieved and absorption contrast data. The standard deviation of Poisson noise, \({\sigma }_{P}=\sqrt{\eta t}\), is normalised during flat field correction, hence noise in the corrected images is inversely proportional to the mean photon number per pixel: \({\sigma }_{P,corr}=\sqrt{\eta t}/({\eta }_{o}t)=1/\sqrt{\eta ^{\prime} t}\), where \(\eta ^{\prime} ={\eta }_{0}^{2}/\eta \) and \({\eta }_{0}\) is the photon rate in the incident beam. Normalization doesn’t change equation (1), as the same factors, \({\bar{n}}_{0}={\eta }_{0}t\), in the numerator and denominator cancel out. \({G}_{P}(z)\) is the factor by which Poisson noise is reduced by phase retrieval that is independent of time since spatial filtering removes a fixed fraction of noise. This gain in SNR can be traded for a reduced radiation dose. The dose reduction factor (DRF) is calculated by equating \(G(z)\) to the ratio of SNRs for phase retrieval at the original exposure time, t, to that of a shorter time, \(t^{\prime} \), assuming constant dose rate. Hence \(SN{R}_{PR}(t^{\prime} )=SN{R}_{AC}(t)\). Considering photon noise only, equation (1) gives a DRF of:
Nesterets et al.^{17} showed the gain factor \({G}_{P}(z)\) is larger for CT than for a projection image, hence the potential for dose reduction is much greater for CT than for radiography. Equation (2) suggests that with SNR gains in the hundreds being possible, a DRF in the tens of thousands is also possible. However, since other noise sources are typically present (e.g. detector noise and reconstruction artefacts^{15}), this analysis is too simple. This study determines how much the dose can actually be reduced in propagationbased phase contrast CT without losing image quality.
Results
A newborn rabbit thorax was imaged for this study to show the impact of phase retrieval on improving the image SNR whilst maintaining sufficiently high spatial resolution to resolve individual alveoli (the smallest lung airspaces). Figure 1 shows a reconstructed slice through the lungs at the smallest and largest propagation distances, and the effect of applying TIEHom phase retrieval algorithm before CT reconstruction. Figure 2 shows closeup images of the terminal airways. At the larger distance L = 2 m (Fig. 1b), phase contrast provides high contrast halos (fringes) at each air/tissue and bone/tissue interface. This edge enhancement increases the spatial resolution^{6} with negligible increase in noise (see Fig. S1) and the high fringe contrast is well above the noise floor. The phase retrieved image (Fig. 1c) shows that both the phase contrast halos and high frequency noise have been suppressed by TIEHom (see Fig. S1). The gain in spatial resolution from Fresnel diffraction has been traded for an increase in the SNR.
Signaltonoise ratio measurements
Image quality was measured quantitatively using the signaltonoise ratio (SNR) from small, homogeneous regions of interest in the agarose surrounding the animal (Fig. 1). Agarose has similar Xray absorption and refraction properties to the biological tissue it surrounds and provides a homogeneous medium that is necessary for the quantitative analysis of noise. These results are presented in Table 1 and plotted in Fig. S3. Increasing the exposure time improved the SNR approximately proportional to the square root of time, as expected from Poisson statistics. Increasing the propagation distance and using phase retrieval also improved the SNR. We next look at the gain in SNR to determine how far the exposure time, hence radiation dose, can be reduced using phase retrieval.
Measurements and analysis of SNR gain
Figure 3a shows the gain in SNR for phase retrieved data in agarose as a function of propagation distance, at each exposure time, with respect to the absorption contrast data at the same exposure time. Figure 3b shows the same data plotted against exposure time. We discover an unexpected effect that the SNR gain is consistently highest at the shortest exposure times.
Mathematical basis for SNR gain
Previously, Gureyev et al.^{15} proposed that the gain in SNR in propagationbased CT with TIEHom phase retrieval can be lower than expected because of CT reconstruction artefacts (e.g. ring or streak artefacts), which modifies equation (1) to:
where \(\kappa ={\sigma }_{CT\_art}/{\sigma }_{P,corr}\). Noise from CT artefacts is \({\sigma }_{CT\_art}\), and Poisson noise from normalized projection images is \({\sigma }_{P,corr}\). Equation (3) assumes that CT artefacts are identical for phase retrieved and absorption contrast data. At large propagation distances the TIE may be invalid and introduce different artefacts for the phase retrieved data. Equation (3) also does not account for other sources of noise such as detector dark current and read noise that may be present. TIEHom can also reduce detector noise and some CT reconstruction artefacts due to its lowpass filtering effect. In equation (4) below, we extend equation (3) to account for these effects. Since our sCMOS detector (see Methods) showed negligible timedependent dark current noise we consider only timeindependent noise. Assuming noise sources to be statistically independent allows us to add the corresponding variances. Equation (3) then becomes:
Here subscript ‘P’ = Poisson, ‘D’ = Detector and ‘art’ = CT artefacts; \({\sigma }_{D}\) is the timeindependent detector noise; \({\kappa }_{AC}^{2}\equiv ({\sigma }_{AC\_art}^{2}+{\sigma }_{D}^{2})/{\sigma }_{P,corr}^{2}\); and \({\kappa }_{PR}^{2}\equiv [{\sigma }_{PR\_art}^{2}+({\sigma }_{D}^{2}/{G}_{D}^{2})]/{\sigma }_{P,corr}^{2}\). \({G}_{D}\) represents suppression of detector noise by the TIEHom. This is treated separately from Poisson noise as the spatial frequency distribution of each noise source will be different.
The data seen in Fig. 3 can all be explained using qualitative analysis of equation (4). When Poisson noise dominates at the shortest exposure time and the Poisson gain factor \({G}_{P}\) is not large (i.e. \({\kappa }_{AC}^{2}\)≪ 1, and \({\kappa }_{PR}^{2}{G}_{P}^{2}\)≪ 1), equation (4) shows that \(G(z,t)\approx {G}_{P}(z)\). Nesterets et al.^{17} showed that \({G}_{P}(z)\cong \gamma \lambda z/{h}^{2}\), where \(\gamma =\delta /\beta \) is the ratio of the real to imaginary parts of the decrement of the (relative) Xray refractive index, \(\lambda \) is the Xray wavelength and \(h\) is typically 0.5 times the full width half maximum (FWHM) of the detector point spread function. This explains the linear relationship with distance \((z)\) at the shortest exposure time in Fig. 3a. Conversely, when the CT artefacts and detector noise dominate the Poisson noise (i.e. for large exposure times when \({\kappa }_{AC}^{2}\), \({\kappa }_{PR}^{2}\)≫ 1) then \(G(z,t)\approx {\kappa }_{AC}/{\kappa }_{PR}\), which is independent of time. This explains the relatively flat lower curve in Fig. 3a at the longest exposure time and why the curves in Fig. 3b converge at large exposure times. Finally, when Poisson noise is dominant, but \({G}_{P}(z)\) is large (i.e. \({\kappa }_{AC}^{2}\)≪ 1, and \({\kappa }_{PR}^{2}{G}_{P}^{2}\)≫ 1) then \(G(z,t)\approx 1/{\kappa }_{PR}\cong 1/\sqrt{\eta ^{\prime} t[({\sigma }_{D}^{2}/{G}_{D}^{2})+{\sigma }_{PR\_art}^{2}]}\). This explains the inverse relationship between SNR gain and exposure time seen in Fig. 3b, which was not predicted by equation (1) because it did not take reconstruction artefacts into account.
With this new model for gain in SNR (equation (4)), the dose reduction factor can be calculated according to equation (2). Substituting \(1/t^{\prime} =DRF/t\) into the equality \(SN{R}_{AC}(t)=SN{R}_{PR}(t^{\prime} )\) and solving the resultant equation for DRF, we obtain:
Equation (5) shows that if \({\sigma }_{AC\_art}^{2} > {\sigma }_{PR\_art}^{2}\) and \({G}_{D}^{2} > 1\), as would normally be the case, then \(DRF > {G}_{P}^{2}\). This is an unexpected result, showing that the dose reduction factor due to PBI CT with TIEHom retrieval, in the presence of detector noise and reconstruction artefacts, can be higher than in the ideal case with only Poisson noise present. This is explained by the fact that the TIEHom retrieval not only reduces the Poisson noise, but also suppresses the detector noise and some CT reconstruction artefacts via the same lowpass filtering effect. On the other hand, in some cases TIEHom phase retrieval may introduce new artefacts, e.g. due to strong deviations of the sample from the homogeneous model; although such artefacts are expected to be weak in most situations^{18}. In such cases it is possible that \(DRF\approx {G}_{P}^{2}\), even when the gain factor G is significantly smaller than \({G}_{P}\). As a consequence, \(DRF > {G}^{2}\) in particular. These equations show that if the measured gain in SNR is in the hundreds, the dose reduction can indeed be in the tens of thousands.
Equation (5) suggests that the DRF increases with exposure time, \(t\). This is because \(G(z,t)\propto 1/\sqrt{t}\), so at short exposures a small reduction in time gives a large increase in SNR whilst at long exposures a larger time reduction is required to get the same increase in SNR.
Experimental dose reduction factors
We can estimate the DRFs from the experimental data in two different ways, as described below.
Method 1
When the CT acquisition and reconstruction artefacts are small compared to Poisson noise (i.e., at low radiation dose), \(G(z,t)\approx {G}_{P}(z)\) and \(DRF\approx {G}_{P}^{2}(z)\). Figure 3a shows that the 1 ms data most closely approximates the Poisson limit for which the other parameters are negligible, hence \(G(z,t)\approx {G}_{P}(z)\). At 1 ms exposures \({G}_{P}(z)=25\pm 2\); \(101\pm 7\); and \(189\pm 15\) for \(z\) at 0.16 m, 1.0 m and 2.0 m, respectively. The respective DRFs are thus approximately \({G}_{P}^{2}(z)\) = 625; 10,200; and 35,700.
Method 2
At all propagation distances, the dose was reduced by a maximum of 300 fold in the experiment due to detector limitations (see Methods). Even after this reduction the phase retrieved images had a higher SNR that the absorption contrast data. The SNR of the 1 ms phase retrieved data was still larger than the absorption contrast SNR at 300 ms by factors of \(1.28\pm 0.02\,(=3.77/2.95)\); \(5.16\pm 0.05(=15.23/2.95)\); and \(9.6\pm 0.2\,(=28.3/2.95)\) at 0.16 m, 1.0 m and 2.0 m, respectively (see Table 1). From equation (5) we can estimate the remaining dose reduction factor as the square of these numbers. This gives the expected dose reduction factors at 0.16 m, 1.0 m and 2.0 m of \(300\times {1.28}^{2}=490\pm 20\); \(300\times {5.16}^{2}=7,990\pm 30\); and \(300\times {9.6}^{2}=27,600\pm 30,\) respectively.
We see that both methods give similar estimates for the DRF at each distance, with the first method providing an upper bound and the second method giving more accurate figures according to the nature of approximations used in the two methods.
Discussion
Herein we have shown experimentally that dose reduction factors much greater than the 300 fold reduction we employed experimentally are possible using PBI CT combined with a collimated Xray beam and the phase retrieval algorithms of Paganin et al.^{9} and Beltran et al.^{13} (TIEHom). Using the derivation of Nesterets et al.^{17}, the maximum theoretical limit to the SNR gain in the absence of detector and CT reconstruction artefacts is \(0.3\gamma \) (see Materials and Methods), which is roughly 532 for our experiment. Our model for noise analysis shows that this optimal condition could lead to a dose reduction factor of up to \((0.3\gamma {)}^{2}={532}^{2}=283,024.\) This remains to be verified experimentally and will likely require highefficiency photoncounting detectors with a large dynamic range.
We unexpectedly discovered that the gain in SNR with TIEHom is significantly larger at low radiation doses when Poisson noise dominates the images. This phenomenon can be explained by accounting for all sources of noise in the reconstruction (equation (4)). These findings will have important consequences for CT studies, particularly for biomedical studies whereby large dose reductions can be achieved for longitudinal in vivo studies.
With dose reduction factors larger than the number of projections (here 1,800), we find that, using phasecontrast imaging and phase retrieval, CT with high SNR and spatial resolution can potentially be achieved with less dose than a single projection absorptionbased image. We therefore recommend using a large number of very low dose projections, coupled with phase retrieval before CT slice reconstruction. This will result in images with high SNR, retaining high spatial resolution, and minimizing any reconstruction artefacts due to insufficient CT projection angles.
We are currently translating these findings to more readily available laboratory microfocus sources for widespread use. The challenge for such sources, apart from the lower brightness compared to synchrotrons, is that geometric magnification of the divergent point source shortens the effective propagation distance, thereby reducing phase contrast^{12}. We nevertheless anticipate dose reduction factors in the hundreds as we found for our shortest propagation distance of just 16 cm.
The ability to improve CT image quality by factors in the tens to hundreds, or to reduce radiation exposure by factors in the hundreds to thousands, would have a dramatic impact for highthroughput lowdose imaging for clinical diagnostics and industrial nondestructive testing applications. Using less radiation will enable higher throughput imaging with fewer motion artifacts and be safer for human imaging or for longitudinal preclinical studies. Diagnostic imaging of the lungs would likely benefit significantly since the air tissue boundaries produce the greatest phase contrast within the mammalian body^{19}. This technique also has great potential for mass breast cancer screening using tomography with high resolution and with very low radiation dose^{18}. The demonstrated dose reduction also lowers the requirements for brightness of microfocus Xray sources that can be used for medical phasecontrast Xray imaging, thus potentially opening the way for the introduction of this method into routine clinical practice. We anticipate that these findings will have a large impact on the future of Xray imaging with major benefits expected for global healthcare.
Materials and Methods
Phase retrieval
For Xray interactions, objects can be defined in terms of the wavelengthdependent threedimensional (3D) complex refractive index: \(n({\bf{r}},\,\lambda )=1\delta ({\bf{r}},\,\lambda )+i\beta ({\bf{r}},\,\lambda )\), where r is a 3D position vector and λ is the wavelength. The real decrement dictates phase changes (refraction) within the object and the imaginary term describes attenuation of the beam. The linear attenuation coefficient is \(\mu (\lambda )=2k\beta (\lambda )\), where \(k=2\pi /\lambda \). Paganin et al.^{9} showed a quantitative reconstruction of an object can be achieved from a single propagationbased phase contrast image of a “homogenous”^{9} or “monomorphous”^{20} object using the TransportofIntensity equation (TIE)^{21}. For such an object the ratio of \(\delta ({\bf{r}},\lambda )/\beta ({\bf{r}},\lambda )\equiv \gamma \) must be constant throughout the material. Note that, at energies far from absorption edges, \(\delta \) and \(\beta \) are proportional to electron density, hence \(\gamma \) will be independent of density. The TIE is valid only for relatively small sampletodetector propagation distances, such that no more than a single Fresnel fringe pair should be seen at the boundaries between objects where the phase gradients are strongest. Under these conditions, and in the case of plane wave illumination, the intensity map at a distance \(z=L\) beyond the object plane \((z=0)\) is^{9}:
Here I is the intensity, \({{\bf{r}}}_{\perp }\) is the position vector in the plane perpendicular to the optic axis z, and \({\nabla }_{\perp }^{2}\) denotes the Laplacian operator in that plane. The Laplacian operator amplifies high spatial frequencies (intensity gradients) in the image caused by refraction at the object boundaries. One may expect that Poisson noise in the image will also be amplified by this Fresnel diffraction^{17}. However, experimentally we find that the noise changes negligibly upon propagation in the parallel beam geometry when intensity is conserved, as demonstrated in Fig. S1. This is the key gain that phase contrast provides, but the reason behind this conservation of noise is still under investigation. The conventional explanation of this phenomenon uses the fact that image noise appears only in the process of photon detection, and it depends primarily on the statistics of the photon fluence and the detector properties. If the same detector is used for image registration in the contact (z = 0) and propagated (z = L) planes, the Xray absorption in air between the two planes is negligible (otherwise an evacuated beam pipe can be used), and the image contrast is relatively weak (as required by the validity conditions of the TIEHom), then the detection conditions are generally equivalent in the two planes. Therefore, in this case the noise should be approximately the same in both planes, as observed in the experiments.
Given an intensity map at plane z = L, the contact plane (z = 0) intensity map can be recovered as^{9} (TIEHom retrieval):
Here F and F ^{1} represent Fourier and inverse Fourier transform operators, respectively, \({{\bf{k}}}_{\perp }^{2}\) is the squared Fourier space radius dual to \({{\bf{r}}}_{\perp }\). A similar formalism has been derived for point source illumination^{9,22}. Equation (7) is a lowpass Fourier filter that smooths out the contrast at high spatial frequencies that was amplified by Fresnel diffraction. This filter is highly robust against noise^{8,11} since the denominator is never zero, even when \({{\bf{k}}}_{\perp }^{2}=0\). Figure S2 shows the effect of signal and noise suppression in Fourier space.
Recovery of the 3D complex refractive index of the object requires a tomographic projection series to be recorded with the sample rotated around some axis in the plane (\({{\bf{r}}}_{\perp }\), z = 0), and the detector fixed at plane z = L. TIEHom retrieval is applied to each projection image before using any choice of tomographic reconstruction, such as filtered backprojection^{23}. This process can very accurately reconstruct a sample’s \(\beta \) values, but in certain cases will give nonquantitative reconstructions of the \(\delta \) value^{18}.
Beltran et al.^{13} extended the work of Paganin et al.^{9} to enable objects comprised of multiple materials to be reconstructed one pair of materials at a time. They demonstrated that when the choice of constants for the material pairing is correct, those materials will be correctly reconstructed. However, other materials in the samples will be locally polluted by incorrect filtration resulting in under or oversmoothing of the material boundaries^{13,20}. Those studies show that an arbitrary choice of lowpass filter will not correctly suppress the phase contrast, nor preserve the spatial resolution. Hence one cannot simply employ typical image filtering routines to quantitatively recover the object, particularly when using a multimaterial sample. Although phase retrieval requires an object’s complex refractive index coefficients to be known a priori, they need only be accurate to within a few percent of the real values. As stated earlier, variations in material density also have no effect on the accuracy of these algorithms. Slight inaccuracy in the refractive index can be corrected by manual or automated optimisation of the input parameters^{24}.
Nesterets et al.^{17} showed that under the approximation of the TIE the maximum improvement in SNR by using phase contrast in conjunction with TIEHom for CT is ~\(0.3\gamma \). This variable is typically in the hundreds for low density materials in the diagnostic energy range. They also showed that the gain in SNR with TIEHom is greater for CT data than for individual projections. Equation (2) suggests that the potential for dose reduction should thus be higher for CT than for a 2D projection imaging.
While in theory, when the nearFresnel imaging conditions are satisfied (which is the case in the present experiment), the TIEHom retrieval should restore the spatial resolution achievable in the contact plane under the equivalent imaging conditions (i.e. using the same Xray illumination and same detector)^{9,12}. In practice, however, there is often a moderate loss of resolution associated with this method (Fig. S4). This effect is mostly due to the deviation of the sample composition from the homogeneous (singlematerial) one assumed in the TIEHom method, which can lead to local blurring of the edges and interfaces in the sample. This loss of spatial resolution can be minimised by careful selection of the experimental conditions (the propagation distance, the source size and the detector resolution) and by judicious choice of the parameter γ in TIEHom retrieval.
Spatial resolution of the CT images (Fig. S4) was calculated from the line profiles of the sharp edge of the PMMA tube in air. This was represented by the convolution of a Heaviside step function with a Gaussian defined by its full width half maximum (FWHM). Note that here we assumed the material was water for providing a good approximation to tissue, yet the resolution was measured from the plastic tube, hence the \(\gamma \) value was not ideal for use in that location.
Animal handling
This experiment used a newborn New Zealand White rabbit kitten that had been used in experiments conducted with approval from the SPring8 Animal Care (Japan) and Monash University (Australia) Animal Ethics Committees. All experiments were performed in accordance with relevant guidelines and regulations. The kitten was humanely killed in line with approved guidelines and the carcass scavenged for this experiment. The lungs of the kitten were inflated in situ with nitrogen using a sustained volume of 20 ml/kg before ligating the trachea. Nitrogen was used to prevent postmortem changes in the lung air gas volume as oxygen can diffuse into the surrounding tissues. The body of the rabbit kitten was then set in a 2% agarose solution to prevent movement during multiple CT acquisitions.
Synchrotron experimental imaging
Experimental data was acquired in hutch 3 of beamline 20B2 at the SPring8 synchrotron Japan, 210 m from the 150 μm (H) ×10 μm (V) source. A beam energy of 24 keV was selected using a double bounce Si(111) monochromator. A Hamamatsu ORCA flash C1144022C sCMOS detector was coupled to a Nikkon 85mm lens and a 25 μm thick Gadox phosphor (P43, Gd2O2S:Tb+). The detector field of view was 2048×2048 pixels (31.3×31.3 mm) and the effective pixel size was 15.3 μm. The detector dark noise was negligible at ~0.15 electrons/pixel/second. The readout noise was also low at 1.3 electrons per exposure (Hamamatsu C1144022C instruction manual). The dose rate (air kerma) to the sample was kept fixed at 13.5±0.1 mGy/s, as measured using an airfilled ionization chamber
Twelve separate computed tomography (CT) datasets of the same animal thorax were acquired to investigate the dependence of image quality on: (1) the sampletodetector propagation distance, L; (2) the exposure time, t, and; (3) the effect of applying TIEHom retrieval to the projection images before CT reconstruction. CT datasets were acquired at propagation distances of 0.16 m, 1.0 m and 2.0 m, and using four different exposure times of 1 ms, 10 ms, 100 ms, and 300 ms per projection at each distance. The shortest distance of 0.16 m was the closest we could safely position the detector to minimise phase contrast. This exposure range was chosen since the shortest exposure time (1 ms) was the lower limit of the detector using external triggering, and exposures longer than 300 ms saturated the detector. A total of 1801 projections were recorded per scan as the sample was rotated through 180°. This gave a surface entry radiation dose range from 24.3 ± 0.1 mGy (1 ms exposures) to 7.29 ± 0.01 Gy (300 ms exposures). We note that the lower dose is comparable to clinical CT scanners^{16}, but with much higher spatial resolution. Conversely, the largest dose is well above safe limits for clinical imaging but is comparable to typical microCT scans on nonliving samples^{25,26,27}.
Image processing for CT reconstruction
After the acquisition of experimental data, all images were corrected for the detector dark current offset and sample images were normalised by the flat field intensity (beam with no sample). Two separate image preprocessing cases were investigated: filtered backprojection^{23} (FBP; using a ramp filter) reconstruction with no further image preprocessing, and FBP reconstruction following the application of TIEHom to each of the projection images. Here we assume that all tissue types contained within the thorax have a \(\gamma \)value equivalent to water (\(\beta =2.25\times {10}^{10}\); \(\delta =3.99\times {10}^{7}\), given 24 keV Xrays). This is a reasonable approximation since for thoracic imaging we are primarily concerned with the contrast between lung air gas and the surrounding tissue, and not subtle differences between tissue types. It is also wellknown that the TIEHom reconstruction is quite insensitive to variations of the value of parameter γ. Using the approximation of Nesterets et al.^{17}, the maximum limit to the SNR gain due to propagationbased phase contrast and TIEHom retrieval for these parameters is \(0.3\gamma =532.\)
Determining unknown parameters in DRF
To determine the unknown parameters in equation (4), numerical curve fitting techniques were applied to the experimental SNR data. However, the best fits based on our model for SNR could never consistently fit all of the points, typically underestimating the SNR at lowest exposures. Since spatial resolution can significantly affect the SNR, we measured the resolution of the phase retrieved images for all distances and exposure times. For this beamline image blurring from the finite source size should be negligible at all distances used ( < 0.1 \(\times \) pixel size). We made the surprising discovery that the spatial resolution varied with both propagation distance and time.
Figure S4 shows the spatial resolution to degrade (larger FWHM) at longer propagation distances (this is discussed above in the subsection entitled “Phase retrieval”). More importantly, we see the resolution improve (reduced FWHM) for shorter exposure times. This is possibly due to an increase in the effective source size resulting from motion of the beam, likely caused by monochromator vibration, during the exposure. However, in principle, blurring from the source should only affect edge sharpness and should not affect the SNR, as evidenced by Fig. S1. We speculate that the parameterisation problem comes from either insufficient data points, variability in the detector noise with each readout, or inaccuracy of the detector timing control at short exposure times. In future we will reduce the radiation dose by decreasing the photon flux rather than altering exposure times to rule out these problems.
Additional information
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Acknowledgements
We thank David M. Paganin for discussions when developing this manuscript. M.J.K. is supported by an ARC Future Fellowship (FT160100454). S.B.H. is an NHMRC Principal Research Fellow. This work was funded by ARC Discovery Projects DP110101941 and DP130104913, NHMRC Development Grant 1093319, and supported by SPring8 proposals 2014B1522 and 2014A0047. Animal ethics number MMCA/2014/15 (Monash Medical Centre Committee A). We acknowledge travel funding provided by the International Synchrotron Access Program (ISAP) managed by the Australian Synchrotron and funded by the Australian Government (AS/IA143/9203). Data analyzed in this paper have been deposited into the Store.Monash repository, identifiable by the doi: 10.4225/03/58197dd586bef.
Author information
Affiliations
School of Physics and Astronomy, Monash University, Melbourne, 3800, Australia
 Marcus J. Kitchen
 , Genevieve A. Buckley
 & Timur E. Gureyev
ARC Centre of Excellence in Advanced Molecular Imaging, School of Physics, University of Melbourne, Parkville, 3052, Australia
 Timur E. Gureyev
School of Science and Technology, University of New England, Armidale, 2351, Australia
 Timur E. Gureyev
The Ritchie Centre, Hudson Institute for Medical Research, Melbourne, 3168, Australia
 Megan J. Wallace
 & Stuart B. Hooper
Department of Obstetrics and Gynaecology, Monash University, Melbourne, 3800, Australia
 Megan J. Wallace
 & Stuart B. Hooper
School of Engineering, University of Melbourne, Parkville, 3052, Australia
 Nico AndresThio
School of Mathematics and Statistics, University of Melbourne, Parkville, 3052, Australia
 Nico AndresThio
Japan Synchrotron Radiation Research Institute (JASRI/SPring8), 111 Kouto, Sayo, Hyogo 6795198, Japan
 Kentaro Uesugi
 & Naoto Yagi
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Contributions
M.J.K., G.A.B., M.J.W. and S.B.H. conducted the experiment with assistance and expertise from K.U. and N.Y.; analysis of data by M.J.K., G.A.B. and N.A.T.; theoretical contributions by M.J.K. and T.E.G.; the manuscript was written by M.J.K., G.A.B. and T.E.G and edited by all authors.
Competing Interests
The authors declare that they have no competing interests.
Corresponding author
Correspondence to Marcus J. Kitchen.
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